Interactive Medical Case

Graham T. McMahon, M.D., M.M.Sc., Editor, Joel T. Katz, M.D., Associate Editor, Bruce D. Levy, M.D., Associate Editor, Joseph Loscalzo, M.D., Ph.D., Associate Editor

Hard to Conceive

John J. Ross, M.D., Julie H. Levison, M.D., and Robert L. Barbieri, M.D.

N Engl J Med 2010; 363:e11August 12, 2010DOI: 10.1056/NEJMimc1000140

Case

A 31-year-old woman originally from Nepal presented to her primary care physician after failing to become pregnant despite having regular unprotected intercourse for the past 18 months. Her menarche had occurred at 13 years of age. Her menses lasted for 6 or 7 days, occurred regularly every 4 weeks, and were associated with typical premenstrual symptoms. She had no history of . . .

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Each interactive case presents an evolving patient history and a series of questions and exercises designed to test your diagnostic and therapeutic skills. You will receive immediate feedback on your answers and treatment choices, along with the opportunity to compare your final score with those of your peers. Video, animation, and interactive content allow you to learn more about mechanisms, diagnostic tests, and treatments.

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