data/guidelines/obgyn/024_PCOS.txt

Title: Infertility Workup — OBGYN Guideline (24)

Clinical Summary:
Evidence-aligned approach to infertility workup in OBGYN. Prioritize red flags, history, and targeted exam; use testing judiciously.

Symptoms:
- Pattern, onset, severity, modifiers
- Associated: fever, weight loss, bleeding, dyspnea
- Risks: comorbidities, medications, family history

Differentials:
- Common
- Less common
- Must-not-miss (red flag)

Investigations:
- First-line labs
- Imaging when indicated
- Decision thresholds

Management:
- Conservative measures
- Pharmacologic options
- Escalation criteria

Red Flags:
- Syncope, severe pain, hemodynamic instability
- New neurologic deficits
- Rapid progression or systemic toxicity

Follow-Up:
- Time-bounded review
- Safety-net advice
- When to return earlier