M«Dayv
Philippine Obstetrical and Gynecological Society (Foundation), Inc.
and
Philippine Society for Reproductive Medicine, Inc.
CLINICAL PRACTICE GUIDELINES
on
BASIC INFERTILITY
November 2019
Task Force on the Clinical Practice Guidelines
on Basic Infertility
The Philippine Obstetrical and Gynecological Society
(Foundation), Inc.
Committee on Clinical Practice Guidelines
2019
Committee Betha Fe M. Castillo, MD
Chair
Members
Ana Victoria V. Dy Echo, MD
Managing Editor
Kristine Therese R. Elises-Molon, MD
Mikaela Eriinda G. Martinez-Bucu, MD
Assistant Managing Editors
Richard Ronald B. Cache, MD Maria Carmen H. Quevedo, MD
Mlla Z. Ibay, MD Ramon T. Reyles, MD
Ina S. Irabon, MD Gladys G. Tanangonan, MD
Ryan Joseph B. Llrazan, MD Ma. Victoria V. Torres, MD
Nellnda Catherine P. Pangallnan, MD
Members
Rainero S. Abad, MD Catherine T. Jison, MD
Plenary Maria Rizalina B. Adalid, MD Jennifer 0. Madera, MD
Annalie Angeles, MD Carolina Paula C. Martin, MD
Reviewers Mary Rose P. Asuncion, MD Ma. Dolores A. Mercado, MD
Marie Scent F. Benedicto, MD Rejo Mae Orola, MD
Grace P. Cayabyab, MD Winnie O. Pocsidio, MD
Leilani C. Coloma, MD Ma. Kathryn C. Ramos, MD
May Anne Del Mora, MD Raquel M. Salonga, MD
Connie B. Domingo, MD Carmencita S. Solidum, MD
JoanTan-Garcia, MD Roda P. Alvarez-Uy, MD
Rufina Lynor B. Gler, MD Ma. luisa S. Acu, MD
Evelyn B. Manlutac, MD Helen R. Amorin, MD
Ma. Czarina V. Mendoza, MD Cyd Arellado, MD
Sherry C. Navarro, MD Doris R. Benavides, MD
Wilhelmina S. Pineda, MD Kristen 0. Cruz-Canlas, MD
Filipina S. Ramos, MD Lilli MayT. Cole, MD
Rolando T. Rodriguez, MD Marilou U. De Vera, MD
Maria Cristina P. Santos, MD Shirley D. Del Rosario, MD
Irene L. Uy, MD Rodante P. Galiza, MD
Ma. Lourdes R. Abeleda, MD Nora G. GepuUe, MD
Lourdes Mallari-Agujo, MD Irene C. Manalastas, MD
Ruth Jink L. Aposaga, MD Rudie B. Mendiola, MD
Regina A. Bandong, MD Danilo Jose C. Milla, MD
Teresa Diana B. Bongala, MD Maria Clara D. Ozaeta, MD
Lily Rose DLC. Co, MD Belen P. Rajagukguk, MD
Barbara Anne B. Coma, MD Ma. Aurora A. Ramos, MD
Nerissa N. De Guzman, MD Floriza C. Salvador, MD
Carmela M. Dy, MD Janette P. Tuquero, MD
Marls Yap-Garcia, MD Amelia A. Vega, MD
Maria Antonia E. Habana, MD
University of the Philippines-Philippine General Hospital
Anna Belen C. Ignacio-Alensuela, MD
Far Eastern University-Nicanor Reyes Medical Foundation
Ina S. Irabon, MD
Perpetual Help Dolta Medical Center
Susana S. Lao, MD
Chinese General Hospital
Lilia P. Luna, MD
Far Eastern Unlversity-Nlcanor Reyes Medical Foundation
Eileen M. Manalo, MD
University of the Philippines-Philippine General Hospital
Gllda G. Martinez, MD
University of the Philippines-Philippine General Hospital
Mikaela G. Martinez-Bucu, MD
University of the Philippines-Philippine General Hospital
Rudle Frederick B. Mendiola, MD
Koto ReproBlotech Center
Rogelio P. Mendiola, MD
Capitol Medical Center
Danilo Jose C. Milla, MD
CARMI St Luke's Medical Center BGC
Virgilio M. Novero Jr., MD
University of the Philippines-Philippine General Hospital
Enrico Gil C. Oblepias, MD
University of the Philippines-Philippine General Hospital
Ednalyn T. Ong-Jao, MD
Kato ReproBlotech Center
Debby F. Pacquing-Songco, MD
University of the East-Ramon Magsaysay Memorial
Medical Center
Leedah L. Ranola-Nisperos, MD
Dr. Jose Fabella Memorial Hospital
Emma N. Reyes-Caringal, MD
San Antonio Medical Center of Lipa
Marcela Dianalyn G. Sazon-Carlos, MD
Angeles University Foundation Medical Center
Alien Gideon R. Tan, MD
Bataan General Hospital and Medical Center
Delfin A. Tan, MD
St. Luke's Medical Center-Quezon City
Regina Paz A. Tan-Espiritu, MD
University of the Philippines-Philippine General Hospital
XII
Clinical Practice Guidelines on Basic Infertility
Evaluation and Management
Table ofcontents
Message
Introduction
Foreword
Contributors, Technical working group. Editorial staff
Chapters i l Definition and epidemiology of infertility 1
Lyra Ruth T. Clemente-Chua,Trinidad R. Vera, Marinella Agnes
G. Abat, Ma. isidora M.Yap-Garcia
2 Etiology and pathophyslology of Infertility 7
! Marlyn T. Dee, Susana S. Lao, Debby F. Pacquing-Songco,
Leedah L. Ranola-Nisperos, Maria Luisa C. Tanchoco
3 Initial evaluation of the Infertile couple 30
Liiia P. Luna, Anna Belen I. Alensuela, Romerico F. Torres,
Emma N. Reyes-Caringal, Florely Joy P. Gregorio
4 Preconceptlonal health 44
Gilda G. Germar-Martinez, Regina Paz A.Tan-Espiritu, Gladys
G. Tanangonan, Margaret Joyce A. Cristi-Limson
5 Ovulatory dysfunction 60
Eileen M. Manalo, Ina S. Irabon, Sonia E. Desquitado, Judith
S. Galang-Perez
6 Tubal Infertility 70
Rudie Frederick B. Mendiola, Angela S. Aguilar, Marcela
Dianalyn G. Sazon-Carlos, Ednalyn T. Ong-Jao
7 Uterine disorders 78
Enrico Gil C. Oblepias, Rogelio P. Mendiola, Madonna Victoria
C. Domingo, Marian S. Capco-Dichoso, Mary LiezI N. Yu
XV
