Uterine Factor Questionnaire

One in three patients with infertility has a uterine abnormality. Many try various methods to conceive, but the uterus, which is crucial for pregnancy, is often overlooked.

This questionnaire screens for possible uterine causes of infertility or miscarriage. It is not a substitute for professional medical diagnosis. Conditions screened include dysmorphic T-shaped uterus, septate uterus, endometrial polyp, submucous myoma, and intrauterine adhesions. It has 6 questions and takes about 3 minutes. Please choose the answer closest to your situation.

This questionnaire was prepared by Dr. Patsama Vichinsartvichai, LIFE by Dr. Pat. For questions, contact: [email protected]

LINE WA