What management approach is indicated for an ovulating woman experiencing infertility?

For an ovulating woman experiencing infertility, the recommended management approach includes the use of fertility drugs, intrauterine insemination (IUI), or in vitro fertilization (IVF) as indicated. This approach is supported by evidence showing that many ovulating women may have other factors contributing to infertility, such as issues with sperm quality or tubal patency.

Fertility drugs can help enhance ovarian function, potentially increasing the chances of conception. If conception does not occur, assisted reproductive technologies such as IUI or IVF can be considered. IUI allows for the direct placement of sperm in the uterus, which can increase the likelihood of sperm meeting the egg, while IVF can be utilized when other methods have failed or in cases with specific fertility issues.

Martin attempts to conceive naturally may not suffice, as they may take too long or fail due to underlying issues that can be addressed with medical interventions. Waiting for at least one year may lead to further emotional and physical strain on the individual or couple, particularly if timely intervention could improve their chances of conception. Therefore, a proactive approach that includes fertility medications and assisted reproductive technologies is the most appropriate and effective management strategy for this situation.