<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 38-year-old woman presents to her primary care physician concerned about her inability to get pregnant for the past year. She has regular menstrual cycles and has unprotected intercourse with her husband daily. She is an immigrant from Australia and her past medical history is not known. She is currently taking folic acid and multivitamins. The patients husband has had a sperm count that was determined to be within the normal range twice. She is very concerned about her lack of pregnancy and that she is too old. Which of the following is the most appropriate next step in management for this patient?? A: Advise against pregnancy given the patients age, B: Assess ovulation with an ovulation calendar, C: Continue regular intercourse for 1 year, D: Perform hysterosalpingogram, E: Repeat semen count,  <response>: This is a question about infertility workup in a 38-year-old woman who has been unable to conceive after 1 year of unprotected intercourse. The key findings in the stem are:- 38-year-old woman - Unable to conceive after 1 year of unprotected intercourse- Regular menstrual cycles- Normal sperm counts in husbandThe choices include assessing ovulation B, continuing attempts for 1 more year C, performing hysterosalpingogram D, and repeating semen analysis E. Choice A about advising against pregnancy is incorrect, as age alone should not preclude attempts at conception. Choice C to continue attempts for 1 more year is also incorrect, as 1 year of unprotected intercourse meets the definition of infertility and warrants further workup. The most appropriate next step would be to assess anatomical factors by performing a hysterosalpingogram to evaluate the uterus and fallopian tubes choice D. This is recommended after 1 year of unprotected intercourse when other initial tests like semen analysis are normal. Choices B and E are reasonable but not the most appropriate next steps.D: Perform hysterosalpingogram 