C-RHI exam guide
About the Reproductive Health and Infertility (C-RHI) exam
C-RHI assesses knowledge used in reproductive health and infertility care across assessment, anatomy and physiology, evaluation and diagnosis, non-ART therapy, assisted reproductive technology, broader reproductive-health treatment, complications, counseling, ethics, quality, and psychosocial support.
MedPorium is an independent education platform and is not affiliated with or endorsed by National Certification Corporation (NCC). Exam details can change; confirm them with the official source before applying.
C-RHI exam format at a glance
- Questions
- 125
- 100 scored; 25 unscored
- Time
- 2 hours
- Delivery
- Computer-based at a testing center or through live remote proctoring
Knowledge to review for the C-RHI exam
These foundations support the practical tasks in the official examination matrix.
Assessment and reproductive physiology
- Medical, reproductive, menstrual, obstetric, sexual, genetic, family, lifestyle, medication, and psychosocial history; screening and counseling; reproductive anatomy; HPO axis; gametogenesis; fertilization; implantation; aging; and menopause
- Laboratory and imaging interpretation including ovarian reserve, endocrine evaluation, semen analysis, ovulation, tubal patency, uterine anatomy, and genetic testing
Diagnosis and treatment pathways
- PCOS, diminished ovarian reserve, thyroid and endocrine disease, tubal and uterine factors, endometriosis, male factor, genetic and congenital conditions, unexplained infertility, recurrent pregnancy loss, and chronic pelvic pain
- Lifestyle modification, ovulation induction, IUI, reproductive surgery, male therapy, IVF stimulation, retrieval, fertilization, embryo culture, transfer, cryopreservation, PGT, donor conception, gestational carriers, and fertility preservation
Safety, outcomes, and whole-person care
- Medication effects, OHSS, multiple gestation, ectopic and heterotopic pregnancy, procedure complications, infection, bleeding, torsion, early pregnancy loss, cycle cancellation, and emergency escalation
- Quality assurance, laboratory safety, outcomes, benchmarking, consent, genetics, counseling, mental health, culture, religion, equity, legal issues, third-party reproduction, and pregnancy disclosure
C-RHI examination matrix
The percentages below are the approximate exam-score weights published by National Certification Corporation (NCC). Use them to allocate study time, then adjust for your own weak areas.
20%
General Assessment, Reproductive Anatomy, and Physiology
Integrate history, screening, reproductive lifespan, anatomy, endocrine control, gamete biology, fertilization, implantation, and counseling.
- Obtain medical, reproductive, menstrual, obstetric, sexual, genetic, lifestyle, medication, family, and psychosocial history
- Apply reproductive anatomy, HPO-axis physiology, gametogenesis, ovulation, fertilization, embryo development, implantation, pregnancy, aging, and menopause
- Interpret screening and normal data, identify risk, provide counseling, and select appropriate next assessment
25%
Pathophysiology, Evaluation, and Diagnosis of Reproductive Health Disorders
Evaluate endocrine, structural, ovarian, tubal, uterine, male, genetic, pregnancy-loss, and unexplained reproductive disorders.
- Differentiate endocrine and HPO-axis disorders, thyroid disease, PCOS, diminished ovarian reserve, and ovulatory dysfunction
- Evaluate tubal, cervical, uterine, endometriosis, male-factor, congenital, genetic, and unexplained infertility
- Plan and interpret laboratory, imaging, semen, genetic, hysteroscopic, laparoscopic, and recurrent-pregnancy-loss evaluation
12%
Non-Assisted Reproductive Technologies (Non-ART) Treatment and Complications
Use lifestyle, medication, intrauterine insemination, surgery, and male therapies safely before or outside IVF-based treatment.
- Apply lifestyle, nutrition, exercise, timing, supplements, and risk-factor modification
- Manage ovulation induction and IUI monitoring, timing, response, cancellation, and complications
- Recognize indications, expected outcomes, and complications of reproductive and male-factor procedures
24%
Assisted Reproductive Technologies (ART) Treatment and Complications
Apply IVF, laboratory, embryo, genetic, third-party, preservation, and transfer knowledge while recognizing treatment complications.
- Manage pretreatment, stimulation, monitoring, trigger, retrieval, fertilization, culture, transfer, luteal support, and frozen-transfer protocols
- Understand andrology, ICSI, embryo grading and development, cryopreservation, PGT, donor gametes, gestational carriers, and fertility preservation
- Recognize OHSS, torsion, bleeding, infection, anesthesia risk, multiple gestation, ectopic pregnancy, medication effects, and cycle failure
19%
Reproductive Health Treatment and Complications
Manage broader endocrine, contraceptive, hormone, early-pregnancy, and pelvic-pain care with ethical, legal, cultural, and psychosocial support.
- Apply treatment for thyroid, pituitary, adrenal, hypothalamic, metabolic, contraceptive, and hormone-management needs
- Assess and manage early pregnancy, pregnancy of unknown location, loss, ectopic risk, and chronic pelvic pain
- Integrate counseling, mental health, culture, religion, diversity, ethics, legal issues, consent, disclosure, and supportive resources
How to use this C-RHI diagnostic
The 15 questions sample all five official categories. For each case, define the reproductive goal, relevant history, physiology, differential, diagnostic sequence, treatment pathway, timing, medication or procedure risk, complication surveillance, counseling, and ethical or psychosocial considerations.
High-yield C-RHI study priorities
Priority 1
Build complete evaluation pathways
Practise moving from reproductive goal and history to differential, initial tests, interpretation, confirmatory evaluation, counseling, and treatment rather than memorizing isolated diagnoses.
Priority 2
Know the ART timeline
Follow an IVF cycle from pretreatment through stimulation, trigger, retrieval, laboratory procedures, embryo development, transfer, luteal support, pregnancy testing, complications, and outcome reporting.
Priority 3
Pair every treatment with surveillance
For medications and procedures, know indication, timing, expected response, monitoring, cancellation thresholds, adverse effects, emergency complications, patient teaching, and escalation.
Priority 4
Keep counseling central
Reproductive care includes consent, genetics, probabilities, alternatives, financial and access concerns, grief, trauma, culture, religion, third-party reproduction, and mental-health support.
C-RHI exam FAQ
How many questions are on the C-RHI exam?
The 2026 NCC candidate guide lists 125 questions: 100 scored items and 25 unscored pretest items embedded throughout the examination.
How long is the C-RHI exam?
NCC allows 2 hours to complete the examination.
How is the C-RHI content outline weighted?
The guide assigns 20% to General Assessment/Anatomy/Physiology, 25% to Pathophysiology/Evaluation/Diagnosis, 12% to Non-ART Treatment, 24% to ART Treatment, and 19% to Reproductive Health Treatment and Complications.
What does the Reproductive Health and Infertility exam emphasize?
It emphasizes reproductive assessment, infertility diagnosis, non-ART and ART treatment, broader reproductive-health management, complication recognition, quality, counseling, ethics, and psychosocial care.
How is the C-RHI exam delivered?
NCC offers computer-based testing at test centers and through live remote proctoring. Confirm current identification, technical, scheduling, and testing-space requirements directly with NCC.
Does this diagnostic predict whether I will pass?
No. A 15-question diagnostic is a low-confidence baseline, not a validated pass prediction. Use it to identify review priorities and confirm current exam requirements with NCC.
Is MedPorium affiliated with NCC?
No. MedPorium is an independent education platform and is not affiliated with or endorsed by the National Certification Corporation.
Review and official source
Clinical reviewer: U. R. Roberts
Exam format and matrix information were checked against the 2026 NCC Reproductive Health and Infertility candidate guide. Source reviewed October 11, 2026.
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