Prometric Exam for IVF and Reproductive Medicine Specialists: Specialist Reproductive Medicine & Infertility Licence for DHA, MOHAP, DOH, SCFHS & QCHP — the 6-Area Blueprint, 60% Pass Mark, Fertility Clinic Rules, Fellowship Recognition and Salaries (2026)

Fertility clinics have multiplied across the UAE, Saudi Arabia, Qatar and Kuwait, driven by later marriage, rising obesity and PCOS, well-funded insurance and government programmes, and a cultural priority on family. Regulators have responded by licensing reproductive medicine and infertility as a distinct specialty with its own paper, rather than treating it as a corner of obstetrics and gynaecology. If you hold a fellowship or subspecialty degree in reproductive medicine on top of an OB-GYN qualification, this is the title to aim for — and the one clinic licences are built around.

The exam

• Specialist Reproductive Medicine and Infertility (RMA6062): 150 single-best-answer questions, 3 hours, pass mark 60% — 90 correct answers
• References: Speroff's Clinical Gynecologic Endocrinology and Infertility, the Textbook of Assisted Reproductive Techniques (Gardner), and Yen and Jaffe's Reproductive Endocrinology

Who is assessed for this title

• A recognised OB-GYN qualification (MD, MS, DNB, FCPS, MRCOG with training, Arab Board) plus a subspecialty qualification in reproductive medicine: a recognised fellowship of at least two years, a subspecialty board (Arab Board subspecialty, ABOG REI, RCOG subspecialty training), or an equivalent structured programme with documented ART case volume.
• OB-GYN specialists with short IVF courses or observerships are assessed for the OB-GYN title (OBG5891) and may work in fertility units under that title with restricted scope, but not as the responsible reproductive medicine specialist for an ART licence. See the recognition guide and run the eligibility check.
• Andrologists come through urology (urology guide); clinical embryologists are licensed as laboratory scientists on a separate route.

The six blueprint areas

1. Infertility (female and male) and reproductive endocrinology — the infertility work-up and its timing, ovulatory disorders and WHO classification, PCOS diagnosis and ovulation induction ladder, diminished ovarian reserve and its markers, tubal disease, endometriosis-associated infertility, male factor evaluation and treatment, unexplained infertility, ovarian stimulation protocols, triggering, luteal support, OHSS prediction and prevention, fertility preservation, recurrent implantation failure and recurrent pregnancy loss
2. Basic science, physiology and pathophysiology — the hypothalamic–pituitary–ovarian axis, folliculogenesis, spermatogenesis, fertilisation and early embryo development, implantation, the endometrium through the cycle, puberty and menopause physiology, amenorrhoea and hyperprolactinaemia work-up
3. Reproductive surgery — hysteroscopic management of septum, polyps, adhesions and fibroids, laparoscopic surgery for endometriosis and tubal disease, when surgery precedes ART, oocyte retrieval and embryo transfer technique and complications
4. Diagnostic techniques and interpretation — ultrasound follicle tracking and antral follicle count, hysterosalpingography and saline sonography, semen analysis reference values and advanced sperm tests, hormone profiles and their timing, ovarian reserve tests
5. Genetics — karyotype abnormalities, Y-chromosome microdeletions, CFTR and congenital absence of the vas, fragile X premutation, preimplantation genetic testing indications and limits, consanguinity counselling (particularly relevant in the Gulf), inherited thrombophilia evidence
6. Ethics, law, patient safety and communication — consent, gamete and embryo ownership, the regional legal framework for ART, laboratory safety and witnessing systems, counselling

What repeats

• Stimulation protocols — agonist vs antagonist, dosing by reserve and BMI, the poor responder, the high responder and OHSS prevention with agonist trigger and freeze-all.
• PCOS — diagnostic criteria, letrozole as first-line, laparoscopic drilling indications, metabolic management.
• Ovarian reserve interpretation — AMH, antral follicle count, FSH, and what they do and do not predict.
• Semen analysis against reference values, and the route from severe oligozoospermia to surgical sperm retrieval and ICSI.
• Endometriosis — surgery vs ART, endometrioma management before retrieval.
• Recurrent pregnancy loss — the evidence-based work-up and what not to test.
• Genetics — when to karyotype, PGT-A vs PGT-M, the CFTR rule.
• Embryo transfer decisions — single vs double, fresh vs frozen, endometrial preparation.
• OHSS — classification and management.

What Gulf ART law allows

Every Gulf state regulates assisted reproduction by statute, and the rules shape daily practice more than in most countries. The common ground: treatment is provided to married couples using their own gametes; donor gametes, donor embryos and surrogacy are prohibited; embryo freezing is permitted within defined limits and with both partners' consent; sex selection is permitted only for medical indications, with some jurisdictions allowing family balancing under conditions; research on embryos is tightly restricted. The UAE's federal law, Saudi Arabia's regulations and the Qatari and Kuwaiti frameworks differ in detail — for example on storage periods and on the fate of embryos after divorce or death — and those details are examinable in the ethics and law area and enforced at facility inspection. Ask any employer for the current regulation and the clinic's licence conditions before you start.

Process

1. Portal registration and title selection (Sheryan, Mumaris+ or the relevant portal).
2. DataFlow verification of the primary degree, the OB-GYN qualification, the reproductive medicine qualification, registration, experience and an ART case log where requested (guide, fees).
3. Eligibility, booking (lead times), exam — Prometric for most authorities, Pearson VUE for DOH.
4. Offer from a licensed ART facility, credentialing and activation. Tier 1 holders may be exempt from the paper (exemptions guide).

Salaries

Reproductive medicine is among the best-paid non-surgical fields in the Gulf private sector. Specialists in the UAE typically earn AED 45,000–70,000 a month and Consultants AED 70,000–130,000, and most private fertility groups pay a base plus a share of cycle revenue, which for a specialist with an established patient base can be substantial. Saudi packages run SAR 40,000–65,000 for Specialists with housing; Qatar and Kuwait are comparable. Compare in the salary calculator and register in the talent pool.

Eight-week plan

1. Week 1: reproductive physiology and endocrinology.
2. Weeks 2–3: female infertility work-up, PCOS, ovulation induction, stimulation protocols, OHSS.
3. Week 4: male infertility and andrology.
4. Week 5: reproductive surgery and diagnostics.
5. Week 6: genetics and PGT.
6. Week 7: recurrent loss, fertility preservation, ethics and regional law.
7. Week 8: two timed mocks from the Reproductive Medicine question bank.

Frequently asked questions

What is the pass mark for the Prometric reproductive medicine exam?

60%. The Specialist Reproductive Medicine and Infertility paper has 150 single-best-answer questions in three hours, so 90 correct answers are needed.

Can an OB-GYN specialist with an IVF course work as a fertility specialist in the Gulf?

They can work in a fertility unit under the OB-GYN title with restricted scope, but the Reproductive Medicine title — and the responsible-specialist role for an ART licence — requires a recognised fellowship or subspecialty qualification in reproductive medicine.

Is egg or sperm donation allowed in Gulf IVF clinics?

No. Gulf ART laws restrict treatment to married couples using their own gametes; donor gametes, donor embryos and surrogacy are prohibited. Embryo freezing and sex selection are permitted only within defined limits.

Which reproductive medicine topics are tested most?

Ovarian stimulation protocols and OHSS prevention, PCOS management, ovarian reserve interpretation, male-factor pathways to ICSI, endometriosis and infertility, preimplantation genetic testing, and the regional ethics and law framework.