Your First Step Toward Parenthood
Every successful fertility journey begins with a thorough clinical evaluation. During your first visit, our reproductive specialists will review your complete medical and reproductive history — including menstrual cycle patterns, prior pregnancies, surgical history, lifestyle factors, and any previous fertility treatments. Both partners are encouraged to attend to ensure a comprehensive assessment from the outset.
What Happens During the Initial Consultation
Detailed Medical History Review
Your specialist will conduct an in-depth discussion covering your menstrual cycle regularity, any history of pelvic infections or surgeries, contraceptive use, sexual health, family history of genetic conditions, and lifestyle considerations such as diet, exercise, stress levels, smoking, and alcohol consumption. For the male partner, questions will cover prior paternity, testicular health, medication use, occupational exposures, and relevant medical conditions.
Female Fertility Assessment
The female evaluation focuses on three critical areas: ovarian reserve (the quantity and quality of remaining eggs), ovulatory function (whether ovulation occurs regularly), and uterine and tubal anatomy (structural integrity of the reproductive tract).
Anti-Müllerian Hormone (AMH) testing and antral follicle count via transvaginal ultrasound give us a reliable picture of your ovarian reserve. Hormonal assays performed on Day 2–3 of your cycle — including FSH, LH, and Estradiol — help evaluate baseline ovulatory health. Thyroid function (TSH) and Prolactin levels are also screened, as disorders in these areas frequently impair ovulation. If clinically indicated, a hysterosalpingogram (HSG) or saline sonogram may be recommended to assess fallopian tube patency and uterine cavity normalcy.
Male Fertility Assessment
Male factor infertility accounts for approximately 40–50% of all cases, making the male evaluation equally essential. A comprehensive semen analysis evaluates sperm count, motility (movement quality), morphology (shape), and volume. These four parameters are critical in determining natural conception potential and guiding treatment decisions.
Where abnormalities are detected, additional investigations — including hormonal evaluation (testosterone, FSH, LH), scrotal ultrasound, or genetic testing (karyotype, Y-chromosome microdeletion analysis) — may be recommended. Our andrologists work closely with your fertility specialist to identify correctable factors and select the optimal fertilisation approach.
Advanced Diagnostics (When Indicated)
For patients with unexplained infertility, recurrent pregnancy loss, or previous failed IVF cycles, an expanded diagnostic panel may be recommended. This can include endometrial receptivity analysis (ERA), immunological screening, thrombophilia panels, sperm DNA fragmentation testing, and preimplantation genetic testing (PGT) counselling. Each additional investigation is recommended only when clinically justified, ensuring a targeted and cost-effective diagnostic pathway.
Your Personalised Treatment Plan
Once all results are reviewed, your specialist will explain your diagnosis in clear, straightforward terms and present a personalised treatment plan tailored to your unique physiology. This document outlines the recommended protocol — whether IVF, IVF with ICSI, donor programmes, or alternative approaches — along with your specific medication regimen, monitoring schedule, expected timeline, and realistic success rates based on your individual clinical profile rather than general statistics.
We also provide a transparent cost breakdown, discuss potential risks and alternative options, and assign you a dedicated patient coordinator who will guide you through every subsequent step of your journey.
Key Diagnostic Investigations
AMH (Anti-Müllerian Hormone): Measures ovarian reserve — the quantity of remaining eggs available for stimulation. (Female)
FSH, LH & Estradiol (Day 2–3): Evaluates baseline hormonal function and ovulatory health. (Female)
Transvaginal Ultrasound: Assesses antral follicle count, ovarian morphology, and uterine anatomy. (Female)
TSH & Prolactin: Screens for thyroid disorders and hyperprolactinaemia that may impair ovulation. (Female)
Semen Analysis: Evaluates sperm count, motility, morphology, and volume. (Male)
HSG / Saline Sonogram: Checks fallopian tube patency and uterine cavity normalcy. (Female — if indicated)
Infectious Disease Screening: Mandatory panel including HIV, Hepatitis B & C, RPR/VDRL per regulatory guidelines. (Both Partners)
Genetic Screening: Karyotyping and carrier screening for specific clinical indications. (Both Partners)
FAQ — Consultation & Diagnosis
Q: How long does the initial consultation take?
A typical first consultation lasts 45–60 minutes, including a detailed history review, diagnostic blood work, and ultrasound. If a semen analysis is required, your partner may need an additional 20–30 minutes. We recommend setting aside approximately 90 minutes for the full visit.
Q: Should both partners attend the first appointment?
We strongly recommend that both partners attend. Approximately 40–50% of infertility cases involve male factors. Having both partners present allows a complete evaluation in a single visit and ensures both individuals are informed and aligned on the treatment pathway.
Q: Do I need a referral from my GP?
No referral is necessary. You can book a consultation directly through our website or by phone. If you have a referral or prior medical records — including previous test results, operative notes, or imaging — please bring them to your appointment to avoid unnecessary repeat testing.
Q: When in my cycle should I schedule the appointment?
Ideally, schedule your first visit on Day 2 or Day 3 of your menstrual cycle. This allows baseline hormonal blood work and an antral follicle count at the optimal time. If scheduling on these days is not possible, we can begin the consultation and arrange cycle-specific tests at a follow-up visit.
Q: What should I bring to my first appointment?
Please bring a valid photo ID, insurance information (if applicable), a complete list of current medications and supplements, and any prior fertility test results. A written summary of your menstrual cycle history (average length, regularity) is also helpful. A pre-consultation questionnaire will be emailed after booking.
Q: How soon after the consultation can treatment begin?
In most cases, treatment can begin within the same or the following menstrual cycle. Once diagnostics are reviewed and the plan is finalised, our team will coordinate your medication protocol and monitoring. For straightforward cases, ovarian stimulation can start within 2–4 weeks of your first visit.
Q: What if we have already had fertility tests done elsewhere?
We welcome any previous results. Your specialist will review them during the consultation and determine whether they are recent enough to use or whether any tests need to be repeated. In many cases, this can save you time and reduce costs.
Q: Is the consultation fee applied toward treatment costs?
Many clinics apply the initial consultation fee toward your overall treatment package if you proceed with IVF. Our financial counsellor will explain exact pricing, payment plans, and insurance coverage options during your visit.