On your first visit we will note your history in detail including menstrual history, coital history, medical & surgical history. We will review your previous reports and past treatments and therefore recommend that you carry your previous treatment details with you when you visit us. We will then do a basic evaluation to mainly check for 4 parameters:
This is done via transvaginal sonography, generally starting from day 11 of the menstrual cycle. This checks for growth and rupture of the follicle (egg). The patient will be advised timed intercourse depending on the day of her ovulation. If required, medication will be advised to induce ovulation.
This is done either via HSG (hysterosalpingography) or laparoscopy + hysteroscopy or sonosalpingography.
The uterus is evaluated via transvaginal ultrasound to check the growth of the endometrial lining and to rule out abnormalities like fibroids or polyps. If required a hysteroscopy can be done to further examine and rectify a problem.
A semen sample is tested after a 3 day abstinence period and evaluated according to WHO 2010 guidelines.