What is free consultation?

Should a couple avail free consultation?

Will it be a waste of time?

Shall we do it later?

Shall both partners have to go?

Do we need to carry our previous records/reports?

 

---

 

 

 

Free consultation is the first and most important step towards achieving your cherished dream of a healthy baby. When a couple first arrives at ACIMC, they are welcomed by our courteous front desk staff and immediately given one page form to fill-up their brief data like names/age/ address / contact numbers etc. Once the form is completed ACIMC staff escorts them to one of the members of the Doctors Team for expert evaluation.

 

Doctor's Team at ACIMC is thoroughly trained in their specialised job. Doctor's take the patient's detailed history and go through the past record and make notes of salient points to establish provisional diagnosis.

 

The couple will be classified in two categories:

• Primary Infertility (Never Conceived)
• Secondary Infertility (Previously Conceived)

Couple is then further sub-classified provisionally based upon their previous record presented to ACIMC team member. The following 4 scenarios can emerge as provisional cause of Infertility:

 

• Male factor (40%)
• Female factor (30%)
• Male and female (10%)
• Unexplained (20%)

Couple is then counseled and advised to go through mandatory tests to enable ACIMC team to determine and assess their current fertility status and final diagnosis. It is true if correct diagnosis is established half the battle is won.

 

What are mandatory tests for both partners and how and when should be done?

We strongly recommend all tests should be done at ACIMC.

 

Male Partner Semen Analysis with minimum 3 days sexual abstinence.

 

3 days abstinence:  Many people have misconception that the longer the gap more volume and better semen sample will be given, this notion is not true as sperms are produced constantly and after 72-96 hours the sample will contain fresh sperms. If there is a long gap it will contain many dead and immotile sperms and report will be misleading for the treating doctor.

 

Can I bring my Sample from Home

This is a commonly asked question, yes such patients are provided a sterilized container and advised to bring the sample within 30 minutes without exposing to sunlight and maintaining body temperature. But it is recommended that the sample be given at ACIMC in the specific areas designated for the purpose. The staff at ACIMC provides comprehensive counseling to each male partner on semen analysis.

 

Female Partner She has to undergo blood tests for hormonal profile which should be done during her menstrual cycle at the time of full flow which is normally on the day 2/3.

 

Tests

 

 

 

FSH

LH

Prolactin

 

ACIMC protocol also includes RUBELLA IGG which can be done any day but many patients also get it done with hormone profile to avoid another prick.

 

Transvaginal Scan is recommended immediately after menstrual cycle is over. The field is clear and this baseline scan gives accurate information of Antral follicles in both ovaries and any abnormality is easily detected.

 

Can I be advised more tests Yes in case on baseline ultrasound it is detected that you have polycystic ovarian syndrome additional tests will be advised like serum insulin (Fasting 12-14 hrs) and RBS.

 

Furthermore if considered appropriate after review of reports, status of the tubes may be determined via Hystersalpingogram or more preferred and recommended is Laparoscopy.

 

 

What's Next  

Once basis investigation are over of both partners, free consultation session is complete as now time has arrived to take a decision by consultants' regarding options available to assist the couple via assisted reproductive technology to achieve their cherished dream of healthy baby. Each couple is individualized as per their history/reports/years of marriage etc and counseled the best option suited to them.

 

 

Can I have Free Consultation on Phone / Email Free consultation cannot be done on phone / you can only be provided basic information via phone. But yes through e-mail we can provide comprehensive guidance.

 

 

Appointments should be booked with consultants as soon as your tests have been completed.