DAY 1 (One Day) Initial Assessment and Documentation
1. Documentation and Review:
Documentation: The initial visit includes a photo of the couple, written consent, and the allocation of a unique ID number for Electronic Health Records (EHRs).
Review: A comprehensive review of previous records, previous treatments, and the couple’s history-including marital life, menstrual cycles, weight changes, contraceptive use, and sexual frequency-is conducted before proceeding with further evaluations.
2. Couple Examination:
A detailed medical history is taken using The International Classification of Diseases (ICD) guidelines.
A systematic approach is employed for Subjective, Objective, Assessment, and Plan (SOAP) documentation.
3. Assessment of Uterus and Ovaries:
Advanced technology is utilized for an in-depth assessment of reproductive organs.
A 3D/4D transvaginal ultrasound scan of the uterus and 5D follicle imaging of the ovaries provide high-resolution information.
4. Assessment of Male Factor:
Computer Aided Semen Analysis (CASA) is used for preliminary analysis.
DNA fragmentation testing is performed in specific cases.
Scrotal ultrasound is conducted if required.
5. Endocrine Assessment:
Endocrine conditions such as diabetes can impact reproductive health. Thyroid and prolactin hormone levels are tested in women.
In select cases, Anti-Müllerian Hormone (AMH) and pituitary hormone levels may be evaluated.
6. Tubal Factor Assessment (if necessary):
Fallopian tubes are assessed using Hysterosalpingography (HSG) or Laparoscopy. This assessment can be scheduled if needed.
DAY 2 (Half Day) Report Submission and Consultation
1. Submission of Reports:
Some tests are completed on Day 1, while fasting blood tests are conducted on Day 2.
All investigation reports must be submitted on Day 2 for final diagnosis.
2. Diagnosis and Treatment Options:
Diagnoses for male and female factors are provided separately.
Treatment options, along with probable prognosis and success rates, are discussed.
3. Protocol Explanation:
A detailed discussion of all factors in the diagnosis is held with the couple.
Information regarding treatment options, procedures, costs, duration of stay, potential complications, and success rates is thoroughly documented and explained.
4. Couple’s Decision:
The couple’s decision is central to the final treatment plan.
They are encouraged to discuss and select the most suitable treatment option based on the information provided.
