What You Need to Know When You Come For Your First Fertility Consultation

Prior to starting any fertility programme, read and learn as much as you can before the medical appointment. Go for the medical appointment with your spouse and bring any recent health screening test results with you. Take note of any regular medications and supplements that you and your spouse are taking. Be upfront about your goals and needs.

The Typical Fertility Evaluation

Common fertility problems:

​For Males

  • Low sperm count or poor sperm quality
  • Erectile dysfunction
  • Blockage in the tube that carries sperm from the testicles, genetic cause orhormones problems

For Females

  • Hormonal problems
  • Early menopause
  • Fallopian tubes blockage
  • Pelvic infection (chlamydia or gonorrhoea)

Common Risk Factors of Infertility

Age: Older women produce lesser and lower quality of eggs. Testosterone levels dip as men gets older.

Alcohol: Alcohol abuse leads to lower male and female fertility.

Smoking: The risk of infertility in both men and women is higher in smokers than non-smokers.

Obesity: Being overweight increase the risk of infertility and affect the sperm count for the male.

Sedentary lifestyle: Insufficient exercise contributes to obesity, which increases the risk of infertility. Women who over-exercise may have ovulation problems too.

Medical History

Your doctor will interview you while taking your medical histories, including asking about conditions that have a bearing on fertility, such as hormone imbalance, diabetes, sexually transmitted diseases or thyroid diseases. Provide a full account of any medication that you've taken or are taking and answer questions that may concern your sex life, such as timing and frequency of intercourse, and the reproductive histories of your parents and siblings.

Physical Examination

For Males:

Semen analysis – Low sperm count or poor sperm quality is the culprit in roughly 30 to 40 per cent of infertility cases. One of the possible preliminary tests to conduct can be semen analysis. An semen sample is collected and further tested whether it is normal by analysing its:

  • Shape
  • Appearance
  • Motility (activity level)
  • Sperm count

For Females:

Hormone screening – Either blood or urine will be tested to check the various hormones levels necessary for ovulation and ovarian reserve.

Pelvic ultrasound exam – This painless procedure uses ultrasound waves to examine the body’s interior. Ultrasound gives the doctor information about the ovaries, the uterus, and the follicles that hold eggs prior to ovulation. Ultrasound usually can detect fibroid, polyps and ovarian cysts.