Fembryo Fertility & Gynaecology Clinic

What to expect

When starting out on the journey to parenthood via medical assistance – from the first consultation, to diagnosis and treatment.

Fembryo Fertility and Gynaecology Clinic

Initial Consultation

The best place to start on your fertility journey would be to make an appointment with one of our Doctors. It is advisable that you come to this consultation with your partner, as both male and female factors will be investigated.

Complete history and physical examination

At Fembryo we encourage patients to obtain all previous medical records for treatment related to infertility, hormonal or menstrual disturbances, anovulation, gynaecological surgery, or pelvic infection. Appropriate medical information should also be gathered on the male partner i.e. previous semen analysis and prior hormone tests. Particular attention is directed towards a review of medications that may interfere with fertility (i.e. antihypertensive and non-steroidal anti-inflammatory drugs in males) or those that might be teratogenic (harmful to the fetus).

Initial Medical Laboratory Evaluation

On the 2nd or 3rd day of the menstrual cycle, a basic hormone profile may be performed to assess ovarian and other endocrine and metabolic functions, together with a sexually transmitted disease profile (HIV, Hepatitis B, VDRL) and assessment of immunity to German Measles and Mumps.

Individualised Laboratory Testing

When clinically indicated, further tests will be performed by the reproductive specialist to diagnose endocrinological abnormalities that may present with signs of virilisation, abnormal menstrual cycles or abnormal genital organ anatomy as seen in chromosomal/genetic variants. The most common endocrinopathy seen in the reproductive years is Polycystic Ovarian Syndrome (PCOS), with usually some or all the features of absent or irregular periods; signs of virilisation such as acne or hirsutism and abnormal ovaries on ultrasound evaluation. Due to the association of infertility with anovulation, the diagnosis is important to establish a multidisciplinary approach to the treatment of these patients.

Why addressing infertility is important?

“Every human being has a right to the enjoyment of the highest attainable standard of physical and mental health. Individuals and couples have the right to decide the number, timing and spacing of their children. Infertility can negate the realisation of these essential human rights. Addressing infertility is therefore an important part of realising the right of individuals and couples to found a family.”

The World Health Organisation

Personalised Treatment Programmes

Once all the results have been received and all necessary procedures have been performed, a personalised plan for your fertility treatment will be discussed with you at a follow-up appointment.

The success rate of your cycle varies according to the male and female factors present. This will be discussed during your follow-up consultation, as it varies from couple to couple.