Taking Your First Step
So you have made an appointment to see a fertility specialist. It’s a big step! We understand how tough it is for our patients since there are so many social taboos and misconceptions regarding fertility issues.
What to expect during your first visit
At Genesis IVF, we make it a point to assist you in making an informed decision. To help you better understand what will take place during your first visit, we have divided it into a few simple stages, namely the Pre-Consultation Stage and Consultation Stage.
- Pre-consultation Stage
To ensure that a smooth-running visit without any delay, here are some simple steps that you and your spouse will have to take during your visit:
- Arrive 2 Hours Earlier
You and your spouse are advised to arrive at our centre at least 2 hours before the scheduled appointment as there are procedures and tests to undergo before meeting up with your doctor for consultation.
(b) Bring Along Your Existing Reports (If Any)
If you and your spouse have any relevant medical reports, it is recommended that you bring these documents with you during your first visit. This will help our doctor understand your condition better.
(c) Gathering Your History & Daily Lifestyle
After registration, one of our experienced nurses will attend to you. You will be asked several questions, including but not limited to your medical history, your day-to-day lifestyle, previous reproductive experiences and more. Your answers shall be relayed to the doctor upon consultation. After jotting down your answers, our nurse will provide you with the basic idea of infertility, the various treatments available and the state-of-the-art technologies that our centre offers.
(d) Semen Analysis
The male patient will then have his sperm examined via a sperm analysis test. This will determine the health and viability of his sperm and the test determines the number, shape and motility of the sperm. The semen analysis report will take about two hours to be generated. Patients are best to abstain from any form of sperm release for about three to four days before their respective appointment.
- Consultation Stage
After all the tests and results are completed, you will meet your doctor for the first time. Our doctor will have a discussion with you about your medical history, expectations that you have for your family and you can ask any questions that you have prepared to fully benefit from this visit. The consultation will usually last 20 to 40 minutes or even longer if necessary.
The female patient will then be examined. Then, an ultrasound will be performed on the lower abdomen to give an overall view of the patient’s pelvic organs. A transvaginal ultrasound will then be carried out to obtain a closer and cleaner view of the patient’s reproductive organs including the uterus and the ovarian.
Sometimes a blood test is required. The doctor will then discuss with you the treatment options appropriate for you, weighing the pros and cons, advantages and disadvantages, benefits and risks, and success rates for each option.
- Feel free to ask our doctor or staff to repeat the information that you do not understand.
- Feel free to ask questions, as our doctors and staff are more than happy to assist you as we understand that this experience can be overwhelming for you.
- Feel free to prepare a list of questions in advance before meeting up with our doctor so that you will not overlook any important questions that you may have.
Before kick-starting your treatment
Stimulating Ovaries for Eggs Production
A combination of drugs is prescribed to stimulate the ovaries to produce eggs. There are several different treatment regimes for ovulation induction, but most common practice at Genesis IVF is to ‘down regulate’ or ‘switch off’ the hormonal signals sent from your brain to your ovaries.
You will be provided with a complete instructions’ sheet on how to administer all of your drugs. After down regulation is achieved, Gonal-F is to be self-administered subcutaneously by injection, to help stimulate the ovaries to produce multiple follicles whereby the majority of which will contain eggs.
Towards the end of the treatment cycle, you will be asked to self-administer a one-off dose of recombinant choriogonadotrophin alfa in the form of ‘Ovidrel’. This is also called the ‘HCG injection’. This is used to induce the final maturation of the eggs in the follicles and is again administered subcutaneously by self-injection. You will be prescribed a progesterone supplement to help support the embryo after your embryo transfer. This will usually be in the form of a vaginal gel or vaginal pessaries.
Other drugs may be introduced into the treatment depending on individual requirements.