Pregnancy does not always occur after the first intercourse. Many factors affect the probability of getting pregnant. Some of them can be controlled by the couple themselves (for example, calculate the day of ovulation), other factors must be monitored with specialists (such as genetic obstacles to pregnancy). But there is a fairly universal rule, when a couple needs to consult a reproductive specialist: 12 months unprotected sexual life (without contraception) with a frequency of 3-4 times a week. This rule applies, if the woman's age does not exceed 35 years. With age, the supply of eggs decreases, and the number of genetic errors in eggs is increasing, so women, whose age exceeds 35 years, it is necessary to contact a reproductive specialist after 6 months of regular sexual life without contraception.
You should also visit a reproductive specialist, who is planning a pregnancy and wants to clarify the period of ovulation.
The patient's goal is to get clear answers about the reasons for not getting pregnant, state of reproductive health and possible ways of treatment, and together with the doctor choose a balanced and acceptable strategy for further actions.
The task of a reproductive specialist is to help patients understand the possible causes of pregnancy failure, explain medically sound treatment options and together determine next steps based on health status, expectations, security and financial opportunities.
We take matters seriously, with which our patients apply, and we strive not only to provide assistance, and to choose a justified way of treatment taking into account medical indications, expectations and capabilities of the patient. To make the initial consultation more meaningful and useful, not only the doctor's work is important, and patient preparation. That is why we have prepared list of studies, which will help the doctor better assess the situation already during the first visit.
If you are not able to complete all the studies from the list, first of all, it is desirable to have the results of two analyses, which help the reproductive specialist to obtain important initial information about the reproductive situation:
Also, if possible, it is advisable to sign up for an ultrasound of the pelvic organs, which can be performed during the initial consultation with a reproductive specialist. This will allow the doctor to assess the state of the pelvic organs and the number of antral follicles — one of the indicators of the ovarian reserve (the study should preferably be performed on the 7th–12th day of the menstrual cycle).
The consultation consists of three main parts:
After the initial consultation, the senior administrator of the medical center will advise you on the organizational and financial side of the treatment, proposed by a reproductive specialist. During this conversation, you will be able to clarify the phasing of the program, possible payment options, deadlines, preparatory steps and practical questions, that may influence your decision. This will help you understand better, how the proposed treatment plan can be implemented in your particular situation, and make a more informed decision about what to do next.
Dmytro Anatoliyovych Koshyk, medical director, reproductive specialist, To. honey. n., sign up>>
Natalia Serhiivna Strechen, reproductive specialist, sign up>>
Mykola Hryhorovych Hafiychuk, reproductive specialist, sign up>>
Azhder Iryna Anatolyivna, reproductive specialist, sign up>>