Fertility consultation and assessment
Trying for a baby without success is exhausting in a way that is hard to explain to anyone who has not done it — and the advice available is loud, contradictory and mostly aimed at selling something.
A fertility consultation is a step back from that. Its purpose is to establish what is actually going on for both partners, in what order to check things, and whether anything needs treating before more involved options are considered.
When a fertility assessment is worth booking
Having one of these does not necessarily mean something is wrong. It means the question is worth asking.
- Trying to conceive for a year without success, or six months if you are over 35
- Irregular or absent periods alongside trying to conceive
- A known condition such as PCOS, endometriosis or thyroid disease
- Previous pelvic surgery or a history of pelvic infection
- One or more miscarriages
- Previous fertility tests you would like explained
- Planning ahead and wanting to know where you stand before trying
How a consultation may help
- Taking a full history from both partners, since roughly half of difficulties involve a male factor
- Ordering the right tests in a sensible order, rather than an expensive panel all at once
- Assessing ovulation and cycle patterns properly instead of relying on an app
- Identifying and treating conditions such as thyroid dysfunction or PCOS that may be contributing
- Explaining previous reports in plain language, including what they do and do not rule out
- Being clear about when specialist assisted treatment is genuinely the next step
What to expect at your visit
Both partners, where possible
A male factor is involved in a large share of cases, so a semen analysis is usually among the first tests rather than an afterthought.
Cycle and ovulation assessment
Establishing whether ovulation is happening, and when — which is often the single most useful piece of information.
Targeted investigations
Blood tests and scans, done at a partner diagnostic centre, in an order that builds a picture rather than a pile of reports.
An honest next step
Sometimes that is timing and simple treatment. Sometimes it is a referral. You will be told plainly which, and why.
Common questions
Answers here are general. Your own situation is what the consultation is for.
Are IUI and IVF done at the clinic?
No. IUI and IVF are not performed at Zenith Women's Clinic. Consultation, full fertility workup and assessment are done here, and where assisted treatment is the right next step you are referred to a registered fertility centre with a clear summary of everything already assessed.
How long should we try before seeking advice?
The usual guidance is a year of regular unprotected intercourse, or six months if the woman is over 35. Come sooner if periods are irregular or absent, if there is a known condition such as PCOS or endometriosis, or if there is a history of pelvic surgery or infection.
Should my husband come too?
Yes, ideally. A male factor contributes in a large proportion of cases, and assessing only one partner can waste months. If he cannot attend, a semen analysis report is the most useful thing to bring.
Will we be told the cause?
Often, but not always. In a proportion of couples no single cause is identified even after thorough assessment. That is a recognised finding rather than a failed investigation, and it still informs what to do next.
Is a fertility workup expensive?
It depends on which tests are actually needed. Tests are advised in a sequence, so you are not paying for a wide panel up front when a smaller number would answer the question.
Discuss this with Dr. Disha Ghoniya
Send a request with your preferred day and a short line about what has been happening. The clinic will confirm a time that works.