At the initial consultation, the infertility and medical histories of both the partners are reviewed. The women is given a full medical examination that include, general physical examination, gynaecological examination and a transvaginal ultrasonography (TVS).Ultrarsound is a pocess whereby high frequency sound waves, not radiation, are transmitted through tissue. As the ultrasound waves strike the tissues they project a white image on the ultrasound screen. Follicles are round sacs of fluid within the ovaries. Therefore, the follicles appear as dark circles on the ultrasound screen. Hopefully, each follicle contains an egg. The egg can not be seen. Sometimes the follicle has no eggs and sometimes the follicle contains more than one egg. We monitor follicular growth and also the number of follicles being produced.

General physical examination and gynaecological examination will be carried out by our female doctors. For TVS, patient will be prepared by the female doctors and fully covered before ultrasonography is carried out by our Specialist.

Patient's husband or a female attendant is allowed to accompany her. In cases of known or suspected male infertility, the man is also examined and a detailed semen assessment will be done. Any further tests that may be considered necessary for either partner are arranged following the consultation or at a later date at ICSI.

A full report of the consultation together with the results of any tests carried out at ICSI will be given to the patient and, with the consent of the couple, will be sent to the referring doctor. The decision of treatment and management must be scheduled with the consent of the couple at least 2 to 4wks prior to commencement of the treatment.