Infertility
Counseling
For counseling
session, the couples must come together. The followings
are
necessary interrogations during counseling.
·
Marriage
duration (use of contraception)
·
Duration
of infertility
·
Frequency
& timing of intercourse
Physical
fitness of husband
o
Weakness
during intercourse, premature ejaculation, retrograde ejaculation
o
Past
medical history (tuberculosis, mumps, STD etc.)
o
Surgical
history
o
History
of varicocoel/hydrocoel/hernia in male
o
Behavioral
history of couple/stress factor
o
Social
history
o
Occupational
history
o
Food
habit
o
Other
habits
o
Smoking
/drinking/drug
o
Habit
of using tight underwear
Physical
fitness of wife
o
Age
of woman
o Malnutrition
o
Obesity
Menstrual
history
o
Duration
(regular, irregular)
o
Bleeding
pattern (normal, heavy or scanty
o
Painful
menstruation (dysmenorrhoea), before, during & after period
o
Breast
pain before, during & after cycle
o
Milk
secretion
o
Past
obstetrical history /recurrent abortion
Past
medical history
o
Tuberculosis
o
Sexually
Transmitted Diseases (STD)
o
Toxoplasm,
Rubella, Chlamydia & Herpes (TORCH) infections
o
Family
history of infertility
Habit
o Food habit
o
Habits
-Smoking /drinking/drugs
Any
family torture due to infertility
Surgical
history
Behavioral
history of couple/stress factor
Social
history
Occupational
history
NB: In counseling session, it is
important to mention about the fertile days of the menstrual cycle. During counseling,
the couple must be orientated about the possible causes of their
infertility. It is equally important to
explain them about the type of investigations they need to carry out. They must
be explained about the reasons why they need those tests.
