The do nothing consultation

The last few consultations I have done have been what I call “ do-nothing consultations “. This is when I tell the patient that they do not need my help in order to get pregnant  ; and that their best course of action would be continue trying in their bedroom. This might seem to be very unusual advice coming from an IVF specialist . Because I am a senior specialist, most patients come to me for a second ( and often third ) opinion , in order to have their tests and investigations reviewed by an expert. Often they have been advised surgery by a gynecologist or infertile specialist, and they need to make sure they are getting the right advise.The first patient was woman who wasn't trying to get pregnant , but had done an ultrasound scan ( as part of a super-deluxe corporate health check up scheme which her company had paid for, since she was a senior manager). This showed she had a 2 cm cyst, and her doctor had advised her that this could possibly be endometriosis , and that she needed a laparoscopy in order to confirm the diagnosis; and treat it. She had scared her that if it was left alone, it could rupture or spread and cause her to become infertile in the future.The second patient had gone to her gynecologist because she was having a lot of vaginal discharge . Her doctor suspected “ PID” or pelvic inflammatory disease, ( a wastepaper basket diagnosis, which means precious little) and had asked her to do a pelvic scan to “diagnose” this. The scan showed she ...
Source: The Patient's Doctor - Category: Obstetricians and Gynecologists Tags: Endometrial polyp Health In vitro fertilisation India Infertility Medical ultrasonography patient Uterus Source Type: blogs