CHECK LIST FOR ART SPECIALIST BEFORE IVF-ICSI FOR PATIENTS SEEKING IVF -ICSI : Dr Sharda Jain

1. CHECK LIST FOR ART
SPECIALIST BEFORE
IVF-ICSI
FOR
PATIENTS SEEKING
IVF -ICSI
Dr. Sharda Jain

2. Medical Evaluation
• Review the medical history of
both partners.
• Conduct a thorough physical
examination.
• Ensure that any underlying
medical conditions, such as
diabetes, hypertension, or
thyroid disorders, are well-
managed.

3. Fertility Testing
• Assess the ovarian reserve
through tests like AMH (Anti-
Müllerian Hormone) and FSH
(Follicle-Stimulating Hormone).
• Perform a hysterosalpingogram
(HSG) or a saline
sonohysterography to evaluate
the fallopian tubes and uterine
cavity.
• Check for male infertility issues
through semen analysis and
other relevant tests like DNA
Fragmentation test.

4. Psychological Evaluation
• Offer counseling or
refer patients to a
counsellor to assess
their emotional
readiness for IVF-ICSI.
• Address any concerns
or anxieties they may
have about the
procedure.

5. Lifestyle Modifications
• Advise the patients to adopt
a healthy lifestyle, including
maintaining a balanced diet,
regular exercise, and
avoiding smoking and
excessive alcohol
consumption. Practical
session are given importance
• Discuss the importance of a
healthy body mass index
(BMI) for both partners.

6. Medication Review
Assess the medications
both partners are
currently taking and
make necessary
adjustments to those
that may interfere with
fertility or pregnancy.

7. Immunization
Ensure that both partners
are up-to-date on
immunizations, especially
rubella and varicella, to
prevent potential risks
during pregnancy.

8. Infections Screening
Screen for sexually
transmitted infections
(STIs) and other
infections that might
affect fertility or
pregnancy

9. Genetic Testing
• Consider genetic testing
for both partners to
identify potential
hereditary conditions that
could be passed on to the
offspring.
• screening is must in cases
of Male Infertility with
Azoospermia / severe
oligospermia .

10. Preconception Care
• Discuss the importance
of folic acid
supplementation and
other vitamins before
conception to reduce
the risk of birth defects.
• Manage any pre-existing
conditions, such as
diabetes or thyroid
disorders, to ensure
they are well-controlled
before pregnancy.

11. Lifestyle Factors
• Discuss the impact of stress
and ways to manage it, such as
relaxation techniques or stress
reduction strategies. We give
practical sessions for same .
• Encourage both partners to
avoid exposure to
environmental toxins and
chemicals that may negatively
affect fertility.

12. Financial Consultation
Provide a detailed breakdown
of the costs associated with
IVF-ICSI and discuss potential
insurance coverage.

13. Consent Forms
Ensure the patients
understand and sign
consent forms for IVF-
ICSI, including the
risks and potential
outcomes.

14. Sperm Preparation
If needed, discuss the
process of sperm retrieval
with the male partner,
whether through
ejaculation, testicular
sperm extraction (TESE), or
other methods.

15. Ovarian Stimulation:
Explain the process of
ovarian stimulation in
detail, the medications
involved, and the associated
monitoring, including
ultrasounds and hormone
level checks.

16. Embryo Transfer:
Discuss the embryo
transfer process,
including the number
of embryos to transfer
and any specific
preferences the
patients may have.

17. Support Network
Encourage patients
to establish a
support network of
family and friends
who can provide
emotional assistance
during the IVF-ICSI
process.

18. Follow-Up Appointments
Schedule follow-up
appointments to
monitor the progress
of the treatment and
adjust the plan as
needed

19. Legal and Ethical Considerations
Discuss legal and ethical issues, including the disposition
of unused embryos and any related agreements.

20. It's important to tailor this checklist to the
specific needs and circumstances of each
patient, as infertility cases can vary
significantly.
Clear communication, counselling, and support
are essential throughout the IVF-ICSI journey to
help patients make informed decisions and
achieve the best possible outcomes.

21. 1. Fondly known as Teacher of Teachers
2. Director Lifecare Centre & Lifecare IVF
3. Founder & Secretary general of Delhi Gynaecologist forum , a body of over 2500 members .
4. Founder & Chairperson of North India Gynaecologist forum (NIGF) , body cover 8 stats + 2
union territory  Delhi & Chandigarh
5. NMC / MCI : Ethical committee member ,an apex body of 14 lacs modern Medicine doctors
since 2018 till date
6. Business World : Included her in Top 20 Most Influential women in Healthcare in INDIA
(8/03/22)
7. DMC Expert since 2009 to till date
8. Passionate medical activist..has given leadership role in removing Female Feticide ,
Movement of Anemia, Save Uterus Campaign, Save ovary Campaign and Every Mother
Counts etc and now focusing on Zero mortality PPH, AMB , CCMB, Examination of
Survivor Sexual assault / rape & POCSO cases.
9. Given concept of JANANI SURAKSHA YOJNA & ASHA WORKER to GOI.
10. Spearheading movement of Doctors safety /Medico legal Awareness /Unity
of North India Gynaecologists
11. Decorated with many Lifetime achievement & Living Legend Award from many bodies
including LHMC AA, FOGSI ,DMA ,DGF , WOW India, Delhi ISAR, Cloudnine , Bharat Vishva
parishad
Dr. Sharda Jain
M.D. (PGIMER),
MNAMS,FICOG,FIMSA,DHM, QM
&AHO
PGDMLS (SYMBIOSIS)