Primary Care level services: Advice and counselling
The primary healthcare setting might be a simple primary health centre (PHC) run by a midwife and/or staff nurse as Primary Care Provider (PCP) or Health Provider (HP). The major activity at this level is to provide advice and counselling.
There are limited diagnostic or therapeutic possibilities. The PCP is primarily busy with obstetrical, pre- and perinatal care, family planning, and clinics for infants and small children. The PCP has to be encouraged to accept the health importance of childlessness and infertility. The following four headings describe the priorities for infertility diagnosis in Primary Care: learn to take infertility history, train providers to do physical exam, determine fitness for pregnancy and counsel and manage based on prognosis.