The 45-minute fertility consultation
A 3-month clinical method to receive, understand, refer and document. Usable from your very next consultation.
3 months · 4 live Zoom sessions · Certificate validated on 10 real cases
You see women and couples who have been waiting for a pregnancy for months or years.
They arrive with a story that is hard to tell, tests piled up in no particular order, a legitimate anxiety — and, most often, an absent partner.
You do not want to prescribe at random. You do not want to repeat tests for no reason. You want to know what to listen for, what to look for, what to explain, and when to refer.
In more than twenty years, what has struck me most is not the technical difficulty. It is the time lost — for want of listening, and for want of education.
Before ordering a test, learn to hear a story.
This is not a course. It is a consultation system.
In three months, you learn to conduct a structured, safe first fertility consultation — then you practise it on your own patients, with a tool you open during the appointment and a live monthly supervision.
Fertility care does not begin in an IVF laboratory. It begins with a consultation. And a consultation can be held anywhere.
Forty-five minutes, divided up. It is in no guideline: it is my own practice, built over sixteen years. Without this structure, a consultation drifts into small talk and tests ordered at random.
You will learn how to open, how long to stay silent, how to turn a disordered account into a timeline that guides you, and how to name their condition in one sentence they will repeat to the next doctor.
One study measured how long a doctor lets a patient speak before interrupting: eleven seconds. Those who are not interrupted speak for six seconds on average.
The partner
He is involved in half of all cases. He is not refusing the test — he is refusing the verdict he believes is being passed on his virility. Once seen on his own, he is willing. You will learn how to bring him in, not how to convince him.
What goes unsaid
Religion, culture, taboos, practices. The termination before marriage. The infection treated in secret. The period pain she believes is normal. You will learn to create the conditions in which this information comes out.
You will step into eight consultations drawn from real situations, entirely de-identified.
At each step, you choose your question, your manner, your tests, your referral. Then the screen stops:
Pause. What would you do now?
You choose. Then I appear: “Here is what I chose to do, and above all why.”
Every couple carries things they will not volunteer. Your score does not depend on the question you asked — it depends on the conditions you created for the answer to come out. The debrief shows you what you did not reach.
- 01The absent man
- 02Tubal damage after infection
- 03The aftermath of a terminated pregnancy
- 04Endometriosis never asked about
- 05Late marriage and age
- 06The fibroid that is not the culprit
- 07False infertility
- 08Failure at another centre
Consult Express opens on your phone, during the appointment. It works offline.
- ◇The 45 + 15 timer
- ◇The dated timeline, filled in while you listen
- ◇The three columns: Her / Him / Couple
- ◇Sorting tests into three piles
- ◇Safety alerts, triggered automatically
- ◇The case summary, already written by the end
Your fifteen minutes of writing after the consultation become three.
They do not come from a textbook. They come from sixteen years of consultations, and each one corrects a mistake I see every week.
One of them, free, so you can see what I mean
An abnormal semen analysis is always confirmed at three months — the length of one spermatogenesis cycle. Except in one specific situation, where those three months are three months stolen from a couple who does not have them.
The other eleven answer questions you may already be asking yourself:
- ◇That HSG from last year — does it need repeating?
- ◇That collapsed AMH at 39 — what does it entitle you to say, and what does it not say at all?
- ◇This couple is asking for a test they saw on social media. What do you answer?
- ◇“Doctor, what is your success rate?” — the most poorly framed question you will be asked, and the one where the most credibility is lost.
- ◇A test the patient experienced as unbearable: repeat it, or not?
Every rule will save you time, spare an unnecessary test — or prevent a mistake.
| You learn | You practise | Supervision | |
|---|---|---|---|
| Month 1 | The 7 phases, the tool in hand | 2 cases | 1 h Zoom |
| Month 2 | The 8 simulated consultations | 4 cases | 1 h Zoom |
| Month 3 | Before IVF · after a failure | 4 cases + final presentation | 1 h Zoom |
Three months is not a commercial duration. It is the time it takes for your own consultations to produce the evidence — and it is also the length of a spermatogenesis cycle.
The pathway includes four Zoom sessions: an opening session, then a case review every month, live with me. Two separate groups: one for midwives and nurses, one for physicians.
No name, no date of birth, no file number is presented in session — age is enough.
Most training programmes issue a certificate after a questionnaire.
Ours is validated on ten real, anonymised clinical cases, presented and discussed in session.
These are ten of your own consultations, held in your own practice using the method. Each case includes the timeline, the sorting of tests, the referral in one sentence and the summary — with no identifying data whatsoever.
It is the way you conduct the consultation that is assessed, not the diagnosis.
Whoever reads it knows exactly what has been proven.
Certificate of training
Fertility consultation — CNDT Method
3-month pathway, validated on the presentation of 10 anonymised clinical cases
Dr Eulalie Manket-Kouassi
Founder and Medical Director, Clinique Notre Dame de la Tendresse, Abidjan
Prof. Jean-Louis Benifla
Surgery and endoscopy, Paris
- ◇General practitioners seeing couples planning a pregnancy
- ◇Obstetrician-gynaecologists who are not ART specialists
- ◇Midwives and nurses, within the legal framework of their country
- ◇Practitioners in maternity units, medical centres, district hospitals or private practice
- ◇Junior gynaecologists and residents looking for a structured approach
This is not IVF training. It is training in the fertility consultation, in referral and in documentation.
Midwife / nurse
$300
Content, tool, 4 Zoom sessions
Physician
$600
Content, tool, 4 Zoom sessions
Certified
$900
Everything, plus your 10 cases reviewed and the certificate
Institution — 3 seats
$2,300
The Certified pathway for 3 members of the same team
At $600, you learn the method. At $900, you prove that you practise it.
You can move up to the Certified tier during the pathway.
After the three months, monthly supervision continues at $150/year for midwives and nurses, $300/year for physicians.
One-to-one session
$300
A one-hour one-to-one with Dr Manket-Kouassi on your own cases. Optional, at any point in the pathway, whatever your tier.
Payment by credit card or PayPal. Immediate access.
Choose your tier, enter your details, then pay by credit or debit card (Stripe) or PayPal. Immediate access.
Choose my pathway
Secure payment by credit or debit card (Stripe) or PayPal. You will receive a confirmation email once the payment is validated. No cap on places.
Dr Eulalie Manket-Kouassi
Obstetrician-gynaecologist, specialist in fertility and assisted reproduction.
Founder and Medical Director of Clinique Notre Dame de la Tendresse, Abidjan.
The first Ivorian woman trained in IVF in Strasbourg, at Université Louis Pasteur.
In 2010, I opened this clinic alone, in a single consultation room. No laboratory, no investor. Today, a full IVF and ICSI centre, with more than fifteen thousand patients.
Fertility does not begin in a laboratory. It begins with a well-conducted consultation.
We cannot see the whole of Africa. But we can train those who will see these women.
No. The method works with a desk and a notebook. The tool works offline.
Yes. This is not a specialist procedure: it is listening, reading, organising. Diagnosis, validation of prescriptions and assisted reproduction procedures remain with the physician — and the law depends on your country, so check it.
You keep the content, the tool and the sessions. The certificate is not issued.
About two hours for the first six weeks, then your usual consultations and one hour of session per month.
This training improves consultation, information, referral and documentation skills. It does not replace clinical judgement, the guidelines applicable in your country, or legal and professional requirements.
It confers no authorisation to perform ovarian stimulation, ultrasound, insemination, IVF, ICSI or any other assisted reproduction procedure outside your legal framework, your competence and appropriate monitoring resources.
The clinical situations presented are fictional and composite. No identifiable patient record is used.
A session the participant does not attend is neither postponed nor refunded. If a session is cancelled by Clinique Notre Dame de la Tendresse, it is rescheduled.
Usable from your very next consultation
A 3-month clinical method to receive, understand, refer and document.