What Happens At Your First Fertility Visit?
If natural attempts at conception have been unsuccessful, couples often turn to fertility treatment, such as in vitro fertilization (IVF), to get pregnant. Knowing what to expect at a first fertility visit can make the process feel less intimidating. Medical history, bloodwork, and ultrasound are standard components of initial testing. Additional procedures can be discussed depending on the underlying cause of infertility. A comprehensive discussion of goals, timelines, and potential concerns can help patients feel prepared and informed from the start.
Your medical history
The first step when seeing any specialist is a thorough medical history. The provider will likely provide an intake form that will cover questions about the menstrual cycle, pregnancy history, any medical conditions, current medication use, and past surgeries. Information about family history may also be requested. No detail is too small. Providing an accurate and comprehensive medical history ensures that the provider has the necessary information for treatment planning.
Hormone testing and bloodwork
Prior to undergoing any fertility procedure, most patients will be required to have bloodwork done. This type of testing helps to evaluate hormone levels that regulate reproductive function. Bloodwork often includes follicle stimulating hormone (FSH), luteinizing hormone (LH), and estradiol. A measure of anti-mullerian hormone (AMH) provides information on ovarian reserve and egg quantity. Thyroid function and prolactin levels may also be assessed. In some cases, screening for vitamin deficiencies and infectious diseases will also be performed at this stage.
Ultrasound and physical evaluation
A transvaginal ultrasound provides real-time imaging of the reproductive organs. During an initial exam, the fertility doctor will use an ultrasound to evaluate the shape and structure of the uterus, check for ovarian cysts or fibroids, measure the thickness of the endometrial lining, and assess ovarian follicle count. If a growth is identified, the doctor may recommend that the fibroid or cyst be removed before the patient proceeds with fertility treatment. Imaging is essential to creating a successful fertility plan.
Additional diagnostic testing
Further testing may be recommended based on initial bloodwork and ultrasound findings. A hysterosalpingography (HSG) can help to evaluate the fallopian tubes and uterine shape. Saline sonograms assess the uterine cavity in greater detail. If no fertility issues have been identified with the woman patient, further testing for the male partner, such as a semen analysis (SA), may be recommended. These additional diagnostic tests help identify many factors affecting fertilization and implantation, increasing the chances of successful fertility treatment.
Next steps, with confidence
Understanding fertility testing empowers informed decision-making. An early, comprehensive evaluation can help identify potential barriers to conception and guide treatment options. Test results allow healthcare providers to create a personalized care plan, which can improve pregnancy outcomes. Clear information supports confidence throughout the fertility journey.
