Deciding to see a fertility specialist is a big step. If you’re feeling nervous, you’re not alone. Many people worry about what the first visit will entail. Understanding the process can help you feel more prepared and confident.

What Happens During the First Visit?

Your first appointment will focus on gathering information about your medical history, lifestyle, and any past fertility experiences. Expect the following:

• Detailed medical history: Your doctor will ask about menstrual cycles, past pregnancies, lifestyle habits, and any known medical conditions.
• Blood tests: These may include hormone testing (such as FSH and AMH) to assess ovarian reserve and reproductive function.
• Ultrasound: This helps check ovarian health and uterine structure.
• Semen analysis (if applicable): A partner’s sperm health will be evaluated for count, motility, and shape.

What Questions Should We Ask?

• What tests do you recommend and why?
• What treatment options might be best for us?
• What is the timeline for treatment?
• What are the estimated costs and insurance options?
• Are there lifestyle changes we should consider before treatment?

Next Steps After the First Appointment

After test results are in, your doctor will outline a personalized treatment plan, which may include:

• Monitoring ovulation and trying naturally for a set period.
• Medications to support ovulation.
• ART treatments such as IUI or IVF.

The first fertility appointment is about gathering information and setting a plan. Go in with an open mind, bring questions, and remember—you’re taking a proactive step toward your fertility goals.

Source:
Fritz, M.A., & Speroff, L. Clinical Gynecologic Endocrinology and Infertility. 9th ed., Wolters Kluwer, 2019.