What to Expect at an Infertility Consultation
While fertility consultations are not the same for each fertility clinic or fertility doctor, there are a number of things you can expect at a consultation.
Before you arrive at your fertility consultation, it may be helpful to send over your medical records. This will allow your fertility doctor to review your records ahead of time, as well as become aware of any prior fertility treatments you may have had.
Your fertility doctor will likely begin by asking you some basic questions: How long have you been trying to conceive? If you have received any kind of fertility treatments before, what were they, and how did you respond? Have you ever been pregnant before? Have you ever had any sexually transmitted diseases? What is your family medical history?
At your infertility consultation visit, you may also have the opportunity to talk with financial representatives from the fertility clinic. They will be able to answer your questions about cost, payment plans, and insurance issues.
Male Infertility Consultations
Male infertility consultations will also include a thorough medical history review. Your fertility doctor will ask about your current health situation, medications, and duration of the infertility problem. He or she will also ask about sexual habits, prior pregnancies or fertility treatments, and conditions like varicoceles, undescended testicles, or sexually transmitted infections, which can make trying to conceive more difficult.
Then, your fertility doctor may perform a physical examination. Your fertility doctor will examine the penis, scrotum, and testicular size and consistency. During the examine, your fertility doctor will look for the absence or presence of the vas deferens, swelling of the epididymides, or the presence of varicoceles, which are enlarged veins around the testicles.
Your fertility doctor may also perform blood or other testing during the male infertility consultation. He or she may recommend a semen analysis, as well as testing for hormone levels for FSH, LH, testosterone, and prolactin. Your fertility doctor may also perform an ultrasound to check the scrotum for signs of obstruction. Genetic testing may also be recommended.