Your first fertility appointment is mostly conversation and testing — not treatment. Expect a detailed medical history review, bloodwork (FSH, AMH, TSH, estradiol), a transvaginal ultrasound for antral follicle count, and an order for a semen analysis for your partner. The full workup takes about 4–6 weeks to complete. Bring your cycle tracking data, both partners' medication lists, and a list of questions.
What to Expect
The first visit to a fertility clinic can feel intimidating. But here's the reality: it's mostly a conversation. The doctor wants to understand your history, your cycles, how long you've been trying, and any relevant medical background. Then they'll order tests to fill in the picture.
The initial consultation typically lasts 45–60 minutes. Both partners should attend if possible — male factor contributes to 40–50% of infertility cases, and evaluating both partners simultaneously saves months of time.
Tests She'll Have
| Test | When | Purpose |
|---|---|---|
| Blood panel (FSH, LH, estradiol, AMH, TSH, prolactin) | Cycle day 2–4 | Baseline hormone levels and ovarian reserve assessment |
| Transvaginal ultrasound | Cycle day 2–4 (ideally same visit as bloodwork) | Antral follicle count (AFC), check for cysts, fibroids, structural issues |
| HSG or sonohysterogram (SHG) | After period ends, before ovulation (days 6–12) | Checks if fallopian tubes are open and uterine cavity is normal |
| Mid-luteal progesterone | 7 days after ovulation | Confirms ovulation actually occurred |
Tests He'll Have
| Test | How | Purpose |
|---|---|---|
| Semen analysis | Sample collected on-site or at home (must arrive within 1 hour) | Evaluates count, motility, morphology, volume, pH |
| Abstinence: 2–5 days before | Too short = lower volume; too long = more DNA damage | Ensures optimal sample quality |
What to bring to your first visit
- Your cycle tracking data (app screenshots, BBT charts, OPK logs)
- Both partners' medication lists (including supplements)
- Prior medical records (previous fertility testing, surgical records, ultrasound reports)
- Insurance card and referral if needed
- A list of questions (see below)
- Your partner
Questions to Ask
- Based on our age and history, what are our per-cycle odds of conceiving naturally?
- What is your recommended treatment plan, and what are the success rates for each option?
- How many IUI cycles do you recommend before moving to IVF?
- What does a cycle of treatment cost, and what does insurance cover?
- What are your clinic's live birth rates for our age group? (Not just “pregnancy rates” — live birth rates.)
- Do you recommend any additional testing beyond the standard workup?
- How quickly can we begin treatment if we decide to proceed?
Considering Your Options?
If treatment costs are a concern, IVF abroad can reduce expenses by 50–70% without compromising quality.
Compare IVF Options