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First Visit with a Fertility Doctor
Once you have had an initial fertility consultation, you are ready for your first actual appointment with your fertility doctor. Depending on what your initial consultation entailed, you may undergo fertility tests, exams or actual treatment during your first visit.
If you did not undergo any fertility testing at your initial fertility consultation, you may be receiving fertility tests at your first appointment with your fertility doctor.
Your fertility doctor may order blood tests to check your levels for follicle stimulating hormone (FSH), prolactin, progesterone, testosterone, and luteinizing hormone (LH). He or she may also order an ultrasound to check for fibroid tumors, ovarian cysts or other abnormalities.
Other tests include a post-coital test, which can determine if sperm can penetrate and survive in the cervical mucus, a hysterosalpingogram, which is an X-ray procedure used to check the uterus and fallopian tubes for tumors, scars or blockages, or an endometrial biopsy, which assesses the quality of the uterine lining.
Fertility testing for men includes a semen analysis, as well as testing for hormone levels, including FSH, LH, testosterone and prolactin. Your fertility doctor may also recommend an ultrasound to check for any signs of obstruction in the scrotum.
Deciding on Fertility Treatment
Once the results from your fertility tests are in, and your first doctor knows more about the cause of your infertility, your fertility doctor will be able to speak more specifically about fertility treatment options for your situation. With the results of the fertility testing, your fertility doctor now should know whether you are ovulating, if your fallopian tubes are normal, if your uterus is receptive to implantation, and if the sperm quality and motility is adequate.
With this knowledge, a fertility treatment plan will be developed to suit your own specific needs. Your fertility doctor will discuss the treatment process, including what to expect, how to prepare and cost of fertility treatment.
Many individuals and couples begin with first-line fertility treatments like ovulation induction using fertility drugs, intrauterine insemination (IUI), operative laparoscopy, or operative hysteroscopy.