Your First Appointment
We understand that your first appointment can be an overwhelming experience and that knowing what to expect can help make things easier.
During this visit, we will discuss your personal goals, review your medical history, and begin the diagnostic testing necessary to determine the cause of infertility. We encourage both partners to be present at the initial visit.
Once the diagnostic workup for both partners is complete, we will then work with you to develop an individualized infertility treatment plan. Your doctor and nurse coordinator will talk with you to fully review the recommended treatment, needed medications, and other details about your care.
Suggested Questions to Ask Your Fertility Doctor During an Initial Consultation
• What are the possible reasons we haven’t conceived yet?
• Are there certain lifestyle risk factors that could impair the ability to conceive?
• What treatment do you recommend we try first?
• How often does this treatment lead to pregnancy?
• Is there a risk of multiple pregnancies with this treatment?
• What fertility tests do you recommend we try?
• How many cycles should we try before coming back?
• What diet changes should I make to improve the possibility of conceiving?
After your initial consultation, our team of experts may suggest any combination of the following tests to help determine the cause of infertility.
• The AMH (Anti-Mullarian Hormone) Test measures how much “anti-müllerian hormone” a woman produces in her ovarian follicles. The test reveals a female’s level of AMH, which corresponds to the number of eggs she has left, or her “ovarian reserve.” These levels decline with age, but not every woman is born with the same number of eggs or loses them at the same rate. The AMH test is an important tool for fertility specialists to determine the chances of their patients getting pregnant – and women can ﬁnd out their levels by getting a blood test at any point during her menstrual cycle at Boston IVF — The Albany Center. Results typically take approximately two weeks to return.
• Blood tests will be scheduled between day 2 and day 5 of your menstrual cycle to measure hormones such as FSH, LH, estradiol tests such as AMH, inhibin B, testosterone, prolactin, TSH and thyroid antibodies may be done at any day of the cycle.
• An ultrasound of the uterus and ovaries, scheduled between day 2 and day 5 of the menstrual cycle, can determine if there are any structural problems that might affect fertility. This is called a baseline ultrasound scan.
• A sono-hSG may be requested. This is a method to evaluate the uterine cavity and fallopian tubes, in which a very thin catheter is inserted into the uterus via the cervix (opening of the uterus) and saline is injected under ultrasound guidance. During this examination, the uterine cavity and spillage of fluid through the fallopian tubes are observed. This technique can very easily detect fibroids or intrauterine polyps. You will need to take antibiotics following the procedure.
• A hysterosalpingogram may be requested. Another method for evaluating the cavity and tubes is called a hysterosalpingogram (HSG), which involves taking an X-ray image of the uterus and fallopian tubes after injecting a small amount of dye through the cervix into the uterus, can check for obstructions in the fallopian tubes. In the case of blocked tubes, the HSG will indicate the site of obstruction. The HSG will also show the shape and condition of the uterine cavity and is particularly useful in cases of repeated miscarriages.
A semen analysis – to evaluate the male’s sperm volume, acidity (pH) of the semen, number of sperm, percentage of motile sperm, morphology (shape) of the sperm, and the number of round cells in the semen.