What to Expect at Your First Fertility Appointment

**This is not meant to be medical advice. Be sure to consult your doctor with any medical concerns. This is the account of my journey through infertility**

What happens at your first fertility appointment?

Honestly, my first fertility appointment was quite uneventful.

Although this can possibly depend on your fertility clinic and at what day you are on in your cycle.

You should expect to be asked a lot of questions.  Also, go in prepared with questions as well.

I came up with a set of questions you can ask your first fertility clinic appointment. You can get those when you signup below.

What will be discussed at your fertility appointment?

Expect this to be very similar to any other doctor appointment.

This appointment will likely be held in the doctor’s actual office instead of the exam room.

However, a nurse did take us back into an exam room before we met with the doctor.

The exam room is like going to see your gynecologist.  It was cold and uninviting.  I’m not quite sure what they could do, but exam rooms don’t help the anxiety.

In the exam room, they will take your weight, blood pressure, and ask you about your history, like when was your last menstrual cycle, previous pregnancies, miscarriages, etc.

We still aren’t quite sure what to expect.  All we want are answers as to why we can’t get pregnant.

Waiting for the fertility specialist

We waited in the exam room for a period of time before we were taken back to the doctor’s office.

The anxiety continued to build.  My hands were shaking I was so nervous.

We should be excited we were going to get answers, but the whole unknown is very nerve racking.

Finally, we were taken back to the doctor’s office.

Here they will discuss with you their process and each test they will be administering.

They should tell you why you need each test.

The fertility specialist should go over your medical history and your spouses medical history.

What tests will be done the same day?

At your first fertility appointment, there will not be many tests administered.

I would think none of the tests would happen unless you have just started your menstrual cycle.

A lot of the tests depend on specific points of your menstrual cycle.

***This post may contain affiliate links where if you make a purchase using the links I may make a small commission at no cost to you***

What tests will be done to determine fertility?

You will be asked to come back on specific days of your cycle for blood tests and vaginal ultrasounds.

With the blood work, they will test your FSH(Follicle Stimulating Hormone), LH(Luteinizing Hormone), AMH(Anti-Mullerian Hormone).

The AMH tests your ovarian reserve, how many eggs you have left.

The FSH stimulates the growth of ovarian follicles before it is released from the ovary.

Testing for LH will help the doctor determine if there is a problem with your egg supply.

Here is a great article that explains the purpose of LH in both men and women.

You will come back on specific days of your period for a vaginal ultrasound.

During the vaginal ultrasound, they will count how many follicles you have made and examine your ovaries.

There is another test that will see the healthiness of your cervix. Again, another test done while on your menstrual cycle.

An Hysterosalpingogram (HSG) is performed to determine if there are blockages to your fallopian tubes or uterus.

Your husband or significant other will have blood work done and a semen analysis.

If you want a quick analysis of the sperm quantity to compare results, your husband can do this semen analysis at home.

We used it and it was quite accurate with what the doctor found.

The home sperm check will only determine quantity.  It will NOT tell you the motility, shape, or look of the sperm.

Any other tests will depend on your medical history, your insurance, and the results of preliminary testing.

How much will fertility treatments cost?

We didn’t ask or discuss the cost of fertility treatments like IVF or IUI at our first visit.

I personally wanted to wait until we had a diagnosis to start discussing costs.

We had a coupon for a free first appointment from the OB/GYN who referred us.

You should check with your OB/GYN before you go to your first appointment to see if they have any coupons especially if they are close to each other.

If you have insurance questions or questions about cost, you should also make an appointment with the fertility clinic’s financial department.

The two fertility clinics we went to each had separate people to talk to about finances.

What will insurance cover?

It is always best to review your policy before your appointment and call your insurance provider if you still have questions.

Our insurance covered the testing and meetings with the doctor.

We didn’t pay our usual co-pays but whatever the insurance didn’t pay for after the claim was submitted.

However, our insurance did not cover IVF or IUI.

There is insurance out there that will cover more and some will cover even less.

Double check with your insurance company before your appointment, so you have some idea what to expect financially.

Checkout my explanation of all the testing you will go through.

Hopefully, you will leave feeling hopeful, excited, and wanting to start right away.

How was your first visit? Share your experience in the comments below.

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