February 28, 2023


Infertility can be an emotionally and physically challenging condition that has turned desperate couples to seeking help from a fertility specialist. Fertility specialists have the expertise to diagnose and treat infertility issues in males and females. The first visit can be nerve-wracking – from filing out medical history forms to being asked sensitive questions. However, knowing what to expect and how to prepare can ease the anxiety. This guide offers a step-by-step breakdown of what to expect during your first fertility specialist visit.

Pre-Visit Preparation

Before your appointment, here are some things you can do to prepare yourself:

  • Prepare a list of everything you want to share with the specialist, including medical history, medications, allergies, and any symptoms.
  • Bring your insurance card and any referral forms from your primary care physician.
  • Prepare questions that you want to ask during your visit – you may forget some or all of them as the visit progresses, so having them written down can help.
  • Have your partner come along – this helps in sharing more information about your medical history, and the specialist can evaluate both of you together to identify any issues that may be causing infertility.

Medical History Review

The fertility specialist will begin by reviewing your medical history information to evaluate any underlying conditions or risk factors that could be causing infertility. They will ask detailed questions about the following:

  • Any previous pregnancies or miscarriages
  • Periods: You may be asked the date of your last menstrual period, how long your periods last, and any history of irregular periods.
  • Pelvic pain or discomfort
  • Previous surgeries, especially any pelvic surgeries
  • Sexual history: The specialist may also ask about your sexual history, including sexual dysfunction, frequency of intercourse and the use of contraception.

Physical Exam

The doctor will carry out a physical exam during your visit to check for any anatomical factors that may contribute to infertility. They may examine your breasts, abdomen, and reproductive organs, such as the uterus, cervix, vagina, and ovaries. The specialist may also perform a pelvic ultrasound to view organs inside your pelvis and identify any abnormalities.

Tests and Diagnosis

The next step in the process is to run various diagnostic tests to identify any underlying conditions responsible for infertility. Some tests that may be ordered include blood tests, semen analysis, hysterosalpingography, and pelvic laparoscopy. These tests will help identify factors such as ovulation problems, tubal blockages, endometrial problems, and sperm motility issues.

Treatment Plan

Once the fertility specialist has identified the underlying issue, they will work with you to develop a personalized treatment plan to help you conceive. The specialist may recommend treatments such as medication to improve ovulation, intrauterine insemination, Surgery to correct structural problems, and assisted reproductive technologies such as in vitro fertilization.

Cost and Insurance Coverage

Fertility treatments can be expensive, and most health insurances don’t cover them. However, some insurance companies provide some coverage for infertility treatments, and it’s essential to consult your insurance provider to find out what your plan covers and what it doesn’t. You can also discuss the cost of your treatment plan with the specialist and evaluate financing or alternative payment options.

Emotional Support

Infertility can be emotionally challenging, and it’s essential to seek emotional support during this time. Some fertility centers offer support groups or counseling services to help couples navigate the emotional challenges associated with infertility. You can also seek emotional support from friends, family, or online fertility communities.

Lifestyle Changes

The fertility specialist may assess lifestyle factors that can impact fertility and recommend lifestyle changes to improve your chances of conception. For example, losing weight, quitting smoking or reducing alcohol intake can improve fertility in both males and females.

Second Opinion Consultation

If you are not comfortable with the diagnosis or treatment plan provided by your fertility specialist, you can seek a second opinion from another fertility expert. A second opinion can provide another perspective and help you make an informed decision on your treatment plan.

Follow-Up Appointments

After your initial consultation, the fertility specialist may schedule follow-up appointments to monitor your progress and adjust treatment where necessary. You may be required to do some tests and ultrasounds as part of the follow-up process.


The first fertility specialist visit can be daunting, but this guide has provided a step-by-step breakdown of what to expect at your first appointment. Remember to prepare yourself, come with questions, and bring your partner along. With the right diagnosis, treatment plan, emotional and lifestyle support, most couples can overcome infertility and achieve their dream of having a child.


1. What should I bring to my first fertility specialist appointment?

It’s essential to bring your insurance card, any referral forms from your primary care physician, and a list of medications, allergies, and medical conditions. You can also prepare a list of questions to ask the specialist during your visit.

2. Can a fertility specialist diagnose and treat infertility in males?

Yes. Fertility specialists can diagnose and treat infertility issues in both males and females. They can test sperm count and motility levels to identify any underlying issues affecting male fertility.

3. Do I need a referral from my primary care physician to see a fertility specialist?

Some insurance plans require a referral from your primary care physician, so it’s essential to consult with your insurance provider. However, most fertility specialists accept self-referrals.

4. Are there any lifestyle changes that can help improve fertility?

Yes, there are many lifestyle changes that can improve fertility, including losing weight, reducing caffeine and alcohol intake, quitting smoking, reducing stress, and eating a healthy balanced diet.

5. How long does it take for fertility treatment to work?

The length of time it takes for fertility treatments to work varies based on the type of treatment and the underlying cause of infertility. Most fertility treatments take several cycles to work, and the specialist will monitor your progress through follow-up sessions.

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