Seeing an Infertility Specialist can be nerve wracking. I remember when I first made my appointment how nervous and excited I was all at the same time. If you think you need to see a specialist, be aware that most won’t see you unless you have been actively trying to conceive for at least 1 year. In some cases (like advanced maternal age), they might see you after only 6 months. I happened to make my appointment at the 1 year mark.
The first few appointments are going to be a little different than what you are used to. For instance, your first appointment may only be a discussion. The doctor will specifically ask you for the following information:
Birth control history
History of sexually transmitted diseases
Current sexual patterns
Other significant health problems
Lifestyle and work environment
The next appointment usually consists of physical exams and blood work. In my instance, I was fortunate enough to have an OB who did the physical part for me and had already diagnosed me with PCOS prior to seeing the specialist. Not all OB’s are that proactive, though. The physical parts of the exam include thyroid checks, hair distribution check (signs of PCOS), a breast exam and pelvic exam. Afterwards, they send you in for blood work to check all your hormone levels.
If your blood work or physical exams come up with something strange, they will almost always do a vaginal sonogram to check your ovaries and uterus. Sometimes, they request an HSG to check for tube blockage.
If I had any advice to give Infertile newbies I would say this: Have your spouse checked ASAP! 50% of Infertility issues are with the man. Unfortunately, they don’t always check the man until some treatments fail. Do a semen analysis as soon as you realize there are any fertility issues. This will save you tons of time and money!!!