What Happens at Your First Fertility Consultation

Your first step

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Welcome

 
  • Welcome
  • What to expect
  • What to bring
  • Setting you up
  • Fertility care team
  • Additional resources

Welcome to your fertility journey

Your first step in the fertility journey may be meeting with a fertility specialist. This is a chance for you to get a better understanding of the overall process, and have any initial questions or concerns addressed.

To help you feel empowered and prepared for your consultation, we’ve outlined what to expect, items to bring with you, and things to consider beforehand. These tools and tips are here to support you—from check-in to setting up your next appointment.

What to expect at your first fertility consultation

Time expectations

This appointment can take some time because there is a lot to cover. This is an opportunity for you to meet with your specialist or team, gather information, and ask questions.

Appointment check-in

Before any tests or evaluations or decision-making, you’ll need to check in to your appointment. At this point, you may need to provide personal health information. If you have insurance, you’ll need to provide it at that time and pay a copay, if applicable.

Your first consult can feel overwhelming. Below you’ll find tools and tips to help you navigate your experience.

First Consultation With Fertility Specialist

Preparing for your first fertility appointment

Medical history

With your fertility team, you'll discuss your medical history, including anything you've done related to fertility up until this point. We know it can be a lot to keep track of, so consider preparing a folder with any information about scans or tests you've previously had.

Family history

Your family medical history and genetic background may contribute to your fertility. If available and relevant, your fertility team may also ask you to provide this information at your consult. When organizing your medical history, it might also be helpful to prepare any known hereditary family medical information.

Your fertility ally

Is there someone in your life whom you trust to be by your side throughout your fertility journey? Whether in person or virtually, having a friend, relative, or partner in this experience can help you navigate both the emotional and logistical sides of fertility planning.

Note-taking tool

Fertility care and planning could be complex, including notes, questions, and scheduling details, so use a notebook, binder, or digital tool to help track your fertility experience information.

Insurance & coverage

If you have insurance, consider contacting your insurance provider before your initial consult to help establish your fertility care coverage and prepare for any additional costs to consider while discussing next steps.

Questions to ask your fertility care team

The first consult is a great opportunity for you to ask your fertility care team your questions regarding the process. It may be helpful for you to take a few minutes to prepare questions that you may have. Below we’ve identified some common questions and categories people often ask about at their initial consult.

Cost

We understand cost can be a big factor when making the decision about moving forward with fertility treatment. So, it’s important to think of questions about general insurance coverage, support, and financing options available to you.

  • What costs or services are covered by my insurance?
  • Are there any discount programs to help?
  • If I don’t have insurance, what payment options are available?
  • Do you offer payment plans?

Planning

Every fertility journey is a personal experience, but there are some universal things to consider when it comes to planning—from scheduling to treatment considerations, procedure options and details.

  • What are your office hours?
  • How will we establish my fertility plan?

Physical

Your fertility journey may include procedures or require additional medications or lifestyle changes to prepare for treatment. Ask your fertility team questions about specific procedures and how you may need to prepare.

  • What are some of the things my body should expect?
  • How do you physically assess my fertility?
  • I’ve had some tests already. Will I need to repeat them?

Emotional

Fertility care is a physical experience as well as an emotional one. Consider talking to your care team about emotional support available, ways you can help prepare, and communities you can connect with throughout your journey.

  • Will hormone treatments affect me emotionally?
  • Do you offer services to help with the stress of infertility?

The fertility care team

We’ve outlined what to expect, what to bring, and what to ask at the initial consult with your team. Now it’s time to meet the fertility care team you may be working with along the way. Fertility care and treatment is a team effort, so below we’ve profiled some fertility care team members you may encounter and what their roles are.
Fertility Specialist— ie, ReproductiveEndocrinologist, NP, or PA

Fertility specialist (ie, reproductive endocrinologist, NP, or PA)

Your fertility specialist may be a reproductive endocrinologist (an MD or doctor of osteopathic medicine, DO). They might collaborate with a nurse practitioner (NP) or a physician assistant (PA). All of them will have received advanced training specific to fertility, and will help to oversee your fertility experience from education, to planning, and determining treatment options.

Nursing and Clinical Staff—Embryologists and Phlebotomists

Nursing and clinical staff—embryologists and phlebotomists

The nursing and clinical staff, such as certified medical assistants (CMA), will likely be your primary points of contact throughout your fertility journey. They may perform or coordinate various scans, blood tests, physical exams, or other procedures. Additionally, some nurses and clinical staff may help you with counseling, scheduling follow-up appointments, or medication education.

You may work with a phlebotomist, who is a specialist that will help with drawing your blood and preparing it for testing.

Some fertility paths require support from an embryologist. They are responsible for the testing and care of embryos from egg retrieval through transfer.

Administrative Contact andFinancial Coordinators

Administrative contact and financial coordinators

Administrative staff responsibilities may vary but are primarily to help you schedule appointments, assist with payments and insurance coverage, and manage other logistical aspects of your fertility care.

Financial coordinators will walk you through your benefits and help you understand your insurance coverage.

Additional resources

American Society for Reproductive Medicine

View

Infertility FAQs

View ACOG
View CDC


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