Frequently asked fertility questions

WHAT WILL HAPPEN AT MY FIRST FERTILITY APPOINTMENT?

Take the following with you if applicable:

• A list of any questions you may have so you don't forget to ask anything
• A history of your fertility (summary of any previous treatments). If you have undergone fertility treatment somewhere else, you're entitled to write to the clinic and ask for a report with your treatment details
• Blood test results
• Semen analysis
• Reports of previous examinations such as x-rays and any operations that you may have had.

The initial consultation lasts approximately 1 and a half to 2 hours, and you will need to take your partner with you. You may be asked to arrive 20 minutes before your appointment, to register with the clinic and complete forms.

Your consultant will take a full and comprehensive medical history of both partners, if applicable. You will be asked to undergo a physical examination. If for any reason you do not wish to have the examination at this stage, do inform your consultant. A nurse should be present at the time of examination to assist the consultant.

The examination may include a breast and gynaecological examination, including a cervical smear and, possibly, a mock transfer where they will ensure they can insert a catheter into your uterus. You may also have an internal ultrasound to check your uterus for fibroids, and your ovaries for cysts. Male partners will also be examined, if necessary, and may be asked to provide a semen sample for analysis.

The ultrasound findings and the result of the semen analysis will be ready towards the end of the consultation. The consultant will explain the findings, and together you will discuss the different options available, regarding your future fertility treatment.

Further diagnostic tests such as x-rays, laparoscopy and hysteroscopy and blood tests may be necessary - these will also be explained.

Normally, at the end of the consultation you will be asked if you have any questions, or if there is anything you would like explained again. Don't be shy about asking questions or getting them to repeat themselves. It is important that you walk away from this appointment with all the information you need to proceed with treatment.

Note: It is vital that couples realise that making the diagnosis is very important, and that they should not be 'rushed' into having IVF just because it has a higher success rate. For many couples, ovulation with IUI (Intra-uterine insemination) provides a better cumulative chance of pregnancy, and it is much less invasive and expensive.