Fertility Consultation at New York City IVF
What to expect at your first visit prior to your first fertility consultation.
We want you to feel fully informed and prepared when you first come to see us. We know that good preparation can help you get the most from your fertility consultation—and help us better understand your needs. That’s why we’re available to you at any time prior to your first visit to answer questions by phone or email.
When planning for your visit, please plan on spending about 90 minutes with your doctor. This will allow us the time we need to do a thorough exam and discuss all of your needs, questions, and concerns. We encourage you to write down any questions you may have and bring them with you to your visit.
To help us fully evaluate your needs—and provide more accurate, personalized advice—we also encourage you to bring a record of any previous testing or treatment, including:
- Sperm analysis.
- Hysterosalpingogram (HSG) report and films (if available).
- Lab test results.
- Results of any previous genetic consultations.
- Medical reports from your physician about any significant disease or health condition.
- Operative reports of any abdominal or pelvic surgery.
- Records of any prior fertility treatment, including ovarian stimulation (cycle sheets), embryology records indicating sperm quality, number of eggs retrieved, number of mature eggs, number of eggs fertilized, quality of embryos, number of embryos transferred, and number and stage of embryos frozen.
During your fertility consultation
When you arrive for your appointment, you’ll be taken back to a private consultation room as soon as possible—usually right away. The first fertility consultation typically takes about 90 minutes.
During your visit we will conduct:
- A thorough medical and personal history to review information related to ovarian, tubal and male factors of infertility as well as medical, surgical, and personal issues. A detailed family and genetic history is essential to identifying and possibly testing for the risk factors of genetic disease. We also want to know any relevant information about your daily activities, work, and relationship—and anything else that’s on your mind.
- A physical examination, including a general, abdominal, and pelvic exam.
- A pelvic ultrasound to detect any abnormalities in the uterus, ovaries, or pelvis. Ultrasound is also an excellent tool to estimate ovarian reserve.
- Blood work may also be drawn at your initial visit, if needed.
We’ll then talk about the possible issues that may reduce your fertility, any required tests needed to investigate ovarian reserve and male and tubal factors as well as prenatal tests needed before conception.
Finally, we’ll work together to outline a provisional plan for finding out the cause of your infertility—and deciding on the right treatment option. We’’ll go through each likely scenario—and the treatment options for each—as well as your expected success rate and overall prognosis. We’ll also discuss possible treatment risks, including the risk of multiple pregnancies.
After your fertility consultation
Before making any treatment decisions, we’ll need to complete all required testing, including sperm analysis, testing for tubal patency (HSG), and tests for ovarian reserve. Additional prenatal tests, including reproductive hormone assay, infectious disease profile, and genetic screening, should also be completed before attempting to conceive.
All required testing can be completed within 2 to 3 weeks of your first fertility consultation—allowing you to make a prompt decision about the next step in y our treatment plan. We’ll call you to set up a follow-up consultation—by phone or in person—to discuss the results, our recommend treatment plan, and your chances of success.
Points to consider before starting treatment:
- Time commitment: Fertility treatment may require multiple visits over several weeks. We tailor these visits around your schedule to ensure minimal disruption to your work schedule or other activities.
- Cost: You’ll need to consider the full cost of treatments at the fertility center you are using. We believe in making fertility treatment affordable to all women and men.
- Risks—including multiple pregnancies: You should consider not only the pregnancy rate but also the risk of multiple pregnancies. We make every effort to minimize potential undesired outcomes, especially multiple pregnancies. If you desire a singleton pregnancy, we encourage you to lean towards IVF with single embryo transfer rather than ovulation induction with gonadotropin injections. Before treatment, we’ll also discuss your level of acceptance for possible fetal reduction if needed.
- Surgery: If any surgery—such as the removal of uterine polyps or fibroids—is required before fertility treatment, you’ll also need to consider the risks and benefits of such procedures.