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Taking your first step into fertility treatment can be equally exciting and stressful. 

The main goal of this first appointment is to build a road map of your fertility journey: where you’ve come from and where you are headed. You should not stress. You will come to a doctor who wants to minimize your feelings and help you achieve your dreams.

So, our tips for you are the following:

1. Come for a consultation with your partner.

In fact, this is a very important point. This is necessary so that you both find out all the points and communicate the details of your treatment plan. Such moral support has a positive effect on all processes.

2. Bring all the tests you have previously undergone. 

Below you can see a list of tests that may be of interest to the doctor. Please note that not all doctors require such a long list. You do not need to sign up for tests yourself, it is better to wait for comments and referrals from the doctor after consultation.

LIST OF OBLIGATORY EXAMINATIONS FOR WOMEN

1. The conclusion by General Practitioner (that there are no contraindications for pregnancy)

2. Blood group and Rh factor 

3. Full blood analysis 

4. Coagulogram 

5. Biochemical blood test 

6. Antibodies to HIV 

7. Antibodies to syphilis 

8. Hepatitis B (HBsAg) 

9. Hepatitis C (HCV)

10. Blood analysis for IgM and IgG to toxoplasmosis, chlamydia cytomegalovirus (CMV) and rubella

11. PAP testCytological examination of cervical smears Bacterioscopic analysis of vaginal, urethral and cervical canal discharges 

12. Gynecologist examination plus colposcopy with conclusion 

13. Ultrasound examination of the pelvic organs 

14. AMH, FSH, LH, E2, Prolactin, TSH, Progesterone

15. Аnti-thyroglobulin autoantibodies

16. US diagnostics of the mammary glands (Breast Ultrasound) 

17. Karyotyping (in case of using own oocytes) 

LIST OF OBLIGATORY EXAMINATIONS FOR MAN

1. Blood group and Rh factor 

2. Antibodies to HIV 

3. Antibodies to syphilis 

4. Hepatitis B (HBsAg) 

5. Hepatitis C (HCV) 

6. Spermogram (sperm clinical analysis) 

7. DNA fragmentation (sperm clinical analysis) 

8. Karyotyping 

3. Be prepared for the ultrasound.

Usually, during the first conversation with the doctor, he may want to do an ultrasound for you to understand the possible cause of infertility.

4. Prepare a list of questions that may interest you in the future.

These can be issues related to tests, embryo creation, stimulation, medication and more.

5. Infrom your doctor about any medications you may be taking at the time of the consultation.

If you are taking medication not only during the consultation, but also in the future, you need to constantly agree with your doctor. The medications you may be taking may possibly affect the outcome of the program.

6. If you have had previous experience with infertility treatment, you should tell all possible information to your doctor.

If you have already undergone any treatment, you should report all possible reports or information to your doctor. Based on this information, your doctor will be able to build the best treatment plan for you. This way you can avoid unsuccessful attempts. The doctor will be interested in information about the medication you were taking, the method of fertilization, the result of fertilization, whether the pregnancy occurred, whether chemical or biochemical, and so on.

Beginning fertility treatment is a powerful decision, and this first visit is an important moment. As you move through the process, remember that you are an equal partner and participant in your treatment and you have the right to be informed and knowledgeable about every phase and stage. Arriving to your initial consultation prepared will give you a great head start and allow you to begin this journey with confidence.