I have worked in a fertility clinic for the past three years so I am aware of all the protocols and drugs that are available to you. If this is your first appt, most doctors will go over your medical history and medical records with you. It depends on the reason that you are not getting pregnant such as it may be a male factor with the sperm or you might have something going on with the tubes. Most doctors will do what they call a HSG, which is a outpatient procedure that is also called the dye test. The procedure looks at the condition with your tubes to see if they are any blockages or damage. Your husband or partner will need to have a sperm analysis done to look at the condition with his sperm and the count, motility (the way the sperm moves) and to check for antibodies. If it is a male factor, most of the time they will reccomend the ICSI procedure, that is when they inject the sperm into the egg, that way you will achieve fertilization. The only two procedures that are being offered are IUI (intrauterine insemination) you can do a protocol that involves the clomid with that or Bravelle or Repronex, Gonal-f and they will let you know how many times and what days to do the shots and when it is time for you to ovulate, you can either do intercourse at home or come back into the office for the doctor to insert the sperm in and the last procedure is IVF(in-vitro fertilization) this involves about 10 to 14 days of injections and having your eggs removed vaginally and having them implanted with your partners sperm 3 to 5 days later. Both of these procedures require injections and blood work and ultrasound monitoring to check your follicles and blood levels. These are some of the questions the physician might ask you at your initial consult visit.
1. Have you ever been pregnant before?
2.Does your husband have any other children?
3.Do you have regular cycles?
4.She is going to look at your age and your husbands.
5.Have you tried any other treatments through your GYN doctor?
6.How long have you been trying?
If you think of any other questions, you can email me. Good Luck!