So you finally made an appointment with a fertility doctor. Now what?
Not sure what to bring, how long it will take or what will happen? RMANJ Dr. Melissa Yih, who practices out of the Hamilton office, breaks down the 15 things you can expect at your first patient visit with RMANJ.
- Before you visit a fertility specialist, make sure to bring your insurance documents, any relevant test results or medical history documents, and your partner, if possible
- Budget about an hour, give or take 15 minutes, for your initial fertility consult
- Once you show up, you will be checked in, asked some information about your referring OB/GYN, pay your co-pay and have your photo taken
- Next, you’ll meet a clinical assistant who will take your vitals – height, weight and the date of your last period
- Then the good part: you’ll meet with your reproductive endocrinologist, who will ask you about your history and your partner’s history and learn how long you’ve been trying
- The doctor will review your gynecological and pregnancy history
- She will also review your medical history to see if you have any preexisting medical conditions which could affect your ability to get pregnant or maintain a healthy pregnancy
- Then, she’ll go over any surgeries you’ve had and ask whether you are on any medications, have allergies, or regularly smoke cigarettes, drink alcohol or use drugs
- Next comes a discussion about family history and genetic disorders
- Then, the doctor will perform a pelvic exam and vaginal ultrasound to take a look at the shape of your uterus and ovaries
- At that point, she will let you know what she found during the exam, review your history and answer any questions you may have
- Finally, she will tell you about the testing you may need to do during a follow-up visit:
- First, there’s blood work to test your egg reserve, as well as for any sexually transmitted infections and thyroid function
- Second, there is a procedure called a hysterosalpingogram (HSG) which will evaluate if your fallopian tubes are normal and open and also check to see if the cavity of your uterus is normal
- Third, there is a test for your partner called a semen analysis to look at sperm count, movement and whether the sperm appear normal
- Lastly, there is genetic testing
- At this point, you’ll leave the doctor’s office and see a nurse that has been chosen for you and will stay with you during your treatment
- That nurse will answer any other questions you have and schedule you in for your blood work, along with an appointment with the finance department, so you know your coverage options
- After all that, you can go home. If you decide to pursue testing, you should have all your testing done within four weeks of your first visit, at which point you will meet with your doctor again to design a plan to help you get what you came for: a healthy baby
So now that you know, go!