At your first visit, a careful review of the woman’s medical history including past and current health condition will be undertaken. This can include:
- A review of the pattern of menstrual cycle and bleeding to help determine if ovulation is occurring and if other problems such as diminished reserve (aging) of the ovary or uterine defects (fibroids or polyps) are present.
- A review of past pregnancies and outcome.
- Collection of information which might suggest an anatomic problem with the tubes, such as questions about past history of sexually transmitted infections, painful periods or intercourse, and/or a previous abdominal surgery.
- Questions about prior surgery to the cervix or freezing for abnormal pap smears.
- A general review of systems to ascertain symptoms suggestive of other endocrine abnormalities which might be contributing to infertility.
- A careful social history to evaluate for any environmental exposures or social habits (such as smoking, drinking alcohol, drug usage or extreme exercise) which could contribute to the infertility.
- A detailed family history to identify possible familial diseases such as uterine fibroid, diabetes, thyroid disease, ovarian cancer and breast cancer.
If you have medical records related to previous infertility evaluation or treatment, it will be reviewed to define the cause of your infertility, evaluate the effectiveness of past treatment and assess how they impact your options.
A physical examination and/or a pelvic ultrasound may be performed at your first visit or it may be postponed to the beginning of your next menstrual cycle to evaluate the pelvic organs and assess potential hormonal problems.
Please remember to complete and bring all the required signed forms (9 for couples, 6 for individuals) with you to your first visit!