Beginning The IVF Journey

Starting in vitro fertilization (IVF) involves several important steps. An initial consultation with a reproductive endocrinologist (RE) provides essential information about fertility treatment options. A thorough review of medical history, lifestyle factors, and previous fertility treatments helps create a personalized plan. Understanding what to expect at the initial consultation can help reduce uncertainty and allow patients to prepare for a successful IVF journey.

Reviewing medical history

Get ready to be asked a lot of questions. The first thing that typically happens at an initial IVF consultation is a medical intake, during which the healthcare provider collects information about the patient's family history, menstrual cycle, any prior pregnancies, health conditions, and current medication use. Previous fertility treatments, surgeries, or bloodwork may also be discussed. Women should be open about lifestyle choices, including diet, exercise, alcohol use, cigarette smoking, and stress levels, as these factors may play a role in conception.

Ordering initial fertility tests

Accurate testing can help identify any challenges affecting conception. Bloodwork to evaluate hormones, such as follicle-stimulating hormone (FSH) and anti-Müllerian hormone (AMH) testing, are often ordered as part of an initial workup. An ultrasound can evaluate ovarian reserve and help detect abnormalities in the reproductive organs. Additional procedures, like a hysterosalpingogram (HSG), may be required to assess fallopian tube function. If a male partner is involved, a semen analysis (SA) may be required to ensure there are no issues on the man's side. These essential tests help determine the most effective treatment approach.

Discussing treatment options

A personalized treatment plan is based on test results and medical history. Some patients may require ovulation induction, while other individuals can proceed directly to IVF. Specific add-on procedures, such as intracytoplasmic sperm injection (ICSI) or preimplantation genetic testing (PGT), may be recommended depending on the cause of infertility and patient preferences. Timelines, medication schedules, and potential risks are also reviewed at this appointment. A clear plan provides guidance for the next steps.

Any questions?

Couples or individuals undergoing IVF should use the first consultation to ask questions. Patients may want to ask about the clinic's success rates, what support is available, where to fill medications, who to contact if additional questions arise, what happens if the first transfer doesn't work, and more. No question is off-limits, and patients should feel empowered to ask the doctor anything at this appointment.

Preparing for the next steps

After the first IVF consultation, a clear follow-up plan should be in place. This plan may include additional testing, medication instructions, and lifestyle recommendations to help optimize treatment success. Egg retrieval or embryo transfer scheduling will depend on individual timelines. Moving forward with a clear plan creates confidence in the process.