Your First Appointment | Fertility Center Providence

Your First Appointment

DOCTOR-PATIENT-facebook

Everyone’s fertility treatment path is unique.

At The Providence Fertility Center our experts will design an individualized treatment plan that fits your goals, values, and timetable – while maximizing your chances for a healthy, successful pregnancy

Your initial fertility consultation with our reproductive endocrinologists is the first step in your journey to parenthood.

During this initial visit, our goal is to provide you with information about how we can help – in an environment where questions are encouraged. We strive to ensure you are informed and empowered during this important first step to treatment.

We will:

  • discuss your personal goals
  • review your medical history
  • provide you with an opportunity to ask as many questions as you can think of!
  • schedule routine tests that evaluate the most important aspects of your fertility
  • meet with a financial counselor, depending on your individual needs

Questions to Ask Your Fertility Doctor

  • What do you think may be preventing me/us from conceiving?
  • What fertility tests do you recommend me/we try?
  • What new technologies are available that may help?
  • Are there any clinical trials available that may save me/us money on treatments or medications?

Diagnostic Testing

Based on your medical history and the information that surfaces during your initial consultation, your doctor may recommend any combination of the following diagnostic tests to better understand what might be causing your infertility.

  • The AMH (Anti-Mullarian Hormone) Test – This test measures how much “anti-müllerian hormone” a woman produces in her ovarian follicles. The test reveals a woman’s level of AMH, which relates to the number of eggs she has left, or her “ovarian reserve.” These levels decline with age. The AMH test is an important tool for fertility specialists to determine the chances of their patients getting pregnant – and women can find out their levels by getting a blood test at any point during her menstrual cycle at Boston IVF — The Albany Center. Results typically take approximately two weeks to return.
  • Blood tests scheduled between day 2 and day 5 of your menstrual cycle measure hormones such as FSH, LH, estradiol tests such as AMH, inhibin B, testosterone, prolactin, TSH and thyroid antibodies, which can be done any day of your cycle.
  • An ultrasound of the uterus and ovaries, scheduled between day 2 and day 5 of the menstrual cycle, can help your doctor determine if there are any structural problems that might affect fertility, such as scar tissue or blocked fallopian tubes. This is called a baseline ultrasound scan.
  • A sono-hSG may be requested. This is an ultrasound guided evaluation of the uterine cavity and fallopian tubes by a doctor. This procedure involves a very thin catheter that is inserted into the uterus via the cervix (opening of the uterus) and saline solution is injected under ultrasound guidance. During this examination, the uterine cavity and spillage of fluid through the fallopian tubes are observed. This technique can very easily detect fibroids or intrauterine polyps. Antibiotics will be prescribed after this procedure.
  • A hysterosalpingogram might be ordered. This is a different method for evaluating the uterine cavity and fallopian tubes, often referred to as an HSG. It involves taking an X-ray of the uterus and fallopian tubes after injecting a small amount of contrast dye through the cervix into the uterus to check for obstructions in the fallopian tubes. In the case of blocked tubes, the HSG will indicate the site of obstruction. The HSG will also show the shape and condition of the uterine cavity and is particularly useful in cases of repeated miscarriages.
  • A semen analysis – to evaluate the male’s sperm volume, acidity (pH) of the semen, number of sperm, percentage of motile sperm, morphology (shape) of the sperm, and the number of round cells in the semen.