What to expect at that first infertility consultation.
You could be on the point of seeing the specialist hoping to find out why you and your partner haven’t been able to get pregnant despite the fact that you’ve been trying for a while. Or you may still be putting it off because you’re not certain of what to expect. Anyway, with this list of what you and your partner can expect at your first fertility consultation you have no reason to put it off any longer.
The doctor will need to enquire about the following:
- At what age did you start puberty? For the women, although you would probably not like to remember that day, you must try and remember when you started menstruating. Delayed or premature puberty could be signs of a problem.
- Any health issues you have at the moment or that you have had in the past could be significant. That includes childhood illnesses like diabetes, acne, mumps – everything! Your fertility may have been affected by the illness, or by the medication for that illness.
- Any operations? Appendectomy, tonsillectomy, tooth extractions – again, anything!
- Any regular medication (prescription or over-the-counter)? Have you taken chronic medication before? Any supplements or vitamins?
- When was your first sexual encounter? Have you had multiple sexual partners? Ever been infected with any STDs? Premature sexual activity for women may impact cervix wellbeing, and having multiple sexual partners might raise your chance of getting STDs, which might also cause infertility.
For the ladies:
- How many days are your menstrual cycles and how many days does your bleeding last? Is your period quite heavy (or quite light)? Is cramping acute?
- Approximately how many times a week do you do the baby dance? It’s obvious that doing it too seldom could be a problem, but doing it too often can decrease your sperm count.
- How does your sexual intercourse correlate with the lady’s cycle? This is to confirm that you are having sexual intercourse around or during ovulation.
- Have you previously had a child or been pregnant before? It sounds like a strange thing to ask but sometimes couples do battle after having had one child already. Also, a history of miscarriages could also indicate a problem.
- What intimacy enhancing products (i.e. lubricant or vibrators) do you make use of? (If any.) Another odd question, asked not because the doctor is merely inquisitive, but because some lubricants give the spermies a tough time.
- Do you experience any challenges in sexual intercourse? Erectile dysfunction? Natural lubrication problems? Impotence or frigidity? Pain or discomfort? Nothing is off limits! Everything must be revealed if you would like a precise diagnosis.
You might not be feeling too stable after such a grilling, but your specialist will also want to ask how you are doing mentally. Do your best to to make sure that you have spoken about all this information with your partner before you arrive at the doctor. Learning about your partner’s dodgy past for the first time at the doctor’s room is not conducive to emotional stability!
The specialist might need to confirm that all your parts are present and in working order, and ladies, this will almost certainly mean a quick internal exam for you. I know it’s hard to relax with someone examining your privates, but it’s a lot less uncomfortable if you just do your best to be calm. Trust me, when you are in labor someday you’ll be asking for an internal so you can know how much longer you have until the baby is born!
When he (or she) has given you a thorough inspection you may require some infertility tests. For the men this includes a semen analysis, and for the ladies, a pap smear. Both partners might require STD checks, blood tests or ultrasound scanning. Ladies may also need a hysterosalpingogram or laparoscopy to test for any structural difficulties.
That wasn’t so terrible was it? It was? I realize that having an practical stranger ask you intimate facts about your sexual and medical life story is a nightmare, not to mention the assorted pokings and proddings as well. Just keep in mind that this is to help you have a baby – and trust me when that little hand curls itself over your finger one day, this will all feel very small in comparison.
Here is more information on Infertility Costs. Here is a website with a free mini-course dedicated to Infertility.
Tags: infertility consultation, infertility cost
This entry was posted on Friday, February 5th, 2010 at 4:46 pm and is filed under loose pregnancy weight. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.