First Steps

Infertility has many possible causes. If you’ve been having trouble conceiving, the first step is to work out the possible reasons for the delay. From there, we can assess your chance of falling pregnant and develop a plan of action.

Your first fertility appointment

When you come in for your first appointment, my goal is to investigate the potential causes of the difficulties you are having. We’ll have a chat about you and your partner’s medical histories, your general health, any previous pregnancies, and how long you’ve been trying to conceive. I might suggest a general examination, a gynaecological examination, and an ultrasound to have a look at the fertility organs.

What to bring

Please bring with you a referral letter from a GP. Sometimes your GP or another specialist will have already asked you to have some blood or imaging tests – if you have the results, please bring them as well.

I will then explain any further tests you may need. Because each couple or individual’s case is unique to them, the investigations need to be individualised for your own personal circumstances. We may do blood tests, ovulation tests, and semen analysis. The subsequent treatment plan could include:

  • Advice on continuing to try to conceive naturally, and how to maximise your chance of success.
  • Medications to regulate ovarian function or to treat male infertility.
  • Surgery to check for endometriosis, fibroids and other conditions. Sometimes we can even correct these conditions at the time.
  • Surgery to correct any issues that can be corrected in this way, such as endometriosis; or microsurgery for male fertility problems, like vasectomy reversal.
  • Assisted reproductive technology (IUI, IVF or ICSI).

It’s a good idea to keep a folder with copies of all tests that have been done for further reference. My secretary can help you with this.

Find out more about the Anti-Mullerian Hormone (AMH) blood test