Preparing for your appointment

By Mayo Clinic Staff

Depending on your age and personal health history, your doctor may recommend a medical evaluation. A woman's gynecologist or a man's urologist or a family doctor can help determine whether there's a problem that requires a specialist or clinic that treats infertility problems. Both you and your partner will likely have a comprehensive infertility evaluation.

What you can do

To get ready for your first appointment:

  • Provide details about your attempts to get pregnant. Your doctor will need information such as when you started trying to conceive and how often you've had intercourse, especially around the midpoint of your cycle — the time of ovulation.
  • Bring your key medical information. Include any other medical conditions you or your partner has, as well as information about any previous evaluations or treatments for infertility.
  • Make a list of any medications, vitamins, herbs or other supplements you take. Include the doses and how often you take them.
  • Make a list of questions to ask your doctor. List the most important questions first in case time runs out.

For infertility, some basic questions to ask your doctor include:

  • What are the possible reasons we haven't yet conceived?
  • What kinds of tests do we need?
  • What treatment do you recommend trying first?
  • What side effects are associated with the treatment you're recommending?
  • What is the likelihood of conceiving multiple babies with the treatment you're recommending?
  • For how many cycles will we try this treatment?
  • If the first treatment doesn't work, what will you recommend trying next?
  • Are there any long-term complications associated with this or other infertility treatments?

Don't hesitate to ask your doctor to repeat information or to ask follow-up questions.

What to expect from your doctor

Be ready to answer questions to help your doctor quickly determine next steps in making a diagnosis and starting care.

Questions for the couple

Possible questions for the couple include:

  • How long have you been having sex without birth control?
  • How long have you been actively trying to get pregnant?
  • How frequently do you have intercourse?
  • Do you use any lubricants during sex?
  • Do either of you smoke?
  • Do either of you use alcohol or recreational drugs? How often?
  • Are either of you currently taking any medications, dietary supplements or anabolic steroids?
  • Have either of you been treated for any other medical conditions, including sexually transmitted infections?
  • Are you exposed through your work or lifestyle habits to chemicals, pesticides, radiation or lead?
  • How much does stress play a role in your lives?
  • How satisfied are you with your relationship?

Questions for the man

If you're a man, you might be asked:

  • At what age did you start puberty?
  • Have you had any sexual problems in this relationship, such as difficulty maintaining an erection, reduced sexual desire, ejaculating too soon or not being able to ejaculate?
  • Have you conceived a child with any previous partners?
  • Have you been treated for any form of cancer?
  • Have you noticed any swelling in the scrotum or around the tesicles?
  • Do you have any male siblings with infertility problems?
  • Do you experience recurrent infections of the testicles, epididymis, or prostate?
  • Have you ever had surgery on the testicles, prostate, or in the pelvis (such as with testicular cancer or colorectal cancer)
  • Have you undergone an inguinal hernia repair?
  • Have you had a vasectomy?
  • Do you experience recurrent respiratory infections?
  • Are you on any medications currently or use any supplements for building muscle?

Questions for the woman

If you're a woman, you might be asked:

  • At what age did you start menstruating?
  • What are your cycles typically like? How regular, long and heavy?
  • Have you ever been pregnant before?
  • Have you been charting your cycles or testing for ovulation? For how many cycles?
  • What is your typical daily diet?
  • Do you exercise regularly? How much?
  • Has your body weight recently changed?
July 02, 2014