Your First Fertility Appointment: What to Expect & How to Prepare

Booking your first fertility appointment is a significant step on your path to parenthood. It’s completely normal to feel a mix of hope, anxiety, and uncertainty about what lies ahead. At Harley Street Fertility Clinic, we believe that knowledge is power. This guide is designed to demystify the process of your initial consultation at a UK fertility clinic, from the moment you book to the moment you leave, empowering you to walk through our doors feeling prepared, confident, and heard.

Before Your Appointment: How to Prepare

A little preparation can ensure your first appointment is as productive and stress-free as possible.

1. Gather Your Medical History: Our clinicians will need a comprehensive picture of your health. Start gathering information on:

• Your menstrual cycle: start dates, regularity, length, and any symptoms of pain or heavy bleeding.
• Your obstetric history: details of any previous pregnancies, miscarriages, or terminations.
• Any existing medical conditions: such as thyroid disorders, diabetes, or known diagnoses like PCOS or endometriosis.
• A list of all current medications and supplements.

2. Document Your Lifestyle: Be ready to discuss factors like your diet, exercise routine, alcohol consumption, and whether you smoke. This isn't about judgement; it's about identifying potential areas for supportive, positive change.
3. Prepare Your Questions: Write down any questions you have beforehand. It’s easy to forget them in the moment. Common questions include:

• What tests will we need?
• How long will it take to get a diagnosis?
• What are our treatment options likely to be?
• What are the typical success rates for someone in our situation?

4. Understand the Financials: If you are self-funding, familiarise yourself with the clinic’s fee structure. Prepare questions about what is included in package prices and the cost of medications.

During Your Appointment: What to Expect

Your first consultation at a UK fertility clinic like ours typically lasts 45 minutes and will involve several key components.

The In-Depth Discussion

You will meet with a fertility specialist who will take a detailed medical, sexual, and social history from both you and your partner (if applicable). This conversation is confidential and crucial for forming a preliminary understanding of your situation. Honesty is key here.

The Preliminary Assessments

An Internal (Transvaginal) Ultrasound Scan: This is a standard procedure that provides a clear view of your womb (uterus) and ovaries. It checks for:

• Ovarian Antral Follicle Count (AFC): An indicator of your ovarian reserve.
• Uterine Abnormalities: Such as fibroids, polyps, or signs of adenomyosis.
• Ovarian Health: Looking for cysts (like endometriomas) or signs of PCOS.

Blood Tests: You may have blood drawn to check key hormonal levels, often done on specific days of your cycle. These can include:

• Day 2-5 FSH & LH: To assess ovarian function.
• AMH (Anti-Müllerian Hormone): Can be taken any time to estimate ovarian reserve.
• Thyroid Function (TSH) and Prolactin: Hormones that can significantly impact fertility if imbalanced.

For Male Partners

It is highly recommended that your male partner attends the appointment. Male factor infertility contributes to roughly 50% of all cases. He may be asked to provide a semen sample for analysis. This is a simple test that analyses sperm count, motility (movement), and morphology (shape).

After Your Appointment: The Next Steps

By the end of your consultation, you should have a clear understanding of the proposed plan. This usually involves:

1. Completing Further Tests: You may need further investigations, such as a HyCoSy (a scan to check if your fallopian tubes are open) or more specific hormone tests.
2. Scheduling a Follow-Up: A follow-up appointment is usually made to review all results together, confirm a diagnosis, and discuss a fully personalised treatment plan.

Your Journey with Harley Street Fertility Clinic

We understand that this process can feel clinical and overwhelming. Our commitment is to blend this essential medical rigour with unwavering compassion and support. You are not just a set of results; you are an individual on a deeply personal journey.

If you are preparing for your first fertility appointment, we hope this guide has offered clarity and reassurance. To speak with our team of experts or book your consultation, contact the Harley Street Fertility Clinic today. Let us help you take that first step with confidence.