Taking that first step toward addressing fertility concerns can feel like a giant leap. It’s completely normal to feel nervous, unsure, or even a little overwhelmed before your first fertility clinic visit. You might also be feeling hopeful, excited, or ready to finally get some answers. However you’re feeling, know this: You’re taking an important step toward understanding your reproductive health, and that’s something to be proud of.

Fertility specialists are there to support you with compassion and expertise, and being prepared can help ease some of those pre-appointment jitters. Let’s walk through what typically happens during your first visit so you can go in feeling informed, confident, and empowered.

woman at her first fertility clinic visit listening to her doctor

What to expect at your first fertility clinic visit

The paperwork (yes, it’s worth it)

Here’s a heads-up: You’ll have some paperwork to fill out. It might seem tedious, but this information is crucial in helping your doctor understand your health history. Expect to be asked about:

  • Your medical history, including any past pregnancies, miscarriages, or fertility treatments

  • Your menstrual cycle and any irregularities or symptoms you’ve experienced

  • Your lifestyle habits, such as diet, exercise, and stress levels

If you have any prior fertility test results, records of gynecological procedures, or notes from your OB/GYN, bring them along. The more your doctor knows, the better they can tailor their approach to your unique situation. And don’t stress if you can’t remember every little detail — just do your best!

Meeting your fertility specialist: Time to talk

Once the paperwork is out of the way, you’ll sit down with your fertility specialist for a conversation. This is your time to:

  • Share your journey so far

  • Discuss any concerns or fears you may have

  • Ask all the questions — seriously, don’t hold back!

Your doctor will likely ask about your menstrual cycle, symptoms, and overall health. They may also discuss lifestyle factors like nutrition, exercise, and stress, since these can all play a role in fertility. If any topic feels uncomfortable, remember that fertility specialists have heard it all before — there’s no judgment here, just support.

The physical exam: What to expect

A physical exam is typically part of your first visit. This may include:

Did you know? Sperm quality matters just as much as egg quality. While a lot of focus is placed on egg health, sperm health — including count, motility, and DNA integrity — plays a crucial role in fertilization and embryo development. In fact, male factors are the sole or contributing cause in about 40% of infertile couples. That’s why assessing both partners' reproductive health is so important when navigating fertility challenges.

— Dr. Jason Kofinas

Kofinas Fertility

  • A pelvic exam, similar to what you’d have at a routine OB/GYN appointment

  • A check for any physical abnormalities that could be affecting your fertility

If this part makes you nervous, let your provider know — they’re there to help you feel at ease.

woman having an ultrasound at her first fertility clinic visit

The ultrasound: A closer look at your reproductive health

Most clinics perform a transvaginal ultrasound during the first visit. If that sounds intimidating, don’t worry — it’s a quick and relatively painless procedure. This type of ultrasound allows your doctor to get a clear view of your:

  • Uterus (size, shape, and any abnormalities)

  • Ovaries and the number of follicles (which hold your eggs)

This step provides valuable insights into your reproductive health and helps guide next steps.

Blood tests: Checking your hormonal health

You may have bloodwork done to measure hormone levels like:

  • FSH (Follicle-Stimulating Hormone) – Helps assess ovarian function

  • LH (Luteinizing Hormone) – Plays a role in ovulation

  • Estradiol – A form of estrogen involved in egg development

  • AMH (Anti-Müllerian Hormone) – Provides insight into ovarian reserve

If you’re not a fan of needles, take a deep breath — it’s a quick draw, and the results can offer valuable information about your fertility.

Next steps: Creating a plan

After gathering all this information, your fertility specialist will discuss their findings and what comes next. Depending on your situation, this may include:

This is your time to ask questions, voice concerns, and get clarity on anything that’s unclear. You deserve to fully understand your options before making any decisions.

Emotional support: You don’t have to do this alone

Fertility challenges can be emotionally demanding, and many clinics offer resources like:

  • Support groups

  • Counseling services

  • Recommendations for mental health professionals who specialize in fertility

Whatever you’re feeling — whether it’s hope, frustration, sadness, or a mix of everything — it’s valid. If you’re struggling, reach out for support. Your emotional well-being is just as important as your physical health.

Let’s talk money: Understanding costs & insurance

Before you leave, you’ll likely have a conversation about the financial side of fertility treatments. This might include:

  • What’s covered by insurance (and what’s not)

  • Estimated costs for testing and treatment

  • Any available financial assistance programs

Money talks can feel overwhelming, but understanding your options upfront will help you make informed choices.

couple talking with a financial counselor at their first fertility clinic visit

Take it one step at a time

As your first visit comes to an end, you might feel a mix of emotions. That’s okay. You’re taking an important step, and it’s normal to feel a little overwhelmed. You’ll likely leave with a lot of information, possibly some prescriptions or test orders, and a follow-up plan. If you don’t remember everything, don’t worry — you can always call the clinic with questions later.

Every fertility journey is different, and no two experiences are exactly alike. What matters most is that you’re taking proactive steps toward understanding your fertility and working with professionals who can guide you.

Be kind to yourself. Fertility treatments can be a rollercoaster, but you are not alone in this. Lean on your support system, stay informed, and most importantly, don’t lose sight of why you started this journey in the first place.

Blair Sharp is a freelance writer who lives in Minnesota with her husband and son. Her words have been published in various publications, including Parents, SheKnows, The Bump, and Insider. You can find her watching reality TV and sharing too many reels with her friends when she's not writing. To connect with Blair, find her on LinkedIn or head to her website www.blairsharp.com.