You may be on the point of seeing the doctor hoping to learn why you haven’t been able to have a baby even though you’ve been trying for what seems like forever. Maybe it seems easier to continue in the bliss of ignorance for a while longer. You’ll be left with no reason to keep postponing that first infertility consultation if you have an idea of what to anticipate, so here it is.
The doctor will need to enquire about the following:
- When did you start puberty? For the women, even though you would possibly not like to remember that day, you will need to try and recall when you started menstruating. Delayed or early puberty may be indications of a problem.
- Any past or present health issues will need to be discussed. This includes childhood illnesses such as mumps, diabetes, acne – everything! Your fertility could have been affected by the sickness, or by the medication for that sickness.
- Any operations? Appendectomy, tonsillectomy, tooth extractions – again, anything!
- Are you taking any chronic medication? Are there any other medications you take reasonably often? Have you taken chronic medication in the past? Any vitamins or supplements?
- When was your first sexual encounter? Have you been with more than one sexual partner? Ever been infected with an STD? Premature sexual activity for women might impact cervical health, and having multiple sexual partners can increase your chance of getting STDs, which can also cause infertility.
For the ladies:
- How long are your menstrual cycles and how many days does the bleeding last? Is bleeding very heavy (or rather light)? Is cramping severe?
- Approximately how often do you do the baby dance? It’s clear that doing it too seldom can be a problem, but doing it too often can reduce the quantity of sperm.
- When do you have sex? This generally refers specifically to the time of the month, but heck, time of day might also be relevant! This is to confirm that you are having intercourse close to or during ovulation.
- Have you already had a child or been pregnant before? It sounds like an odd thing to ask but now and again couples do battle after having had one child already. If you have experienced many miscarriages previously then at least you know that conception is possible, and you have to work on keeping the pregnancy.
- Do you make use of lubricant? What lubricant do you use? Any other intimacy enhancing products? Another weird question, asked not because the doctor is curious, but because some lubricants give the sperm a difficult time.
- Do you experience any challenges in sex? Erectile dysfunction? Natural lubrication problems? Frigidity or impotence? Discomfort or pain? Yup, it gets quite delicate – but your doctor must know everything to make a precise diagnosis.
The specialist will also possibly also enquire about your psychological health, which is a tough one, especially after that interrogation! Aim 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 less than perfect past for the first time at the doctor’s office is not beneficial to emotional stability!
Your doctor will probably also do a comprehensive physical check up, which includes an internal for the ladies. I know it’s hard to relax with someone peering at your privates, but it’s a lot less uncomfortable if you just do your best to be calm. Do your best to get used to it – you’ll have to undergo at least a couple more when you eventually do conceive.
Once he (or she) has given you a thorough inspection you could require some infertility tests. For the ladies this includes a pap smear, and for the men, a semen analysis. Both partners might require ultrasound scanning, STD checks or blood tests. Any ‘plumbing problems’ on the woman’s side can be verified via laparoscopy or hysterosalpingogram– if it gets to that.
That wasn’t too bad was it? It was? I understand that having an almost complete stranger ask you intimate facts concerning your sexual and medical life history is quite an ordeal, not to mention the assorted pokings and proddings as well. Just keep remembering what your goal is – a little one of your own! That could help bring things into perspective.
Here is more information on Infertility Costs. Here is a website with a free mini-course dedicated to Infertility.