Updated by the Progyny Editorial Team — September 2025.
While starting fertility care can be exciting, it can also feel nerve-wracking if it’s your first time. What happens at an initial consultation? How should you prepare? We spoke with Beth Zhou, MD, of CCRM Houston to share helpful tips and information for people starting fertility care.
When should you see a reproductive endocrinologist?
A fertility specialist for people with ovaries is called a reproductive endocrinologist (REI). One of the most common reasons to see one is if you have not conceived after trying for a year with unprotected sex. In some situations, you may want to schedule a consultation sooner, including if:
- You are over age 35
- You have had multiple miscarriages
- You or your partner has significant medical conditions that may affect fertility
- You have irregular menstrual cycles
- You have heavy bleeding, irregular bleeding, or painful periods or intercourse
- Your partner with sperm has significant erectile or ejaculatory dysfunction
You may also want to see an REI if you plan to delay starting a family but want to learn about egg or sperm freezing. Fertility preservation is especially important if you are preparing for medical treatments, such as chemotherapy or major surgery, that could affect your ability to conceive later.
Members of the LGBTQ+ community may also consider freezing eggs or sperm, ideally before surgery or starting hormone therapy. If you and your partner need donor eggs or sperm and/or a gestational carrier, an initial consultation can help you learn about your options.
What happens at the first consultation?
Your first visit is a fact-finding appointment for both you and your REI. You will share your medical history and details about your fertility. The REI will explain what may be happening and walk you through possible next steps.
What tests might you have?
Depending on your situation, you may have bloodwork and a pelvic ultrasound. The ultrasound may feel a little uncomfortable. Every clinic has its own process, so ask ahead of time what testing, if any, will be done at your appointment.
The goal is for you to leave with a clearer understanding of your fertility and the treatment options available to you.
What should you bring with you?
Bring any test results or treatment records from other clinics. If you have other medical conditions that could affect your fertility, bring those records too. Try to gather family history information, especially about fertility challenges or genetic conditions.
How long will it take to get results?
- Most bloodwork results are ready within a few days
- A semen analysis may take up to a week
- Genetic test results may take several weeks
What happens at the fertility evaluation?
If you have questions or concerns, Progyny is here for you. Please contact your Progyny Care Advocate for support.
Disclaimer: The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.