It’s Okay to Be Nervous. Here’s What to Expect.
I’ve seen it hundreds of times — a couple walks into the clinic, sitting slightly stiffly, not quite sure what they’ve walked into. Sometimes they’ve waited a long time before coming. Sometimes they’re convinced something is seriously wrong. Sometimes they just want answers.
Whatever brings you in, the first consultation at Punit Fertility is a conversation — not an interrogation, not a sales pitch, not a commitment to treatment. Here’s exactly what happens so you can come in feeling prepared.
Before You Come: What to Bring
- Any previous test results you have — blood tests, ultrasounds, semen analysis
- A rough idea of your cycle length and regularity
- How long you’ve been trying
- Any past pregnancies (including losses)
- Current medications
- Your partner, if possible — especially for the first visit
Don’t stress if you don’t have everything. We can work with whatever you bring.
The History: The Most Important Part
The consultation starts with a detailed history. I’ll ask about your menstrual cycle — how regular it is, whether periods are painful or heavy, when you last had a normal cycle. I’ll ask how long you’ve been trying, whether you’ve had any pregnancies before, and about your general health and medical history.
For your partner: questions about his health history, any known issues with sperm, whether a semen analysis has been done.
These questions help me narrow down where to look. A 28-year-old with regular cycles and a husband with normal sperm needs different investigations than a 38-year-old with irregular cycles and a history of pelvic infection.
Initial Tests I’ll Likely Order
Depending on your history, I’ll recommend some combination of:
For You:
- Day 2/3 hormone panel: FSH, LH, AMH (ovarian reserve), oestradiol
- Thyroid function (TSH) — thyroid disease is very common and very treatable
- Transvaginal ultrasound: uterus shape, ovarian appearance, antral follicle count
- HSG (tubal patency test) — to check if the tubes are open
For Your Husband:
- Semen analysis — this is non-negotiable. We test both partners.
What You’ll Leave With
After the first consultation, you’ll have a clear list of investigations to complete and a follow-up appointment booked to review results. You won’t be pressured into starting any treatment. You’ll leave knowing what the next steps are and why.
One Thing I Always Tell New Patients
Coming to see a fertility specialist does not mean you need fertility treatment. Many couples come in, we do the evaluation, and I tell them everything looks normal and to keep trying for a few more months. That information has value too — it rules out the treatable causes and removes the anxiety of not knowing.
👉 Book your first consultation at Punit Fertility, Kandivali Mumbai