Your First Visit

first doctor visit

Your first visit to RPMG is dedicated to an extensive review of your medical history, a comprehensive infertility work up and in-depth explanations and answers to all your questions.

Unlike other fertility clinics, we take the time to conduct a comprehensive evaluation and examine a broad range of fertility treatment options, so we can develop the personalized fertility treatment plan that fits you best. Your initial consultation will include about an hour of one-on-one time with one of our doctors.

We recognize that a plan you understand and are comfortable with is equally as important as the development of the individualized treatment plan itself. Below we have answered a number of common questions you may have during your first visit. While this is not an exhaustive list, it is a great starting place to better understand what your first visit, and your fertility treatment at RPMG might entail.

What should I do to prepare for the initial consultation?

Please gather any previous relevant records or lab results and have them available for the doctor to review during the consultation.

Does my partner need to be with me for the initial consultation?

We encourage it, but it is not required that your partner be present. Having your partner at the initial consultation gives them an opportunity to ask the doctor any questions that they may have.

Will I be able to meet with a financial consultant?

Yes, a financial consultant will go over costs and financial packages associated with treatment.

Do you take insurance?

Yes, we are contracted with most PPO plans and a select number of HMO plans. If you have an HMO, an authorization must be submitted to us prior to your consultation. Even if we are not contracted with your insurance, you can get your treatment at RPMG and send the bills to your insurance company for reimbursement based on your infertility coverage.

What forms do I need to fill out before the consultation?

It is helpful to have any new patient forms filled out prior to your appointment. To download these forms, please visit our Patient Forms page.

How long will it take to establish a diagnosis and treatment plan?

The answer to this varies from patient to patient. Please consult directly with your physician for an answer to this question.

Do you treat out of town patients?

Yes.

How soon can I have my initial consultation?

Typically within 7-10 days of scheduling your consult.

How much will my treatment cost and what type of payment options do you offer?

We have an entire Financial Resources section on this website dedicated to information regarding pricing and payment plans. You will also be able to meet with a financial consultant who will go over costs and financial packages associated with treatment.

If the problem is related to male factor, can't you just treat my partner since I have no trouble getting pregnant?

The treatment for most serious male fertility problems involves the female partner in the form of intrauterine insemination (IUI) or IVF with intracytoplasmic sperm injection (ICSI). It's also a good idea to check out the female partner's fertility potential so that valuable time is not wasted treating the male only to have it not result in a successful pregnancy and find out later that there were female issues as well. The exceptions might be if the female partner is very young, under 30, and the urologist feels that the male partner's problem can be treated effectively. An example would be a vasectomy reversal when the female partner is young and the vasectomy was done less than five years ago and has a good prognosis for success.

What tests may be conducted during my first visit?

For a complete list of initial tests that may be performed on your first visit our First Visit Fertility Tests page.

How long will it be from when we are diagnosed to when we can begin treatment?

We can start treatment as soon as we have enough information to make a recommendation. In fact the evaluation itself may result in a pregnancy as a byproduct of trying to time everything perfectly and flushing out the tubes with the tubal dye test. In most cases we can complete the evaluation and start treatment in one cycle, in about a month.

How long should I expect to undergo treatment?

Most of our patients achieve a pregnancy within six months using conventional treatment. The timing depends on your continuing in treatment and moving forward to more advanced treatments when they are necessary. The difficult cases may take awhile; the impossible ones a little longer.

What are your success rates?

The only meaningful success rates are for IVF because there are just too many variables between patients with other treatments like IUI to have meaningful statistics. For information on our current and historical success rates for IVF, please see our success rates page. Your doctor can give you an estimate of what you can expect from other treatments based on your clinical situation.

How many IVF attempts will you make?

Hopefully you will succeed on the first one. But the general rule is to get the maximum effectiveness of any treatment we recommend three cycles. That's why we have many different financial plans so you can select the one that's right for you-maximizing your chance of success while minimizing your investment.

What is your IVF success rate per embryo transfer? How many embryos do you generally transfer?

The success rate per embryo transferred and the number of embryos transferred varies per age. Please see our latest SART report for this information by age group.

How will you monitor my treatment and how often?

That depends on which treatment you are using. But generally all cycles are monitored with ultrasound, IUI with ovulation predictor kits and IVF with estrogen levels as well.

Will you always perform treatment monitoring or is it possible that on occasion another physician or a nurse might monitor?

Even though RPMG is open every day to serve you, your physician cannot be there every day so we work as a team to provide you with services when you need them. Only our experienced physicians will perform monitoring with ultrasounds and procedures like IUI and IVF retrieval and transfer.

If you have any additional questions that have not been answered here, please feel free to contact us directly so that we may assist you.

If you are ready to schedule your initial consultation you may call us at (877) 273-7763 or request a consultation online.

Schedule Consultation