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Fertility FAQs: 10 Common Questions Patients Ask Before Their First Appointment

If you’re considering fertility support, you’re not alone, and you’re not expected to have all the answers before reaching out. For many individuals and couples, booking a first fertility appointment comes with a mix of emotions: hope, nerves, curiosity, and often a long list of questions.

At Pacific Centre for Reproductive Medicine, we believe that having the right information early can help you feel more confident and supported throughout your journey. Below are some of the most common fertility questions we hear from patients before their first appointment.

1) When Should I See a Fertility Clinic?

Many people assume you should only seek help after trying for “a long time,” but the right time to connect depends on your age, cycle regularity, and medical history.

Generally, you may consider seeking fertility support if:

• You’ve been trying to conceive for 12 months (if under 35)
• You’ve been trying for 6 months (if 35+)
• Your periods are irregular or absent
• You’ve experienced multiple pregnancy losses
• You have a known condition like PCOS or endometriosis
• You simply want clarity on your fertility health and options

2) Do I Need a Referral?

You will need a referral to visit PCRM if you are a patient in Alberta. This can be done through your general practitioner or through a telehealth medical professional. If you are a patient in BC, you may select the option to self-refer for a fee to skip the referral process. If you’re not sure what you need, the best next step is to connect with our team, and we can guide you through the process.

3) What Happens at the First Appointment?

Your first consultation is typically focused on understanding your full picture, your medical history, your cycle, your timeline, and your goals. It’s also a chance to ask questions and discuss what fertility support may look like for you.

This appointment may include:

• Review of your health and fertility history
• Discussion of your family planning goals
• Recommendations for next steps and testing
• A plan that fits your situation and comfort level

A full overview of your first appointment can be found here:
www.pacificfertility.ca/get-started/first-fertility-visit

4) What Fertility Tests Might Be Recommended?

Fertility testing helps your care team understand what may be affecting conception, and what options might be most effective.

Testing may include:

Bloodwork (hormones, ovarian reserve)
Ultrasound monitoring
Semen analysis (for male partners)
Additional investigations based on history

5) How Long Does Fertility Testing Take?

Timelines can vary depending on your cycle and what testing is required. Some results come back quickly, while others are tied to specific cycle days.

Your team will help you understand:

• What tests are needed
• When to complete them
• When to expect results
• When you’ll review findings and next steps

6) Should My Partner Be Involved Right Away?

Yes, fertility is a shared journey for many couples, and involving both partners early can be helpful. Even if one partner is completing the majority of initial testing, it’s often recommended to evaluate both sides of the picture early to avoid delays.

Your care team will guide you on the most appropriate starting point based on your circumstances.

7) What Does “Unexplained Infertility” Mean?

Hearing “unexplained infertility” can feel frustrating, but it doesn’t mean there are no options. It means that standard testing hasn’t identified a clear cause, which can still happen even when something is affecting conception.

In many cases, treatment can still be effective, and your physician may recommend a next step that aligns with your goals and timeline.

8) What Are the Most Common Fertility Treatment Options?

Fertility treatment is not one-size-fits-all. Recommendations depend on your age, test results, and how long you’ve been trying.

Treatment options may include:

• Cycle monitoring and ovulation support
• Intrauterine insemination (IUI)
• In vitro fertilization (IVF)
• Other options depending on individual needs

9) What If I’m Not Ready for a Baby Yet, But Want Options?

Some individuals explore fertility care not because they’re ready to conceive immediately, but because they want to understand their fertility or preserve options for the future.

Egg freezing can be an option for those who want to delay pregnancy due to personal, medical, or lifestyle reasons.

10) What Can I Do Right Now While I’m Waiting?

Waiting can be one of the hardest parts, especially when you’re feeling motivated to move forward. While everyone’s situation is different, many patients benefit from focusing on steps that support overall health and reduce stress during this time.

• That may include:
• Tracking cycles (if it feels helpful—not stressful)
• Prioritizing sleep and stress management
• Taking a prenatal vitamin (if appropriate)
• Making space for mental well-being and support

Most importantly: you don’t have to figure it out alone.

You Don’t Need All the Answers to Take the First Step

If fertility has been on your mind, it’s okay to feel unsure, and it’s okay to ask questions. Whether you’re trying now, planning ahead, or exploring options, our team is here to support you with clear information and compassionate care. Ask your general practitioner for a referral to PCRM and start your family planning journey.

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