A reproductive endocrinologist is a specialist in managing infertility, recurrent pregnancy loss and other diseases that may interfere with women and men reproductive functions. Reproductive endocrinologists receive further training after residency that enables them to effectively handle problems related to female hormones and achieving pregnancy. Couples of opposite or same sex, single women and single men consult with reproductive endocrinologists for a multitude of reasons. Here, I describe a structured approach for consulting with your reproductive endocrinologist, to realize maximum benefit from consultation, in the shortest period of time International Patients Success Stories.
The first step is answering this question-why are you consulting with a reproductive endocrinologist? People seek advise for the following reasons
1. Infertility-defined as inability to conceive with regular unprotected intercourse for 12 months or earlier if medical history, age or finding indicates earlier evaluation. Its prudent for women 35 years or older to seek consultation after 6 months. Keep track of how many months you were exposed to pregnancy without using any method of contraception. Also keep track of how many months did you use the ovulation predictor kit to time intercourse, especially if you are having intercourse less than 2 to 3 times per week.
2. Couple at risk for infertility due to disease or disease treatment. Women, men and children diagnosed with cancer especially if they require chemotherapy, those diagnosed with lupus or similar diseases and require chemotherapy for treatment, women carrying mutation for BRCA1 or 2 and will undergo risk reducing procedure through removal of the ovaries, to mention few examples.
3. Couple carrying disease mutation with risk for transmission to future children
4. Single women or men or same sex couple interested in third party reproduction-donor egg, donor sperm and/or gestational carrier.
5. Recurrent pregnancy loss-repeated miscarriages after establishment of pregnancy in the first or second trimester.
6. Other indications as fertility extension through egg or embryo freezing, sex selection, reversal of tubal sterilization, thyroid or prolactin disorders, excessive hair, amenorrhea, irregular cycles..
7. Reproductive surgery.
After defining the reason for consultation start collecting your records including prior semen analysis, HSG reports and films, lab tests, ultrasound reports, prior IVF or IUI cycles, genetic counseling or genetic test results, operative reports as hysteroscopy, laparoscopy or tubal sterilization report.
Ask for office forms to be e mailed or sent to you to fill prior to the visit. Medical forms usually include questions about menstrual history, male history, prior medical or surgical interventions and family history. Family history is an important component of the visit and may point to a specific genetic problem. Commonly, the office ask for a form of identification for you and one for your partner in addition to insurance cards. Come with a notepad if you want and write down the main questions you want to ask your physician.