Beginning fertility treatment requires a thorough medical evaluation and specific laboratory tests.
The first consultation is essential because it helps the specialist understand the couple’s medical history, perform the first ultrasound, and determine which studies are needed.

Here is a clear step-by-step guide.

1. Initial consultation: where everything begins

During this first visit, the specialist:

Performs a vaginal ultrasound

This allows evaluation of the antral follicle count, which gives information about the ovarian reserve and the potential response to treatment.

Talks with the couple

Important questions include:

• How long have you been trying to conceive?

• What difficulties have you faced?

• Any previous pregnancies?

• Any known medical conditions?

• Why did you decide to seek a fertility evaluation now?

2. Tests for women

Anti-Müllerian hormone (AMH)

This hormone measures the quantity of follicles present in the ovaries.
It is the most accurate indicator of ovarian reserve.

Complete hormonal panel

Includes:

• FSH

• LH

• Estradiol

• Prolactin

• TSH

These help evaluate hormonal balance and detect reproductive or metabolic disorders.

Vaginal ultrasound

Evaluates:

• Antral follicle count

• Uterine anatomy

• Presence of cysts, fibroids or endometriosis

3. Tests for men

Semen analysis (Spermogram)

Measures:

• Sperm count

• Motility

• Morphology

• Vitality

• Volume and pH

Sperm DNA fragmentation test

Evaluates how intact the DNA inside the sperm cell is.
Important in cases of implantation failure, recurrent miscarriage or unexplained infertility.

Why are these studies necessary?

They are essential to:

• Establish an accurate diagnosis

• Personalize the treatment plan

• Increase the chances of success in IUI or IVF

• Avoid unnecessary procedures

• Understand the true fertility status of both partners

Before starting any fertility treatment, both partners must complete a full medical evaluation.
With the correct studies, fertility specialists can design a personalized and effective plan, increasing the chances of achieving a successful pregnancy.