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You Made An Appointment, What Comes Next?

2/27/2026

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Taking the first step toward fertility care is a big moment. For many patients, scheduling that initial consultation comes with a mix of relief, hope, and a lot of questions.

In the video below, Dr. Gil Wilshire walks you through exactly what happens after you book your first appointment — so you can feel prepared, confident, and less overwhelmed.

Why the First Fertility Appointment MattersMaking the appointment is a powerful first step — but it’s only the beginning of your personalized fertility journey.
This initial visit is designed to:
  • Understand your medical and reproductive history
  • Identify any potential barriers to pregnancy
  • Create a clear, individualized plan
  • Give you answers and direction
Most importantly, it shifts you from uncertainty to a structured, guided path forward.

Step 1: Gathering Your Medical HistoryBefore you even walk through the door, your care team begins learning about you.
You may be asked to provide:
  • Prior pregnancy history
  • Menstrual cycle details
  • Previous fertility testing or treatments
  • Medical and surgical history
  • Medications and supplements
  • Partner history (if applicable)
This information allows the physician to use your appointment time efficiently and meaningfully.

Step 2: What Happens at the ConsultationYour first visit is not just a conversation — it’s a strategy session.
During this appointment:
You tell your storyYour goals, concerns, and timeline matter. This is your chance to be heard.
Your physician reviews your historyPatterns, risk factors, and next steps are identified.
You get a planInstead of guessing, you leave knowing:
  • What testing is needed
  • What can be done right away
  • What your options are
For many patients, this is the moment when anxiety starts to decrease — because there is finally a clear direction.

Step 3: Fertility Testing — What to ExpectAfter the consultation, recommended testing may include:
For female patients:
  • Hormone testing
  • Ovarian reserve evaluation
  • Ultrasound
  • Uterine and tubal assessment
For male patients:
  • Semen analysis
These tests are not one-size-fits-all. They are selected specifically for you based on your history and goals.

Step 4: Creating Your Personalized Treatment PlanOnce results are available, your physician will outline:
  • Your diagnosis (if one is found)
  • Your probability of success
  • Your treatment options
  • A recommended timeline
This could include:
  • Trying naturally with guidance
  • Ovulation induction
  • IUI
  • IVF
  • Fertility preservation
Every plan is tailored — there is no “standard patient.”

The Emotional Side of the First VisitOne of the most powerful takeaways from this video is reassurance:
You are not expected to have all the answers before your first visit.
You don’t need:
  • A referral in many cases
  • Years of trying
  • Every test completed beforehand
You simply need to take the first step.

Common Questions Patients HaveShould I bring my partner?If possible, yes — but if not, you can still move forward with your evaluation.
How long does the process take?Some testing can begin immediately, often within the same cycle.
Will I leave with a plan?Yes — that is one of the main goals of the visit.

Why Early Evaluation MattersSeeking care earlier:
  • Expands your treatment options
  • Improves success rates
  • Reduces time to pregnancy
  • Provides peace of mind
Fertility care is not just about treatment — it’s about clarity, efficiency, and support.

You’ve Already Taken the Hardest StepMaking the appointment is often the most emotional part of the entire journey.
This visit is where:
  • Fear becomes information
  • Confusion becomes a plan
  • Waiting becomes action
And you don’t have to navigate it alone.
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1506 E Broadway
Suite 220
Columbia, MO 65201
[email protected]
Phone: 573-443-4511
Fax: 573-443-7860

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Patient Portal

  • About Us
    • Our Team >
      • Gil Wilshire
    • Our Lab
    • Financial Information
    • Out-of-Town Patients
    • Referring Physicians
    • Missouri Fertility in the News
    • Success Stories
    • Privacy
  • Services
    • Infertility >
      • Ovulation Induction
      • IUI
      • IVF
    • Fertility >
      • Fertility Assessment
      • Egg Freezing
      • Sperm Cyropreservation
      • Embryo Banking
      • Fertility Preservation: Medical Necessity
    • Third Party Reproduction
    • Reproductive Surgery
    • Fertility Facts >
      • Age & Infertility
      • Conception 101
      • Endocrine Disorders
      • Endometriosis
      • Fallopian Tube Issues
      • Female Infertility
      • Infertility FAQs
      • Infertility Myths
      • Male Infertility
      • PCOS
      • Pelvic Pain
      • Premature Ovarian Failure
      • Recurrent Pregnancy Loss
      • Secondary Infertility
      • Sexually Transmitted Disease
      • Unexplained Infertility
      • Uterine Disorders
  • IVF
    • Evaluating an IVF Lab
    • IVF FAQs
  • Blog
  • Contact
  • Patient Portal