Initial Consultation

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Sometimes making an appointment is the biggest hurdle! Book online through our website or call our office (937-458-5084). Morning, afternoon, and even a few Saturday appointments are available.

Following the completion of your paperwork, you may save and email this editable pdf along with any previous medical records to appointments@springcreekfertility.com. You may also bring these completed documents with you to your initial consultation.

What happens during the initial consult?
During your first visit to SpringCreek you will meet with Dr. Groll and he will review your history and past fertility workups.   The visit will last between an hour to an hour and a half. There will be an opportunity to discuss your goals and family plans. Based upon your goals and past history, Dr. Groll will consider if some testing is necessary.   Next, you will be introduced to a financial counselor who will work with you to assist you in understanding your benefits and the costs of the appropriate procedures.

Does my spouse/partner need to come to this first visit?
We believe that your husband or partner is a critical member of this journey you are taking together. It is not mandatory that your spouse or partner come to the first visit, but your physician will need to meet with him at some point. The initial male evaluation is a semen analysis. Your spouse or partner will be given instructions and can schedule for this critical test at their convenience. It might not be fun but it must be done.

In most cases, the initial consult does not include a gynecological exam.

Our objective is to have this infertility consultation and your treatment at SpringCreek be as successful as possible in providing you answers and results quickly and efficiently. The best way to obtain the answers you are looking for is to provide your team with as much information as possible about your medical history and previous test or treatment results. It is designed to focus on and answer many important questions including:

  • Are you ovulating?
  • Are your fallopian tubes normal?
  • Is your uterus receptive to implantation?
  • Are the sperm normal in number and in function?

Once your diagnosis is established, a treatment plan will be tailored to suit your personal situation. The recommended approach will depend on your age, diagnosis, the duration of infertility, any previous treatments, and your personal preferences.

Female

Ovarian Function Tests
An essential aspect of all treatment cycles is the ability to recruit and, in the case of IVF, retrieve one or more eggs. A variety of drug regimens can be used to achieve this goal. This plan is based on the level of ovarian function. Ovarian function is determined by evaluating several hormone levels on day 3 of the menstrual cycle:

  • FSH (follicle stimulating hormone)
  • LH (luteinizing hormone)
  • E2 (estradiol)

Evaluation of the Uterine Cavity
Embryos implant in the uterus, therefore, we may perform tests to determine if the uterine cavity is normal. This is evaluated by a hysteroscopy. These tests are scheduled between the end of menses and the onset of ovulation.

  • HSG — X-Ray’s the flow of dye through the uterus and the tubes.
  • Hysteroscopy — viewing of the uterine cavity through a lighted scope.
  • Sonogram/Fluid Sonogram — view of the uterine wall or cavity by ultrasound.

Infectious Disease Testing and Immunity Screening
Hepatitis B surface antigen; Hepatitis C antibody; HIV; RPR (serology); Rubella titer (one time only); Blood group and RH (one time only). Negative infectious disease result must be documented every twelve months.

Male

Semen Analysis
A semen analysis must be performed prior to a treatment cycle to evaluate the sperm’s potential to fertilize the egg.

A semen analysis is a test that tells your doctor the number of sperm in your semen, whether they are normal, and how well they move. There are many reasons why couples have trouble achieving pregnancy. A semen analysis is one of the tests your doctor will use to evaluate your problem. Your test results will tell your doctor the number of sperm in your semen (your sperm count), whether they are normal (morphology), and how well they swim (motility). A low sperm count may be caused by certain medications or a medical problem such as a blocked duct, low testosterone level, or a condition in which sperm back up into the bladder. Fever can also reduce sperm count. Some men may have enough sperm, but their sperm may not swim well enough to reach the egg. Also, sperm that are not normal in shape may not be able to penetrate and fertilize the egg. Your doctor can treat many of these problems.

Male infertility problems often relate to sperm production, structural issues or immunological response. Disorders may be genetic or caused by exposure to radiation, medications, infection or trauma. Hormonal imbalance may also be a factor. Recent technological breakthroughs have made great advances in the field of male infertility.

Semen Collection
Your doctor will want you to provide a semen sample. The sample is collected by masturbation at your doctor’s office in a private, comfortable room. You will be asked to collect your semen in a sterile specimen cup. Test results often vary, so you may need to do this procedure more than once.  SpringCreek Fertility has an andrology lab with a private entrance for our male patients who are needing to collect a sperm sample in the office.

Infectious Disease Testing
HIV; Hepatitis B surface antigen; Hepatitis C antibody; RPR (serology).