How to prepare for a video visit about Infertility (Initial Telemedicine Counseling)

Audience: adult

If you are planning a video visit to discuss infertility, preparing ahead can help you make the most of your time with the healthcare provider. Infertility means having difficulty getting pregnant after trying for a year or more. During your telemedicine visit, the provider will ask about your medical history, lifestyle, and any previous tests or treatments. They may also discuss possible next steps, such as further testing or referrals. This guide helps you get ready for your video visit by suggesting what information to gather, how to set up your space, and what questions to ask. Remember, telemedicine can offer convenient access to expert advice but may not replace all in-person exams or tests. If you notice urgent symptoms, seek immediate care.

Red flags — go in person / ER

• Severe pelvic or abdominal pain requiring emergency care — seek immediate in-person evaluation.
• Heavy vaginal bleeding accompanied by dizziness or weakness — go to the nearest emergency facility.
• High fever with pelvic pain — urgent medical assessment needed.

What telemedicine can do

• Initial counseling about infertility and related concerns.
• Review of medical and menstrual history.
• Discussion of lifestyle factors affecting fertility.
• Guidance on timing and planning for conception.
• Referral recommendations for tests or specialists.

What telemedicine cannot do

• Physical pelvic examinations.
• Ultrasound or imaging tests.
• Laboratory blood draws or semen analysis.
• Emergency care for acute symptoms.
• Procedures such as intrauterine insemination or IVF.

What to expect during your infertility telemedicine visit

Your healthcare provider will likely ask detailed questions about your menstrual cycle, sexual activity, medical history, and any previous fertility evaluations. They may also inquire about lifestyle factors such as diet, exercise, and stress. The goal is to understand possible causes of infertility and discuss initial steps for evaluation or treatment. You might receive guidance on timing intercourse or lifestyle changes to improve fertility.

Information to prepare before your video visit

Gather details about your menstrual cycles (length, regularity, symptoms), any previous pregnancies or miscarriages, and any known medical conditions. Have a list of medications, supplements, and any fertility tests you or your partner have had. Also, prepare questions you want to ask your provider about diagnosis, treatment options, or next steps.

Setting up for a successful video visit

Choose a quiet, private space with a strong internet connection and good lighting. Test your device's camera and microphone ahead of time. Have your notes and any relevant documents ready to share or reference during the visit. Minimize distractions and ensure you have enough time to talk without rushing.

When to seek urgent in-person care

If you experience severe pelvic pain, heavy vaginal bleeding, fever, or sudden swelling, seek immediate medical attention. These symptoms may indicate an emergency that cannot be addressed through telemedicine.

Next steps after your telemedicine visit

Your provider may recommend blood tests, imaging studies, or referral to a fertility specialist. Follow their instructions for scheduling these tests or appointments. Keep track of any new symptoms and communicate with your provider as advised.

How to prepare for your tele-visit

• Note the dates and details of your menstrual cycles.
• List any previous pregnancies, miscarriages, or fertility treatments.
• Prepare a list of current medications and supplements.
• Gather any previous fertility test results or medical records.
• Write down questions or concerns you want to discuss.
• Ensure your device is charged and has a stable internet connection.
• Find a quiet, private place for the video call.

After your tele-visit

• Schedule any recommended laboratory or imaging tests.
• Follow up with referrals to specialists if advised.
• Track your menstrual cycles and any changes in symptoms.
• Implement lifestyle recommendations provided by your healthcare provider.
• Contact your provider if you experience new or worsening symptoms.
• Plan for any additional telemedicine or in-person visits as needed.

FAQs

What is infertility and when should I seek help?

Infertility is generally defined as not being able to get pregnant after one year of regular, unprotected sex. If you are under 35 and have been trying for a year, or over 35 and have been trying for six months, it is reasonable to seek medical advice.

Can a telemedicine visit diagnose the cause of infertility?

Telemedicine visits can help gather your history and discuss possible causes, but diagnosing infertility often requires physical exams and tests that must be done in person.

What tests might I need after my telemedicine visit?

Your provider may recommend blood tests to check hormone levels, ultrasound imaging to assess reproductive organs, or semen analysis for your partner. These tests usually require visiting a clinic or lab.

How can I prepare for my telemedicine infertility visit?

Prepare by gathering your medical history, menstrual cycle details, previous test results, and a list of questions. Also, ensure your technology is working well and you have a private space for the visit.

What should I do if I have urgent symptoms during infertility evaluation?

If you have severe pain, heavy bleeding, or fever, seek immediate in-person medical care. These symptoms can indicate serious conditions that need urgent attention.

Sources

1. Infertility — MedlinePlus | U.S. National Library of Medicine / National Institutes of Health.
2. Infertility: Overview — Mayo Clinic.
3. Infertility FAQs — Centers for Disease Control and Prevention (CDC).
4. Infertility Information — National Library of Medicine.

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have urgent symptoms or need a physical examination, please seek immediate medical attention.