Here is a simple checklist that couples can use to prepare themselves for consultations and procedures relating to fertility testing and diagnosis.

The first phase of infertility treatment involves collecting a lot of information. Couples are asked for a great deal of personal information, both as a couple and as individuals. Some of the questions will perhaps seem private or personal, but do not be embarrassed to answer them honestly. The answers can help your doctor understand the puzzle of infertility.

Couples should prepare themselves for detailed questions about their medical history and medical details in the following areas:

• Surgery
• Vaccinations
• Childhood diseases
• Onset of puberty
• The menstrual cycle (known start and end date, length of the period, days between periods)
• Previous history of possible pregnancies; miscarriages (both for the man in any previous relationships and the woman)
• Lifestyle (including smoking, alcohol and drug use)
• Sex life and sexual history
• Family history of fertility and diseases
• Financial status: to demonstrate that you have adequate financial resources for the tests
• Possible specific questions on problems

Both partners will possibly have to undergo various medical tests to gain additional information to determine the cause of the infertility. Couples can prepare for each consultation by following these guidelines/advice.

• Ask what (if anything) you have to do before you undergo a specific test, including the things you have to change or those you have to stop doing before/ after the test. Ask for written instructions.
• Find out whether the test has to be performed on certain days of the menstrual cycle - timing is often critical.
• Read all instructions through in advance! Don’t hesitate to call your doctor if you still have questions in advance of a test.
• Use the recommended or prescribed drugs before the specific test as instructed.
• Follow the instructions; never improvise!
• If a sample is asked for, find out how it is to be treated and transported.
• Understand the testing procedure to be followed.
• Ask whether both partners have to attend for a specific test.
• Find out whether you will have to take time off work.
• Ask whether you’ll need to be driven home.
• Know what you have to do in the 24 to 72 hours after the test.

Some couples find it useful to take a notepad or diary with them to consultations, to jot down information and instructions. You can also use this to note down questions and problems arising subsequently. In this way you will have a full record of what is happening to you at all times.

• Keep a list of questions throughout the entire duration of the fertility test. Go through the list before the consultation to see what specific questions are applicable that day.
• Read and collect information about infertility and the specific causes of it. Keep up to date.
• Possibly check the references and facilities of the experts whose services you are using.
• Talk to others who have had the same doctors and/or undergone the same tests.
• Where necessary, inform your employer, family and friends.
• Ensure you have a safety net in place to provide emotional support. Consider using discussion groups, psychological advisers, Internet groups and bulletin boards.