Either way, expect to go through an array of evaluations and tests to determine what may be interfering with your efforts to get pregnant. Here’s an overview of things it will be useful to know before you see a fertility doctor.  These will include blood work, physical examinations, and a semen analysis. Typically, the doctor will order an ultrasound and a specialized X-ray to examine the uterus, ovaries, and fallopian tubes.  In either case, expect to have options ranging from lifestyle modifications to fertility medications to surgical interventions or even intrauterine insemination (IUI) or in vitro fertilization (IVF). So you’re prepared, know that they include the possibility of conceiving twins or higher-older multiples, which can lead to complications with the pregnancy. Another side effect associated with fertility drugs is a condition called ovarian hyperstimulation syndrome (OHSS).  It’s vital to talk about what you’re feeling, whether you are undergoing treatment yourself or supporting a partner who is. If you find this hard to do, consider seeing an infertility counselor who is specially trained to guide people through the emotional minefields of fertility treatment.