Where it all begins.

All aspects of a woman’s fertility revolve around her reproductive cycle, which can be broken down into two phases: the follicular and the luteal.

During the follicular phase, which starts on the first day of a woman’s menstrual cycle, follicular-stimulating hormone (FSH) is secreted, which leads to the development of a follicle in one of the ovaries. This follicle is where an egg develops and matures. Ovulation occurs when the egg is released and can then be fertilized by incoming sperm traveling through the fallopian tube.

A surge of the luteal hormone (LH) signals the thickening of the uterus wall, or endometrium, in the luteal phase. This allows a fertilized egg to attach itself to the uterus, resulting in pregnancy.

When should you see a specialist?

In general, if you are under the age of 35, and have been trying to conceive for over six months, seeing a fertility specialist will allow you to start a progressive series of tests and treatments.

If you are over the age of 35, or especially 40, you may want to see a fertility specialist right away. As we age, a woman’s ability to get pregnant dramatically decreases, as does the quality and quantity of her eggs. A fertility specialist can immediately begin a course of treatment that saves time and increases the chance of pregnancy.

What to expect on your first visit.

You will feel informed and comfortable from the moment you arrive. At Kolb Fertility, we start by asking questions and listening carefully to the answers. Here are several areas we will address together:

  • Your overall health, both physical and emotional.
  • Your medical history, including any tests, surgeries or illnesses.
  • Your previous experiences with fertility.
  • Any environmental influences.
  • Your family history relating to fertility.
  • Your emotional needs and unique ethical beliefs.


From there, your first visit with Dr. Kolb will include:

  • An in-depth consultation.
  • A physical examination.
  • A pelvic ultrasound.
  • An introduction to your nurse.
  • A review of important diagnostic tests.
  • A summary review of your consultation.