What to Expect During Your First Consultation at Chedid Grieco

Most patients tell us they came into their first consultation not knowing quite what to expect. Some had done a lot of reading beforehand and arrived with specific questions. Others had been referred after prior testing elsewhere and wanted a second opinion on what the results meant. Either way, the first visit to our Miami office follows a consistent enough structure that knowing what’s coming makes the appointment more useful.

At Chedid Grieco, we hold initial consultations in Miami. Patients who decide to move forward travel to our facility in Sao Paulo, Brazil for treatment. The consultation is where we get clear on what path actually makes sense before anything else is decided.

How to Come Prepared

The most useful preparation is pulling together documentation from prior testing. If you’ve had hormone panels done, or imaging, or a semen analysis through your OB or another clinic, bring those results. We go through them before the exam so we’re starting from what’s already known rather than repeating work that was recently done.

Writing down questions before you arrive is worth doing. The conversation moves through a lot of territory, and questions that seemed clear beforehand can slip once you’re in the room. We’ve seen patients leave a thorough first appointment and then remember what they actually wanted to ask on the drive home. Having a list prevents that. Questions about cost, about what the logistics of the process look like, and about what outcomes tend to look like given your history are all worth putting down before you come in.

Our team works in English, Spanish, Portuguese, and French, so language preparation isn’t typically an issue. If you have a partner involved in the process, having both people in the room for the first conversation works better than one person summarizing for the other afterward.

What We Cover in the Appointment

The first appointment typically runs 60 to 90 minutes. We start with medical history, what you’ve tried before if anything, and what your goals are. That conversation guides us on which treatment paths are relevant to your specific situation rather than walking through everything we offer in general terms.

We also walk through how our model works, because it’s different from care that stays entirely within the US. The consultation happens in Miami. Treatment is performed at our FDA- and NYDH-licensed facility in Brazil. For patients who haven’t thought through the logistics of that yet, we go through what the trip involves, what treatment stays typically look like, and what kind of coordination we handle on both ends.

Depending on how recent your records are, we may suggest updating some of the testing before we finalize a plan. We don’t push additional evaluation unless there’s a specific reason for it, but accurate current parameters matter when we’re building out a realistic treatment timeline.

What Treatment Options We Discuss

The consultation isn’t a walkthrough of every treatment we offer. It’s a conversation about what fits your situation. That might mean IVF is the right starting point. It might mean intrauterine insemination is worth discussing first. If ovarian reserve is a concern, egg donation enters the picture. More advanced techniques like ICSI get covered when the evaluation points toward them.

We also discuss in vitro maturation when it applies. IVM lets us retrieve eggs without the ovarian stimulation injections that standard IVF requires. For patients who want to avoid that injection period, it’s worth knowing about. Not every patient is a candidate, and we only raise it when the evaluation actually supports it.

Patients who found us through research on fertility tourism get a thorough walkthrough of what international treatment actually involves, including the travel side, what a stay in Sao Paulo looks like, and how follow-up care gets coordinated from the US.

What You Come Away With

By the end of the first visit, patients leave with a specific answer about where they stand. If you’re a candidate for a given treatment, we say so and explain what that path involves. If there are steps that need to happen first, we name them and explain why. If you’re not certain about next steps yet, the consultation gives you what you need to make that decision from real information rather than uncertainty about what you’re facing.

From there, we build an individualized plan with timelines and cost estimates based on your situation, not population averages applied to your case. To get started, reach out through our contact form.