What to Expect During Your First Consultation at Chedid Grieco

Medically Reviewed by Dr. Silvana Chedid on September 1, 2026

Your first fertility consultation is a structured, 60 to 90 minute conversation built around your medical history, prior testing, and goals, not a walkthrough of every treatment a clinic offers. Most patients leave that first visit with a clear answer about where they stand and what the next step looks like, even when that answer is that more testing comes first.

At Chedid Grieco, we hold initial consultations at our Miami office. 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

Documentation to Bring

The most useful preparation is pulling together documentation from prior testing before you arrive:

• Hormone panels or imaging completed through your OB or another clinic, so we start from what is already known.
• A prior semen analysis, if one has been done, along with any related urology notes.
• Family medical history, including any known genetic conditions on either side, since this can shape which tests we recommend first.

We go through everything you bring before the exam so we are building on existing information rather than repeating work that was recently done.

Questions Worth Writing Down

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 are in the room. 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 is not typically an issue, and having a partner in the room for the first conversation works better than one person summarizing for the other afterward.

What We Cover in the Appointment

We start with medical history, what you have tried before if anything, and what your goals are. That conversation guides which treatment paths are relevant to your specific situation rather than walking through everything we offer in general terms. The American Society for Reproductive Medicine’s committee guidance on evaluating infertility recommends that an initial workup assess ovulatory status, the structure of the reproductive tract, and semen parameters for a male partner, since male factors contribute to a meaningful share of infertility cases. We follow that same general framework, tailored to what your prior testing already shows.

We also walk through how our model works, because it is 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 have not 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 testing before finalizing a plan, though we do not push additional evaluation unless there is a specific reason for it.

Your Care Team Before and During Treatment

The consultation is your first meeting with your physician, but it is not the last conversation you will have before treatment starts. A coordination team helps schedule any follow-up testing, answers questions that come up between the consultation and your travel dates, and works through logistics like appointment timing around your Sao Paulo stay. A separate point of contact walks through cost estimates and payment structure once a treatment plan is in place, so financial questions have a dedicated place to go rather than competing for time during a clinical appointment. Knowing who to reach for which kind of question tends to make the weeks between your consultation and treatment considerably less stressful.

What Treatment Options We Discuss

The consultation is not a walkthrough of every treatment we offer. It is 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. 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 and how follow-up care gets coordinated from the US.

Talking Through Cost and Insurance at Your First Visit

Cost comes up in nearly every first consultation, and we would rather address it directly than leave it for later. We go through what your insurance is likely to cover based on your plan type and state, where coverage for active treatment tends to stop, and what a cycle at our Sao Paulo facility runs once travel is factored in. Patients weighing that comparison in more detail can also read our breakdown of how insurance coverage for fertility treatment actually works and our cost comparison between Miami and Sao Paulo IVF before the appointment, so the numbers we discuss build on something you have already seen rather than starting cold.

What You Come Away With

By the end of the first visit, patients leave with a specific answer about where they stand. If you are 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 are 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 are facing.

From there, we build an individualized plan with timelines and cost estimates based on your situation, not population averages applied to your case. Chedid Grieco has held both FDA licensing and a New York Department of Health tissue license for more than 30 years, a combination held by very few facilities outside the United States, and that dual accountability shapes how we structure every consultation from the first question on.

To get started, reach out through our contact form.

Frequently Asked Questions About Your First Fertility Consultation