If you are interested in making an appointment with Pacific Northwest Fertility, please call 206-515-0000.

At our clinic, we offer two types of initial consultation appointments.

A Free 30-Minute Telephone Consultation

This phone call is meant to provide a time for you to discuss your personal situation, answer any questions you may have about your fertility, and outline possible treatment options and next steps. We recommend this consultation for patients who may still be considering fertility treatment at Pacific NW Fertility, as well as out of town patients.

A Personal Consultation with Dr. Marshall, Dr. Hickok, or Dr. Shahine

This initial appointment is typically a one hour visit, in which patients sit down with the doctor to review medical records and personal medical history. The doctor will work with you to answer any questions you may have, and outline possible treatment options. At this time, the doctor may perform a physical exam or vaginal ultrasound, prescribe medications, or order fertility testing.

Once you call Pacific NW Fertility to set up your appointment, you will speak with our experienced Patient Coordinator, who will walk you through the process and next steps. The coordinator will help you complete the registration process, and will provide you with a login ID and password for our Patient Portal. The secure and easy-to-use Patient Portal allows patients to easily, privately, and in their own time provide health history details - information which helps the team at Pacific NW Fertility provide you with the most appropriate fertility information and options.

In order to help you move forward with your fertility treatment as quickly as possible, we have provided a few recommendations.

Initial Fertility Testing

Prior to your first consultation at Pacific NW Fertility, it may be helpful (although, not mandatory), to have some preliminary fertility testing completed and the results sent to us before your first appointment. This allows our physicians to consult with you in greater depth concerning your specific situation.

Your OB/GYN or primary care doctor can order these fertility tests if he/she feels they are appropriate. In general, fertility tests which are requested by your OB/GYN or primary care physician have a greater possibility of being covered by your insurance provider than fertility tests which are requested by fertility physicians. The following information lists and explains these preliminary fertility tests.

FSH/E2 or Follicle Stimulating Hormone (FSH) and Estrogen (E2)
These are hormones that predict a woman’s ovarian reserve. In the beginning of the menstrual cycle (cycle days 1-5), the pituitary gland in the brain secretes Follicle Stimulating Hormone (FSH). (Cycle day 1 is counted as the first day of actual flow). This hormone stimulates the ovaries to provide an egg for the cycle. When the ovary has received enough FSH to grow a dominant follicle, the follicle begins to release Estrogen. This estrogen indicates that a follicle is growing and alerts the brain to stop secreting FSH. FSH/E2 testing therefore measures the levels of FSH and Estradiol or estrogen in the blood on menstrual cycle day 2 or 3, providing an assessment of a woman’s ovarian reserve, or pregnancy potential.

Hysterosalpingogram (HSG)
A hysterosalpingogram (HSG) is test that is performed to see if there is a blockage or other abnormality of the fallopian tubes, which would prevent the sperm from reaching the egg. This test may also be used to detect irregularity or scarring of the lining of the uterus. For an HSG test, sometimes referred to as the “dye test,” dye is placed into the uterus and an X-ray is taken. The HSG test is performed in the 2nd week of the menstrual cycle (i.e. after menstrual bleeding has stopped but before ovulation), and must be performed in a radiology department.

Male Partner Testing – Semen Analysis
A semen analysis is the measurement of different properties of a single ejaculate, including:

• Volume - amount of the ejaculate measured in ML
• Count - concentration of sperm, measured in million of sperm per ML
• Motility - percentage of sperm that are moving, i.e. living
• Morphology - percentage of sperm that are normal in shape