Your initial visit, he/she will likely take a history of both of you, written questionaire. He may have even sent this to you by mail ahead of time. My RE did this history on both of us, then he ran over all of our options and what they would supposedly achieve.
I consider us lucky because our RE was honest enough with us to day, unless you have a perfect cycle, everything is aligned, all the fertility meds in the world won't help.