To know what kind of infertility care you're receiving, you need something to compare it to. The best way to do this is by educating yourself on new procedures, practices, and patient care. If your doctor doesn't have a treatment plan or wants to keep using the same treatment that's failed for three or four cycles, you might consider changing physicians. Not being able to speak comfortably or communicate well with your doctor also can hinder progress as well because you need to be able to ask questions and feel the doctor takes your concerns seriously. This might be another indication that you need a new doctor. If your doctor seems behind the times according to the research you've done or is reluctant to try new procedures, find someone who isn't. You might feel powerless over your fertility, but you certainly have the power and control to choose who treats you at this critical time.