When I went, there was an internal ultrasound to have a quick look at the uterus and ovaries to see if there was anything immediately obvious. mine also did a quick breast exam as well which happened without real consultation
He also did a pap smear. Other procdures include both DH and I having heaps of blood taken for various tests. This happens after the consultation, when you're with the nurse.
What gets discussed in your consult depends on your particular problem, and how proactive/forceful for FS is. The first one I went to didn't want to know about charts or anything much of anything. He just heard my age and went straight to "do IVF, it's you're only chance". Many people I know go to him, but I couldn't stand him. I then went to someone else, and he actually waited until he saw the results of the tests before making a diagnosis. Despite not yet being pregnant, I feel much happier with my second FS.
Anyhow... the FS should explain some anatomy, explain what MIGHT be happening in your case and discuss a range of options you might consider, based on the results of your tests. Your DH will also need to give a sample for morphology/motility and DNA fragmentation tests. That will most likely happen on another day coz you'll need to abstain for a few days. They'll give you heaps of brochures on technologies and procedures. When you see the nurse, they'll give you more details on the "how to" aspects of any procedures, and give answers to some of your more specific questions. All of it will go in one ear and out the other
Which is also why it's so importnat for both you and your DH to go. Be prepared to get upset, possibly even cry during the appointment. That's OK. But if it's the manner of the FS that makes you cry, then it's OK to go shopping for another FS, either within the same practice, or at another one. You need to respect and feel good about your FS. You shouldn't dread having to deal with your FS during this emotional merry-go-round!
After the appointment, the next step will be up to you. It may all be too much and you choose to wait a bit longer. Or, you make a followup appointment to see what the tests had to say and make more definite plans about what to do next. Or get your results sent on to your new FS