Fertility appointment

We've been TTC for 8 months and had the day 3 bloodwork drawn.  The results came back at 18 and my Dr said she won't do Clomid because of my age (41) and that the level should be more around 10.  She didn't feel what she could do from her office would be beneficial.   She referred us to a fertility specialist and have our appointment in a couple days.   I've been doing the ovulation kits and have yet to have a surge.
What should I expect at this appointment? Looking for insight and support. Thanks!