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IVF Treatment

How to get it started?

Before you start

All patients are required to have pre-IVF cycle testing and counseling done before they start treatment. This will allow the doctor and staffs to assess the patient’s overall health to provide the patient with necessary prescriptions for medications which are in relation to the patient’s treatment, complete the appropriate informed consent documents, and review and clarify patient’s financial obligations.

  • Initial consultation

Patients are required to have a pre-IVF consultation with the doctor. At the beginning, a nurse will input your information into the EMR system and then the doctor will review your medical history and any old IVF records. You can ask questions and discuss with the doctor regarding what options you have and how to improve your chances of becoming pregnant. If you have any medical records to share, please bring them with you and give them to our front desk.

For out of state patients, we also offer an initial phone consultation.

  • Financial consultation

– Our financial advisors will meet with patients in person or on the phone to explain our different treatment packages and prices. They will review the fees involved, and discuss the various options for you.

– They will also help you to verify if you have any insurance coverage.

– At the end, patients need to sign a financial agreement and financial obligation prior to starting the treatment.

  • Consents

It is very important for patients and patients’ partners to read through the consent forms, initial and sign as needed. If patients don’t understand an item, please feel free to ask the doctor. If patients have not signed the any consent before the appointment, we will need to reschedule the appointment. If the consent forms are still not signed on the procedure day, the procedure may be cancelled.

  • Infectious Disease Panel

In order to be compliant with the regulations of the state law, we are required to obtain the infectious disease testing for both of you and your partner prior to every IVF treatment. You will need to do a blood test for HIV/AIDS and Hepatitis B&C. HIV/AIDs and Hepatitis B&C are blood borne infectious diseases, they can be passed through the placenta and cause long-term unhealth consequences for both of the mother and the child. HTLV I&II are human RNA retrovirus, can cause a serious sexually transmitted disease related to leukemia, myelopathy and Syphilis (RPR). Additionally, the blood test still helps us to check for Rubella (German measles) and varicella (Chicken pox) because these two diseases can cause a serious birth defect. The Infectious Disease Testing is a necessary preparation before any IVF treatment started and could help you to have a healthy baby.

  • Ovarian Reserve Testing

This test must be done on cycle Day2 or cycle Day3 of your menstrual cycle to evaluate ovarian function. To determine your ovarian reserve, there are several tests are available. It is very important to know your ovarian reserve prior to the beginning of your fertility treatment because it will help us to design the optimal protocol for you.

The tests we are currently using in our office: (1). Cycle Day2 or cycle Day3 FSH level (normal range: 5-10mIU/ml), (2). Baseline antral follicle counts (AFC) (normal range: 5-10 each ovary), (3). AMH (anti-Müllerian hormone )level (normal range: above 2.0ng /ml)

  • Genetic Testing

The following genetic carrier testing is recommended by American Society for Reproductive Medicine.

    1. Cystic fibrosis testing
    2. Fragile X testing

Some other genetic testing may be recommended by our doctor after the initial consultation, such as Karyotype and Y chromosome micro-deletion.

  • Pelvic ultrasound, SIS (Sonohysterogram) Testing

All patients need a pelvic ultrasound and SIS test to evaluate the status of the ovaries, tubes, and uterus. The ultrasound can help us evaluate the ovarian, and see the uterine size when any abnormality existed. It can also identify if any fluid accumulated in the tubes.

SIS will help to evaluate the uterine cavity and to determine the tubal patency; therefore, it is very important to finish the SIS test before the embryo transfer. HSG and Hysteroscopy are the alternative SIS tests.

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