Step-By-Step Of IVF

How to get started?

Before you start

ivf near me

All patients are required to undergo pre-IVF cycle testing and counseling done before they start their personalized treatment. This allows doctors and staff to assess the patient’s overall health to provide the patient with the necessary medication prescriptions in regards to the patient’s chosen treatment, complete the appropriate informed consent documents, and review the patient’s financial obligations.

Initial Consultation

Patients are required to have a pre-IVF consultation with one of our doctors. In the beginning, a nurse will input the patient’s information into the EMR system and the doctor will be able to review your medical history, which includes any old IVF records. At the initial consultation, patients can ask questions and discuss with the doctor about their options and how to improve their chances of pregnancy. 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 each patient. At the end of the consultation, the patient needs to sign a financial agreement and financial obligation prior to starting the treatment.

Consent

It is very important for patients and their partners to read through the consent forms and initial/sign as needed. If the patient doesn’t understand a specific section, please feel free to ask one of our doctors. If the patient has not signed the given consent form before the appointment, we will be forced to reschedule the appointment. If the consent forms still aren’t signed on the day of the procedure, the procedure may be cancelled.

Infectious Disease panel

In order to be compliant with the regulations of state law, we are required to conduct an the infectious disease testing for both you and your partner prior to every IVF treatment. Patients are required to do a blood test for HIV/AIDS and Hepatitis B & C. HIV/AIDS and Hepatitis B & C are blood borne infectious disease which can be transmitted through the placenta and cause long-term health consequences for both the mother and the child. HTLV I & II are human RNA retrovirus, that can cause a serious sexually transmitted disease that is related to leukemia, myelopathy, and Syphilis. Additionally, the blood test still helps us check for Rubella (German measles) and varicella (chicken pox) which can cause serious birth defects. Infectious disease testing is a necessary preparation before any IVF treatment is started.

Ovarian Reserve Testing

This test must be done on cycle Day 2 or 3 of your menstrual cycle to evaluate ovarian function. To determine your ovarian reserve, there are several tests available. It is important to know your ovarian reserve prior to beginning your fertility treatment because it allows us to create a personalized treatment that will show optimal results.

The tests we are currently using in our office are: (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 the 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.

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 ovaries, and see the uterine size and if when any abnormality exists. It can also identify if any fluid has 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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