Questions to ask Reproductive Endocrinologists and Fertility Clinics
What are the credentials and training of the IVF staff and is the clinic affiliated with an academic medical center?
Does the clinic report data to SART (Society for Assisted Reproductive Technologies, a special interest group of the American Society for Reproductive Medicine)?
When did the clinic start offering ART?
How many egg retrievals has the clinic performed in the last twelve months?
How many patients underwent embryo transfers in the last year? In the last month?
How many clinical pregnancies (confirmed by ultrasound and fetal heartsounds) has the clinic had relative to the number of embryos transferred?
How many live births has the clinic had relative to the number of embryos transferred?
How many of these were multiple pregnancies?
What is the miscarriage rate for the program?
If you are over 40 or if there is a male factor infertility diagnosis, ask about the number of egg retrievals and embryo transfers and clinical pregnancy rates for this category.
If you have a diagnosis, ask what the success rates are for that particular diagnosis.
Ask if the clinic has criteria for women with elevated cycle day 3 FSH or estradiol levels.
SERVICES AND COSTS:
What tests, if any, will be repeated by the clinic prior to starting an ART cycle?
Does the clinic have its own lab director? If not, how many labs does the director supervise?
What are the clinic hours and lab hours? This is important if you work and need ultrasounds, etc., done before going to work. Is the lab open weekends and holidays?
Does the clinic have satellite offices closer to you, where you can be monitored?
When in the cycle does the clinic start ovulation induction protocols?
Does the clinic use drugs to suppress your hormones (Lupron, Ganirelix Acetate Injection, Cetrotide,) before or during ovulation stimulation?
If you desire, will the clinic consider minimal stimulation cycles to reduce the amount of drugs used?
Does the clinic culture the embryos to blastocyst stage?
Does the clinic offer micromanipulation techniques? If so, which ones are available (ICSI or assisted hatching)?
Can you choose to donate any excess eggs to a donor egg pool to be used by other hopeful parents?
Does the clinic have an embryo donation policy or program should you desire not to use your remaining frozen embryos?
Will the clinic freeze extra embryos? At what stage in cell division is this done?
What does each cycle cost, including drugs, etc.? How much is covered by insurance? Do you have to pay up front or can you pay in installments? If a cycle is canceled because of poor ovulation response, what is your financial responsibility?
Does the clinic offer any package plans, shared risk plans, or work with any financing plans?
Are there counseling services or recommended therapists who work with your center?
Does the clinic have a "contact system" of patients who have completed their program, successfully or not, with whom you can speak?
Is there an intake appointment? Will you meet with a doctor, nurse, therapist and/or financial manager? What are the fees for these appointments?
If there are injection and orientation classes offered, what is the fee and are they required?
RESOLVE: The National Infertility Association