Last week, Dr. Emily Johnson from our office held a casual online session titled “Getting Started with Infertility Treatment.” This event was designed for both current and potential patients eager to delve into infertility treatments and the financial options available. During the session, Dr. Johnson answered a range of questions covering diagnostic tests, treatment options, and insurance matters. Here are some highlights from the discussion.
Q: If I haven’t completed any baseline tests before my first appointment, what should I expect?
A: When you come in for your consultation, the level of your initial work-up may vary. We’ll go over what tests you’ve had done and what still needs to be completed to establish a clear diagnosis and the best treatment plan. Your nurse will assist in scheduling any additional tests needed. Don’t forget to bring any paperwork you received after booking your consultation, along with any fertility-related medical records from previous doctors.
Q: Does my partner need to undergo a semen analysis? Do you treat male infertility?
A: Yes, male infertility affects 40-50% of couples facing infertility, so a semen analysis is crucial. Your nurse can help set up this analysis for your partner. The sample can be collected at home, but it’s best to avoid ejaculation for 3-5 days prior to ensure accurate results. If male factor infertility is identified, treatment options might range from IUI to IVF or even using donor sperm. We collaborate with fertility-focused urologists for any necessary procedures.
Q: I’m about to have an HSG. I’ve heard it can be painful. What should I expect?
A: While some discomfort can occur during a hysterosalpingogram (HSG), it often stems from a blockage in the fallopian tubes. If everything is clear, the discomfort is typically minimal. It’s a good idea to talk to your doctor about taking an over-the-counter pain reliever, like ibuprofen, about 30-60 minutes before the test to help ease any pain. We recommend getting the HSG done at one of our certified facilities, where our specialists will handle the procedure and interpret the results.
Q: What options are available if I don’t have insurance?
A: We offer various financial programs to help those without insurance. Options like Shared Risk, Shared Help, and the Multi-Cycle program can make treatments more accessible. Additionally, we provide financing plans that allow for monthly payment arrangements to ease the financial burden of fertility treatment.
Q: Are IVF and IUI the same thing?
A: No, they are quite different. IUI (intrauterine insemination) is a straightforward in-office procedure where a concentrated sperm sample is placed directly in the uterus, taking just a couple of minutes and usually requires no anesthesia. IVF (in vitro fertilization), on the other hand, involves stimulating the ovaries to produce multiple eggs, which are then retrieved and fertilized in a lab before transferring an embryo back to the uterus. The success rates for both depend largely on the woman’s age and specific diagnosis.
Q: What are the side effects of fertility treatments for women, and how long does the process take?
A: Side effects often arise from stimulation medications, even in simpler treatments. Common side effects include bloating, cramping, and hormonal changes, which can vary by individual. The duration of treatment can also differ, but typically, a full cycle takes about six to eight weeks.
Q: Do you often work with patients who have had a tubal ligation? What are their options?
A: Absolutely! Many patients come to us after having a tubal ligation and want to conceive again. If a tubal reversal has been performed and the tubes are open, IUI might be recommended. However, if no reversal has occurred, IVF is usually the preferred route. It’s important for patients to consider the costs and success rates of both options.
Q: What’s the likelihood of having multiples with IVF or donor egg treatments?
A: The risk of multiple births increases with the number of embryos transferred during IVF. We advocate for elective single embryo transfer (eSET) to help minimize this risk without compromising success rates, as the chance of twins with eSET is very low. However, transferring two embryos in donor egg treatment can significantly raise the likelihood of multiples.
For those interested in learning more about infertility treatments, you can explore a related blog post about overcoming challenges after an endometriosis diagnosis.
In summary, navigating fertility treatments can be a complex yet manageable journey with the right information and support. Whether dealing with tests, financial options, or understanding your treatment choices, resources are available to guide you every step of the way.