Picking the clinic
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FERTILITY CLINIC COMPARISON TOOL
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Questions to email/ask clinics prior to a consultationClinic AClinic BClinic CAnswers to look for
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Doctor and clinic experience
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Are all of your fertility doctors board certified and members of the American Society for Reproductive Medicine and the Society of Reproductive Endocrinologists?Yes.
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How many years have you been offering egg freezing? How many egg freezing cycles do you conduct per year?They should have been offering egg freezing for more than 2 years with a minimum of 50 egg freezing cycles per year.
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Is your clinic open 7 days a week?Yes.
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Is your clinic open 365 days a year?This might only be important in case you want to do your cycle over major holidays. In particular, many clinics close over December.
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Who does the monitoring during stimulation? Will I see a doctor vs. a nurse practitioner or an ultrasound tech?Ideally, your doctor. This allows very nice continuity of care and assures that nothing falls through the cracks. It also makes certain that patients get the medical and emotional support needed during the process. That said, some clinics might have an nurse practitioner or Ultrasound tech at a satellite monitoring clinic which is to make it more convenient for the patient to get to.
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How often will I see my doctor during the process?Ideally you'll see them on most visits but because the clinic should be open 7 days a week, your doctor may have some days off and you may see another doctor.
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Will I have a nurse advocate or a single point of contact assigned to me for the duration of the process?Ideally, yes, though this is more of a personal preference as it will streamline a lot of your communication. This is especially true if the clinic has several doctors, it's a good thing if the doctor has a team nurse and medical assistant, IVF coordinator and even new patient scheduler as that limits the number of people you'll have to speak with.
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Clinic success rates
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Of the women that have frozen their eggs, how many have come back to use them at your facility? And how many resulted in live births?At least one but the more the better.
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What is your “oocyte cryosurvival rate?”Not lower than 80%. Between 85%-90% is considered good.
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Which method of freezing do you use? I.e. slow freezing or vitrificationThey should absolutely be using vitrification, NOT slow freeze
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What percentage of fertilized eggs survive to day 5? Ideally around 50%
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Do you culture your embryos beyond day 6 when creating embryos from frozen eggs? Ideally yes. Some doctors say this is important because many frozen-thawed eggs take 7 days to get to a stage where they can be used for genetic testing. Most clinics discard embryos if they don't make it to blast by Day 6.
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Storage facility quality
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Where will my eggs be stored?Good information to know, especially if they are being stored offsite.
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What monitoring systems do you have in place for the nitrogen tanks?Ideally, each storage tank should have its own separate monitor to ensure proper tank temperature and liquid nitrogen levels.
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What are your backup procedures in case of a power failure or natural disaster (e.g. earthquake)?Backup power system.
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Can I transport my eggs to another fertility clinic to use or store?Yes, it’s your legal right to use or store your eggs where you choose. However, most clinics suggest you keep your eggs in the same place you plan on using them in order to reduce any issues that could arrive during transportation.
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Initial Costs
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What is the initial consultation fee and what does it cover?
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Questions to ask during your consultationClinic AClinic BClinic CNOTES
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Doctor questions
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How many cycles do you think I will need?
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Am I at a high risk for Ovarian Hyperstimulation Syndrome (OHSS)?
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Are there any other risks that are specific to me?
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Financial coordinator questions
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What is the cost of the egg freezing cycle?
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Do you conduct STD testing as standard protocol? If so, which tests do you run and what do they cost?
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Do you charge extra for office visits and ultrasounds during ovarian stimulation? If so, what are they?
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Do any blood tests conducted during ovarian stimulation come at an additional cost? What can I anticipate in terms of additional costs?
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Are there any additional costs for the egg retrieval procedure, including the doctor and anesthesiologist fees?
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What are the annual storage fees?
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Do you offer any financing options that I should know of (e.g. monthly payments or multi-cycle discounts)?
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What is the range of cost I might expect to pay for medication throughout treatment?
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Post consultation clinic assessmentClinic AClinic BClinic CNOTES
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Do I have a good feeling about the clinic?
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Do I have a good repore with the doctor and the staff?
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Did the doctor take the time to fully educate me on the process and any potential risks?
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Does the clinic cater to egg freezing clientele?
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Is the clinic located in a convenient place?
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How do the costs stack up?
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How responsive is the clinic?
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