F. A. Q.’s
For more information about billing at ART, please contact our Financial Coordinator at 301.400.2143 or firstname.lastname@example.org.
- Our age limit is 42 (NO exception)
- BMI limit is 40
- FSH must be <12 (possible special consideration for those under age 37 with appropriate antral follicle count, at discretion of medical director)
- We do not currently offer any services for donor egg or surrogacy.
Orientation is mandatory to participate in this program and cannot be waived. It is not required that partners attend orientation, though it is strongly encouraged. You will be listening to a group lecture presented by the Medical Director or Assistant Medical Director about the IVF process. You should be prepared to take notes. You will also have presentations by one of the nurses and our financial coordinator. This orientation is given to help to prepare you for the IVF process and answer any questions you may have before you start the program. There is no dress code for orientation.
For more information about orientation or appointment times, please contact the Administrative Assistant at 301-400-2144 or email@example.com.
***A non-refundable administrative fee is also collected on this day (or day of Male Evaluation, whichever comes first). This fee is approximately 10% of total IVF cost. Contact the Financial Coordinator at 301.400.2143 or at firstname.lastname@example.org with any financial questions about this program.
We use LO-OVRAL OR EQUIVALENT birth control pills, these are low-dose pills that are mono-phasic (all one color and dose).
You will need to start pills with the period the month before the desired treatment cycle (ex. December for January, etc.). The pills need to begin on Cycle Day 2 (CD2) of bleeding with that period and you only take the active pills, skipping placebo pills which are usually a different color and would generally give you a period. If you get to week #4, you need to start a new pack to stay on the ACTIVE pills only. Some spotting on OCP’s is normal but we do not want you to have a full period. Please call one of the nurses if the spotting becomes very heavy.
Husbands are tested for Hepatitis B and C, CMV, RPR, Chlamydia, Gonorrhea, HIV and HTLV to ensure they have no infectious diseases prior to treatment.
You will take an injection class on the day of or the day after your baseline appointment to ensure you know how to properly mix and administer your medications. You can also access the IVF Injection class here.
You will need to start the Progesterone oil intramuscular (IM) shots this evening to prepare your uterine lining for the embryo transfer. This shot will continue once each evening until the pregnancy test for a total of 2 weeks.
Having a full bladder for the transfer helps to straighten the uterus for the insertion of the transfer catheter and improves ultrasound visualization. You will need to drink approximately 32 oz of fluid within the hour prior to your appointment.
That evening we ask that you take it easy- no heavy lifting, pushing, etc. But you do not need to be on bed rest that day. You may return to work the next day.
You will be allowed to change from Progesterone shots to vaginal Progesterone (Endometrin) after the pregnancy is deemed to be progressing normally. This is taken twice daily, about every 12 hours, for four weeks until your ultrasound confirms a normal pregnancy.
You many come to WRNMMC for the ultrasound appointment or go to your local OB provider and forward us the results. (Follow the instructions on your discharge paperwork for when to schedule)
After a normal ultrasound, you are able to transfer to regular OB care and will be followed by your OB provider who will be making decisions on your treatment.
Many women experience mild cramping and spotting in early pregnancy, this can be VERY normal. If you are experiencing painful cramping and/or bright red bleeding, you should contact your OB doctor. Please make sure to have your provider contact WRNMMC IVF staff via pager if you are out of the area before you consent to any treatment.
For A.R.T. legal concerns such as, parenting rights of same sex couples, parenting rights of non-married (same sex or heterosexual) couples, post mortem use of gametes, post mortem disposition of gametes, cryopreservation of a minor’s gametes, donated gametes, estate planning, surrogacy, or any other concerns not listed, please contact an attorney from the American Academy of Assisted Reproductive Technology Attorneys (AAARTA). Click here to find an attorney near you.
Cytomegalovirus, commonly called CMV, is a member of the herpes virus family that includes chicken pox, cold sores, and infectious mononucleosis (mono). Most individuals are exposed to CMV in childhood and have a mild infection similar to a typical cold, while the immune system develops antibodies to fight the infection. The virus remains alive, but becomes dormant, or hides, inside certain cells for the rest of the person’s lifetime. Approximately 50-85% of American adults will test CMV positive, confirming exposure. If a woman who has never had CMV becomes infected with the virus during pregnancy, the child is at risk for developing severe medical problems, such as mental retardation, deafness and seizures.
When choosing donor sperm, you may wish to consult with your medical practitioner about choosing a donor who is positive for CMV IgG antibodies. Laboratory testing for CMV is performed on all donors, as required by FDA. Donors who are positive for CMV IgG antibodies are non-infectious for CMV. If you are CMV negative, it is highly recommended that you use a CMV negative donor. However, you may use a CMV positive donor, if you wish. While the risk is not zero, the chance of transmitting congenital CMV to a developing fetus from semen used at the time of conception is extremely low. This is, however, a medical issue that you should discuss with your physician.
For more information you can view the CDC website fact sheet.
First, a pregnancy test must be done, and resulted as negative, before a complaint can be submitted on your behalf. Once you have done this, contact the A.R.T. Institute at 301-400-2149. Please leave a message stating your name, date of birth, the result of your pregnancy test, the date of your procedure and the name of the cryo facility to which the form should be sent. Please contact the cryo facility approximately 48-72 business hours after contacting the Institute to ensure that the form was received.