Getting Started at the Walter Reed NMMC IVF Program


In order to enter the WRNMMC IVF program, your primary care physician (PCP), or the physician treating you for infertility, must send a consult letter and supporting documentation to the IVF clinic at Walter Reed.

The consult letter should contain:

  • Your name
  • Address
  • Phone number
  • A description of why you need IVF
  • Your infertility diagnosis

The documents may be faxed to 301-400-1800.

Next Steps



Consultation Review

Once your consultation letter, is received it will be processed by the IVF team and reviewed by one of our staff physicians. If the letter does not have an infertility diagnosis or sufficient evidence to support the need for IVF you will be placed as a patient in the Infertility Clinic. Before admission into the IVF program you will need to be seen by one of the staff physicians. This step may delay your entry into the program. We recommend that your PCP or infertility specialist send supporting documentation records with the consult letter containing your diagnosis.

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Admission to the IVF Program

After your consult letter and supporting documents have been reviewed, you will be contacted by our administrative assistant to let you know you have been accepted into the IVF program. You will also be instructed to set up an orientation at Walter Reed and what laboratory tests are needed prior to obtaining a date to start your IVF cycle. All male partners must have an evaluation to assess the quality of their sperm, unless the referral to the IVF program is due to a severe male factor condition. A form containing the lists of laboratory tests can be found in the supporting documentation section of this website.

You will be scheduled into the next available time period when IVF is performed following the completion of the following:

  • Required laboratory tests
  • Male partner evaluation
  • Orientation
  • Payment of required fees (Please call Ms. Leslie Strothers at 301-400-2143 for further questions regarding fees associated with IVF)
  • Medical approval from the ART Program Director

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Required Tests and Evaluations

The following laboratory tests must be completed prior to your first appointment with the physician at Walter Reed National Military Medical Center. For a downloadable checklist, click here (right click, and “save target as” to keep on your machine).

Female Partner

  • Medical History
  • Physical
  • Thyroid Stimulating Hormone (TSH)
  • Prolactin Level
  • Blood Type/Rh Factor
  • Blood Antibody Screening
  • Rubella
  • Pap Smear
  • Gonorrhea culture
  • Chlamydia culture
  • Hepatitis
  • HTLV 1 & 2
  • CMV – IGG
  • CMV – IGM
  • Human Immunodeficiency Virus (HIV)
  • Menstrual Cycle Day 3 Labs done in cycle prior to starting birth control pills
    • Follicular Stimulating Hormone (FSH)
    • Luteinizing Hormone (LH)
    • Estradiol (E2)
  • Mammogram (patients over 39 or if clinically indicated)
  • Saline Sonogram
  • Body Mass Index (must be below 40)
  • Genetic Counseling is suggested for patients over 35 yo
  • Carriers of Cystic Fibrosis and Sickle Cell Anemia require testing of the male partner

Note: Patients with complex medical issues will be required to have a formal high risk obstetrical consultation with maternal fetal medicine. The need for this evaluation will be determined after your medical history has been reviewed and it can be performed anywhere within the military system.

Male Partner

  • Hepatitis
  • HTLV 1 & 2
  • CMV – IGG
  • CMV – IGM
  • Human Immunodeficiency Virus (HIV)
  • Semen Analysis
  • Carriers of Cystic Fibrosis and Sickle Cell Anemia require testing of the male partner

Note: If severe male factor is indicated we recommend that genetic counseling is pursued prior to IVF. Genetic counseling can be performed by any genetic counselor within the military system.

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Pre-cycle Preparation and Information

  • Everyone must participate in at injection teaching class. Classes are given on Monday, Wednesday and Friday from 9-11am. This class will cover the preparation and administration of injections.
  • Chaperones are necessary for all ultrasound visits. You can bring your male partner or another female who knows you are going through IVF. You can also wait for a nurse to become available.

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Medications

  • You will be on birth control pills for a minimum of 2-3 weeks and a maximum of 6-7 weeks prior to the start of your cycle. Never stop taking the birth control pills unless instructed to do so.
  • Prenatal vitamins should be taken daily.
  • The clinic will provide you with your gonadotropins; these injectable medications are used to stimulate your ovaries in an effort to produce more than one egg.
  • You will be given instruction to obtain Lupron, Progesterone and Endometrim. Information on these medications can be found in the reproductive terminology section.
  • Many of your necessary medications can be ordered online through www.freedomdrug.com.

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Military leave and travel options for IVF cycles

  • In Vitro fertilization is an elective procedure. The command of the active duty member is responsible for determining which type of leave is utilized and approve the requested leave.
  • The Walter Reed/ART Institute of Washington can provide you and your spouse with a letter stating:
    • The date of your appointment
    • The dates and length of time you will be needed for your IVF cycle
    • With your permission we can provide the reasons for the length of time you are needed on site at WRNMMC. The average cycle length is approximately 21 days from start to finish.
  • The decision on how you may travel to WRNMMC is made by your command. Active duty members typically travel by one of the following three ways:
    • Funded orders
    • No cost TAD/TDY
    • Regular leave

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