Infertility: Diagnosis & Treatment
Despite your concerns, you are not alone. Infertility is often the first unsuccessful experience acouple faces. When a couple is ready to start a family, it is a natural assumption that nature will take its course and pregnancy will occur. Infertility, defined as the inability to conceive after one year of unprotected sexual intercourse, affects approximately 1 in 5 couples. Interestingly, for40% of these couples, the inability to conceive is due to the man's sperm, 40% of the infertility problems are linked to the female partner, and the remaining 20% is shared equally by the couple. Although this subject is rarely discussed, it is likely that some of your friends and relatives have sought treatment for infertility.
At Center for Women's Health, we have designed a program that combines education, counseling, evaluation, and treatment in our office to help you achieve a successful pregnancy. After consultation with our physicians and staff, our office will provide you with an information packet that details everything from testing to costs. Once you review the written packet, please contact our nursing staff with any questions you may have during our regular office hours, Monday through Friday, 9:00am until 5:00pm.
Fees & Payments
There are 2 different parts of infertility care: diagnosis and treatment. Insurance usually views these separately. Coverage for any medical care varies greatly with each insurance provider and also varies with each employer's choice of options in the plan they offer their employees. It is very complex and changes often.
We strongly suggest that you call your insurance company to confirm your benefits so that you will know exactly what is and what is not covered. Infertility treatment overall can be very costly. Our staff will work closely with you to determine what your insurance coverage is for infertility benefits and to help you with setting up an individual payment schedule. Your monthly fee for infertility will be determined by the billing office at your first visit. Since most insurances do not cover the cost of infertility treatment, we mustmonitor our infertility accounts closely. Our office will file for the insured portion of the fee with your insurance company at the time of your services. Due to the uncertainty of insurance companies and coverage, the payment plans for each infertility patient must be handled on an individual case-by-case. Fees and costs of treatment are detailed in our Infertility Information packet.
Evaluation & Treatment
efore treatment can begin, it is important that we gather all the facts and evaluate the information to create an infertility plan that is right for you. Diagnostic testing will be done to find a cause for your infertility. Since most of these tests must be done at specific times in the menstrual cycle, several visits may be necessary. Treatment is seldom helpful until the investigation is completed. Success in establishing a pregnancy requires a period of close cooperation between the couple, the physician, and our staff.
The following diagnostic tests may be performed during your infertility evaluation:
- Semen analysis
- Basal body temperature charting
- FSH, LH, and Prolactin levels at multiple stages in the menstrual cycle
- Post-coital tests to examine motility through the cervical mucous
- Hysterosalpingogram (HSG) to study the anatomical outline of the uterus and fallopian tubes
- Endometrial biopsy
- Ultrasound to determine the times of ovulation
ptions for treatment are available. After discussing ways to improve your chances of conception, our physicians and staff will assist you in deciding on a course of action and choosing an infertility plan that is right for you. Your medical treatment may begin with a simple procedure, such as taking pills or may necessitate more complex procedures, such as microsurgery or laser surgery, or procedures such as artificial insemination by donor (DI) or intrauterine insemination (IUI). If necessary, we will assist you in coordinating more involved hospital procedures, such as in vitro fertilization (IVF) or gamete intrafallopian transfer (GIFT), with the Jones Institute in Norfolk.