Thursday, March 10, 2011

Pre-IVF Consult

Our pre-IVF consult is scheduled for March 14th. The nurse who set the appointment for me mentioned consent forms. We've got questions, we're hoping they have actual answers. Leave me a note in the comments if you think of any other questions we SHOULD be asking (keeping in mind I may not have listed it here because I already know the answer, in which case I'll try to post that after the appointment).
  • Can I continue to take the melatonin in the 2WW?
  • Is there anything we can do to optimize egg quality?
  • Is there anything we can do to ensure more mature eggs? (I seem to have a short follicular phase on injects and worry about potential immaturity)
  • Is there anything we can do to optimize sperm quality (already seems quite good)?
  • Discuss vs PIO for luteal phase support.
  • Is in-clinic acupuncture available? Can I bring my own acu?
  • Will we use ICSI and/or Assisted Hatching?
We also have some thinking to do about the financial side of things.

Our clinic offers a very reasonable shared-risk plan. For couples in our age bracket, $17K gets you three fresh (and three frozen) cycles with 75-85% refunded if you don't take home a baby. I'm already not sure where we'll get the $7K for ONE cycle (though my FSA will reimburse most of that after the fact, we still have to pay up front somehow). But the way our luck has run, I'm really worried that one cycle won't be enough.


  1. Do you want to be aggressive? If so, I would tell your RE that you want to be as aggressive as possible and ask him what that means.

  2. I think these are all great questions, many of which I asked my RE, too. I'd ask about the cost for ICSI and assisted hatching. With our Attain IVF Refund cycle, ICSI was included in the price for ONLY the first 10 eggs. Anything thereafter was on us and was pretty pricey (I can't recall how much; maybe $2,500 for the next set of 10, I think). Assisted hatching was also extra and not included in our $20K price tag. It was $500 per embryo.

    I'd also ask if they do a 3- or 5-day transfer (or even a 6-day transfer, if possible).

    Personally, I prefer the PIO injects to Crinone. I HATE Crinone. I had such side effects w/it that I always thought I was pg and, nope, it was just the Crinone. The PIO, while they hurt, left me with no side effects.

    I hope this helps! Let me know if you need anything else! xoxo

  3. You may want to ask about PGD/genetic testing of the embryos, but other than that your list looks good!

  4. Best of luck at your IVF consult!