In Vitro Fertilization at EIRMC


(gentle music) – My name’s Deirdre Conway. I’m a Reproductive Endocrinologist at the Idaho Fertility Center so my specialty is helping couples struggling with infertility and we provide comprehensive treatment up to, and including, full
in vitro fertilization. I think one of the really important things to remember that a lot
of people don’t realize ’cause IVF is typically something that’s popular to talk about. The majority of couples that we see actually don’t need to do
in vitro fertilization. So in our center about three-quarters of the patients we see
actually can get pregnant with something much less aggressive and also much less expensive
then in vitro fertilization. So that leaves really only, of course, a quarter of patients that need to do IVF for various reasons. Some of the most common
things that we’ll see are maybe people that have been through less aggressive treatments and maybe it hasn’t
worked and so we use IVF as kind of like a backup plan or sometimes patients that have more severe male factor issues so that means we’ve the semen analysis and maybe the count’s really low or the quality of the sperm is really low. IVF is a really good
way to get around that. And then other most
common thing that we see is tubal factor issues. So for various reasons
the female partner’s fallopian tubes are blocked
maybe from endometriosis, prior surgery, pelvic infections and that’s a great way to get
around that problem as well. So the process typically starts with a really thorough
consultation with a doctor. So we sit down, we do a
really, really careful history of both partners, male and female. We go through, you know, try and determine what the reason is for infertility and review all their
prior treatment thus far. So that way when we
come up with a game plan it’s really individualized
for each individual couple so that, you know, so they do, when they go through the process have the best chance of success. And then the next step is meeting with the IVF Nurse Coordinator
and so what that means is they sit down and kind of map out exactly what’s gonna
happen from start to finish for that roughly six week period of time when they’re going through
the process of IVF. And I think that’s really helpful for the patients going through so they can really
conceptualize what to expect from the process, you know, and get into like the details of that. And then the next step is really starting the treatment so that involves hormones in the form of injectable medications which I think for a lot of people sounds scary but there
are really great resources and we do a really good
job of teaching people so even people that are really nervous about injecting the
needles, they get through the process really well. So that takes about 10 days. At the very end of that they undergo an egg retrieval and that’s the only part you go under anesthesia for. I call it mini anesthesia
because you’re asleep, you don’t feel anything, but you wake up really quickly afterwards and go home about 45 minutes later. That same day we fertilize the eggs and then now we actually grow embryos for a full five days in the lab and that allows us to really pick out the very best embryo or embryos to transfer back to the uterus. Last, but not least,
is the embryo transfer which is a very brief process with really minimal discomfort that’s actually really exciting
I think for most couples ’cause it’s the last step in the process. So I would say that it seems like it’s somewhat flexible I think in part because there’s
so much media and press about triplets and octuplets and things but the reality is that it’s actually fairly algorithmic and standardized and we do have a guiding body called, The American Society For
Reproductive Medicine that gives us general guidelines on what’s a safe number to transfer and the biggest determining factors are the age of the female partner and the quality of the embryos. And so based on that, you know, I would say in couples
where the female partner is 35 and under we’re
typically only gonna transfer somewhere between one and two embryos because, although of course our goal is to give every couple
the very best chance of getting pregnant, I
think it’s also important to remember that our goal is also to think about the bigger picture and we want everybody to
have the very best chance of having a healthy baby which is honestly a singleton pregnancy. Success rates with, from
one center to another, actually vary quite drastically I think in large part due to the quality of embryology lab which is something a lot of people don’t
necessarily think about. The national average, for instance, for couples where the female partner is 35 and under is about 45% chance of an ongoing pregnancy per cycle. In our center the success rates for that same age group are 65% compared to 45% so well
above the national average. So if you’re paying cash
for in vitro fertilization it will typically cost somewhere between 10 and $15,000
depending on the protocol and the medications. We do have really good discount programs for both the medications
and the package cost of IVF depending on
patient’s income levels. In terms of insurance
coverage unfortunately it often is not covered. I would say about 15% of our patient’s will have some insurance coverage for fertility treatment but a lot of insurance carriers and employers do consider it an elective procedure so they don’t chose to cover it. The process of IVF is I think, and any fertility treatment, and infertility in general can be really stressful so my goal, and our goal, is really to make the
process as accessible, affordable and stress-free
as we possibly can. So if you wanna see us it would be great to come in and give us a
call or make an appointment. So if you’re wondering, or
if you’d like to come see us, we would love to help
you through the process.

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