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Fertility First Steps

Take the First Step Towards Success!

If you have been struggling to get pregnant and/or deliver a healthy baby, you probably have been feeling a range of emotions from sadness and anxiety to frustration and confusion. With few exceptions, most people never expect to need infertility treatment, let alone try to sort out the vast amounts of information concerning the best course of action to resolve their challenges.

Selecting a fertility provider will be one of the most important decisions of your life. You may be wondering what factors you should consider in making your selection and perhaps have many unanswered questions.

WHEN TO SEE A FERTILITY SPECIALIST

The American Society of Reproductive Medicine’s (ASRM) standard definition of infertility is the inability to conceive after one year of unprotected sexual intercourse for a woman under 35 years of age or after six months of trying for a female aged 35 and over. If you are a woman over 40, we revise the time period to three months of attempting pregnancy because a female’s age is such an important fertility factor. Also, if you have experienced two or more miscarriages or have a diagnosis such as PCOS, tubal disease or endometriosis that may impact your fertility, you should see a reproductive endocrinologist (fertility specialist) as soon as you are considering pregnancy.

Same sex couples who want a biological child also should consultant a fertility doctor to discuss egg donation and gestational surrogacy arrangements for males or intrauterine inseminations and, if necessary, in vitro fertilization, both with donor sperm, for lesbians.

WHAT CAN I EXPECT AT MY FIRST VISIT?

Ideally you and your partner should attend the initial consultation with Dr. Cardone. The doctor will take both of your histories. It is helpful to bring records of previous infertility workups and treatment to this meeting. The main goal of the consultation is to talk about starting an evaluation cycle and potential treatment options. Dr. Cardone will always be realistic with you about your treatment plan.

WILL I DEFINITELY NEED IVF?

At Cardone Reproductive Medicine and Infertility (CRMI), we offer a range of treatment options, from minimal intervention, i.e., taking oral hormonal medications, to the most advanced techniques available like in vitro fertilization ( IVF) and preimplantation genetic diagnosis (PGD). IVF success rates have been steadily improving throughout the years and may be your best chance of getting pregnant, but there are several less invasive, yet effective preliminary techniques, such as intrauterine insemination with ovulation induction, that are less expensive and may be the most appropriate route for resolving your infertility challenge.

WHAT ARE MY CHANCES OF GETTING PREGNANT WITH TREATMENT?

Success rates will vary for each diagnosis. Some individuals will never get pregnant without any assistance if they have blocked fallopian tubes or lack sperm, a uterus or eggs. Assisted reproduction is their best hope for getting pregnant. Others have subfertility because of conditions like irregular ovulation or slow-moving sperm and their chances of getting pregnant substantially increases with treatment. Your doctor will review what your chances are based on your medical history and previous response to medical care.

WILL MY INSURANCE PAY FOR TREATMENT?

If you have insurance regulated by a mandated state like Massachusetts, there is a great likelihood your carrier will cover treatment. Our insurance specialist will make a determination with you.