Starting IVF Treatment at Yale Fertility Center

Step 1: Consultation Visit

alt textA couples first consultation visit.
A couples first consultation visit.
A recommendation for IVF follows a comprehensive review of your clinical situation with your Reproductive Endocrinologist. A couple's decision to proceed with IVF may additionally be influenced by personal preferences and beliefs. Once the decision is made to proceed with IVF, all prenatal testing is completed on both partners. The treatment plan is then tailored to the individual couple's needs.

Step 2: Financial Consultation and Clearance

Sharon AndersonSharon Anderson, our insurance coordinator, meets with a new IVF patient.
Sharon Anderson, our insurance coordinator, meets with a new IVF patient.
Our dedicated team of financial counselors is available to meet with you and clarify financial coverage in order to allow us to initiate your IVF cycle as quickly as is possible. Please note that the insurance companies require prior authorization before starting IVF. In addition, couples may independently evaluate their fertility coverage with the help of Fertility Lifelines.

Step 3: Starting IVF - What to expect?

alt textA couple performs one of their subcutaneous injections.
A couple performs one of their subcutaneous injections.

Your fertility specialist will formulate an individualized treatment plan that will include TWO DIFFERENT KINDS OF INJECTABLE MEDICATIONS - one type of medication (e.g. Gonal F, Follistim, Menopur) acts directly on the ovaries to stimulate the growth of eggs, whereas the second type (e.g. Lupron, Cetrotide, Ganirelix) prevents the eggs from spontaneous ovulation, so as to allow us to collect the eggs at egg retrieval. A single dose of a third medication (Ovidrel or hCG) is administered once the decision for proceeding with egg retrieval is made; egg retrieval is scheduled almost 36 hours after this last injection. 


Your fertility specialist will formulate an individualized treatment plan that will include TWO DIFFERENT KINDS OF INJECTABLE MEDICATION- one type of medication (e.g. Gonal F, Follistim, Menopur) acts directly on the ovaries to stimulate the growth of eggs, whereas the second type (e.g. Lupron, Antagon, Cetrotide, Ganirelix) prevents the eggs from spontaneous ovulation, so as to allow us to collect the eggs at egg retrieval. A single dose of a third medication (Ovidrel or hCG) is administered once the decision for proceeding with egg retrieval is made; egg retrieval is scheduled almost 36 hours after this last injection. 

DOXYCYCLINE: At the start of your IVF cycle, both partners are treated with a course of oral antibiotic to reduce any chance of an infection that may reduce the likelihood of cycle success. If you or your partner are allergic or intolerant to Doxycycline, alternative antibiotic is prescribed.

PROGESTERONE: Progesterone is a hormone that is produced by the cells that surround the egg and is essential to prepare the lining of the uterus for embryo attachment. Given that in IVF, these progesterone producing cells are aspirated along with the egg, patients undergoing IVF require supplementation with progesterone starting the day of retrieval. 

Our highly-skilled Nursing staff, with years of experience and expertise in IVF, is available to provide individualized teaching sessions to help you become comfortable with self injections. - Teaching sessions include instruction in medication use and administration, medication related side-effects, and protocol review. Various modes of teaching are employed, including handouts, DVDs, and demonstration medication pens. For last minute off hour queries, our on-call staff is available at 203 785-4708.

Patients are encouraged to make additional use of online resources at Freedomfertility.com, and Villagefertilitypharmacy.com, Fertilitylifelines.comcollapse

The choice of dose of injectable medication is based on each patient’s unique profile. Ovarian response is closely monitored by a combination of pelvic ultrasound and blood tests to allow for appropriate changes in the medication dose as /if needed. Ultrasound examination and blood tests: scheduled between 7:15 am – 8:30 am daily. Patients are attended to on a “first come, first served” basis. BY ENSURING YOUR TIMELY ARRIVAL, THESE MONITORING VISITS SHOULD NOT INTERFERE WITH YOUR DAILY ROUTINE DURING THE COURSE OF THE CYCLE. Patients arriving later than 8:30 am are likely to experience a delay in receiving timely attention, as our staff is involved in scheduled procedures that start at 8:30am.

Results of blood tests become available in the afternoon. All patients undergoing fertility treatment should expect a phone call between 1:00-6:00 PM, at which time your Physician’s instructions are communicated by our Nursing staff. PLEASE ENSURE THAT YOU HAVE PROVIDED US WITH ONE CONTACT NUMBER. If you are unable to take the call, detailed instructions are left on your voicemail. Please note that phone messages left on the Care Team line will be returned within 24 hours during the week; note that the phone lines are not checked over the weekend. Patients undergoing IVF are advised to contact our on-call physician directly for any treatment related questions after working hours (203 785 4708).

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