What is a Fallopian Tube?

The fallopian tubes are two tubes in a female reproductive system that connect the ovaries to the uterus. During ovulation, the fallopian tubes carry the egg from the ovaries to the uterus. In many cases of infertility, these tubes may be damaged. Common problems include tube blockage, pelvic infection, abdominal infections, prior surgeries, or a prior ectopic pregnancy. Fallopian tube evaluations can be performed to detect problems that may be occurring involving the fallopian tubes.

What Causes Damaged Fallopian Tubes?

There are a variety of factors that can cause fallopian tube damage or blockage, also known as tubal disease. These include, pelvic inflammatory disease, endometriosis, gynecological surgery, bowel surgery, Cesarean section, ruptured appendix, previous ectopic pregnancy, tubal litigation and sexually transmitted diseases that go untreated. Damaged or blocked fallopian tubes can result in infertility if the egg cannot reach the uterus.

What is Premature Ovarian Failure?

Commonly known as early menopause, Premature Ovarian Failure (POF) occurs when there is a stop in the normal functioning of the ovaries in a woman under the age of 40. In this case, the ovaries stop releasing eggs leading to infertility. Symptoms of POF include infertility, hot flashes, night sweats, mood changes, vaginal dryness and a decreased interest in sex. Some causes of POF are chemotherapy, radiation, autoimmune diseases, having tubes tied, hysterectomies and being a carrier for the gene for Fragile X-syndrome.

What is Gestational Surrogacy?

Gestational surrogacy is when a woman carries a pregnancy that is created with another woman’s egg as the genetic material. This is in contrast to “true surrogacy” in which the person carrying the pregnancy is also source of the egg as the genetic material.  The use of gestational carriers/gestational surrogacy is common for couples who cannot use the female partner’s eggs and for same sex male couples. In some states, like Arizona, it is illegal to partake in true surrogacy, but lawful to use gestational carriers. In these cases, the gestational carriers are women who have an embryo transferred into their uterus, carry a fetus throughout a pregnancy and delivers the child for another couple. In this case, In-Vitro Fertilization is used with an embryo derived from the couples egg and sperm, or from egg and sperm donors. The gestational carrier has no genetic link to the baby and is only providing a safe environment for the fetus to grow.

Why Does Smoking Affect Fertility?

It is a well studied fact that smoking has adverse affects on fertility. Cigarette smoke is a major factor in accelerating the loss and decreasing the quality of eggs for female smokers. Additionally, smoking cigarettes advances the time of menopause, reducing the window that women are ovulating, reduces ovarian reserve, ovarian response, semen quality, and fertilization, as well as increasing miscarriage rate. Not only does smoking reduce pregnancy rates, second hand smoke exposure can decrease pregnancy by 50%. For women who smoke going through IVF, there is a significant decrease in the number of eggs retrieved and the number of eggs fertilized. Making healthy lifestyle choices are a major factor in conceiving and should be taken into consideration before trying to have a baby.

What is ICSI Treatment?

ICSI, or intracytoplasmic sperm injection, is when a sperm is injected into the middle of an egg. The process is commonly used during In-Vitro Fertilization. Not all IVF cycles include ICSI, but it often used to overcome male factor infertility. Using a specially designed needle, the sperm penetrates the outer later of the egg, making its way to the center, called the cytoplasm. At Advanced Fertility Care, our successful ICSI fertilization rate is over 80%, which is well above the average of 65%.

What do Reproductive Endocrinologists do?

Reproductive endocrinologists (REIs) are highly skilled fertility specialists, who after being trained in obstetrics and gynecology in a four year general Ob/Gyn residency training program, are selected into highly competitive programs in order to complete an additional three years of training in reproductive endocrinology & infertility. REI’s specialize in problems with the female reproductive system, including medical and surgical treatment of the reproductive system, varying types of infertility including male factor infertility, tubal factor infertility, uterine anomalies, menstrual problems, menopause and more. REI’s also specialize in In-Vitro Fertilization.

How Much is a Fertility Test?

Diagnostic testing for infertility is key in determining the best possible treatment plan for you. At the initial consultation, our physicians review each partner’s medical history and medical records and complete a physical examination. To save you time and money, the only tests that will be performed are those that are appropriate for you unique situation. Therefore, the cost of fertility testing varies depending on which are given, typically between $200 to $2,000. Our front office team is happy to assist you with estimated out of pocket expenses for your diagnostic testing, keeping insurance coverage in mind for those it applies to.

How Much Does Freezing Sperm Cost?

Sperm cryopreservation involves freezing sperm for future potential use. The cost of freezing sperm varies depending on the specific process. At Advanced Fertility Care, our sperm cryopreservation typically costs between $600 to $750 in addition to ongoing annual storage costs.

How Much Does it Cost to Get Artificially Inseminated?

The cost of artificial insemination (also known as intrauterine insemination) is much less than that of In-Vitro Fertilization. At Advanced Fertility Care, prices vary depending on the ovulation induction you choose to move forward with. Typically these range from $500 to $1,500 and cover a variety of artificial insemination options.

What is the Cost of In-Vitro Fertilization (IVF)?

The cost of IVF varies depending on multiple variables and complexity of treatment needed, in addition to quantity of stimulation medication needed.  On average, IVF costs anywhere from $11,000 to $15,000 per cycle. At Advanced Fertility Care, our IVF/FBT Single Cycle Self-Pay price is $11,750.00. The plan includes monitoring and care during the treatment cycles for both the egg retrieval and frozen embryo transfer procedures, a fresh egg retrieval, extend embryo culture out to day 5 or 6, embryo cryopreservation for up to 5 embryos, a single frozen embryo transfer with assisted hatching to take place within 1 year of the egg retrieval procedure, and the first 2-BHCG blood tests after the embryo transfer. For an added fee there are additional options, such as preimplantation genetic testing of embryos, that are offered in conjunction with IVF treatments.

How Many Embryos Transfer in IVF?

The number of embryos transferred in IVF depends on many factors that vary amongst patients. In general, the maximum number of embryos transferred for a Day 3 embryo transfer is 3 while the maximum number of blastocysts transferred for a Day 5 blastocyst transfer is 2. Single embryo transfers are performed in most situations with favorable prognosis depending on number and quality of embryos that develop.  At Advanced Fertility Care, our goal is to provide couples with a single healthy baby. In most cases, within ethical reason, the ultimate decision is yours as to how many medically appropriate embryos will be transferred, unless this maximum number is mandated by your insurance company if they are providing coverage for your cycle.

What is the Compensation for Selling your Eggs?

How much can you make selling your eggs? At Advanced Fertility Care, the compensation for egg donors varies, starting at $3,000.00. Learn more about the egg donor process, here.

What Insurance Covers IVF?

Which insurance providers will cover IVF treatments depends on what benefits are covered by your individual employer. Aetna, Cigna, UnitedHealthcare, Golden Rule, Arizona Foundation, BlueCross / BlueShield, Beach Street, Humana, and Tricare are some of the providers that Advanced Fertility Care often works with.

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