25
Aug

Jacqueline & Brandon

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9
Nov

How To Deduct the Cost of IVF

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6
Nov

Choosing to be an Embryo Donor: The Gift of Life

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IVF is a big deal: the surgery, the shots, the embryos, the transfer. Not one part of it is simple. Between the physical toll on your body and the wide range of emotions, IVF affects every part of your life. That story’s been told many times. But what about after IVF? What about those unused embryos? That’s the story I’m going to tell today.

It wasn’t a surprise that our infertility journey ended with IVF. My husband, Chuck, and I tried to conceive naturally for three years before we sought fertility treatments. In July of 2015, after two fertility centers and too many negative pregnancy tests, I was facing surgery on my reproductive system to make sure I didn’t have Endometriosis. Dr. Kiltz also did Ovarian Drilling (not as scary as it sounds). After that, I insisted on one more round of IUI, my way of holding on to hope that we wouldn’t have to do IVF. 

The IUI cycle was typical for us: great follicles, excellent sperm, negative pregnancy test. We got the call that gave us the news while we were at the New York State Fair. I knew what was next; we’d already agreed that we would do IVF if this IUI failed. I’m grateful we made that decision before the phone call because it made it much easier emotionally to move forward.

The nurses had been hinting that we should do IVF for months. Chuck had agreed with them. He was sure that was our route to a pregnancy. I, on the other hand, wanted to avoid it. Why? Because I struggled with the fact that we would probably have embryos that we wouldn’t use. To me, an embryo is a life. Although I’m Catholic, it wasn’t really a religious thing. It was more like after trying for so long, I couldn’t imagine disposing of our embryos or giving them to someone else. 

With all those reservations, what made me agree to IVF? Two things. The first was how sure Chuck was that it was the right move. He’d been so patient and so encouraging through our whole journey, and I knew he wouldn’t support IVF if he didn’t truly believe it was the right decision. The second was the uncertainty of IVF. Like all fertility treatments, there was no guarantee that we would conceive a baby. I didn’t know that we would have extra embryos, so there was really no reason to stress about them. One of my favorite mantras is don’t stress about things you can’t change. I couldn’t control how many embryos we would have and how many would become viable pregnancies; once I got into that mentality, it was easier to say “yes” to IVF.

Once the decision was made, the cycle felt like it flew by. Dr. Kiltz was able to extract 27 eggs, which became ten viable embryos. The news was so exciting! Ten chances for a child; it was a dream come true. The fact that we would have to deal with extra embryos—if there were any—was driven from my mind. A baby seemed closer than it ever had been before. We transferred two five-day embryos and conceived our little Chase. 

Around Chase’s first birthday, the inevitable happened: we started to talk about baby number two. It was such an odd feeling. We’d dreamed and hoped for baby number one for so long that I’d never let myself really consider having multiple children. Now we had eight embryos waiting to be used. 

Almost exactly two years after our transfer for Chase, we transferred two frozen embryos. When I got the call about our pregnancy test, the nurse told me my HCG levels were very high. I joked that “there may be two in there.” 

Before our twin boys were born, we started talking about what to do with our six remaining embryos. We’d always wanted two or three children, so we knew we wouldn’t use them ourselves. Since Chuck and I think of our embryos as living beings, discarding or donating to research were not viable options for us. Both were outside of our comfort zone, which, of course, was my fear when we decided to do IVF. Realistically, we couldn’t pay to store our embryos forever, but I also hated the options in front of us.

At some point, I read an article about embryo adoption. It was written from the perspective of the people who adopted the embryos, and their gratitude and joy was beautiful to experience. It got me thinking: if we could help a couple like that, why wouldn’t we?  The thought stayed in my mind, swimming around the reality that someone else would be raising our biological child. 

I was also nervous about what Chuck would say. How would he feel about another couple using our embryos? It’s a huge thought, one almost too big to wrap your head around. Needless to say, I was pretty nervous when I broached the subject one day when we were driving somewhere.

Chuck’s response sank deep into my heart. Without hesitation, he said he wanted to donate the embryos because he wanted to give them the chance to live, and that was the only way they would get it. His answer was the key to me making my half of the decision. If I wanted our embryos to have a shot at life, I needed to give them to someone else. CNY does embryo donation, not adoption, and that had become the clear choice for us.

After we decided on embryo donation, the reality of actually signing the papers seemed too far away to fathom. In the fertility treatment world, pregnancy loss is always at the back of your mind, so we decided to wait to move forward with donating until our twins were born. I was blessed with an easy pregnancy and gave birth via c-section to our boys at 38 weeks. A couple months after their arrival, I realized we needed to take care of our embryos. Our storage fee was due soon, and I wanted to donate them before that.

I talked to a few people about what Chuck and I wanted to do, and the response was usually, that’s wonderful but what if you see a child someday that looks like yours? Initially, I thought I could never reconcile that. But I just kept going back to what I had become my mantra: they need a chance to live. At some point, it clicked. This was the right decision.

I finally made the phone call when the twins were 2½ months to CNY about donating our embryos. They sent us the paperwork, but I wanted to meet with someone in person. Luckily for me, I got to pick which doctor we sat down with, and, of course, I chose Dr. Kiltz, the man who I credit for the conception of our three boys.

By the time we met with Dr. Kiltz, I had a list of questions. Does CNY charge the people who use the embryos? How do they decide who gets them? Do they all go to the same person? Would the couple know who gave them the embryos? I couldn’t sign that paperwork until I got the answers.

We took our boys to CNY for the meeting. It’s so much fun to see the nurse’s faces when they see fertility treatment babies. We spent over an hour in the office that day, and we were never without a smiling face talking to us about our precious children.’

Dr. Kiltz, as expected, came into the room like a whirlwind. The first thing he asked was if we had a couple in mind for our donation. I was taken aback; I’d never known anyone who needed embryos. When we answered no, we discussed if our donation would be anonymous. We chose anonymous with a note that, if the recipients wanted to contact us, the fertility center could ask us if we wanted to connect with them.

Dr. Kiltz answered the rest of my questions in a few short minutes. Namely how CNY doesn’t charge the recipients for the embryos, only the procedures needed to implant them and that the embryos could go to more than one couple.

What struck me the most was when he said most people discard their embryos or store them indefinitely, which is why there is a waiting list for embryos. That blew my mind. I’d assumed, for some reason, that needing embryos was rare. With just a little effort on our part, Chuck and I would be helping a couple—or couples—experience the joy that we’d so desperately wanted for years: holding our baby in our arms. 

By the time Dr. Kiltz left the room, the last puzzle pieces had clicked into place. I was 100% positive we were making the right decision. We did the bloodwork and urine samples and signed the custody of our embryos over that day. A week later, I sent in the medical questionnaires. 

Then, in an odd parallel to the two-week wait, we waited to see if our embryos were accepted. I was nervous—what if something on the medical questionnaires was a red flag? What if they say no? What will we do then? There was no plan B.

As the weeks passed, I couldn’t get the medical questionnaires out of my thoughts. They had been simple to fill out. We laughed over some of the questions while I read them to Chuck, and he answered while doing the dishes. Chuck and I are both fairly healthy, so I wasn’t concerned about that. However, a few of our relatives have medical conditions, one of which is pretty rare. I couldn’t imagine a couple saying no to our embryos because of it, but I didn’t know what the fertility center would do. 

I’m a worrier, so I could never quite push the doubt from my mind. I tried to focus on the fact that three of the four embryos we had used had become little boys. How could a long waiting list not want those odds?

Today, I found out that everything has been finalized. It’s an odd feeling, knowing that we no longer have the option of using those embryos to have children. That said, it’s a feeling that I’m content with. Occasionally, my mind goes back to the question people have asked me. What will happen if I’m walking through the mall, and I see a little boy that resembles my sons or a little girl that looks a bit like me? Will I wonder? I don’t know. But, if I truly need to take a second or third look, at least I will know that I gave that child, if it is one of my embryos, a chance to walk, talk, and laugh. The most important thing is that Chuck and I did something that very few people have the privilege of doing: we gave another couple a chance—maybe six chances—to have a child.

By Ashley Hurd

23
Oct

October IVF Giveaway

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We all know that access to high-quality fertility care is incredibly limited due to the financial barrier created by the current state of health care coverage and the cost of fertility care at most clinics. If you’re reading this, you’re most likely familiar with our affordable treatment pricing and payment plans for those without insurance coverage, but, even with prices less than 1/3 the national average most people do not have the luxury of spending thousands of dollars carefree on something that is not a guarantee to work.  

But, let’s not remember the incredible beauty that is IVF and other fertility treatments and the opportunity we all have because of these incredible scientific breakthroughs. To celebrate this and help some conceive without the financial burden always weighing over them, we are pleased to introduce our 10 IVF giveaway of 2018 that will include 1 IVF cycle and free accommodation provided by the Maplewood Suites Extended Stay.

Important Rules and Info for our October IVF Giveaway:

  • Submissions for the Giveaway will end on the last day of October at midnight PST.
  • There are two ways to enter the giveaway.  You can enter both ways to increase your odds of winning.
    •  like/love/other emoji & comment on one of Dr. Kiltz’s Sunday Night Facebook Lives every Sunday at 8 PM EST on our Facebook Page during the month of October.
    • Love and comment on the Instagram post with about the giveaway that has the same photo used in this post.  The comment must be at least 3 sentences long and include a little about your story and what it would mean for you to win the giveaway.
  • Partners and spouses can comment/submit separately.
  • The winner will be selected on or around November 1st.
  • Due to HIPPA policy, the winner will not be publicly identified unless they sign a waiver.
  • Please note that our Facebook live videos are public and that family members and friends can see your comments.

What the winner gets:

  • IVF Giveaway Includes: Oocyte Retrieval, Intracytoplasmic Sperm Injection (ICSI), Assisted Hatching, Embryo Transfer, and Cryopreservation of Surplus Embryos, and storage of frozen embryos for a period of one year following the fresh IVF cycle. 
  • A free stay in a Single Queen Efficiency Room (up to 3 people) at Maplewood Suites in Syracuse, NY for up to 7 nights if you are coming from out of the area. Blackout dates apply and are subject to change at any time.
    • Free Accommodation is good for one treatment cycle. Accommodation will not be provided for multiple Frozen Embryo Transfers.

More about Maplewood Suites Extended Stay:

Maplewood Suites is our premier hotel partner providing accommodations for our out of town clients in the Syracuse area for only $99/night. As included in all of their stays, Maplewood Suites provides our clients with free transportation to and from the airport, CNY Fertility, and between any entertainment/restaurant/etc and the hotel (not from one entertainment location to the next) within 5 miles of the Hotel.

Additionally, Maplewood Suites provides complimentary breakfast, afternoon snacks, 24/7 Starbucks coffee, and two free drinks (non-alcoholic during your treatment at CNY) per day from their restaurant lounge.

 

 

NOTE: There is no cash value for the winners of the free IVF cycle You must schedule an initial consultation with one of our CNY Fertility Center locations within six months of the completion of this giveaway. You will not be charged for this consultation if your insurance doesn’t provide you coverage. If you are a past CNY Fertility client we will need you to come in for a follow-up appointment. You must use your free IVF within 1 year of the completion of this Giveaway. The giveaway cannot be applied retroactively. The free IVF cycle does not include testing, monitoring, medications, anesthesia, or Frozen Embryo Transfers ($250/transfer). Donor Egg, Sperm, or Embryo cycles are not part of this giveaway.

2
Oct

Rebecca and Mick – September’s IVF Giveaway Recipients

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Meet Rebecca and Mick, the recipients of our September IVF Giveaway.

“All my life I had dreamed of being a mommy and having my own family. Having a family is what was next on our list, I found my soul mate, had a beautiful wedding and start of our marriage, and this was what our next life event would be. I am a planner, and if you’re anything like me, you like to know what is next and be prepared.

Mick and I married 2013, my husband and I began trying to conceive immediately. You don’t think when you get married it’s going to be so hard to have a child. A year later and we still hadn’t conceived, decided to visit the doctors, to see what they could suggest.

After many tests, The doctors commissioned the usual tests and we attended appointments and procedures and one surgery for the endometriosis and just for good measure the doctor took my appendix also. My husband and I have tried 9 IUI and timed intercourse with injectables I was dreading the injections I’ve never been great with needles, in fact, I passed out during one of my flu shots. So I was terrified really, which was why I was hoping I’d only ever have to do it once. I didn’t know what to expect at all the scans and I didn’t really know what a ‘good’ reaction to the treatment was, however, the doctor’s office soon made it clear that it was not going well. The scans were showing only two follicles growing, nothing much else was happening and they were already talking as if the cycle had failed. It was a really worrying time and I felt very lost and alone.

After 5 years we finally decided that we both had enough and stopped the meds and I broke up with Wanda. I was free. Kinda there was still the pain and hurt and still no baby. We decided to take some time and travel. Fast forward January 16, 2018, I found out I was pregnant after tasking 17 yes. I really did take 17 home pregnancy test. 3 things crossed my mind I was either dying, going through the change or pregnant. Holy cow was I ever. I was 6 weeks and I was over the moon with joy and excitement. We had a heartbeat, and everything looked good, but sadly, it was not fine and at 8 weeks we lost the baby. We found out later that it was trisomy 22 and it was a girl.

I can’t explain to you the pain of losing a child unless you have been there. What followed was months and months of heartbreak, pain, and devastation. Infertility makes you feel like you are broken and angry and its just unfair The doctors told me I had little chance to conceive without the help of ivf which I have never been able to do due to the cost. I am so thankful that I’m surrounded by such a supportive husband, family, and great friends. As much as I hate to see anyone go through this, it’s nice to have another person to share things with. I have no idea what God has in store for us – I’d be lying if I said I knew. I know God uses all kinds of experiences and hardships (and heartaches) for His good. I also know that however, this all works out, it will be according to His plan and even though it may be hard at times, I trust Him fully. I will remain grateful for every single little good thing we continue to experience every day.

I am so thankful for CNY that we have the opportunity and option to try IVF. I am also incredibly grateful for my husband, who is so wonderfully supportive and ready to do this with me. We are all in and going through the last few years of this journey with him, I love him more and more every day. I hope and pray that at the end of this, I’ll be looking into a tiny little face that reminds me of the man I get to have by my side through all of it.”

11
Sep

Ectopic Pregnancy: Meaning, Causes, Diagnosis, Treatments, and Concerns

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Ectopic Pregnancy is a scary topic and one that not many people know about.  Below, Board Certified Reproductive Endocrinologist and Fertility Expert Dr. Edward Ditkoff answers some questions regarding what an ectopic pregnancy is, it’s causes, diagnoses, treatments, future concerns and more.

Q:  What does ectopic pregnancy mean?

A:  The definition of an ectopic pregnancy is a pregnancy that occurs outside the uterine cavity. The most common site for an ectopic pregnancy is the fallopian tube, however, there are other areas where an extra-uterine pregnancy may attach.  Extra-uterine or ectopic pregnancies may also occur in other areas, such as the ovary, the interstitial or cornual part of the uterus.  This is the part of the uterus between where the fallopian tube and uterus join.  They can occur in the cervix—called cervical pregnancies, abdominal pregnancies and even Caesarean scar pregnancies.  Ectopic pregnancies can even occur while there is a normal pregnancy in the uterus.  This is called a hetero-ectopic pregnancy. These are different meanings of an ectopic pregnancy.

Q:  Why does an ectopic pregnancy happen?

A:  It’s felt that any patient with any underlying tubal disease or tubal damage or trauma is at increased risk for an ectopic pregnancy.  On the other hand, any pregnant woman could potentially have an ectopic pregnancy even without these risk factors. As mentioned, damage to the fallopian tubes will predispose these women to an ectopic pregnancy.  High-risk conditions include:  prior ectopic pregnancy, history of tubal surgery, previous tubal sterilization, history of any sexually transmitted infections, tubal infection or pelvic adhesions, and current use of an IUD can increase the probability of having an ectopic pregnancy if one is pregnant with an IUD in place.  Conceptions resulting from IVF are thought to increase the risk of an ectopic pregnancy up to 1% (or 1 out of 100). Those are various reasons why it happens.

Q:  How is it diagnosed?

A:  It’s diagnosed primarily by testing hCG levels in the blood and ultrasound examination. These are the two most useful methods of diagnosing an early ectopic pregnancy.  It is said that hCG levels should increase at a minimum of at least 53% over a 48-hour period.  Once the hCG level reaches that conservative/discriminatory number, it’s felt that the pregnancy should be visualized in the uterine cavity by that time.  In other words, if the hCG level is not rising appropriately and/or the hCG level is above the discriminatory zone and there is no evidence of a pregnancy in the uterus, these patients are considered at high risk for an ectopic pregnancy and should be followed more closely.

Q:  How is it treated?

A:  Typically, if an ectopic pregnancy is not ruptured, it’s generally treated these days by using methotrexate. There are two methotrexate protocols that are generally used.  We generally use what’s called the single methotrexate protocol. The single dose methotrexate treatment protocol means that once we suspect there is an ectopic pregnancy and there are no contraindications to the use of methotrexate, then this drug is given. In the case of a ruptured ectopic pregnancy or an urgent medical condition where the patient is at risk for bleeding and having hemodynamic instability, then surgery becomes the treatment for ectopic pregnancy.  The single methotrexate dose is thought to be 15 mg/m2 intramuscular. That dose is given and then four days later the patient has her hCG level rechecked and again three days after that. Day 1 is the first day of treatment; Day 4 and Day 7 are follow-up checks of hCG levels.  If the hCG level is not decreasing by more than 15%, then the second dose of methotrexate would be given.

Sometimes ectopic pregnancies are treated empirically because we don’t really know where the pregnancy is.  The two main forms of treatment are methotrexate, which is medical management, and surgery, which is surgical management.

Q:  What concerns might a woman have if she wants to become pregnant again?

A:  Unfortunately, patients who have had one ectopic pregnancy are at increased risk for having another ectopic pregnancy. The odds ratio is ten-fold increased in a patient with a history of one ectopic pregnancy compared to the general population.  On the other hand, if someone has had at least 2-3 ectopic pregnancies, their risk factor goes up another 25%.  Women with a prior history of an ectopic pregnancy need to be followed very carefully once they suspect they are pregnant. If they miss a period or if they are having irregular vaginal bleeding, they should be evaluated to see if they are pregnant because of this high degree of recurrent risk of another ectopic pregnancy.

Q:  What other measures might your doctor take to monitor the pregnancy?

A:  I think the best measure we can take in these types of patients is to see them as early as they are pregnant and follow the hCG blood test levels, as I mentioned earlier, to make sure the levels are rising appropriately so we can visualize a pregnancy in the uterine cavity at the earliest time possible.  Typically, we can see a gestational sac in the uterus by 5 – 5 ½ weeks pregnant, and we could/should hopefully see a heartbeat by 6 weeks gestation.  However, because dating of ovulation is not always precise, we have to be lenient and look at the big picture because we don’t want to treat a patient with methotrexate prematurely.

 

 

Sources:

Q: William Kiltz

A: Dr. Edward Ditkoff, Board Certified Reproductive Endocrinologist and Fertility Specialist

10
Sep

September IVF Giveaway

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At CNY Fertility Center, we understand that access to quality fertility treatment is the number one barrier to those suffering from infertility. With our affordable treatment pricing and payment plans, more and more without insurance coverage are saying “I can do it!”  But, even with prices less than 1/3 the national average,  $3,900 plus monitoring and medications is still more than most people can easily afford.  That’s why at CNY, we are happy to give everyone the chance to win an IVF cycle.

Important Rules and Info for our September Giveaway:

  • Our September IVF Giveaway will run through the month of September.
  • To enter the raffle, you will need to like/love/other emoji and comment on one of Dr. Kiltz’s Sunday Night Facebook Lives every Sunday at 8 PM EST on our Facebook Page during the month of September.
  • Only one submission is allowed per person – partners and spouses can comment/submit separately.
  • Liking/Commenting on each Sunday Night Live will increase your odds by having multiple submission in the giveaway.
  • The winner will be selected on or around October 1st.
  • Due to HIPPA policy, the winner will not be publicly identified unless they sign a waiver.
  • IVF Giveaway Includes: Oocyte Retrieval, Intracytoplasmic Sperm Injection (ICSI), Assisted Hatching, Embryo Transfer, and Cryopreservation of Surplus Embryos, and storage of frozen embryos for a period of one year following the fresh IVF cycle.
  • The free IVF cycle does not include testing, monitoring, medications, anesthesia, or Frozen Embryo Transfers ($250/transfer). Donor Egg, Sperm, or Embryo cycles are not part of this giveaway.
  • Please note that our Facebook live videos are public and that family members and friends can see your comments.

NOTE: There is no cash value for the winners of the free IVF cycle You must schedule an initial consultation with one of our CNY Fertility Center locations within six months of the completion of this giveaway. You will not be charged for this consultation if your insurance doesn’t provide you coverage. If you are a past CNY Fertility client we will need you to come in for a follow-up appointment. You must use your free IVF within 1 year of the completion of this Giveaway. The giveaway cannot be applied retroactively. 

28
Aug

Dr. Kiltz’s Ice Cream Recipe

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Let’s just put it this way – you’ve never had Ice Cream like this before. Quite frankly after trying this pulling out that Ben and Jerries Pint is going to feel like a bit of a shame.

 

Plus . . . IT’S KETO AND B.E.B.B. approved.

 

 

 

23
Aug

The Ten Steps of Traveling for Fertility

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Ever wonder what it’s like to travel to CNY Fertility for your IVF cycle or wonder what are the steps of traveling to CNY Fertility for treatment?  Then you’re in luck as we take you down the 10 steps of traveling to CNY Fertility as a Travel Patient for IVF.

This may seem like a no brainer as the first step of becoming a travel client at CNY, but it is no doubt the first step so we don’t want to leave it out. You can schedule your phone consultation by calling us at 844-315-2229 or by filling out the information here. If you leave a message or fill out the form, please give up to one week to hear back from our team.  After you have set an actual date for your consultation there isn’t too much to do other than wait. 

Of course, in preparation for any fertility treatment, we recommend women begin a high fat-low carbohydrate diet (keto) as well as a host of supplements: Ovavite, Theromega, Ovasitol, Vitamin D (if lower than 30), DHEA (unless you have PCOS). For men we recommend the same high fat low carbohydrate diet, Conception XR, Theromega, Ovasitol, Vitamin D (if lower than 30), and NeoQ10. You can buy those for a discount on this website with the Provider Referal Code 113205.

Additionally, if you have any prior records (including but not limited to blood work, ultrasounds, HSG, or semen analysis) it is very helpful to fax them to our office. Fax numbers can be found on our website at the bottom of every page. After that, it’s not much more than a waiting game. Know that we usually schedule multiple months in advance so we recommend you schedule your consult as soon as you know it’s something you’d like to do. Oh, and we highly recommend you write down all of the questions you can think of that way you don’t forget to ask anything during your consultation.

Most likely this will be a phone consultation. You are welcome to come for an in-person consultation but a vast majority opt to simply have a phone/facetime/Skype consultation. This is your time to ask all of those questions you wrote down in the months prior to your consultation. You may also find it beneficial to set up a recorder during your consultation that way you don’t have to worry about taking any notes (of course we will be taking notes on our side, but it will likely be beneficial to have for referencing details of what’s to come).

After the consultation, a nurse will call you WITHIN A WEEK to review protocol, order meds, and answer any other questions and prep you for the beginning of your treatment cycle.  If you don’t hear anything AFTER one week, please message us or call us to make sure you get started. 

Prior to starting your treatment cycle, you will need to have all your medications and be established with a local fertility clinic, OBGYN, hospital, or another clinic capable of providing same day blood and ultrasound results.  After those two things are in order, you can start with the beginning of your next cycle.  You will be instructed to CALL WITH THE FIRST DAY OF YOUR CYCLE. If you do not have regular cycles, you’ll just need to have all your meds and a monitoring facility lined up to get started. During this time the financial team will review your policy and determine what costs will be covered and what will be out of pocket.

Monitoring refers to the appointments you will need to “monitor,” your blood hormone levels as well as follicular and uterine lining development.  You will receive a call the day of your baseline appointment to go over your medications, injection instructions, answer any new or remaining questions and give you a rundown of what your monitoring schedule may look like. Most Patients need to have monitoring done every few days once their medications start until their trigger. During this time, our team will be reviewing your results, updating and medications if necessary, instructing you on your next steps, and answer any and all of your questions

We encourage you not to book your flights until you have a date for retrieval. Usually, this is given about halfway through your stimulation as we need to see how your follicles/eggs are developing.  The number of and duration of your trips to one of our offices in Syracuse or Albany depend on whether you are doing a Fresh Transfer or a Frozen Embryo Transfer (FET). Generally, you need to be in the area the day before any procedure and should not leave until the day after any procedure. If someone else is driving you, it is okay to begin your drive home the same day after your procedure.

Your egg retrieval will take place in either our Albany or Syracuse office. You must be in the area the day prior to your egg retrieval to avoid any traveling hiccups and to make your day as stress-free as possible. You can not have anything to eat or drink from midnight the evening before your surgery.

Before your retrieval, you will have some basic bloodwork done as part of your pre-op work up as well as meet with a nurse, embryologist, doctor, and anesthesiologist. You will be placed on monitors and put under MAC anesthesia (no tube down your throat like general anesthesia) for the duration of the procedure. The procedure itself only takes around 10-15 minutes from start to finish. You will likely wake up afterward with a “that was it. . .”

Most clients take around 30 minutes to recover from their egg retrieval (of course this varies and you will never be rushed or pushed out of our office before you are fully ready to go). After your retrieval, you will be given instructions and we will discuss your options between having a fresh or frozen transfer.  If your hormone levels are off/if your lining is not prepared for a transfer on the day of your retrieval we will HIGHLY RECOMMEND proceeding with a frozen embryo transfer allowing your body to reset and provide a more comforting home for your embryos. During this talk, we will discuss and review administering any medications you will be taking for your transfer.  

We encourage you to rest and relax as much as possible following your retrieval. The following day you may resume your normal daily routine (minus any intense exercise). If you are flying, we urge you to not leave the area until the day following your procedure to avoid any complications. If you traveled by car, you may have someone else drive you home the same day (NOTE, you can NOT drive yourself). If you are staying in the area for a fresh transfer, then the day is yours to rest and relax.

How far away you live and whether you are doing a frozen or fresh transfer will dictate a lot of the logistics around your embryo transfer. If doing a fresh transfer many clients within driving range return home where those needing flights often stay in the area for another 3-5 days to complete their transfer in the same trip as their egg retrieval. If doing a frozen transfer, nearly everyone returns home for their FET monitoring and return the day before their transfer.  If this is the case, we again recommend not booking any flights until a transfer day is determined.  

Similar to the Egg Retrieval, you will need to be in the area at least one day prior to your transfer. If you are driving you may return home the same day. If you are flying, we recommend you wait until the day after your transfer. The embryo transfer itself is a simple procedure that takes only a few minutes. No anesthesia or recovery time is needed. To help your body prepare itself for the embryos, you will be given daily progesterone to supplement your own. Many also choose to do acupuncture and or intralipids prior to transfer. The day of your transfer, one of our practitioners, along with the embryology team, will examine the embryos to determine the best embryo to transfer.

By the time of your transfer, we will have reviewed the quantity and quality of embryos made as well as the number of embryos that you would like to have transferred. During the transfer, the embryos are “loaded,” into the tip of a catheter along with a very small amount of transfer medium.  The physician, along with a member of the embryology team and a nurse will confirm your identity to ensure the embryos are properly matched. The catheter is then gently passed through the cervical canal and into the uterus using an abdominal ultrasound to provide visual guidance during the transfer. The embryos are slowly expelled near the top of the uterus. After carefully removing the catheter, an embryologist will double check that the embryos indeed left the catheter using a microscope. At this time, a nurse will provide you with instructions for the “two-week wait.”

This is quite an exciting time, but also a very stressful and anxiety provoking time as you (and your partner) await the results of your first pregnancy test. We recommend abstaining from any intense exercise and instead focusing on spending time with your partner as well as some light exercise like yoga and walking. What are some other tips for the two weeks wait?

Your pregnancy test will be done at a local lab near your home two weeks after your transfer (hence the two-week wait). After that BFP you will continue to be monitored by your OB/GYN with CNY overlooking your care for 6-8 weeks.

At 6-8 weeks of pregnancy, you will officially be discharged from CNY Fertility and continue the care for the rest of your pregnancy with your OB/GYN. By this time, you would likely have been seen by your OB/GYN already, but this is your official release from our watch and care.

Last but not least, we do have some ADDITIONAL NOTES REGARDING COMMUNICATION: We have a 24/7 on-call nurse that can truly be used 24/7 for urgent matters and questions. The patient portal web correspondence is for general questions and will be replied to within 24 hours. If you are having an emergency, you need to go to your local emergency department or urgent care facility.

23
Aug

Traveling to CNY Fertility: A Patient’s Perspective

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Asking yourself “what’s it like to travel to CNY Fertility for IVF or another fertility treatment?”  Well, today is your lucky day as you’ve come across an inside look at what traveling to CNY is like written by a CNY patient.

Starting IVF can be so overwhelming. Add in IVF as an out of town patient, and it can all feel almost impossible! But luckily for us, we had the amazing travel team at CNY Fertility to support us, and they made the process much smoother than we imagined.  Read more