Video: IVF Cycle-Out of Town Client Preparation


Hi!  My name is Lisa Stack, and I’m the CNY Fertility Support Coordinator.  I wanted to upload a quick video talking about our out-of-town clients.  Now, our out-of-town clients are unfortunately not able to come to the office all of the time.  Sometimes, I’ll bet you feel a little bit out of the loop just because you’re not seeing us on a weekly basis or bi-weekly basis.  So, what I want you to know is that your schedule is very similar to our in-office clients, and we really focus our energy on making your timing is correct.  We want you to always communicate with us, we want you to always call us, email us, let us know if you’re have any questions, if you’re unsure of something, if you don’t know if you’re supposed to go for your ultrasound today or tomorrow, we’re always able to answer your questions, access your chart and make sure that you’re following the right protocol.
To give you a little bit of a guideline as to what you can expect if you’re pursuing an IVF through our out-of-town client program, what we’d like you to do is to have you let us know as soon as possible that you’d like to start.  That’s because we need to get all of your consents and all of your financial paperwork completed beforehand, so that there aren’t any delays during your cycle.  We’d hate to get you almost to the transfer and then have it challenged with your insurance company and have to put it off.  So, we want to get all of your paperwork, all of your consents completely out of the way so that you can begin your cycle.  That includes before you can begin your medications.  So about a month before you’re starting, I suggest that you call and say, “Hey, I’m thinking about starting with my next period.  What do I need to do to get things going?”  Additionally, you also want to make sure that you don’t need any tests performed before you begin cycling, just to check, depending on your personal medical history.  Check with our nurses and let them know, “Hey, I think I’m starting next cycle.  Can we just run through the checklist and see if there’s anything that I’m missing?  I want to make sure that the cycle goes off completely easily and smoothly.”  Our nurses love hearing that and being able to give you that protocol just so they know on our side that we have covered everything for you as well.
Once we start your cycle, we’re going to have you get various ultrasounds and blood draws at your local facility.  We’re always in contact with the ultrasound technicians and the nurses that you’re working with.  Whenever you get your ultrasound and blood work, we will get the results usually that afternoon, and then we can then give you your dosing medication for the next couple of days.  If you ever have any challenges getting your ultrasound and blood work to our office, let us know and we can always try to create a different pathway of communication to get your information to us as soon as possible.
When you’re getting close to your retrieval, we will be in constant contact with you letting you know the size of your follicles, how your lining is looking, when you can anticipate taking a day off of work and letting your friends and family members know.  You will have to come to our office for your egg retrieval.  You can plan on being there for a few hours.  The procedure itself is very quick; however, you want to relax a little bit afterwards as you come out of anesthesia.  Then after your egg retrieval, it will be a couple of days before your transfer, so you’ll have maybe 2, 3, 4 days in between when you’d have to come back to our office again.  The embryo transfer is very quick; it only takes about 2 minutes in itself.  You can anticipate being in our office for about an hour or two, here or there just depending on wait time.  If you have any questions for the nurses or the physicians, you want to make sure that you have as much time available.
Then after your transfer, we will give you a script again to go to your blood draw clinic or your office at home, and we’ll draw your blood tests approximately two weeks later.  We’re always in constant contact with you.  If you’d like a more-detailed protocol, please feel free to ask our nurses.  You can always send me questions and hopefully I can find out answers for you.  Rest assured that we do this all the time.  We have multiple nurses dedicated just to our out-of-town patients.  We always want to make sure that you feel as comfortable and as educated as possible during your cycle.

Lisa Stack, Support Coordinator