One of Many issues that couple face with seeking reproductive medicine treatments is cost. We are always seeking to lower costs here for our patients with various pricing options and plans. Of course the key is not to compromise outcome and individualize management. Unfortunately for many, they sacrifice quality/optimal services and outcome seduced by lower costs....one must look around for sure. However this concept we should delve into later in more detail as i see it alot.
One way for couples to often lower costs significantly and to take ALOT fewer medications is with the concept of natural cycles. THis is not for everyone let me say that right now (there is no one formula for all couples...I wish it were that easy) but only for situations where in the female:
1) has normal fairly predictable menses cycles.
2) there is orderly growth and development of a pre-ovulatory dominant follicle as determined by US--not just an ovualtion kit/LH surge kit (though this is helpful often in indicating the patietn is a good candidate for this)
when these conditions are present, then one can often try and exploit these thingst in the context of IVF either fresh or frozen embryo transfer. The Frozen embryo trnsfer situation is better with antural cycle as fresh natural cycle has other issues that can make it complex (but do-able. The couple really needs to disucss the pros and cons with M.D.) so this is antoher topic that can be addressed later...
However with NC FET (natural cycle FET) it is great for the patients in several ways---lower cost, less medications and we have found with our protocol pregnancy rates even better than medicated cycles. So i can say when it meets the right criteria, this is the way to go and does not compromise outcome.
I am available via blog/email/website to provide info or discuss.
Happy Holdiays to all.
Peter Ahlering MD
http://www.maleinfertility.info/
http://www.peterahleringmd.com/
pahlering@sherinstitute.com email
http://haveababy.com/?St._Louis_IVF_Clinic website
Thursday, December 10, 2009
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