Seven Steps to IVF

#1 Preliminary Testing

This includes, but is not limited to, blood studies, cultures, IVF consult, mock transfer, hysterosalpingogram (HSG), baseline bloods, (day 2 or 3), nursing consult and financial consult.

All testing (bloodwork and cultures) is usually completed prior to initiating an IVF cycle. If the results of any of the screening procedures are not satisfactory, the patient may be denied participation in the Program. This requirement is to maintain the health and safety of the participants in the In Vitro Program. Please call the office, Marlton, NJ (856) 751-5575 or Melrose Park, PA (215) 635-5518, two weeks after the testing is done, to confirm the results. You should contact the office where the testing was performed. Blood studies and cultures must be repeated once a year, unless you are donating oocytes, then testing is required every six months.

An appointment is necessary to have cultures, semen analysis, consults (Physicians and Nurses), hysterosalpingogram, and mock transfer. Finances can be discussed with a member of our billing department at either (215) 635-0877 or (800) 752-1086, or by e-mail at billing@ccivf.com.

BLOODWORK:
These studies may be drawn in any of our offices as follows:

Marlton, NJ, 8002E Greentree Commons: (856) 751-5575
Monday & Wednesday 7:00AM - 6:30PM
Tuesday & Thursday 7:00AM - 7:30PM
Friday 7:00AM - 4:30PM
Saturday 8:00AM - 1:30PM

Melrose Park, PA, 7447 Old York Road: (215) 635-4400
Monday, Wednesday, & Friday 6:30AM - 8:00PM
Tuesday & Thursday 6:30AM - 1:30PM
Saturday 8:00AM - 9:45AM (Endocrine Testing Lab)

Female - Blood Studies
HIV, HbsAG, HcAb, RPR, Blood Type-RH, Rubella, APTT, CBC Anti-Sperm Antibody, Chlamydia Ab

Male - Blood Studies
HIV, HbsAG, HcAb, RPR, Chlamydia Ab

CULTURES:
May be done in any one of our offices, Monday through Friday ONLY. Semen cultures need to be scheduled with the Andrology Department: Marlton, NJ (856) 751-5250 or Melrose Park, PA (215) 635-4930.

Female Cervical Cultures
Mycoplasma
Ureaplasma
Gonorrhea
Chlamydia Male Semen
Mycoplasma
Ureaplasma
Antisperm Antibodies (ASA)

IVF CONSULT:
The IVF doctor will complete a history and physical examination at the time of consultation. The IVF process and consent forms will be thoroughly reviewed. It is helpful to bring copies of your old medical records and hysterosalpingography films, if available.

MOCK TRANSFER:
A mock transfer should be done on a non-IVF cycle, days 3-11 of your cycle. For the mock transfer, the physician inserts a tiny plastic catheter into the uterus. This allows the physician to measure the depth and direction of your uterus. You may experience some cramping during the procedure. It is recommended that you take Ibuprofen (approximately 600 mgs) 1/2 hour prior to this procedure. This will reduce the cramping. If you cannot take Ibuprofen, take 2 Extra-Strength Tylenol tablets instead. You may schedule to have this performed at the time of your IVF consult or along with having cervical cultures.

HYSTEROSALPINGOGRAM:
This is an X-Ray test of the uterus and fallopian tubes. If you have previously had a hysterosalpingogram or hysteroscopy the report and films should be reviewed by the physician. This test must be scheduled to be completed on days 5 - 11 of the menstrual cycle. Menstruation must be absent for this test to be done.

BASELINE BLOODS:
Serum estradiol, progesterone, follicle stimulating hormone (FSH), and luteinizing hormone (LH) are to be drawn either day 2 or 3 of your cycle. These blood results are helpful to the physician so that the best IVF stimulation protocol (medication) will be chosen for you to complete your IVF cycle.

SEMEN FREEZING:
Once the semen cultures are negative, make an appointment with the Andrology Lab in one of our offices, NJ - (856-751-5250), PA - (215-635-4930), for a semen freeze appointment. It is only necessary to freeze a specimen once before the first IVF cycle, unless we use it to inseminate your eggs and you choose to do another cycle. There is a one time charge of $125 to freeze and store a sperm specimen. This sample is used only as an emergency backup for the day of retrieval. We prefer to inseminate the eggs with fresh sperm, if possible.

NURSING CONSULT:
A consult with a Nurse should be scheduled by those who need to learn how to administer the injectable medication for the IVF cycle. There is an office visit charge for injection instructions. By day 1 of the retrieval cycle, you should have all of your instructions and medications. If you do not, you need to call an IVF Nurse. The direct phone number to reach an IVF nurse is (856) 751-3570 or (856) 751-5575.

FINANCIAL CONSULT:
Please schedule a consult with the Billing Department Staff to discuss your financial obligations. A phone consult may be arranged by contacting any member of the billing department at 1-(800)-752-1086 or (215) 635-0877, or you may contact the billing department via e-mail at billing@ccivf.com.

CALL BACKS:
IVF call backs will be made between 4:00PM - 6:00PM on weekdays and from 3:00PM -6:00PM on Saturdays. If you will NOT be home, then you must have a telephone answering machine so that we may leave a message regarding your instructions. If you do not receive a call back by 6:00PM on weekdays or 5:00PM on Saturdays, please contact the answering service in the Marlton, NJ office at (856) 751-5575 and ask to speak to the physician on call.

A PERSONAL NOTE:
The process of In Vitro Fertilization can be psychologically stressful. Significant anxiety and disappointment may occur. A substantial commitment of time by the couple is needed. Patients have described the IVF experience as an emotional roller coaster. The IVF staff of physicians and nurses are well aware of the added stress and burden that the In Vitro process can sometimes create. We, therefore, suggest that you consider joining a support group or participate in a therapy group to help you through this stressful period. If you would like additional information telephone the New Jersey office at (856) 751-5575 and ask to speak to an IVF nurse.

LOCATION:
The IVF Program is located at: 8002E Greentree Commons, Marlton, NJ. The procedures (egg retrievals and embryo transfers) are done ONLY in the Marlton, NJ facility. Please refer to the enclosed map for directions.

ORIENTATION CLASS:
This presentation is offered as an introduction to the IVF program. You may reserve a seat by calling (856) 751-5575. The class is offered monthly on a Wednesday evening from 6:30PM to 8:30PM.

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