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It contains information about Infertility Solutions, the science behind various infertility issues (sperm problems, ICSI, assisted hatching, IUIs, tubal occlusion, ovulation induction, etc.) and information about how Dr. Rose approaches infertility and IVF. There frequently is more than one correct way to do things in infertility. Dr. Rose's approaches are based on his understanding of reproductive physiology together with his personal experiences with infertility. These web pages try to show the kind of thinking that goes into helping patients decide on their most appropriate next directions.

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Infertility Solutions Saves Patients Considerable Money by offering more gentle forms of IVF

June 2013 –We saved our patients more than $180,000 in medication costs last year (2012) by providing them the opportunity to be treated with IVM and MS IVF in addition to conventional IVF.  On an individual basis, savings amounted to about $1800 per patient.

For IVM or in vitro maturation cycles, we harvest eggs without an ovulation induction from unstimulated ovaries.  We still use injectible medications, but we use about 90% less.  With IVM, there are also other savings related to not needing blood tests and requiring less monitoring.   MS IVF or minimal stimulation IVF (sometimes called mini-IVF or mini-stim IVF) uses a simplified ovulation induction compared to conventional IVF and requires much less medication and less monitoring than does conventional IVF. 

Mini-stim IVF and IVM are not the best procedures for all patients, but about two-thirds of our patients who are candidates for conventional IVF could use these procedures instead of IVF (or before IVF if they are not successful) and about 60% of our patients do.  These approaches to advanced reproductive technology (ART) are both much easier for the patient to undertake than conventional IVM (fewer shots, fewer visits, fewer ultrasounds, fewer venipunctures).  For women over 37, we see no difference in the live birth rates compared to conventional IVF. For women under 38, the live birth rate appears to be about two-thirds of conventional IVF.  Less that 2% of advanced reproductive technology cycles in the United States use a minimized medication approach (according to a recent publication).

In conventional IVF, the average cost of injectible medications constitutes 25% of the total cost of the cycle.   For a minority of patients it can be half the total cost of a cycle.  What is especially difficult for patients is that the cost of the medications may not be very predicable until the cycle is already underway and the couple has already committed to completing it.  Some factors that may be associated with an increased need for medications are advanced maternal age (mid thirties to early forties), surgically treated endometriosis, or decreased ovarian reserve at any age.

The problem with the high cost of medications may be worsened if a couple is not careful about where they obtain their medications.  The prices charged may even be multiples higher (that is, $220 or $300 instead of $100) at some purchase locations.

The above data was obtained by reviewing the charts of all our patients undergoing conventional IVF or IVM in 2012 and recording exactly what injectible medications were taken during their cycle and calculating what the lowest self-pay cost would be for those medications (assuming no wastage or leftover medications).  Mini-stim IVF uses a programmed cycle and costs were estimated based on that.  Variations in the cost of medications for different patients is minimal for mini-IVF and IVF, but can vary by a factor of two for IVF.

Medication cost were obtained by phone inquires to mail order and retail pharmacies.

For more information please fill out our contact form from any page on our site and we will be happy to contact you for a fertility consultation or call us toll free 800.279.4547.