Top 7 Websites Comparing IVF Clinic Success Rates

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Question:

How do I find the top-ranked IVF clinics based on success rates?

Answer:

The answer to this question is not as clear as you may think. The most important thing to consider before undergoing your search is to understand that “success” can mean different things. Those struggling with infertility may assume “success” means a live-birth, which would make sense, because that’s the end goal. But many fertility clinics view success differently. The statistics of an IVF clinic’s success rates can be skewed for different reasons. How is that possible? One way is they can alter the definition of success.

Here are different ways a clinic may define “success”

5-Day Blastocyst stage reached

Embryo Implanted

Transfer results in one implanted embryo (but multiple embryos were transferred at one time)

Positive beta (positive pregnancy test)

Live birth

Aside from the varying definitions of success, there are many variables that can influence the outcome. Some IVF clinics turn away people due to the difficulty of their case, which would increase the clinic’s success rate. Essentially, the clinics that accept the harder cases also accept that they may take a hit on their success rates. There are variables some IVF clinics choose to avoid and they might suggest to patients to seek treatment with a different clinic. This is an example of lowering the pool of patients which increases the odds of more favorable results for the IVF clinic to report.

“Difficult Cases” Certain IVF Clinics Avoid

Higher Maternal Age

Poor Egg Quality (Low Ovarian Reserve, PCOS, etc)

Infertility Diagnosis (Hormonal, abnormal uterine structure, etc.)

High Body Mass Index

Treatment used prior, including number of prior attempts

Patient history of miscarriages and previous live births

Male Factor Infertility

Genetic predispositions (MTHFR gene mutation, balanced translocations, etc.)

As you can see there are many variables that affect fertility. Those variables combined with the different definitions of success can make it challenging to find a truly balanced report of IVF success rates. Ultimately it is up to those dealing with infertility to do their due diligence with researching the clinics they may be interested in. Simply knowing that data can be potentially skewed can help someone be more careful while researching whether a clinic is right for them.

Selecting an IVF Clinic is Not Just About Statistics

Consider your specific diagnosis, expected treatment, and rule out the clinics that are unable to provide the assistance or technology for your specific need.
Read what patients are saying based on their experience with their doctor, nurse, and office staff. Seek out reviews from those with a similar diagnosis as you.
Good communication with your clinic is vital. They should listen carefully to your concerns and respond promptly to your questions. Any miscommunication can lead major issues such as incorrect administration of medication.
Provides information on the realistic odds of a live-birth for you as an individual.
Find a clinic that creates a protocol to fit your specific situation and diagnosis.

Top 7 Websites Comparing IVF Clinic Success Rates

#1

CDC’s NASS 2.0 (United States)

I recently asked Rebecca Fett, writer of “It Starts with the Egg”, what website she would recommend that ranks IVF clinics and she responded with a link to The Centers for Disease Control and Prevention’s page about the National ART Surveillance System (NASS) 2.0. This website shows a map of the United States. You can click on individual states to view statistics. The CDC’s NASS site has become one of the most reputable sources for finding statistics on success rates. The general consensus among many online infertility groups is they overwhelmingly recommend this site as their go-to source for information in the United States. Before the CDC’s website became the number one source of IVF clinic success rates, one of the top sites was SART (now in our #3 spot).

Link:

The Centers for Disease Control and Prevention’s page about the National ART Surveillance System (NASS) 2.0: https://www.cdc.gov/art/artdata/index.html

#2

FertilityIQ (United States)

If you want to read what actual patients thought about their experience with a certain clinic FertilityIQ.com is one of the best resources out there. You can choose how you want to filter your results when you click the Research Doctors & Clinics button, these include View by Patients Like Me, View by Doctor, and View by Clinic. The View by Patients Like Me option is great if you have a diagnosis that is considered harder to treat, and you want to see where you can go for treatment that is more individualized to your needs. This site also integrates the CDC’s success rates which is a great feature of FertilityIQ, but if you read the FAQ section of FertilityIQ you will see they point out some of the data may not have been updated for several years.

Links:

Fertility IQ: https://www.fertilityiq.com

FertilityIQ Research Doctors & Clinics: https://www.fertilityiq.com/#doctor-search

#3

SART (United States)

The Society for Assisted Reproductive Technology (SART) shows data that was reported by clinics. One criticism of this site is that the data has not been updated since 2016 (as of 2019), whereas the CDC’s site was updated in 2017. On the Arizona Center for Fertility Studies (ACFS) website they point out the main distinction between SART and the CDC site, “According to the Fertility Clinic Success Rate and Certification Act, all ART cycles performed in the United States fertility clinics are legally obligated to report to the CDC.” Due to clinics being required to report their data only to the CDC, some clinics like ACFS chose to discontinue reporting to SART. The SART site still has helpful information but overall it is not as comprehensive as the CDC’s site. SART is better viewed as a supplemental source of information.

Links:

Society for Assisted Reproductive Technology (SART): https://www.sart.org

SART Find a Clinic: https://www.sart.org/clinic-pages/find-a-clinic/

#4

HFEA (United Kingdom)

The Human Fertilisation & Embryology Authority (HFEA) is similar to the CDC’s NASS, both are regulating organizations that collect data the IVF clinics are required to report. You can do a search on a fertility clinic’s”Inspection Rating” given by the HFEA as well as view the “Patient Rating.” These ratings are shown side by side for comparison, which is a great feature to quickly gauge how a clinic is doing overall. But keep in mind that the pool of patient participants can greatly affect the patient rating. Fewer patient ratings can equate to less reliable of a rating due to the smaller pool of people. Two bad ratings with a small pool of say five people can dramatically change the rating. Another nice feature is that you can click “View birth statistics” then “View detailed statistics” to use their filters to narrow down categories such as age and treatment type.

Links:

Human Fertilisation & Embryology Authority (HFEA): https://www.hfea.gov.uk/

https://www.hfea.gov.uk/choose-a-clinic/clinic-search/results/9141/

#5

CARTR (Canada)

The Canadian Assisted Reproductive Technologies Register (CARTR) is where the data can be found that is reported by the Canadian Fertility & Andrology Society (CFAS). The CFAS was originally founded prior to the invention of IVF and initially it focused studying infertility. You can view the CARTR Annual Reports here. The annual reports are useful for looking at the overall picture of ART statistics gathered in Canada. The reports do not show individual clinic success rates and currently there does not seem to be a website that Canada has to compare clinics.

Links:

CARTR Annual Reports: https://cfas.ca/cartr-annual-reports.html

Canadian Fertility & Andrology Society (CFAS): https://cfas.ca/index.html

Additional resources to find clinics in Canada:

Fertility Clinics: http://www.fertilityclinics.ca/

Infertility Network: https://www.infertilitynetwork.org/fertility_clinics_cda

#6

EIM & ESHRE (Europe)

European Society of Human Reproduction and Embryology (ESHRE) focuses on testing and research and publishes their findings for members to access on their website. ESHRE created the European IVF Monitoring (EIM) to gather the data as part of their publications. Similar to Canada’s CARTR Annual Reports, there is not a comparison of individual clinic’s success rates but rather an overall look at the data compared as a whole. You can view the annual publications of the reports here.

List of Included Countries with EIM:

Albania

Armenia

Austria

Belarus

Belgium

Bosnia

Bulgaria

Croatia

Cyprus

Czech Republic

Denmark

Estonia

Finland

France

Georgia

Germany

Greece

Hungary

Iceland

Ireland

Italy

Kazakhstan

Latvia

Lithuania

Macedonia

Malta

Moldova

Montenegro

Norway

Poland

Portugal

Romania

Russia

Serbia

Slovakia

Slovenia

Spain

Sweden

Switzerland

The Netherlands

Turkey

Ukraine

United Kingdom

Links:

European Society of Human Reproduction and Embryology (ESHRE): https://www.eshre.eu/en

European IVF Monitoring (EIM):

https://www.eshre.eu/Data-collection-and-research/Consortia/EIM

#7

GCR (Worldwide)

I had issues at first navigating the Global Clinic Rating (GCR) website. But once I figured out the problem I was able to access some helpful information. Their search fields on their homepage were not setup correctly. I would type in “IVF”in the first field and it would automatically send me to the clinic of IVF Spain’s rating page, even when I had not entered a location yet. Finally I figured out that I needed to type in “fertility” in the first field and then I typed in the location in the second field. There were a few times I typed in IVF and I ended up with a list of dentists. If you run into issues with your search try slightly adjusting your search terms to see if you get the result you wanted. Although initially very frustrating, I found the site helpful once I figured out the specific terms needed they actually accept.

Some locations seem to have much more detailed reports and reviews from many patients, while other locations are significantly lacking data and reviews. Depending on the popularity of your clinic, you may find this site useful. If you cannot find as much detailed information I would suggest viewing this site as more of a supplemental source of information.

Link:

Global Clinic Rating (GCR): https://go.gcr.org/

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Today’s Question: What are some of your go-to websites to learn about infertility solutions?

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Learn ways to improve your egg quality. Purchase Rebecca Fett’s book “It Starts with the Egg: How the Science of Egg Quality Can Help You Get Pregnant Naturally, Prevent Miscarriage, and Improve Your Odds in IVF.” It’s currently the #1 Best Seller on Amazon.com’s Reproductive Medicine & Technology list.

Book Review “It Starts with the Egg” by Rebecca Fett

July 31, 2019 By julielikeswords in In Vetro Fertiliztion Tags: Book Review, Book Review Hoping For BAby, egg quality, Hoping For Baby, hoping for baby blog, hopingforbaby.com, improve egg quality, Infertility, it starts with the egg, IVF, Miscarriage, prevent miscarriage, prevent miscarriages, rebecca fett 2 Comments

This post may contain affiliate links. You can see my full disclosure here.

HopingForBaby.com Rating: 5 out of 5

Rebecca Fett, writer of “It Starts with the Egg” knows her stuff for sure. Fett is a molecular biologist who understands how the body functions on a cellular level. When faced with her own infertility issues she used her education and research skills to have a successful birth, and shared her extraordinary amount of information for other women to use in her book. She has held the top selling rank on Amazon.com in the Reproductive Medicine category. I’m a member of multiple infertility groups on Facebook, and I continually heard about this book over and over again. The women were very enthusiastic about the book and it was always highly recommended. Many women who spoke endless praises of “It Starts with the Egg” were saying that they were able to finally make their dream of having a baby a reality.

I will not go into detail on all of the topics covered because all of the information and credit goes to Rebecca Fett. Whether you get it from the library, book store, e-book or audio format (I personally love Audible), you have got to read this book. The book is organized into categories for the particular type of infertility issue that one might be facing. For example, I have low ovarian reserve and I’m doing IVF, so I choose to follow the Advanced Plan in her book. There is also a plan for those with PCOS. Some women have been facing infertility for unexplained reasons for a while but they don’t want to do IVF, there is a plan for that as well. Let me also add that you MUST speak with your doctor about your treatment plan and don’t solely rely on the book, because you may have a medical condition that is affecting your infertility that could easily be tested for. In other words, you may think you have “unexplained infertility” but perhaps a simple blood test will explain what is really going on.

I was honestly in a very low place before I started to read this book. But this book has given me a lot of hope because it gives great tangible advice that someone can start right away to improve their odds of success. For example, there is a plethora of information on supplements Fett shares, rooted in case studies that show positive correlations for success.

I highly recommend you get a copy of her book. One major change I did right away was to get rid of my plastic dishware and replace it with either glass or stainless steel items. This was the first thing I did and I felt a sense of accomplishment knowing I was taking the first step in reducing my use of products that can have endocrine disruptors, which can impact fertility. From there, I also changed my make-up and beauty products that had high levels of dangerous chemicals. I recommend using the “Think Dirty” app that allows you can scan the barcode on beauty and cleaning products and shows you if it is dangerous or not. I’ll be doing a more in-depth post in the future on that subject. I’ve been eating healthier and following the food suggestions outlined in this book as well.

So all the talk is true is true ladies! Rebecca Fett has gathered so much information and created an excellent resource for those of use struggling with infertility. This book has actually inspired me to research even more health-related topics. I guess you can say I’ve become quite the health nut this past month. Another added benefit of following her advice is that you are lowering your risk for major health related issues if you follow the dietary suggestions. Reading her book has empowered me to make real changes and was it was the catalyst for me to begin living a healthier lifestyle. You’ve got to read this book!

Purchase your copy now of “It Starts with the Egg” by Rebecca Fett by clicking here.

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Day 11 (Round 2 of IVF Stims): How to Get Travel Discounts for IVF Treatment

January 10, 2019 By julielikeswords in In Vetro Fertiliztion Tags: fertility tourism, Hoping For Baby, hoping for baby blog, hopingforbaby, hopingforbaby.com, how to save money ivf, how to save on ivf, Infertility, IVF, ivf cost, ivf discount, IVF Fertility Tourism, ivf savings, IVF travel, ivf travel discount, ivf travel savings Leave a comment

(Entry written prior to posted date).

The irony of IVF medication is that it makes you look totally pregnant. It has all the same appearances of pregnancy but instead you become a human water balloon. I bloated so much in such a short span of time that it was painful sometimes. I’m already a big girl so imagine the discomfort I felt when there is extra water added to my belly, thighs, and even my face. My glasses were even fitting tighter on my head. No one seems to talk about how your face gets bloated too. When I looked at my pictures from the other day I thought the photo was distorted. My cheeks were noticeably bigger. I appear to be taking on the physical traits of a whale. I think whales have a majestic, serene quality to them, as they glide through the ocean waters and call out to each other. Instead here I am angrily flopping around in bed as I cuss at how uncomfortably big my stomach has become. I sometimes grab my stomach in dismay and say “Oh my God” under my breath.

The Bloat is Real. Way more bloated this second round of IVF.

I knew I was going to be bloated, like everyone in the online IVF boards were saying, but good lord this is too much. It was pretty shocking to look in the mirror and see my gut looking fully pregnant. One thing I didn’t even think to do was to measure before and after IVF meds, the difference would probably be quite mortifying.

Even my face is bloated. I felt my glasses frames getting tighter by my ears. What…the…hell?

The IVF process tends to mold us into more resilient people. Look at the lengths we go to to create a family. Although I did whine throughout the process at times, I am also learning a lot about myself too. Some of the ways I’ve grown through this process include learning to find humor in hard times, being open to new experiences, prioritizing what is really important to me, and time-managing the s**t out of my day. When you have to give yourself five shots during a specific window of time each day you start to get into a perfectly sequenced routine.

My best advice to those of you who have to give yourself multiple shots in a day is to be prepared, and do your shots in a certain order at the same time. I always did mine in the same order each time so I would try to avoid mistakes, minus my one major mistake with the Omnitrope. Hey, nobody is perfect, but if you can find a way that helps you streamline the whole process it will be so much easier on you. I also kept all my medicine in my one suitcase, although some might find it more helpful to have everything spread out on their counter. I was traveling at the time and I didn’t feel comfortable having all of my expensive medicine spread out in my hotel. I always zipped up all my medicine in my bag if it didn’t need refrigerated. Also if you are given a window of time to take your medicine try to make a habit of doing it in the earliest part of that window. It’s better to be earlier in the window than try to make a mad dash back to your place to frantically give yourself multiple shots. You are more likely to make mistakes if you do not give yourself enough time to prepare.

I wanted to share a couple other things I’ve learned along the way, one of which I learned just today. Because this cycle is lasting much longer than anticipated I needed to extend my stay at the hotel. The girl at the front desk of the hotel knew that I had received several deliveries from a pharmacy because I had very specific instructions to call me immediately when they arrived because I needed to refrigerate the medicine. So when I went to pay for another week at the hotel, she offered me some advice I hadn’t even thought of.

She said to me, “You are here for medical reasons, correct?”

“Yes” I said. I had mentioned before I was having a procedure but didn’t go into details.

“That’s too bad that we didn’t know that for your first week you had booked. But we can apply the medical discount for you for this new week.”

“Really?” I said surprised. “How much is the medical discount?”

“Twenty percent, if you book through us directly.”

If you have to travel to do IVF ask if it’s possible to get a medical discount on your hotel and airfare. Just because you think you are getting a good deal on your hotel and airfare by booking through a website like Kayak, Priceline, or Travelocity does not mean you are getting the best deal possible. Call your hotel and airline directly and ask them if they do medical discounts and what the percentage discount is as well as the policies. Do the math. If the percentage you’d save is more doing a medical discount then go for it, if not then book with the cheaper option online. I managed to get both the hotel and airfare medical discount. I wish I had known about it before with my first round of IVF, but I’m thankful I learned about it by the time I had my second round.

Thank you for reading.

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Fertility Wars: Return of the Cyst

October 31, 2018 By julielikeswords in In Vetro Fertiliztion Tags: back to back ivf cycles, back-to-back egg retrievals, cyst, hoping for a baby, hoping for a baby blog, Hoping For Baby, hoping for baby blog, hopingforbaby, hopingforbaby.com, hopingforbabyblog, Infertility, IVF, IVF treatment, ovarian cyst Leave a comment

November 1st is the last day for the Thanksgiving contest. Winner will be announced soon after.

So if you are a Star Wars fan you might appreciate the title of my blog today. As I stared at my ultrasound today it was obvious that my cyst had grown to epic proportions. It loomed large on the screen. A big black ball of “f**k my life.” Same crap, different day. I’d really like to learn more about the science behind these little bastards because being told there’s nothing I can do about it doesn’t sit well with me. This means I will need to change my flights around and my hotel, right during peak season for Thanksgiving. Fabulous.

As you may remember, I had a cyst I dealt with before. Although I’ve been told cysts are normal, I can’t help but wonder if in the future these little guys might morph into cancer. I really need to learn more about them. On a somewhat related note, I was watching a show on Netflix called “Haunted” where people give real life accounts of paranormal experiences. Kurtis and I have been watching lots of scary shows lately for Halloween. In the show this woman was convinced that she was abducted by aliens. During her several dozen abductions she believed the aliens were doing medical tests on her. She was convinced her cysts, fibroids, and endometriosis were caused by the aliens. Cue major eye roll and guffaw here. Lady, you may not realize it, but there are so many women out there with the same issues. Surely not all of us with reproductive issues are having our vajeens experimented on by little green men. But then again maybe that’s what they want us to believe. Bum bum buuuuum!

The other day we had an unexpected knock at our front door. It was the weekend and I was being lazy around the house. I went to the back bedroom to put on a bra (hey, it’s the weekend!) and Kurtis asked through the door who it was.

“Planned Parenthood” I thought I heard a woman’s voice say.

“We don’t have any kids” Kurtis said.

By that time I came out from the bedroom he was laughing a little.

“Who was it?” I asked.

“Planned Parenthood” he laughed.
“Really? What did they want?”

“I don’t know, but I told them we didn’t have any kids.”

We both saw the comedic irony of the situation and started laughing to the point where we were having full on belly laughs with tears. It’s so damn funny that these people are knocking on our door when we’ve been doing everything short of kidnapping to have a baby. God has a messed up sense of humor sometimes. I was laughing hard also because Kurtis’ response didn’t entirely make sense. I asked him what the woman said to him and he said, “nothing, she just walked away.” I’m sure they’ve dealt with way more awkward situations than that. She was probably walking away thinking, “Why the hell are those people laughing so hard in there? They sound like lunatics. Probably drugs. I should walk faster.” Drugs indeed, fertility drugs that is.

I had another big laughing fit a few weeks ago over cheesecake. Yes, cheesecake. Let me preface this story with the fact that my body seems to be incredibly sensitive to my progesterone-only pills and my mood swings are all over the map. Everything from wanting to cry for no apparent reason, to laughing just a little too long over silly things that aren’t really that funny.

I decided to try out this local pie shop for the first time. I picked up a miniature cheesecake and good Lord, it was the most divine and magical cheesecake of my life. I was in love! The following week I decided to get it again on my Friday as a reward for my busy week. I went there but they were closed. Then I went the next day, closed again. And again a third day, still closed. You’d think by this point I would have checked their hours. Come to find out their hours are pretty limited. The fourth day I finally was able to walk through the doors and I gushed about how sublime their cheesecake was and how I was ready to buy more. “Oh, I’m sorry we ran out yesterday.” I settled for a pumpkin pie instead and told myself that I would soon be back for the cheesecake again.

I was re-telling this story to my husband and for some reason I found the set up to the story and the ultimate let down to be incredibly hilarious. I’m laughing each time I say, “So I went back again…” I was laughing so hard I had to lean on the counter to keep myself upright. Kurtis’ expression was that of “what the hell is so funny?” Maybe what struck me as hilarious is that this damn cheesecake is symbolic of what I can’t get from life. First world problems, right? But do you see my logic? The cheesecake could represent anything that I want really badly but cannot have (i.e., a biological baby). Now you get it? Still doesn’t make sense? That’s okay, it makes sense to me. Perhaps there is even greater symbolism that can be gleaned from the fact that when I returned later I ordered a pumpkin cheesecake, because again, they had no regular cheesecake. Maybe the pumpkin cheesecake represents our future child using an egg donor, hence the pumpkin in the mix. My quirky little cheesecake story might only be funny to me, but I think the real lesson learned here is that I really want that f**king cheesecake. So the quest for cheesecake continues.

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The Big Picture

October 21, 2018 By julielikeswords in In Vetro Fertiliztion Tags: Adapting to Infertility, cope with infertility, coping with infertility, hoping for a baby, hoping for a baby blog, Hoping For Baby, hoping for baby blog, hopingforbaby, hopingforbaby.com, hopingforbabyblog, how to handle infertility, Infertility, Infertility Plan, infertility treatment plan, IVF, IVF treatment Leave a comment

Many parents will tell you they sacrificed so much for their children. Many women going through IVF will tell you they have already sacrificed greatly for the hope of having children. Sometimes I feel those of us who struggle with infertility issues are already mothers-in-the-making. We know what it takes to give up our time with our partners to put in extra hours at work, working weekends when we could be spending time with them. The time away from visiting with our parents, siblings, nieces and nephews. Time away from social gatherings where we connect with friends. Often we develop a one-track mind and it becomes all about making the possibility of a child a reality. What will it take? What will we give up? It all comes down to time and money.

But one thing I’ve learned through this process is that I don’t view this the same way most people do who do not struggle with infertility. Yes, the sacrifices are great, but what I’ve already gained is so much greater. Loss and struggle are some of the best teachers in life. I’ve developed a fierce commitment to my goal and I’ve grown in many ways. When I was feeling lost and confused I learned the value of intense research for solutions. When I was feeling disconnected from everyone and couldn’t bear to talk about my pregnancy losses, I learned to opened up and realized many of my friends, family, and a massive online community went through the exact same things I had. Being able to not only relate to others but put all of our research together, weigh the options, and together help each other out with the end goal in mind of “how can I best help this woman fulfill her dream of having a baby?” Sometimes it’s as simple as suggesting a certain test be looked into their doctor hasn’t tried yet, or a financial option they hadn’t even considered. Rallying together as a group and helping each other achieve our dream of motherhood has brought me such a feeling of connectedness that I never in my life experienced.

I’ve learned to speak candidly with my husband about how I feel, and to truly listen to what he is feeling too. Learning to compromise together, whereas when left to my own devices I would have steamrolled ahead with my own big plans. Being able to stop and consider his needs when planning for our future has been incredibly important. I told him how I made the decision to take on some temporary debt in order to have a shot at having a child. That temporary debt could have gone towards paying off the condo and moving into a bigger house. We’ve always talked about paying off the condo early and getting a nicer house, so it was a big deal to postpone this for a bit. I knew this would be a huge sacrifice but I also knew that if we wanted the opportunity to have our own child I needed to do IVF now. My timeline for fertility is significantly less than the average woman, but I have many years to plan for moving into a house. Shifting timelines for everything was a sacrifice, but that’s all it comes down to, simply shifting timelines. We compromised and agreed that we would focus on knocking out my medical debt these next few months before our FET (frozen embryo transfer). Being able to get past our emotions, talk about it, and come up with the best solution together has helped us both become more mature as a couple.

I’ve also learned to endure incredibly devastating losses. My first pregnancy loss was the worst for me emotionally. I was in bed for two weeks and was incredibly depressed. But after a total of four losses I’ve learned to be more resilient. I now have many people I can turn to for support and have developed a concrete treatment plan. I now have answers as to why some of the losses happened and a hopeful solution too. Now it’s just a matter of doing the treatment plan of IVF with PGS, the one step I have left for our first round is traveling back down for our FET.

I’ve come a long way over these past 2.5 years of infertility. I’ve learned one of the best ways of dealing with my situation is to focus both on what I need to do today as part of my treatment plan, while also looking at the big picture. The big picture for me includes doing a visualization. In that visualization I pull away from the current moment and look at my life and these struggles far into the future. Being able to see myself in the future, and ask myself did I do everything I can and are there no regrets? There is a sense of comfort I get from looking at the big picture. Where does that comfort come from? I know that I am doing everything I possibly can in order to make my dreams come true. And who wouldn’t be proud of that?

Thank you for reading.

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1 Day After Egg Retrieval: Major Money Saving Epiphany

September 24, 2018 By julielikeswords in In Vetro Fertiliztion Tags: 1 day after egg retrieval, 1 day post egg retrieval surgery, after egg retrieval, after ivf surgery, back to back ivf cycles, back-to-back egg retrievals, hoping for a baby, hoping for a baby blog, Hoping For Baby, hoping for baby blog, hopingforbaby.com, hopingforbabyblog, how to save money ivf, Infertility, IVF, ivf discount, ivf discount program, save money ivf, what happens after egg retrieval Leave a comment

(Entry written prior to posted date).

Who knew one of the annoying side effects post-retrieval would contribute to an epiphany that would change the course of events for me. I believe I’ve hit my ultimate record for the number of times I had to pee in a single night, it was in the range of twenty times. It was as if all the retained water weight during my stimulation shots was now leaving my body. But good God, that was just friggin’ excessive! I got zero sleep last night.

But the good news is that while I was awake all night I was doing my usual perusing of infertility forums online. I stumbled on a weirdly worded response to a question someone posed about how to save money on IVF treatment. The response was something to the effect of “do two IVFs in a row. That’s how I did it. Saved a lot.” What the hell did that mean? Two IVFs?

Then it hit me. Although this response was thoroughly confusing to me at first, it started to register with me. I asked myself, “What if they meant they did two egg retrievals before they did their first FET (frozen embryo transfer)?” Could that be what they meant? Then I remembered the phone conversation I had with my two-cycle discount program, she said, “The program ends when you have a ‘take-home’ baby.” So that meant if I gave birth with this first cycle the program ended.

It was the middle of the night and I posted a question in some of the Facebook IVF groups I’m on, asking whether anyone was doing my specific discount program and if they did two egg retrievals in a row before their first transfer. Some of the first women who responded to me said that I could not do it. They even went so far as to tell me, “It’s in your contract if you actually read it. It’s bolded and everything.” But I was looking right at my copy of my contract and nowhere in it did it say anything like this. The contract echoed the same thing the woman with the discount program told me over the phone, “program ends with ‘take-home’ baby.” But several hours later I checked if anyone else had responded. Now there were more answers, and about half of them were saying that it is actually possible to do two egg retrievals back to back with that program.

First thing that morning I called both my discount program and my clinic to pose this question. The answer would change the trajectory of everything. “Yes, it’s possible.” From what I gather, it depends on the clinic or possibly your diagnosis. Some clinics seem not to allow women back-to-back egg retrievals for the discounted price while others do. So what are the benefits of me deciding to do two egg retrievals back to back as opposed to jumping right into a FET?

Doing the second cycle would definitely be included in the cost if I did back-to-back retrievals. If I did the FET right after the first retrieval and had a live birth my contract would end, which would make me lose out on an entire IVF cycle I had pre-paid for. In other words, I will be saving thousands of dollars if I do back-to-back cycles with my discount program.
My AMH/Ovarian reserve is very low and time is of the essence. The sooner I can do several egg retrievals the better.
Increasing the odds of giving potential children from this first cycle their siblings from a second cycle.
Take advantage of my flexible work schedule (on-call work) I have now and go ahead and do these egg retrievals. Most other jobs would not be as flexible.
I’ve met my out-of-pocket maximum for the year so any ultrasounds ($600 each), blood draws, and consultations with my local doctor would be covered entirely.
The only thing I’d have to pay for is the IVF medicine, plane tickets, and hotel to travel out of state for my IVF cycle again.

All I can say is I am over the moon I had this timely epiphany. For some reason this idea didn’t occur to me. Maybe it was the fact I was up all night and thinking non-stop about my next steps. I had my plans practically set to return the following month to do the FET. I could have missed out on a second IVF cycle had I not considered this more. But this epiphany changed my timeline for everything. Now I am starting to make plans for when I will come back for the second retrieval for this year.

Today was a beautiful day out. Mom and I went to the Space Needle and the Chihuly Garden and Glass exhibit. What an amazing day! It was so nice to get out. I was surprised I was doing so well the day after surgery. We did lots of walking around and spent a good part of the day just hanging out up in the Space Needle. I loved seeing the rotating glass-bottom floor. Pretty cool stuff.

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So the day overall was great. But I had a crying meltdown moment later on at the end of the night. Mom got a message from a relative asking if the doctors were optimistic about me having a baby. Mom mentioned their question to me. This seemingly benign question threw me into a fit of tears. The combination of my out-of-whack hormones post-surgery coupled with the reality that my odds of success are very low just made a blubbering mess. Poor mom didn’t know what the hell was wrong and I couldn’t articulate it quick enough because in the moment I didn’t know why I was crying. It was a pure emotional response.

Then Mom started crying. So there we were both crying, frustrated, and I’m still trying to figure out what the hell is wrong with me. I hear mom crying in the bathroom, blowing her nose. She seemed upset that she couldn’t console me.

Then she comes out and says half angry and half crying, “That stupid maid!”

“What?” I said, still sniffling but starting to calm down.

“The toilet paper! She didn’t give us any! I can’t believe this!”

Then I start to laugh hysterically. The way she said it was so comical to me.

This was either the second or third day in a row that the maid didn’t give us toilet paper. The one day we did manage to get more toilet paper we asked the front desk guy and apparently the wimp of a man couldn’t manage to get more than one roll from her. “She wouldn’t give me two rolls” he sheepishly said to me. So this toilet paper Nazi of a maid now has my mom crying even more. Mom heard me laughing and then started laughing too. We managed to scrape together some leftover restaurant tissues from our takeout meals and some tissues she had in her purse to get us through the night. No way in hell we were stepping outside our hotel room door because that part of town turns into a scene from Mad Max with all the anarchy that happens when the sun sets.

After we stopped crying and laughing I explained to her how I thought I started crying because of the hormones and the fact that my situation has never been considered optimistic. I think once I explained it to her it made more sense my reaction. I think there is a big difference between being optimistic versus staying positive. I am staying positive, which is a choice. But I would not say I’m optimistic because the reality is my ovarian reserve is incredibly low and it would be a miracle if I had a single biological baby in my life.

So today I had a whole range of emotions. Thank you crazy hormones. But I am thankful to have learned two things: 1) I can save a lot of money by doing two back-to-back egg retrievals, 2) If you hide the toilet paper in your room the maid will think you are out and give you more. Solving life problems from big to little. I feel pretty accomplished today. I will end this post with a happy note of my results from this egg retrieval thus far:

5 eggs retrieved

4 fertilized

1 embryo survived and will go through PGS testing.

Yahooooo! So incredibly happy to have this bit of hope to move forward with. Praying that this little embryo does not have the same chromosomal issue that causes me to have recurrent miscarriages. Hoping and praying this little one will make it past the testing.

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Day 10 (Round 1 of IVF Stims): Trigger Shot Day!

September 12, 2018 By julielikeswords in In Vetro Fertiliztion Tags: fertility tourism, hcg shot, hcg trigger shot, hoping for a baby, hoping for a baby blog, Hoping For Baby, hoping for baby blog, hopingforbaby, hopingforbaby.com, hopingforbabyblog, Infertility, IVF, ivf blog, IVF drugs, IVF Fertility Tourism, ivf injection pain, IVF injections, IVF medication, IVF meds, IVF stims, ivf stimulation shots, IVF treatment, ivf trigger shot, pregnyl shot, pregnyl trigger shot, trigger shot, trigger shot ivf Leave a comment

(Entry written prior to posted date).

I woke up today with a migraine and I’m almost positive it’s because of the shots. I double checked with my doctor’s office and they said I am fine to take a Tylenol. Basically I’m trying to follow all the nutritional and medical advice as if I were already pregnant, which is essentially the best recommendations they have for women going through IVF. In general, Tylenol is okay during pregnancy (but always check with your doctor about your specific treatment plan). So the Tylenol actually did help me. I only had a couple migraines during the IVF injections which is not too bad for me considering my migraine history, I was expecting more.

So with today’s ultrasound still only showing four mature eggs I chose to be content with this. I understand that in comparison to most other women, from what I’ve seen in the online forums, my numbers are pretty low. But at the same time I’ve been diagnosed with very low AMH levels, so it wasn’t really that surprising to me for them to see only four. Yes it would have been nice to waddle into the clinic, so full to the brim with little eggs ripe for the picking, as I’ve heard other women talk about their massive amounts of bloating and massive amounts of eggs retrieved. But I came into this realistic. I knew fully well that the majority of women do not have a successful first round of IVF. In a way I mentally prepared myself for another let down. For me, it’s much healthier for me to have the statistics in front of me so I know what I’m dealing with, rather than be devastated with the false belief of a guarantee. The one thing I told myself was if this fails, at least they have a good gauge of what they need to do to alter my medications for better results next time. The first time is kind of a crapshoot really, they don’t know how your body will react until they try out some medicine on you first. That’s the really unscientific way of looking at it, but it kind of helps me think of it that way in terms of being hopeful that they know what to do better next time.

We went to a hipster pizza place today, think hipster coffee shop but replace the coffee with pizza. The music, the decorations, the ingredients, whole place was just the right amount of hipster, not too much. On the walls hung beautiful and striking art. One piece of art really stuck out to me and I kept looking at it as we ate our pizza. Then our conversation turned to the other piece above it and then the other ones further behind me. You could tell it was the same artist but each picture was unique. The emotion behind each one was intense and beautiful. The one I absolutely loved was of a woman holding her child to her chest, surrounded by nothing but ocean waves, standing on a single pile of rocks. The rocks were the mother’s foundation to which she was able to stay above the water to hold her baby. I loved it, and I don’t even have kids yet. If this IVF process works I’d love to be able to order that beautiful piece of art and hang it in our house. I’d like to tell my child of the struggles I went through and to have them and how they were so loved, even before they were born. In my mind it would be the best souvenir story ever.

The pizza was one of the few indulgences while doing IVF. I will say I’ve never eaten salad as much in my entire life as I have right before and during IVF. Salad pretty much daily, sometimes even a couple times in a day. I try to be super healthy but I’m not perfect. I had one can of Coke during IVF, overall I did pretty darn good reducing my caffine to just that, especially considering I like to have caffeine almost daily when I am not TTC.

Beautiful sunset with sailboat, on our ferry ride headed back to Seattle.

So Mom and I went on a really nice ferry ride today at my husband’s suggestion. When he was here before me to do his “thing” he also took a ferry ride to Bainbridge to check out the casino. He said the ferry ride was his favorite thing he did while he was in Seattle for his brief stay. Unfortunately he cannot take anymore time off and with my retrieval it had to be postponed due to my little cyst. So by the time my body was ready for IVF, all of his time off (2 weeks) was used up. But it was a great suggestion he had for us, we took the ferry to Bremerton instead. It was peaceful and relaxing when the set of young twin boys weren’t screaming and tearing past us. Thankfully the parents had enough sense to walk the boys to different parts of the boat to help them burn up their energy. So it was peaceful about 75% of the time. We came back right at sunset and had a beautiful fiery red sunset, which I later found out was an extra vibrant red hue due to wildfires in the distance. My pictures don’t do it justice for how blood red it really was. Just as we were coming back they lit up the big ferris wheel. It was very pretty to come back to the city during that time.

Ferry funsies.

We did not get to do anything in Bremerton, but for a very good reason. We got right back on the boat back to Seattle because I had a very important appointment to keep. My trigger shot! Oh yeah! Tonight is the night. After weeks and weeks of postponing my IVF due to the cyst I finally made it to this point. The fertility clinic took a marker and circled the target just at my belt line on my upper butt. I asked if Mom if she could do the honors because it’s just a weird angle to do it myself and I wanted to make absolutely sure that the shot got into the right spot. I did a video recording of the trigger shot, as well as instructions for the trigger shot, Menopur, and Follistim injections. I will be editing these here soon and will post them for everyone to see what it’s really like to give yourself daily shots for a few weeks. Honestly, it’s not that bad. The length of the trigger shot needle looks intimidating but the fact that it’s so thin a needle made it to where it really wasn’t that bad. Not near as bad as you might imagine. So in exactly 36 hours from the trigger shot I have my egg retrieval surgery. I’m hoping that the four eggs they plan to retrieve are of good enough quality. First thing tomorrow morning I have to take a pregnancy test to see if it is positive. This will tell me if the HCG trigger shot worked or not, hopefully it will so I don’t have to re-do all of this. I just hope I don’t have anymore delays.

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Day 8 (Round 1 of IVF Stims): First Day at Seattle Clinic

September 7, 2018 By julielikeswords in In Vetro Fertiliztion Tags: day 8 IVF, Fertility, hoping for a baby, hoping for a baby blog, Hoping For Baby, hoping for baby blog, hopingforbaby, hopingforbaby.com, hopingforbabyblog, In Vetro Fertilization, inferlity, Infertility, Infertility Doctor, Invetro Fertilization, IVF, IVF day 8, IVF drugs, IVF Fertility Tourism, IVF medication, IVF meds, IVF shots, IVF stims, IVF travel, IVF treatment, traveling for IVF, traveling for IVF treatment Leave a comment

(Entry written prior to posted date).

The plan for the day was that as soon as my flight landed we were to immediately go to my fertility clinic for my blood test and ultrasound. Normally they do this first thing in the morning, but I was getting there several hours past their normal cutoff time, but they said it would be okay in my case. My mom came with me for the trip because my husband cannot take anymore time off work. So here we were, my mom and I, dragging all our luggage into the clinic. I think we both felt quite silly, everyone was looking at us. It didn’t help matters that I had to keep digging into my bag to check all of my medication levels because I just remembered they needed a full inventory of what remains. I didn’t want to guess with those numbers because if I was off I could end up paying a lot more money. I felt kind of silly rummaging through my suitcase, feeling like everyone in the waiting room was looking at me.

Upside-down and lid popped off. My folic acid pills scattered everywhere inside my suitcase.

I felt super out of place and frazzled. I didn’t sleep the night before or on the plane. But I told myself something that made me feel better about the whole situation, “I am exactly where I need to be and I am not out of place at all. This is the exact time for me to be here and the exact place I need to be.” This really reassured me. S***, with the amount of money I paid to the clinic I most definitely deserve to be there! Mom was feeling a little out of place there too. I told her that I was happy she was with me and not to worry about what anyone was thinking. I guarantee they were more worried about their egg count or their husband’s sperm motility and morphology. Because us women who deal with infertility have a real knack for being a little self-obsessed about the status of our womb more than anything. Am I right? I think the only thing they could have thought looking at us is possibly jealousy because my stomach looked so bloated from the medication that I already looked pregnant. I’m a big girl as it is, throw fertility medication on top of that and I looked like the Ghostbusters’ Marshmallow Man, all blimped out. I was kind of self-conscious about making other people sad, who may have thought I was pregnant when I was just a bloated fatty. Part of me wanted to say, “Don’t be sad, I’m not pregnant, I’m just fat.” I was imagining the conversations I would have with other patients in the waiting room who would mistakenly think I was pregnant, and how I would explain my gut to people.

“Let me guess, 7 months?” a thin girl would ask me in the waiting room.

“Oh, I wish! Thank you. It looks like it though huh? I’m super bloated.” I would say.

“Oh I’m sorry…”

“Oh don’t be sorry. It’s these damn fertility drugs. You’re tiny now, just you wait!”

“Really?” her eyes would bug out.

“Oh yeah, I was tiny just like you before I started this.” I’d laugh, knowing I was totally lying and making her believe she was going to gain 50 pounds in two weeks.

My clinic, Seattle Reproductive Medicine (SRM).

Nope, I’m just a plus-sized girl who only gained six pounds in a short amount of time, which is pretty average from what I hear. I’ve heard that a 10-pound weight gain is average. So they called me back and I left Mom out in the waiting room to guard our pile of luggage, since I knew it was a routine blood draw and ultrasound. The doctor saw on the ultrasound I have four mature eggs that would be good for fertilization. We are doing ICSI (Intracytoplasmic Sperm Injection) so hopefully that will increase our odds of success. I’m kind of disappointed I don’t have more eggs, or at least closer to the average of 10 eggs they were expecting. But then again I am diagnosed with a very low AMH level, so I suppose it’s better than nothing. I’m trying to stay positive. I’ve learned that staying positive and being optimistic are different things. You can stay positive despite the bleak outlook. It’s more of a decision you make, whereas I tend to view optimism to be aligned with good outcomes. My odds are very slim of this working, but I’d at least like the chance to look back and say that I tried all I could.

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Day 7 (Round 1 of IVF Stims): Leaving on a Jet Plane

September 5, 2018 By julielikeswords in In Vetro Fertiliztion Tags: documenting IVF journey, Fertility, flying with IVF drugs, flying with IVF medicine, flying with IVF shots, Hoping For Baby, hoping for baby blog, hopingforbaby.com, hopingforbabyblog, Infertility, IVF, IVF day 7, IVF drugs, IVF Fertility Tourism, IVF injections, IVF shots, IVF shots travel, IVF trip, traveling with IVF drugs, traveling with IVF medication, traveling with IVF medicine, traveling with IVF shots, writing IVF journey Leave a comment

Written prior to posted date.

So I have a ticket for the 6am flight out to Seattle. Today is the big day! I’m not sure whether I’ll sleep or not. I’ve been really busy preparing to for my trip. Non-stop on my feet for most of the day. I’ve been cleaning the house, packing my bags, printing the documents I need, while taking out the puppy every time he whines. I finally sat down to relax just now.

“One of the women in the IVF forums I’m on suggested I should take the time to document this process so I can show it to my kid someday. I think that made me even more committed to this process.”

I might take a brief hiatus from writing for the week and do catch-up entries later, that way I can really focus on being in the moment. Plus I start school tomorrow, an online class, so between that and IVF appointments daily I may not have a lot of time to write. I think I will take down quick notes for the day and then elaborate on them when I get some spare time in the day. I’m enjoying documenting this process. One of the women in the IVF forums I’m on suggested I should take the time to document this process so I can show it to my kid someday. I think that made me even more committed to this process. For now I’m using this blog to help other women and vice versa, but it would be really amazing to sit down and show my children what the process was actually like for me.

I didn’t really sleep well last night. Kurtis left early to go fishing, so of course I couldn’t go back to sleep when he left at 4am. I tried really hard to stay awake but I needed a nap. I took another long nap today, three hours. I felt good afterwards but I probably could have slept even more. I packed all my fat clothes, because I am hella bloated. I’m hoping that once they take out my eggs for the retrieval I’ll deflate like a balloon. But that’s probably not what happens. One can dream. I have literally an entire carry-on bag full of medicine. I’m worried if I don’t bring all of it that when I show up they may extend my dates and say, “You brought it all right?”

“If I can get through TSA without having a hormonal cry session that would be nice.”

What is taking up most of the space in my carry-on is the bubble packaging to cushion the medicine. I have four different shots, including one that needs refrigerated. I’m kind of hoping I don’t deal with an idiot at TSA for two reasons; 1) Not being educated about fertility medicine and seriously questioning my bag of medicine, 2) Being called to the side for heavy duty hand inspection over my sore stomach from injections and or over my vag area where I am having little jabs of pain. Please just let me through easily. If I can get through TSA without having a hormonal cry session that would be nice.

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Day 5 (Round 1 of IVF Stims): Poked, Prodded, & Pessimistic

August 23, 2018 By julielikeswords in In Vetro Fertiliztion Tags: Day 5 IVF, egg quality, egg quality tips, Fertility, fertility products, Ganirelix, hoping for a baby, Hoping For Baby, hoping for baby blog, hopingforbaby.com, hopingforbabyblog, Infertility, infertility products, IVF, IVF diet, IVF drugs, IVF ganirelix, IVF healthy, IVF injections, IVF shots, IVF success, IVF success rates, low amh, low amh level, low egg count, low ovarian reserve Leave a comment

The title of my entry “Poked, Prodded, & Pessimistic” is pretty much a play-by-play of my day. I went and had my labs done today at my doctor’s office, then drove to my ultrasound appointment, and then finally got the news that my egg count doesn’t look too good. I only have five eggs and from what I hear the average is ten eggs. But I suppose it’s to be expected with low AMH levels. One of them is so enlarged they think I’m at risk of ovulating early. So she had me start Ganirelix right away to prevent my body from ovulating.

I brought my husband with me to my appointments today because they also needed his blood for the PGS testing through Natera. The Natera package arrived a little to late, so rather than my doctor sending out our blood now and it sitting at the airport over the weekend, she decided to wait until Monday. My nurse at Seattle Reproductive Medicine said they needed it by the weekend, well that’s not going to happen. Packages don’t get delivered and sent quickly from Alaska. I’m hoping it’s not a big deal, but I’m not sure since my nurse is out of the office until Monday. And if you are anything like me you constantly ask your nurse questions almost every other day. She is pretty much my IVF doula.

So from what I understand, you cannot increase the number of eggs in your reserve, because you are born with a set number of eggs. But I read recently that although the number of eggs you are dealing with is out of your control, you can somewhat increase the quality of your eggs. I still need to do more research on this. In a nutshell, it sounds like just being healthier will help. I will write a future article on improving egg quality once I familiarize myself with the information and putting it into practice. I’ve already started the path of trying to be healthier. I eat more salads, choose more vegetarian meal options, and try to avoid overeating.

I would suggest articles for further reading to this blog if I found any that are legitimate. I’ve been reading some pretty dubious tips and I feel proper research needs to be done. A lot of the articles I’m finding are edging on a snake-oil salesman vibe. I just don’t trust the advice I’m reading. Whenever you are researching products that tout improving fertility be very cautious. They might not make any difference and at worst they can decrease your goal of improved fertility. It’s a shame to see women so sold on the idea that this product will help, when in reality the infertility issue is completely unrelated. I’m sure there are legitimate and well-researched means of improving egg quality, but I feel that personally I need to learn more before I share anything on here. I’m going to speak with my doctor about improving my egg quality and write an article after I’ve done more research.

My doctor had me follow a basic treatment plan to watch my weight, take a prenatal, and also take methylated folate. So although this is probably the healthiest I’ve been eating in a while, my scale looks scarier and scarier each time I step on it. I’ve gained five pounds in five days. Yikes! But I heard this is fairly normal when going through the IVF process. “In online forums, women note anywhere from 3 pounds gained to 15 pounds gained prior to embryo transfer” (IVF Authority, 2018). Although I’m a little bloated and my scale hates me right now, I’m more concerned about my low egg count. My doctor told me I have a 30 – 50% chance of having a live birth.

Well despite my bleak outlook, I’ve been reading the phrase “it only takes one good egg” all over the online forums. I’m trying to tell myself that. I’ve also been telling myself I want to continue doing IVF as long as I can afford it and until all my eggs are gone. Sounds a bit dramatic, I know, but I’m pretty serious about that. Being able to afford more IVF is going to be the biggest challenge. But let’s hope that I won’t need more IVF rounds.

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Source:

IVF Authority. “IVF Weight Gain: Understanding the Causes, Symptoms and Weight Loss.” Retrieved on August 23, 2018 from https://www.ivfauthority.com/ivf-weight-gain/

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Top 7 Websites Comparing IVF Clinic Success Rates

#1

CDC’s NASS 2.0 (United States)

#2

FertilityIQ (United States)

#3

SART (United States)

#4

HFEA (United Kingdom)

#5

CARTR (Canada)

#6

EIM & ESHRE (Europe)

#7

GCR (Worldwide)

Today’s Question: What are some of your go-to websites to learn about infertility solutions?

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“One of the women in the IVF forums I’m on suggested I should take the time to document this process so I can show it to my kid someday. I think that made me even more committed to this process.”

“If I can get through TSA without having a hormonal cry session that would be nice.”

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