Understanding IVF Processes in Surrogacy

Size: px
Start display at page:

Download "Understanding IVF Processes in Surrogacy"

Transcription

1 Melvin H. Thornton II MD Medical Director CT Fertility Understanding IVF Processes in Surrogacy The Basics

2 Surrogacy involves multiple parties IVF CLINIC Egg donors screening and matching* Medical process of donor and surrogate In Vitro Fertilization Embryo transfer Embryo preservation Monitoring of pregnancy until week 13

3 Screening Autologous (Own Eggs) Egg Donor Anonymous Directed or Known Male Partner Surrogate

4 Autologous (own eggs) Screening FDA Checklist for intended Autologous Medical FDA Requirements Physical Examination Infectious disease risk factor questionnaire FDA Bloodwork within 30 days of egg retrieval Full Review of past records including FERTILITY TESTING Examinations and Consultations Consultation with CT Fertility Physician Physical Examination FDA Screening Questionnaire Genetic screening testing Baseline Ultrasound (cycle day 3) Bloodwork required by the FDA HIV-1 / HIV-2-NAT Hep B Surface Ag Hep B Core Ab Hepatitis C Antibody-NAT Syphilis IgG GC / Chlamydia-NAT West Nile Virus

5 EGG Donation Anonymous Meet in Person Video Conference Non Anonymous (known/directed donor) Require Legal Contracts

6 EGG Donor Screening Medical FDA Requirements Personal, Medical and Family History Physical Examination Infectious disease risk factor questionnaire FDA Bloodwork within 30 days of egg retrieval Full Review of past records including Prior Donations FDA Checklist for intended Egg Donors Examinations and Consultations Consultation with CT Fertility Physician Physical Examination FDA Screening Questionnaire Psychological counseling / MMPI Genetic Counseling and Testing Baseline Ultrasound (cycle day 3) Bloodwork required by the FDA HIV-1 / HIV-2-NAT Hep B Surface Ag Hep B Core Ab Hepatitis C Antibody-NAT Syphilis IgG GC / Chlamydia-NAT West Nile Virus

7 EGG Donor Initial Screening Application Full profile includes: Personal Essay Questions Motivation for donation Likes & Interests Physical characteristics Health and obstetrical history Family health history Childhood and adult photographs

8 EGG Donor Commonly Used Criteria AGE: y.o. BMI Non-smokers Adequate Psychological Evaluation Healthy Medical and Family History Normal Hormone & Ovarian Evaluation Negative drug screening Negative Infectious Diseases screening Negative Genetic Screening (with some exceptions) Cystic Fibrosis, SMA, Fragile X and ethnically

9 Egg Reserve Testing Baseline hormone levels Day 3 FSH AMH Baseline Ultrasound Antral follicle count

10 Egg Reserve Testing-AMH Best assessment of egg reserve Determines how well a person will respond to fertility medication

11 Egg Reserve Testing Antral Follicle Count Baseline Ultrasound Antral follicle count

12 Medical screening of SURROGATES Medical evaluation of a potential surrogate includes: Current medical and health status (age, BMI, smoking, etc.) General, reproductive and laboratory evaluation Review of all prior pregnancy outcomes

13 Male Testing FDA Checklist Sperm-7 days Initial semen analysis Physical Examination FDA Screening Questionnaire Genetic Counseling and Testing Sperm Freeze Bloodwork required by the FDA HIV-1 / HIV-2-NAT Hep B Surface Ag Hep B Core Ab Hepatitis C Antibody-NAT Syphilis IgG HTLV I and II CMV titers GC / Chlamydia-NAT

14 In Vitro Fertilization (IVF) Process Ovarian Stimulation: Local Fertility Center/U.S. U.S.

15 In Vitro Fertilization (IVF) Process

16 Sperm Prep

17

18 Intracytoplasmic Sperm Injection (ICSI) Sperm Issues Low Sperm Count Low Motility Abnormal Morphology Previous Failed or poor fertilization Frozen eggs Pre-implantation genetic screening

19 ICSI in the U.S. Fertilization Rates 85-90% with ICSI compared to 50-60% with routine inseminations Many U.S. use ICSI for all IVF cases to improve overall outcomes

20 Split Sperm Source

21 24 hours post insemination

22 Embryo Development

23 Blastocyst Day 5 or Day 6 Embryos

24 Blastocyst Day 5 or Day 6 Embryos: Grading

25 Preimplantation Genetic Screening (PGS) Incidence of genetically abnormal eggs increases with age 25% in Women < 30 y.o. 50% in Women y.o. 75% in Women >40 y.o. Leads to Chromosomally abnormal embryos Decreased implantation rate Increased miscarriage rate

26 Preimplantation Genetic Screening (PGS)

27

28 Preimplantation Genetic Screening (PGS) Best Embryo selected for transfer Reduce the likelihood of miscarriage Decrease the risk of abnormal pregnancy Reduce the amount of time and additional costs inferred with multiple IVF cycles Increase the likelihood of pregnancy with single embryo transfers (eset) Allows for family balancing if desires

29 PGS and Mitochondrial testing Above the threshold fewer euploid blastocysts implant. 30% of non-implanting euploid blastocysts had high levels of mtdna There was no association with blastocyst morphology mtdna quantification represents a new independent biomarker of embryo viability

30 In Vitro Fertilization (IVF) Process

31 Embryo Transfer Embryo Transfer

32 Autologous IVF Success Rates Success rate depends upon age of the age and not the age of surrogate

33 Donor Egg Success Rates

34 Single vs Dual Embryo Transfers 33% SART 2014 National Summary Report

35 Single vs Dual Embryo Transfers Multiple Gestation Risk Mother Hypertension Gestational Diabetes Bleeding issues in pregnancy Pregnancy Increased risk of miscarriage Premature labor and delivery Long-term complications-lungs, Gastrointestinal and Cerebral Palsy

36 Single vs Dual Embryo Transfers 1.1% 7.9% 4.9% 18.5% SART 2014 National Summary Report

37 Single vs Dual Embryo Transfers Primary goal of Elective Single Embryo Transfer (SET) Reduce the risk of multiple gestation Risk of twins with SET 1-2%

38 Fresh vs. Frozen Embryos Studies From around the world show that Frozen Embryo Transfers compared to Fresh transfers Increased Implantation rates Increased ongoing pregnancy rates Increased Live Birth Rates Decreased Miscarriage rates Lower risk of Pre-term Labor Healthier Babies

39 ZIKA Virus

How to Select an Egg Donor

How to Select an Egg Donor How to Select an Egg Donor How to Select an Egg Donor Egg donation entails the fertilization of eggs of a young woman and transfer of the resulting embryo or embryos into the intended mother uterus. In

More information

Fertility 101. About SCRC. A Primary Care Approach to Diagnosing and Treating Infertility. Definition of Infertility. Dr.

Fertility 101. About SCRC. A Primary Care Approach to Diagnosing and Treating Infertility. Definition of Infertility. Dr. Dr. Shahin Ghadir A Primary Care Approach to Diagnosing and Treating Infertility St. Charles Bend Grand Rounds November 30, 2018 I have no conflicts of interest to disclose. + About SCRC State-of-the-art

More information

Patient Price List. t: e: w:

Patient Price List. t: e: w: Patient Price List t: 0333 015 9774 e: enquires@ivi.uk w: www.ivi.uk fertility treatments Pre Treatment Medical Consultation 250 Nurse Planning 200 Baseline ultrasound scan of uterus and ovaries included

More information

WHAT IS A PATIENT CARE ADVOCATE?

WHAT IS A PATIENT CARE ADVOCATE? WHAT IS A PATIENT CARE ADVOCATE? Fertility treatments can be overwhelming. As a member, you have unlimited access to a dedicated Patient Care Advocate (PCA), who acts as your expert resource for discussing

More information

POGO SURVIVORS CONFERENCE

POGO SURVIVORS CONFERENCE POGO SURVIVORS CONFERENCE Dr. Karen Glass MD, FRCS(C), FACOG Director Fertility Preservation Program, CReATe Fertility Centre Assistant Professor, University of Toronto I HAVE NO CONFLICT OF INTEREST.

More information

NICE fertility guidelines. Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic

NICE fertility guidelines. Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic NICE fertility guidelines Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic About the LWC 4 centres around the UK London Cardiff Swansea Darlington The largest sperm bank in

More information

Real lives. Real people. Real successes. Price List. Fertility treatment, gynaecology, male and female health care. Consultations.

Real lives. Real people. Real successes. Price List. Fertility treatment, gynaecology, male and female health care. Consultations. Real lives. Real people. Real successes. Price List March 2018 Fertility treatment, gynaecology, male and female health care At the Agora we specialise in diagnosing and treating the causes of infertility

More information

Fertility Policy. December Introduction

Fertility Policy. December Introduction Fertility Policy December 2015 Introduction Camden Clinical Commissioning Group (CCG) is responsible for commissioning a range of health services including hospital, mental health and community services

More information

Do it Once, Do it Right

Do it Once, Do it Right Do it Once, Do it Right Craig Reisser Andrea Speck-Zulak Families Through Surrogacy 2016 Founded in 1989 - more than 25 years building families patients from 40 countries One of the largest IVF clinics

More information

FEE SCHEDULE (Effective 1 September 2018)

FEE SCHEDULE (Effective 1 September 2018) Fee Schedule for In Vitro Fertilisation and Intracytoplasmic Sperm Injection (IVF / ICSI Treatment): Please note that charges for abandoned cycles apply see page 10 Fee Paying HFEA Fees 80 IVF (In Vitro

More information

IN VITRO FERTILISATION (IVF)

IN VITRO FERTILISATION (IVF) IN VITRO FERTILISATION (IVF) Pre Treatment - first cycle 785 Medical Consultation 225 Nurse Planning 235 Baseline ultrasound scan of uterus and ovaries HIV, Hep B antibodies, Hep B antigen, Hep C blood

More information

Real lives. Real people. Real successes. Price List. Fertility treatment, gynaecology, male and female health care. Consultations.

Real lives. Real people. Real successes. Price List. Fertility treatment, gynaecology, male and female health care. Consultations. Real lives. Real people. Real successes. Price List February 2018 Fertility treatment, gynaecology, male and female health care At the Agora we specialise in diagnosing and treating the causes of infertility

More information

Adoption and Foster Care

Adoption and Foster Care GLOSSARY Family building via Adoption and Foster Care October 2018 www.familyequality.org/resources A Anonymous Donor: A person who donated sperm or eggs with the intention of never meeting resulting children.

More information

Approved January Waltham Forest CCG Fertility policy

Approved January Waltham Forest CCG Fertility policy Approved January 2015 Waltham Forest CCG Fertility policy Contents 1 Introduction 1 2 Individual Funding Requests 1 2.1 Eligibility criteria 1 2.2 Number of cycles funded 2 2.3 Treatment Pathway 3 Page

More information

Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018)

Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018) Islington CCG Fertility Policy First approved: 29 January 2015 Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018) Introduction Islington CCG

More information

Hepatitis C: what do you need to know if trying to conceive

Hepatitis C: what do you need to know if trying to conceive Hepatitis C: what do you need to know if trying to conceive Hepatitis C: what do you need to know if trying to conceive Hepatitis C Infection Hepatitis C Virus (HCV) infects 3% of the world s population.

More information

Information for Recipient of Donor Oocytes

Information for Recipient of Donor Oocytes Introduction Thank you for expressing an interest as an oocyte recipient in our oocyte donation program at the Family Fertility Center. Our successful program was established since 1994 and is directed

More information

Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017.

Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017. Fertility Policy 10 July 2017 Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017. Introduction BHR CCGs are responsible

More information

Assisted Reproduction. By Dr. Afraa Mahjoob Al-Naddawi

Assisted Reproduction. By Dr. Afraa Mahjoob Al-Naddawi Assisted Reproduction By Dr. Afraa Mahjoob Al-Naddawi Learning Objectives: By the end of this lecture, you will be able to: 1) Define assisted reproductive techniques (ART). 2) List indications for various

More information

Clinical Policy Committee

Clinical Policy Committee Clinical Policy Committee Commissioning policy: Assisted Conception Fertility assessment and investigations are commissioned where: A woman is of reproductive age and has not conceived after one (1) year

More information

Dr Guy Gudex. Gynaecologist and Fertility Specialist Repromed. 9:05-9:30 Advances in Assisted Reproduction What s New?

Dr Guy Gudex. Gynaecologist and Fertility Specialist Repromed. 9:05-9:30 Advances in Assisted Reproduction What s New? Dr Guy Gudex Gynaecologist and Fertility Specialist Repromed 9:05-9:30 Advances in Assisted Reproduction What s New? Rotorua GP CME June 2016 Advances in Assisted Reproduction-What s new? Dr Guy Gudex

More information

Clinical Policy Committee

Clinical Policy Committee Northern, Eastern and Western Devon Clinical Commissioning Group South Devon and Torbay Clinical Commissioning Group Clinical Policy Committee Commissioning policy: Assisted Conception Fertility treatments

More information

IVF prices. Self funding. IVF, ICSI, IUI and cycle monitoring price list. Valid 1 April March 2018

IVF prices. Self funding. IVF, ICSI, IUI and cycle monitoring price list. Valid 1 April March 2018 IVF prices Self funding IVF, ICSI, IUI and cycle monitoring price list Valid 1 April 2017 31 March 2018 This price list provides information about our treatments, investigations and package prices. Please

More information

Pre-Treatment (For all treatment types) Initial Consultation 120 Planning Consultation 150 Follow Up Consultation 75

Pre-Treatment (For all treatment types) Initial Consultation 120 Planning Consultation 150 Follow Up Consultation 75 Treatment Fees Pre-Treatment (For all treatment types) Initial Consultation 120 Planning Consultation Follow Up Consultation 75 HFEA Fee (For all treatment types) Fee per cycle of treatment (DI) 37.50

More information

WOMEN & INFANTS HOSPITAL Providence, RI CONSENT FOR IN VITRO FERTILIZATION USING A GESTATIONAL CARRIER (PATIENT/INTENDED PARENTS) 1.

WOMEN & INFANTS HOSPITAL Providence, RI CONSENT FOR IN VITRO FERTILIZATION USING A GESTATIONAL CARRIER (PATIENT/INTENDED PARENTS) 1. *40675* 40675 MR-838 (9-2017) WOMEN & INFANTS HOSPITAL Providence, RI 02905 CONSENT FOR IN VITRO FERTILIZATION USING A GESTATIONAL CARRIER (PATIENT/INTENDED PARENTS) 1. I, and (Print Patient s name) (Print

More information

Price List. Valid from 1 st April 2017

Price List. Valid from 1 st April 2017 Price List Valid from 1 st April 2017 Consultations & Assessments Consultations & Tests Medical Consultation 200 Nurse Planning Consultation (includes ultrasound scan) 230 Consultation with Counsellor

More information

Consultations and Assessment Fertility Specialist consultation 180 Ultrasound scan of uterus and ovaries 100 AMH measurement 80 Semen analysis 100

Consultations and Assessment Fertility Specialist consultation 180 Ultrasound scan of uterus and ovaries 100 AMH measurement 80 Semen analysis 100 We hope this price list will help you assess the cost of your consultations, investigations and treatment. It provides information about what is included in the cost and how we make a refund if your treatment

More information

PROCEDURES LAPAROSCOPY

PROCEDURES LAPAROSCOPY PROCEDURES - Further infertility work-up if indicated (ultrasound examination / semen decontamination etc.) - Office Hysteroscopy where indicated - Laparoscopic and /or hysteroscopic surgery where indicated

More information

Hold On To Your Dreams. Understanding IVF Process In Surrogacy The Basics

Hold On To Your Dreams. Understanding IVF Process In Surrogacy The Basics Hold On To Your Dreams Understanding IVF Process In Surrogacy The Basics Dr. Said Daneshmand Dr. Sandy Chuan Established in 1989 InternaBonal leader in ferblity treatment and care. ExcepBonal IVF success

More information

In this document, you will find information about donor screening and selection and all forms needed to reserve and purchase your eggs.

In this document, you will find information about donor screening and selection and all forms needed to reserve and purchase your eggs. Thank you for choosing Tennessee Reproductive Medicine (TRM) as your donor egg source, it is a privilege to help you with one of the most important decisions of your life. TRM offers the purchase of frozen

More information

Donor Egg Recipient In-Vitro Fertilization Handbook

Donor Egg Recipient In-Vitro Fertilization Handbook Donor Egg Recipient In-Vitro Fertilization Handbook Introduction Potential egg recipients are women who have premature ovarian failure, women who are carriers of a genetic disease and women who have had

More information

Fertility assessment and assisted conception

Fertility assessment and assisted conception Fertility assessment and assisted conception Dr Geetha Venkat MD FRCOG Director Pulse Learning Women s health 14 September 2016 Disclosure statement Dr Venkat is a director of Harley Street Fertility Clinic.

More information

Possibilities Plan. Access to the care you need.

Possibilities Plan. Access to the care you need. Possibilities Plan If you do not have insurance or have insurance but lack coverage for infertility services and are concerned about the cost of infertility services, The Center for Advanced Reproductive

More information

Erez Baron Families Through Surrogacy October 2017

Erez Baron Families Through Surrogacy October 2017 IVF Choices: A Patient s Perspective Erez Baron Families Through Surrogacy October 2017 2014 My family through surrogacy Meet Roy, and our twin girls - Daphna and Danielle Born in Portland, in 2015 2016

More information

Brighton & Hove CCG PLS CONFERENCE Dr Carole Gilling-Smith Medical Director

Brighton & Hove CCG PLS CONFERENCE Dr Carole Gilling-Smith Medical Director Brighton & Hove CCG PLS CONFERENCE 2016 Dr Carole Gilling-Smith Medical Director FERTILITY CHALLENGES IN THE NHS A TERTIARY CARE PERSPECTIVE LEARNING OBJECTIVES Understand the pathways through assisted

More information

Treatment Plan Page1 TREATMENT PLAN TREATMENT PLAN TYPE TREATMENT PLANNED. New Update Management Review Committee

Treatment Plan Page1 TREATMENT PLAN TREATMENT PLAN TYPE TREATMENT PLANNED. New Update Management Review Committee Treatment Plan Page1 TREATMENT PLAN TREATMENT PLAN TYPE New Update Management Review Committee TREATMENT PLANNED Diagnostic Cycle Natural Cycle CCT Ovulation Induction CC Gonadotropins Letrozole Metformin

More information

Infertility History Form

Infertility History Form Date form completed: Infertility History Form Patient s name: _ Age: Date of Birth: Occupation: Partner s name: Age: Date of Birth: Occupation: Prior marriage: Yes No # Prior marriage: Yes No # Attempted

More information

T39: Fertility Policy Checklist

T39: Fertility Policy Checklist Patient Name: Address: Date of Birth: NHS Number: Consultant/Service to whom referral will be made: Institution Lifestyle Information Latest BMI: Latest BP: Smoking Status: Has the patient been referred

More information

INDICATIONS OF IVF/ICSI

INDICATIONS OF IVF/ICSI PROCESS OF IVF/ICSI INDICATIONS OF IVF/ICSI IVF is most clearly indicated when infertility results from one or more causes having no other effective treatment; Tubal disease. In women with blocked fallopian

More information

NEW PATIENT DATA SHEET Please complete as best you can. It is not necessary to have all information before speaking with a doctor. PATIENT INFORMATION

NEW PATIENT DATA SHEET Please complete as best you can. It is not necessary to have all information before speaking with a doctor. PATIENT INFORMATION NEW PATIENT DATA SHEET Please complete as best you can. It is not necessary to have all information before speaking with a doctor. PATIENT INFORMATION PATIENT NAME DOB AGE PARTNER NAME DOB AGE STREET CITY

More information

Fertility treatment and referral criteria for tertiary level assisted conception

Fertility treatment and referral criteria for tertiary level assisted conception Fertility treatment and referral criteria for tertiary level assisted conception Version Number 2.0 Ratified by HVCCG Exec Team Date Ratified 9 th November 2017 Name of Originator/Author Dr Raj Nagaraj

More information

Newlife Fertility Price List

Newlife Fertility Price List Newlife Fertility Price List Our objective at the Newlife Fertility clinic is to instill a deep sense of quality and personal touch to the level of care experienced by every patient. We ensure that treatment

More information

Fertility What do GP s need to know? Richard Fisher Fertility Associates

Fertility What do GP s need to know? Richard Fisher Fertility Associates Fertility 2010 What do GP s need to know? Richard Fisher Fertility Associates New Zealand Source: Max Planck Institute Average age of mother at first birth in New Zealand 35 30 25 20 15 10 5 0 Median Mean

More information

POGO SURVIVORS CONFERENCE

POGO SURVIVORS CONFERENCE POGO SURVIVORS CONFERENCE Dr. Karen Glass MD, FRCS(C), FACOG Director Fertility Preservation Program, CReATe Fertility Centre Assistant Professor, University of Toronto I HAVE NO CONFLICT OF INTEREST.

More information

St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16

St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16 St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16 1 Standard Operating Procedure St Helens CCG NHS Funded Treatment for Sub Fertility Policy Version 1 Implementation Date May 2015 Review

More information

Policy statement. Commissioning of Fertility treatments

Policy statement. Commissioning of Fertility treatments Policy statement Commissioning of Fertility treatments NB: The policy relating to commissioning of fertility treatments is unchanged from the version approved by the CCG in March 2017. The clinical thresholds

More information

Embryo Selection after IVF

Embryo Selection after IVF Embryo Selection after IVF Embryo Selection after IVF Many of human embryos produced after in vitro fertilization carry abnormal chromosomes. Placing a chromosomally normal embryo (s) into a normal uterus

More information

Haringey CCG Fertility Policy April 2014

Haringey CCG Fertility Policy April 2014 Haringey CCG Fertility Policy April 2014 1 SUMMARY This policy describes the clinical pathways and entry criteria for Haringey patients wishing to access NHS funded fertility treatment. 2 RESPONSIBLE PERSON:

More information

European IVF Monitoring (EIM) Year: 2013

European IVF Monitoring (EIM) Year: 2013 European IVF Monitoring (EIM) Year: 2013 Name of the country Poland Name and full address of the contact person. Anna Janicka, PhD Polish Society of Reproductive Medicine and Embryology Fertility and Sterility

More information

Newlife Fertility Price List

Newlife Fertility Price List Newlife Fertility Price List Our objective at the Newlife Fertility clinic is to instill a deep sense of quality and personal touch to the level of care experienced by every patient. We ensure that treatment

More information

East and North Hertfordshire CCG. Fertility treatment and referral criteria for tertiary level assisted conception

East and North Hertfordshire CCG. Fertility treatment and referral criteria for tertiary level assisted conception East and North Hertfordshire CCG Fertility treatment and referral criteria for tertiary level assisted conception December 2015 1 1. Introduction This policy sets out the entitlement and service that will

More information

Blackpool CCG. Policies for the Commissioning of Healthcare. Assisted Conception

Blackpool CCG. Policies for the Commissioning of Healthcare. Assisted Conception 1 Introduction Blackpool CCG Policies for the Commissioning of Healthcare Assisted Conception 1.1 This policy describes circumstances in which NHS Blackpool Clinical Commissioning Group (CCG) will fund

More information

Dr Guy Gudex. Director Repromed. 17:00-17:30 Recent Advances in Fertility Management

Dr Guy Gudex. Director Repromed. 17:00-17:30 Recent Advances in Fertility Management Dr Guy Gudex Director Repromed 17:00-17:30 Recent Advances in Fertility Management Recent Advances in Fertility Management Practice Nurses Programme NZMA GP CME June 2018 Dr Guy Gudex ART in NZ -2014 ACART

More information

Reproductive Technology, Genetic Testing, and Gene Therapy

Reproductive Technology, Genetic Testing, and Gene Therapy Michael Cummings Chapter 16 Reproductive Technology, Genetic Testing, and Gene Therapy David Reisman University of South Carolina 16.1 Infertility Is a Common Problem In the US, about 13% of all couples

More information

NHS FUNDED TREATMENT FOR SUBFERTILITY. ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs

NHS FUNDED TREATMENT FOR SUBFERTILITY. ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs CONTENTS Page 1. INTRODUCTION 2 2. GENERAL PRINCIPLES 2 3. DEFINITION OF SUBFERTILITY AND TIMING OF ACCESS TO

More information

CLINICAL RESULTS 2017.

CLINICAL RESULTS 2017. CLINICAL RESULTS 2017. VERIFICATION REPORT RESULTS OF ASSISTED REPRODUCTION TREATMENTS PERFORMED AT IVI GROUP IN 2017. In Vitro Fertilisation (IVF-ICSI) Egg donation (OVODON) Pre-Implantation Genetic Diagnosis

More information

Sperm Donation - Information for Donors

Sperm Donation - Information for Donors Sperm Donation - Information for Donors The donation of sperm to help someone to have a child is one of the most generous gifts anyone can give. Many donors feel a sense of pride, knowing the joy they

More information

IVF AND PREIMPLANTATION GENETIC TESTING FOR ANEUPLOIDY (PGT-A) WHAT THE COMMUNITY PHYSICIAN NEEDS TO KNOW

IVF AND PREIMPLANTATION GENETIC TESTING FOR ANEUPLOIDY (PGT-A) WHAT THE COMMUNITY PHYSICIAN NEEDS TO KNOW IVF AND PREIMPLANTATION GENETIC TESTING FOR ANEUPLOIDY (PGT-A) WHAT THE COMMUNITY PHYSICIAN NEEDS TO KNOW Jon Havelock, MD, FRCSC, FACOG Co-Director - PCRM Disclosure No conflict of interest in relation

More information

Age Related Fertility Preservation: Should you Consider Multiple Egg Freezing Cycles?

Age Related Fertility Preservation: Should you Consider Multiple Egg Freezing Cycles? Age Related Fertility Preservation: Should you Consider Multiple Egg Freezing Cycles? Age Related fertility Preservation: Should you Consider Multiple Egg Freezing Cycles? All what we really know for sure

More information

Biology of fertility control. Higher Human Biology

Biology of fertility control. Higher Human Biology Biology of fertility control Higher Human Biology Learning Intention Compare fertile periods in females and males What is infertility? Infertility is the inability of a sexually active, non-contracepting

More information

Information For Egg Recipients

Information For Egg Recipients Egg Recipients Royal Devon and Exeter NHS Foundation Trust Information For Egg Recipients What is egg donation? Egg donation is a type of in-vitro fertilisation (IVF) treatment in which eggs are collected

More information

Newlife Fertility Price List

Newlife Fertility Price List Newlife Fertility Price List Our objective at the Newlife Fertility clinic is to instill a deep sense of quality and personal touch to the level of care experienced by every patient. We ensure that treatment

More information

ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE

ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE Version 1.0 Page 1 of 11 MARCH 2014 POLICY DOCUMENT VERSION CONTROL CERTIFICATE TITLE Title: Assisted Conception

More information

Fertility Services Commissioning Policy

Fertility Services Commissioning Policy Fertility Services Commissioning Policy NEE CCG Policy Reference: NEE/CCG/2015/057 Where patients have commenced treatment in any cycle prior to this version becoming effective, they are subject to the

More information

Fertility treatment and referral criteria for tertiary level assisted conception

Fertility treatment and referral criteria for tertiary level assisted conception Fertility treatment and referral criteria for tertiary level assisted conception Version Number Name of Originator/Author Cross Reference V2 East of England Consortium Commissioning Policy for Fertility

More information

WOMEN & INFANTS HOSPITAL Providence, RI CONSENT FOR IVF WITH EMBRYO TRANSFER

WOMEN & INFANTS HOSPITAL Providence, RI CONSENT FOR IVF WITH EMBRYO TRANSFER *40639* 40639 WOMEN & INFANTS HOSPITAL Providence, RI 02905 CONSENT FOR IVF WITH EMBRYO TRANSFER I have requested treatment by the physicians and (Print Patient s name) staff of the Women & Infants Fertility

More information

CLINICAL RESULTS 2016

CLINICAL RESULTS 2016 CLINICAL RESULTS 2016 RESULTS OF ASSISTED REPRODUCTIVE TREATMENTS CARRIED OUT ATTHEIVIGROUPDURING2016 In Vitro Fertilisation (IVF-ICSI) Ovum Donation (OVODON) Frozen Embryo Transfer PreimplantationGeneticDiagnosis

More information

Fertility Services Commissioning Policy (Level 3)

Fertility Services Commissioning Policy (Level 3) Fertility Services Commissioning Policy (Level 3) Author: Karin Bryant (Norwich CCG) has coordinated the refresh of policy Version No: V54 Policy Effective from: TBC Review Date: TBC This policy replaces

More information

WOMEN & INFANTS HOSPITAL Providence, RI CONSENT FOR THAWING AND TRANSFER OF CRYOPRESERVED EMBRYOS. I and

WOMEN & INFANTS HOSPITAL Providence, RI CONSENT FOR THAWING AND TRANSFER OF CRYOPRESERVED EMBRYOS. I and *40668* 40668 WOMEN & INFANTS HOSPITAL Providence, RI 02905 CONSENT FOR THAWING AND TRANSFER OF CRYOPRESERVED EMBRYOS FOR inpatients: affix patient label OR I and (Print Patient s name) (Print Partner

More information

HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY. CONTENTS Page

HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY. CONTENTS Page HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY CONTENTS Page 1. INTRODUCTION 2 2. GENERAL PRINCIPLES 2 3. DEFINITION OF SUBFERTILITY AND TIMING OF ACCESS TO TREATMENT 3 4. DEFINITION

More information

Hold On To Your Dreams

Hold On To Your Dreams Hold On To Your Dreams Dr. Michael Kettel Dr. Sandy Chuan 1. THE BASICS OF IVF & EMBRYO DEVELOPMENT 2. IVF ADD-ONS - MYTH VS. SCIENCE IN VITRO FERTILIZATION 1. Ovarian Stimulation 2. Egg Retrieval 3. Create

More information

College of Physicians and Surgeons of Saskatchewan STANDARDS. Assisted Reproductive Technology PREAMBLE

College of Physicians and Surgeons of Saskatchewan STANDARDS. Assisted Reproductive Technology PREAMBLE College of Physicians and Surgeons of Saskatchewan STANDARDS Assisted Reproductive Technology STATUS: UNDER REVIEW Approved by Council: September 2012 Amended: November 2015 To be reviewed: November 2020

More information

Dr Manuela Toledo - Procedures in ART -

Dr Manuela Toledo - Procedures in ART - Dr Manuela Toledo - Procedures in ART - Fertility Specialist MBBS FRANZCOG MMed CREI Specialities: IVF & infertility Fertility preservation Consulting Locations East Melbourne Planning a pregnancy - Folic

More information

Welcome. Fertility treatment can be complicated. What s included. Your fertility treatment journey begins here. Fertility treatment basics 2

Welcome. Fertility treatment can be complicated. What s included. Your fertility treatment journey begins here. Fertility treatment basics 2 Welcome Your fertility treatment journey begins here Fertility treatment can be complicated Managing expectations, keeping track of medications and appointments, remembering all the information your physician

More information

Section III Consent Forms

Section III Consent Forms Section III Consent Forms Please read the consents prior to your IVF consultation appointment. Most people have questions regarding the consent forms. Your questions will be addressed during the appointment.

More information

Financial Information for Patients Valid from 1 September Fertility Assessment and Consultations

Financial Information for Patients Valid from 1 September Fertility Assessment and Consultations Financial Information for Patients Valid from 1 September 2017 This fee schedule is designed to give you information regarding the costs involved for fertility treatment at Cambridge IVF. If any aspect

More information

Fertility treatment in trends and figures

Fertility treatment in trends and figures Fertility treatment in 2010 trends and figures Contents Page No: Foreword by the Chair of the HFEA 3 Summary 4 Section 1: Overview How many fertility clinics were there in the UK in 2010? 6 How many women

More information

Understanding eggs, sperm and embryos. Marta Jansa Perez Wolfson Fertility Centre

Understanding eggs, sperm and embryos. Marta Jansa Perez Wolfson Fertility Centre Understanding eggs, sperm and embryos Marta Jansa Perez Wolfson Fertility Centre What does embryology involve? Aims of the embryology laboratory Creation of a large number of embryos and supporting their

More information

Yes infertility policy pdf

Yes   infertility policy pdf 1. We would like to understand some of the specifics of your current Treatment Policy Once all tabs are complete, please return to: intern@progress.org.uk Question a. Is the CCGs assisted conception policy,

More information

Unlimited IVF 100% refund if you don t have a baby

Unlimited IVF 100% refund if you don t have a baby Unlimited IVF 100% refund if you don t have a baby In partnership with Take the uncertainty out of IVF Undergoing IVF treatment can be a stressful time, both personally and financially. Access Fertility

More information

Top 10 questions in fertility

Top 10 questions in fertility Top 10 questions in fertility Mr Rehan Salim MD MRCOG Head of Reproductive Medicine Consultant Gynaecologist & Subspecialist in Reproductive Medicine Imperial College NHS Trust Learning objectives Patient

More information

Fertility Services Commissioning Policy

Fertility Services Commissioning Policy Fertility Services Commissioning Policy NEE CCG Policy Reference: Where patients have commenced treatment in any cycle prior to this version becoming effective, they are subject to the eligibility criteria

More information

PRICE LIST OF THE CLINIC OF REPRODUCTIVE MEDICINE AND GYNAECOLOGY IN ZLIN This price list is valid from

PRICE LIST OF THE CLINIC OF REPRODUCTIVE MEDICINE AND GYNAECOLOGY IN ZLIN This price list is valid from PRICE LIST OF THE CLINIC OF REPRODUCTIVE MEDICINE AND GYNAECOLOGY IN ZLIN This price list is valid from 25. 10. 2016 All costs for treatment do not include the cost of medication. The full payment for

More information

IVF & SURROGACY STANDARD OPTION PRICING LIV FERTILITY CENTER, PUERTO VALLARATA, MEXICO AUTUMN 2015

IVF & SURROGACY STANDARD OPTION PRICING LIV FERTILITY CENTER, PUERTO VALLARATA, MEXICO AUTUMN 2015 IVF & SURROGACY STANDARD OPTION PRICING LIV FERTILITY CENTER, PUERTO VALLARATA, MEXICO AUTUMN 2015 SURROGACY WITH 3 RD PARTY EGG DONOR Standard Fees & Payment Schedule Agency Fee: $4,500 USD a Consultancy

More information

IVF MONEY-BACK PLAN. More information about payment options? IN PARTNERSHIP WITH. Call Access Fertility or visit their website

IVF MONEY-BACK PLAN. More information about payment options? IN PARTNERSHIP WITH. Call Access Fertility or visit their website IVF MONEY-BACK PLAN More information about payment options? Call Access Fertility or visit their website IN PARTNERSHIP WITH Programmes Refund Programme Up to 3 fresh cycles of IVF/ICSI and all frozen

More information

Governing Body Meeting

Governing Body Meeting Agenda Item No: 13 Date of Meeting: 26 th November 2015 Governing Body Meeting Paper Title: East and North Hertfordshire CCG (ENHCCG) Policy on Fertility treatment and referral criteria for specialist

More information

GYNEM PRICELIST 2018

GYNEM PRICELIST 2018 EGG DONATION 5 300 EUR - One donor to one recipient - 6 oocytes minimum guarantee (average 8-12 oocytes) - Initial consultation, compulsory pre-treatment tests - Standard stimulation medications for the

More information

Charges Information. Transparent charges with no hidden costs

Charges Information. Transparent charges with no hidden costs Charges Information Transparent charges with no hidden costs Bristol Centre for Reproductive Medicine (BCRM) Southmead Hospital, Bristol, BS10 5NB t: 0117 4146888 f: 0117 4146899 w: www.info@bcrm.org.uk

More information

Cycle Plan Page1 CYCLE PLAN TYPE CYCLE TYPE: Initial Plan Updated Plan Management Team Review Monitoring Review

Cycle Plan Page1 CYCLE PLAN TYPE CYCLE TYPE: Initial Plan Updated Plan Management Team Review Monitoring Review Cycle Plan Page1 CYCLE PLAN TYPE Initial Plan Updated Plan Management Team Review Monitoring Review CYCLE TYPE: Undecided - diagnostic testing only Natural Cycle Coitus with IUI Ovulation Induction CC

More information

Female Consultation Questionnaire

Female Consultation Questionnaire Female Consultation Questionnaire In order to schedule a consultation with the doctor, an overview of your medical history along with a copy of your medical records are requested. Dr. Zouves will review

More information

How effective is egg freezing as a preventative treatment for young women in securing their ability to reproduce later in life?

How effective is egg freezing as a preventative treatment for young women in securing their ability to reproduce later in life? How effective is egg freezing as a preventative treatment for young women in securing their ability to reproduce later in life? Vitaly A. Kushnir MD Center for Human Reproduction New York City Milestones

More information

Produce Eggs. Fertility Preservation for Trans People who. LGBTQ Reproductive Options

Produce Eggs. Fertility Preservation for Trans People who. LGBTQ Reproductive Options for Trans People who Produce Eggs LGBTQ Reproductive Options Many trans people are interested in being parents and want to know their options. While many trans people may conceive on their own, this info

More information

Infertility. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: What causes infertility in men? A: Infertility in men is most often caused by:

Infertility. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: What causes infertility in men? A: Infertility in men is most often caused by: Infertility Q: What is infertility? A: Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or older. Women who can get pregnant but are unable to

More information

Testosterone Therapy-Male Infertility

Testosterone Therapy-Male Infertility Testosterone Therapy-Male Infertility Testosterone Therapy-Male Infertility Many men are prescribed testosterone for a variety of reasons. Low testosterone levels (Low T) with no symptoms, general symptoms

More information

European IVF Monitoring (EIM) Year: 2012

European IVF Monitoring (EIM) Year: 2012 European IVF Monitoring (EIM) Year: 2012 Name of the country Poland Name and full address of the contact person. Professor Rafal Kurzawa, MD PhD Wojska Polskiego 103 Street 70-483 Szczecin Poland Telephone

More information

Third-Party Reproduction

Third-Party Reproduction Third-Party Reproduction A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of the Patient Education Committee and the Publications

More information

Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015

Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015 Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015 Defined as inability to get pregnant after a year of regular sexual intercourse

More information

Schedule of Fees for Private Treatment

Schedule of Fees for Private Treatment Schedule of Fees for Private Treatment Fertility Treatment is personalized to each individual and couple, based on diagnosis and best treatment options. At Fertility Plus, we are mindful of the costs involved

More information

FU Consultation Note Page1

FU Consultation Note Page1 FU Consultation Note Page1 FU CONSULTATION CHIEF COMPLAINTS Need to review test Need to review possible surgery Need to plan treatment CC: DISCUSSION Tests Reviewed: FSH / CCT: Reviewed implications of

More information

DIABLO VALLEY ESTATE PLANNING COUNCIL THE NEW BIOLOGY: WHAT DO ESTATE PLANNERS NEED TO KNOW ABOUT ASSISTED REPRODUCTION OCTOBER 15, 2014

DIABLO VALLEY ESTATE PLANNING COUNCIL THE NEW BIOLOGY: WHAT DO ESTATE PLANNERS NEED TO KNOW ABOUT ASSISTED REPRODUCTION OCTOBER 15, 2014 DIABLO VALLEY ESTATE PLANNING COUNCIL THE NEW BIOLOGY: WHAT DO ESTATE PLANNERS NEED TO KNOW ABOUT ASSISTED REPRODUCTION OCTOBER 15, 2014 Lisa C. Ikemoto Professor U.C. Davis School of Law APPROACH Assisted

More information