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Frequently Asked Question

How can I find a Fertility Specialist who takes my insurance?
First find a Fertility Specialist that best fits your needs, review their experience, and determine that the location is convenient for you. Then, from that page, upload your insurance information. The Doctor’s office will contact you to verify whether your plan is accepted. 
Would I have to pay more if I use my out of network benefits?
Many plans allow for access to out of network providers for the same out of pocket cost as in network providers.
What kind of doctor does a man see for infertility?
Andrologists are Urologists who have completed additional training in male fertility. Andrologists may evaluate and treat male fertility issues alone, or along with a reproductive endocrinologist.
What tests are done to check female fertility?
A woman's fertility testing may include bloodwork to assess Anti-Mullerian Hormone (“AMH”) and Follicle-Stimulating Hormone (“FSH”) levels, both of which are good indicators of ovarian reserve. Testing may also include an ultrasound to evaluate Antral Follicle Count (the number of follicles contained within the ovaries helps the physician to determine how many eggs may be produced in any given month).
What tests are done to check male infertility?
In addition to sperm analysis other tests that may be performed include blood tests to see how well the body is producing the hormones necessary for fertility and possibly genetic testing. Some doctors may also do an ultrasound of the testicles.
Can you reverse infertility?
Conventional medical therapies can reverse infertility in 85 to 90 percent of all cases. Treatments include drugs, surgery, and ART for both men and women (assisted reproductive technology).
How is sperm retrieval done?
Only men with no sperm in their ejaculate (azoospermia) need to have sperm retrieved directly from the testis or epididymis. Simple sperm retrievals are performed in men with obstructions, who make sperm without a problem. These procedures go by the acronyms TESA, MicroTESA, PESA, TESE, MicroTESE, and MESA. Simple sperm retrievals are usually performed the day of egg retrieval in the woman.
How is IVF In vitro fertilization done?
IVF has many steps and can take several months to complete the whole process. During IVF , mature eggs are collected from ovaries and fertilized by sperm in a lab. Then the fertilized egg or eggs are transferred to a uterus. Sometimes it works on the first try, but many people need more than 1 round of IVF to get pregnant. IVF definitely increases the chances of pregnancy, but there is no guarantee.
How is egg retrieval done?
Transvaginal ultrasound aspiration is the usual retrieval method. An ultrasound probe is inserted into the vagina to identify follicles. Then a thin needle is inserted into an ultrasound guide to retrieve the eggs. If the ovaries are not accessible through transvaginal ultrasound, an abdominal ultrasound may be used. Temporary cramping and feelings of fullness or pressure may be felt after the procedure.
Do you need anesthesia for an egg retrieval procedure?
Yes, anesthesia is usually required as the egg retrieval procedure can be uncomfortable. Also, making sure the patient is completely motionless maximizes the success rate for collecting as many eggs as possible.
What is ovarian reserve testing?
In ovarian reserve testing the clinician is assessing how well a woman's ovaries are responding to the hormonal signals from her brain. The most common tests to evaluate ovarian reserves are:

1. AMH (anti-mullerian hormone)
2. Antral follicle count
3. Baseline follicle stimulating hormone (FSH)
What is a testicular biopsy?
A testicular biopsy takes a tissue sample from the testicle for laboratory analysis. A testicular biopsy can be used to:

1. Diagnose the location and condition of a lump in the testes
2. Diagnose causes of male infertility
3. Obtain sperm for in vitro fertilization (IVF)

What is co-maternity IVF?
Co-maternity IVF is an LGBTQ fertility treatment that involves both female partners. In this procedure, one woman - the genetic mother - undergoes egg retrieval for fertilization. The partner - birth mother - undergoes embryo transfer and then carries the pregnancy.
What is a gestational surrogate?
A gestational surrogate is a woman who carries the embryo of another couple in her uterus until the birth of the baby. She does not have any genetic ties to the child because the embryo was created from the egg of the biological mother.
Can I specify a Fertility Consultation with a male or a female Doctor?
PreferredMD’s online service allows you to filter your results for Fertility Specialists by gender. That way, you’ll only see Doctors who match your preferences.
Can I schedule a Fertility Consultation with a Doctor who sees patients after hours?
PreferredMD’s online service allows you to filter for Fertility Specialists with availability after 5 p.m. Just choose the special hours filter at the top of our search page. 
How can I find a top-rated Fertility Specialist?
You can use PreferredMD’s online service to find Fertility Specialists who are highly rated by real patients. Every time a patient completes an appointment booked on PreferredMD, they are invited to review their experience. All ratings are based on verified reviews submitted by real patients. Each review must comply with PreferredMD’s guidelines. 
Can I schedule a video visit online with a Fertility Specialist?
PreferredMD’s online service uses a purple video icon on the profiles of Fertility Specialists who offer online video visits. You can filter your search results to show only Fertility Specialists who offer video consultations. 
Can I find a Fertility Specialist who sees patients in the morning or evening?
PreferredMD’s online service allows you to search specifically for Fertility Specialists who have appointments available before 10:00 am, or after 5:00 pm. Just choose the special hours filter at the top of our search page. 
Can I find a Fertility Specialist who sees patients during the weekend?
PreferredMD’s online service allows you to see real-time availability for Fertility Specialists that offer appointments on Saturdays and Sundays. Just choose the special hours filter at the top of our search page. 
What is Assisted Reproductive Technology?
Assisted reproductive technology (ART) is used to treat infertility. Some examples of ART are in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), pronuclear stage tubal transfer (PROST), tubal embryo transfer (TET), and zygote intrafallopian transfer (ZIFT). In vitro fertilization (IVF) is the most common and effective type of ART. All treatments include the handling of eggs and/or embryos.
What is unexplained infertility?
Unexplained Infertility is a term used when the woman is likely to be ovulating regularly with a good ovarian reserve/egg supply, and a “dye test” (hysterosalpingogram) proves that the fallopian tubes are open,  and the man’s  sperm quality meets normal standards. About 10 percent of infertile couples suffer from unexplained infertility.
What is the best treatment for unexplained infertility?
Couples with unexplained infertility have several options to help them have a baby. Treatments such as fertility medications combined with IUI (intrauterine insemination) or IVF (in vitro fertilization) can dramatically improve pregnancy rates for women/couples with unexplained infertility. Your Doctor will help you decide the best treatment plan.

 
What kind of doctor does a woman see for infertility?
A gynecologist can perform a preliminary fertility evaluation. A fertility specialist is a gynecologist who has completed three years of specialized training with an approved reproductive endocrinology fellowship program. A reproductive endocrinologist is double boarded, in OB/GYN and in Reproductive Endocrinology.

 
My husband had a vasectomy, but we want to start a family.
Luckily there are two post-vasectomy pregnancy options: vasectomy reversal and IVF.
During a vavosectomy the surgeon reconnects the severed vas deferens. Vasectomy reversal is considered major surgery requiring a longer recovery period than vasectomy. IVF is a multi-step procedure that utilizes sperm aspirated directly from the testicles. Under local anesthesia, a needle is passed directly through the scrotum into the testicle itself or the epididymis.
Are video visits with a Fertility Specialist covered by my insurance?
Most insurers provide coverage for video visits at the same rate as in-person visits. You can search on PreferredMD specifically for Fertility Specialists who accept your insurance for video visits. Select your carrier and plan from the drop-down menu at the top of the page to verify. If that information is not available, we recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits. 
Can I make a same-day appointment for a consultation with a Fertility Specialist?
PreferredMD patients can often get same day appointments; on average within 24 hours. You can search for real-time availability of Fertility Consultations in your area, with Doctors who accept your insurance and make an appointment online.
Can I book an appointment online with PreferredMD for a Fertility Consultation?
Now that you’re here, you can use PreferredMD’s free online service to find Fertility Consultations and book appointments instantly. You can easily search for a Fertility Consultation in your desired location and specify your insurance plan. Based on that information, you’ll see a list of Doctors who meet your search criteria, accept your insurance, and their available appointment slots. 

Fertility - Or rather, infertility

Not getting pregnant despite having carefully timed, unprotected sex for one year or longer is a potential indicator of infertility in one or both partners.

In one third of infertility cases, there is an issue with the man. In one third of infertility cases, there is an issue with the woman, and in the remaining cases, there is either an issue with both the man and the woman, or no cause can be found. Fifteen percent of all couples are unable to get pregnant.

While the specific cause of infertility may be difficult to determine in the man or the woman, primary factors often include inadequate levels of certain hormones. Some women with infertility may have irregular or absent menstrual periods. In some cases, men with infertility may exhibit some signs of hormonal problems, such as changes in hair growth or sexual function.

There are many treatments available today that significantly improve the chances of starting a family, or planning for a family in the future when the timing may be better for you. They include hormone treatments, fertility drugs, IVF, egg freezing, frozen embryo transfer and surrogacy.

Fertility treatments and services for Women

  • Fertility Assessment
  • Ovulation stimulation with fertility drugs
  • Intrauterine insemination
  • Fertility preservation – Egg freezing
  • Genetic Testing
  • Hysteroscopy Surgery
  • Laparoscopic Surgery
  • IVF - In vitro fertilization
  • Intracytoplasmic sperm injection
  • Embryo Implantation
  • Zygote intrafallopian transfer (ZIFT)
  • Gamete intrafallopian transfer (GIFT)

Fertility treatments and services for Men

  • Medication
  • Genetic Testing
  • Surgery
  • Sperm retrieval
  • Lifestyle improvement

Options for Couples

  • Donor Eggs
  • Gestational Surrogate

Services for LGBTQ+

  • Egg Freezing
  • Sperm Freezing
  • Donor Sperm
  • Donor Sperm Insemination
  • Frozen Donor Eggs
  • Fresh Donor Eggs
  • IVF
  • Reciprocal IVF (Co-Maternity)
  • Intracytoplasmic sperm injection
  • Embryo Cryopreservation
  • Surrogacy & Gestational Carriers
  • Frozen Embryo Transfer
  • Donor Egg

When should a woman who is trying to conceive see a Doctor?

  • 35 or older, and failing to conceive for more than six months
  • Over age 40
  • Has irregular or absent periods
  • Has very painful periods
  • Was previously diagnosed with fertility problems
  • Was previously diagnosed with endometriosis or pelvic inflammatory disease
  • Has had multiple miscarriages
  • Has undergone treatment for cancer

When should a man see a Doctor?

  • Has a low sperm count or other problems with sperm
  • Has a history of testicular, prostate or sexual problems
  • Has undergone treatment for cancer
  • Has small testicles or swelling in the scrotum
  • Infertility problems in family of origin

Common causes of female infertility

  • Ovulation disorders
  • Uterine abnormality
  • Cervical abnormality
  • Fallopian tube damage or blockage
  • Endometriosis
  • Early menopause
  • Extreme sport training
  • Pelvic adhesions/scar tissue
  • Radiation and chemotherapy treatments
  • Substance abuse
  • Stress
  • Thyroid disorder
  • Tumor or cyst
  • Obesity
  • Excessive thinness

Common causes of male infertility

  • Abnormal sperm production
  • Abnormal sperm function
  • Problems with sperm delivery
  • Damage related to cancer treatment
  • Damage related to toxic substance exposure
  • Obesity
  • Substance abuse

Infertility Diagnostic tests for women:

  • Ovulation testing
  • Hysterosalpingography
  • Ovarian reserve testing
  • Hormone testing
  • Hysteroscopy
  • Laparoscopy

Infertility Diagnostic tests for men:

  • Semen analysis
  • Hormone testing
  • Genetic testing
  • Testicular biopsy
  • Imaging
  • Tests for DNA abnormalities

Reproductive Endocrinologists - Andrologists

Reproductive Endocrinology and Infertility (REI) is a subspecialty of obstetrics and gynecology. Andrologists are urologists who have completed additional training in male fertility.

Be prepared for your initial visit

  • Provide details about your attempts to get pregnant: when you started trying to conceive, how often, and if you timed intercourse around the midpoint of the menstrual cycle.
  • Bring your key medical information, including other medical conditions you or your partner may have, and records of any previous infertility evaluations or treatments.
  • Bring a list of any medications, supplements you take, and the dosing/frequency details.
  • Bring a list of questions, prioritizing the most important questions first in case time runs short.
  • Be ready to answer your Doctor’s questions.

Board Certification by the American College of Obstetrics and Gynecology

To become Board Certified in Reproductive Endocrinology and Infertility a Medical Doctor must first pass board exams for obstetrics and gynecology (oral and written) and be board certified in OB/GYN. Then she/he must complete a three year REI fellowship. The final step is board certification in reproductive endocrinology and infertility, requiring oral, written and thesis exams.

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Read More

https://www.mayoclinic.org/diseases-conditions/infertility/diagnosis-treatment/drc-20354322

https://www.cdc.gov/reproductivehealth/infertility/index.htm

https://www.acog.org/

https://www.ivfauthority.com/