Path to Fertility - Timed Intercourse
All our treatment plans are personalized according to your needs. The following is a general treatment guide, so you can familiarize yourself with a possible course of treatment.
You can make your first appointment by calling us 830-6289 or sending us an email at email@example.com. We will be happy to answer any questions you may have. There is no need for a referral from your family or personal doctor.
During this visit, we will thoroughly review your medical history, any prior laboratory or imaging studies you may have and do a complete physical exam. Depending on your prior studies, you may need a vaginal ultrasound and some blood work. This will help us create a personalized treatment plan for you based on your personal needs.
We understand the emotional impact that fertility treatments can have on you and your family. Therefore, we work with psychologists who can provide counseling throughout any step of your Path to Fertility.
During your second appointment, we will explain your lab and imaging results, your personalized treatment options and the process. At the end of the visit, you will meet our Cycle Coordinator. We will be happy to answer any doubts about the treatment, process or costs. If you are being treated with your partner, both should attend in order to sign paperwork such as consent forms.
Starting the Treatment
All of our treatment plans are personalized to your specific needs and wishes. For ovulation induction, treatment is usually given with Clomiphene (Serofene) or Letrozole (Femara) starting on the days 3-5 of your menstrual cycle. If you do not have regular menstrual cycles, we can induce them with medications prior to treatment.
Ovarian Stimulation and Follicular Monitoring
On day 1 of your menstrual cycle, you should call our center to program an appointment between days 3-5 of your cycle. During this visit, we will check your blood hormone levels. In the same visit, we will also start your medication, which is usually given for a 5-day course. Depending on your particular circumstances, your doctor might recommend follicular monitoring or a vaginal ultrasound. If you require follicular monitoring, you should expect to have between 4-5 visits during your stimulation cycle to take place. During these visits, we do an ultrasound and check your hormone levels. Once we have the results, we call you in the afternoon to go over the results and let you know if any medication adjustments need to be made. These visits are quick and should not take more than 20 minutes.
Follicular Maturation and Timed Intercourse
If you do not require follicular monitoring, on day 10 of your menstrual cycle, you will use a home urine kit to predict ovulation. If it is positive, this means you are close to ovulation and you should call our center. We will advise you as to when is the optimal time to have sexual intercourse and when you should return to our center for a pregnancy test. If you required follicular monitoring, we will give you medication once your follicles are at their optimal stage for fertilization and indicate when you should have sexual intercourse.
If the test is positive, we will repeat the blood work in 48-72 hours and will schedule an ultrasound in 4-6 weeks from the day of your last menstrual cycle.
It sometimes takes more than one cycle or treatment plan to reach your dream. If the test is negative, we will sit down to talk about further treatment options.