How to Choose the Best Clinic For You
About the specialist:
- How long have you been treating infertile patients?
- How long have you been at this clinic? Where were you before and why did you leave?
- Where did you receive your medical training? When? What is the educational and professional background of the rest of the staff?
- Can you prepare a treatment plan, including which tests and treatments I will undergo?
About the clinic:
- How many reproductive endocrinologists are on staff? How many will I see?
- Who can I call if I have a problem after office hours?
- How long has the medical director been here? How long have the other doctors and staff been here? (High turnover can be a sign of bad management and can contribute to mistakes.)
- Are you affiliated with a hospital? Which one(s)?
- What insurance plans do you accept?
- How much will treatment cost? Does that include lab work, procedures and medications?
- Do you offer any financing options or payment plans?
- What kind of advanced reproductive technologies (ART) do you offer?
- Do you have a donor sperm/egg program?
- Is there a laboratory on site?
- How many babies have been born to women 40 and older? 30 to 39?
- How many treatment cycles of IVF have been initiated by this program in the past two years?
- How many pregnancies have resulted from the program in the last two years? What percentage of those pregnancies resulted in live births?
- How many deliveries were multiple births? Singletons?
- Does the clinic offer psychological counseling?
- When you do an advanced procedure that involves fertilizing eggs outside the woman and the planting them inside her, who decides how many eggs are implanted - the woman or the doctor? (Look for clinics that give the patient more control.)
- Do you have transvaginal ultrasound equipment on site? (You should not be undergoing medicated treatments unless this equipment is available for routine monitoring.)
Once you have found a clinic and specialist, continue to evaluate their performance and how you feel under their care. Any of the following may indicate it's time to find a new doctor:
- Your specialist suggests you continue a course of treatment even though you have been through three or four cycles without success.
- You can't ask questions freely, or your doctor dismisses your concerns.
- You have to remind the doctor constantly about your treatment plan or ask to have certain tests.
- Your drug treatments are not being carefully monitored with blood tests and ultrasound exams.
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