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- CDC Report on Fertility Clinic IVF Success Rates
- Chromosomal Abnormalities in Eggs
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Fertility, IVF and Egg Donation
Archive for March, 2017
The Advanced Fertility Center of Chicago is now offering 2 low cost fertility screening packages. These fertility screening tests will allow couples to have important information about their fertility reserve for the future.
- In women these tests measure egg supply for the future, also called “ovarian reserve”
- Ovarian reserve testing is done to estimate the status of the current egg supply
- In men a semen analysis is done to evaluate the sperm
|Partner||Basic Fertility Screening for $90||Fertility Screening including AMH for $110|
|Female||Day 3 FSH||Day 3 FSH|
|Female||Day 3 Estradiol||Day 3 Estradiol|
|Female||Transvaginal ultrasound for antral follicle counts||Transvaginal ultrasound for antral follicle counts|
|Male||Semen analysis||Semen analysis|
Basic Fertility Screening Package
The basic fertility screening package includes two blood tests and a transvaginal ultrasound on the female partner and a semen analysis on the male. The blood tests include day 3 FSH (follicle stimulating hormone) and estradiol hormone levels. These blood tests give us some indication as to whether there could be a low remaining egg supply.
The ultrasound test counts the antral follicles in the ovaries (2-9mm cystic structures) as another gauge of the woman’s ovarian reserve. The total cost for the basic fertility screening package is $90.
Comprehensive Fertility Screening Package
Our more comprehensive fertility screening package includes all of the tests from the basic screening package and adds an anti-mullerian hormone (AMH) blood test. See table above.
AMH levels give us another way to estimate a woman’s ovarian reserve The total cost of the comprehensive fertility screening package is $110. The cost of either one of our fertility screening packages will be credited back toward fertility treatment done in the future at any of our 3 Chicago area offices.
Testing for causes of infertility
It is important to understand that these fertility screening tests do not investigate all of the causes of infertility in men or women. The tests in our fertility screening packages look at egg supply and at the sperm situation which are only two of the many possible reasons for having difficulties conceiving.
A full workup for infertility is indicated in couples after 12 months of trying to get pregnant when the female is under age 35, and after 6 months of trying when she is 35 or older. We also perform full infertility workups as well as fertility treatments such as intrauterine insemination and in vitro fertilization.
Women are delaying childbearing more and more over time
Over the past several decades many women have been waiting progressively longer to start trying to have a family. In the 1960’s and 1970’s it was very uncommon for a woman to have her first child after the age of 30. Obviously, this is now common and many women are waiting until the late 30’s or even early 40’s until they try to get pregnant with the first child.
As women delay their childbearing longer, fertility screening for ovarian reserve becomes more important because it allows a woman to have some knowledge about her remaining egg supply.
A woman’s egg supply declines throughout her lifetime from birth. By the time of menopause there are no eggs left. In general, egg supply is related to a woman’s age. However, there is a lot of variation around the average and some women will lose their eggs faster and have an early menopause (and early loss of fertility) while other women will lose their eggs at a slower rate and have a later than average age of menopause.
A woman’s fertility potential declines many years before she reaches menopause. This is because the quality of the eggs declines significantly with aging – particularly after about age 35 to 37. We do not currently have a good test for a woman’s egg quality. At this time, female age is the best predictor of egg quality that we have.
As more women put off their childbearing until their later reproductive years, some will decide to freeze eggs to try to preserve their fertility. This is becoming much more common in recent years. If low ovarian reserve is found on a fertility screening test, fertility preservation could be a smart option for her to consider if she is not ready to have a child soon.
Summary: Our low cost fertility screening panels
We perform two different low cost fertility screening panels at all 3 of our Chicago area offices. If you are interested in having this testing, please call one of our offices to schedule a visit. The testing requires one visit to the office for the woman and one for the male. The results will be mailed to you approximately 7-10 days after the tests are completed. The cost of either fertility screening package will be credited back toward fertility treatments done in the future at our offices.
Welcome to the
Richard Sherbahn, MD is a Board Certified Reproductive Endocrinology and Infertility specialist.
Dr. Sherbahn founded the Advanced Fertility Center of Chicago in 1997.
He will post regularly about fertility issues.
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