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FINDING THE PERFECTIVF CLINICReproductive medicine is growing rapidly, providingoptions for people who face infertility challengesIVF is usually effective, though not always immediately forall women, research suggests that if you’re consideringassisted reproductive technologies to help you conceive, itis suggested that you chose your fertility clinic well and thatcan improve your odds of a good outcome. But with somany clinics out there to choose from deciding which onebest meets your needs can feel a bit overwhelming. You canuse the following pointers to help you chose a clinic thatmeets your needs.• Do some research: All fertility clinic may apparentlylook the same, but they are not, and it does not hurt to doyour homework.You may want to consider inquiring about the success rateof the clinic. While inquiring about the success rates it isadvisable to compare oranges to oranges so compare thesuccess rates for your age group and also the kind oftreatment that you plan to do. Once you are convincedabout the success rates it’s a good idea to have a look attheir accreditation you can either look for ISO, ISAR or aNABH accreditation in the Indian subcontinent. Also makesure that the clinic is registered with the ICMR (IndianCouncil of Medical Research)• Ask Questions: Before you commit to an IVF clinic itsalways best to ask all the questions that come to mind evenif you think they are silly. It’s your treatment and you needto be at peace at what you are proceeding with and it’s yourright to know every pro and con about the treatment or anyother question that may come to mind. Some of thequestions you may consider asking• The process of IVF per se• How many embryos do they transfer?• What is their embryo freezing program like? What istheir contract time period? What will be renewal clausebe?• Do they prefer a day 3 or a day 5 transfer?• The technique of fertilization --- ICSI for all or IVF forselected cases?• Do they have an identification system in place for theGametes?• How are donors screened and allotted?• Will you need genetic screening?• Will you need sperm selection techniques?• What will happen when you get pregnant? who will youfollow up with?• What will happen if you don’t get pregnant?• If attempting genetic screening – you may want to askwhich lab they are associated with for the analysis?• Do they have a in house full time andrologist andembryologist?• Is it an all under one roof facility?• Find out if they have a psychological counselor or apatient support group: It is important for a fertility clinicto offer indicated medical treatment to help you conceivebut it’s also important that there is enough emotionalsupport available while you are embarking on one of themost emotional journeys of your life. Also, if the sessionswith the psychologist are chargeable or are free of cost.• Consider the Monitory factors: Always take yourfinancial counseling in written from the clinic. Considerhave they given you all the inclusion and exclusioncriteria’s in written. The inclusion criteria you may want tolook for are gonadotropins, blastocyst transfer and lutealsupport medicine till Bhcg. Always gauge how transparent30 | February 2020 |
Expert’s Opinionthey are attempting to be in their pricing.• Trust your instincts: When you’re considering afertility clinic, always trust your gut feeling. I thinkpatients’ gut feelings are usually pretty good. “Yourgametes are one of life’s most precious commodities taketime to get a sense of the people who are going to behandling them for you. Consider how the clinic’s staff talkto you, what they say – how professional does the care feel?Use all of your senses. Is the care personalized andprofessional enough, so you feel comfortable?”• If applicable to you may want to find out more aboutthe special program the center has:- Who is the andrologist attached with the center if you aregoing to need testicular sperm extraction?- If you are looking for social fertility preservation: thenyou may want to know about their oocyte freezingfacilities. Find out how many times you may need to doegg retrievals to freeze the optimal number of oocytes.What is the payment structure? How long will theoocytes be cryopreserved according to the initialcontract; how will the renewal clauses be.- Fertility preservation program for cancer patientsEven after all the above pointers only you can knowwhich clinic suits you best and always remember Agreat fertility clinic isn’t just one that can give youeffective treatment, it’s one with compassionate staff,clear pricing, seamless administrative processes andexceptional emotional support.ABOUT THE AUTHORDr. Ritu Hinduja, MD, MRM (UK), DRM(Germany), Fellowship in ReproductiveMedicine (India, Spain, Israel), andCertificate in Genetic Counseling, is awell-known medical practitioner. Shespecializes in Reproductive medicineand Infertility treatment and has anexperience of more than a decade in it.For her dedication and contribution tothe field, she has been honored withvarious prominent awards like FOGSIChorion Award for bestresearch,FOGSI- Kumud TamaskarAward for best research in infertility ,FOGSI- Dr Shanti Yadav Award forInfertilityMOGS - Dr. Shantabai GulabchandTraveling Fellowship Award, Dr. PramilaBhatia-Young Scientist Award and Dr HS Palep Award for the best research inRecurrent Pregnancy Loss.Dr. Ritu HindujaMD, MRM (UK), DRM (Germany)| February 2020 |31
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