Before you take the next step in your journey to become pregnant, it's worth seeking out a good fertility clinic.
Let's say you've been getting advice from your gynecologist, who's run a blood test for hormones or had you record your basal body temperature for a couple of months. At the same time, your husband has had his plumbing checked out by a urologist. When it comes time to diagnose where the problem may be and suggest solutions, you may wish there were a single doctor you both could see. That's where the infertility specialist comes in, providing big-picture advice. Women over age 35 or who have a history of three or more miscarriages; men with a poor semen analysis; and couples who have tried for at least two years to get pregnant, should plan on seeing a specialist, recommends Resolve, an infertility support group.
"You shouldn't look at the report and say 'Center A has the highest success rate, I'm going there,'" We've all heard the scary stories about embryos ending up in the wrong womb or ugly legal disputes over someone's frozen eggs. To be sure you don't become the next reproductive-technology headline, check that the clinic has good quality control and strong ethics.
How long has the fertility clinic's medical director been there?
How long have the doctors and technicians been there? High staff turnover can be a sign of bad management and can contribute to mistakes.
Which procedures do you do, and how often? Be sure the clinic has a wide range of infertility remedies available and is familiar with the latest technology, such as something called blastocyst transfer.
Do you have age limits for treatment? If so, it's a good sign that the clinic is concerned about ethical issues.
When you do an advanced procedure that involves fertilizing the eggs outside the woman and then planting them inside her, who decides how many eggs go back in -- the doctor or patient? This is important because the more eggs planted, the greater the chance for multiple births.
How many cycles per year do you do? Some clinics handle so many patients -- each of whom may be treated for multiple menstrual cycles -- that patients end up feeling like a number.
What does treatment cost? While you don't want to choose strictly on price, it's good to know costs ahead of time so you know what you're getting into. Beware of clinics that offer a money-back guarantee if you don't get pregnant -- the doctor may have a financial incentive to treat you more aggressively than you want.
