IVF considerations

Having all the relevant information is important before making any treatment decisions. In vitro fertilization (IVF) has many advantages including excellent success rates. However, it requires a physical, emotional and financial commitment.

• financial
• physical
• emotional

financial

IVF is expensive and many insurance plans do not cover it. Each IVF attempt is costly and as a couple you must determine how many cycles you can afford to do.

Some fertility clinics are initiating what is called a ‘shared risk’ program. For a set fee, a couple can attempt several cycles of IVF with a ‘money-back’ guarantee. If the treatment is not successful the couple is given a partial refund (certain costs such as medication tend to be excluded.) There are strict inclusion criteria for this program since the fertility clinic is ‘banking’ on your success. Some couples feel better knowing that they have several attempts at a fixed cost with the guarantee of a partial refund if they are unsuccessful.

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physical

IVF can be physically demanding. The monitoring process combined with the hormone therapy used to produce multiple eggs and induce ovulation can take its toll on the body. Furthermore the stress and anxiety surrounding the outcome of each procedure can test the limits of one's patience and endurance.

Couples should ask the following questions before starting infertility treatment:

• How many times will we try?
• Are we prepared for the risk of miscarriage if we do get pregnant?
• Are we prepared for the risk of multiples if we do get pregnant?
• Do we know the clinic’s success rates in our age group?
• Will we both attend the consultations, office visits, etc.?

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emotional

IVF is a stressful process that tests the emotional limits of even the most committed couples. Research suggests that relationships are typically made stronger because of a shared common goal. However, each partner brings a unique perspective to the process. Open and honest communication is essential when couples are faced with tough decisions regarding embryo disposition or when to discontinue treatment. Establishing a support system can help navigate the emotional roller coaster ride. This can be with family, friends or support groups.

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