• Timeline
  •  

    Menstrual Cycle: Introduction

    The average length of the menstrual cycle is 28 days. More

    menstrual
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    Menstrual Cycle: Days 1-5

    Day 1 of menstruation is the first day of your cycle. More

  •  

    Menstrual Cycle: Days 1-13

    Days 1-13 of your menstrual cycle are the "follicular phase" More

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    Menstrual Cycle: Days 10-18

    Days 10-18 of your menstrual cycle are considered the "ovulatory phase". More

  •  

    Menstrual Cycle: Days 15-28

    Days 15-28 of your menstrual cycle are considered the "luteal phase". More

  •  

    IUI: Introduction

    With intrauterine insemination (IUI), a doctor uses a soft catheter to place sperm directly into the uterus. More

    iui
  •  

    IUI: Day 1

    Fertility drug injections begin at the start of the your menstrual cycle. More

  •  

    IUI: Day 2

    Follicles begin to respond to the fertility drugs and grow. More

  •  

    IUI: Day 3

    Daily fertility drug injections cause your follicles to continue to grow. More

  •  

    IUI: Day 4

    Your follicles continue to grow. More

  •  

    IUI: Day 5

    As the follicles respond to the fertility drugs, your doctor will monitor your progress with vaginal ultrasound. More

  •  

    IUI: Day 6

    Your body is producing more estrogen and your uterine lining begins to thicken. More

  •  

    IUI: Day 7

    Fertility drug injections continued and you are monitored for ovulation. More

  •  

    IUI: Day 8

    Daily fertility drug injections continue and follicles continue to grow. More

  •  

    IUI: Day 9

    Your follicles are still developing and you continue fertility drug injections. More

  •  

    IUI: Day 10

    You discontinue using injectable fertility drugs. More

  •  

    IUI: Day 11

    The hCG trigger shot is injected to help follicles mature and release the eggs. More

  •  

    IUI: Day 12

    Your follicles and eggs are almost mature. More

  •  

    IUI: Day 13

    Ovulation occurs. More

  •  

    IUI: Day 14

    Sperm is washed and you are inseminated when you are ovulating. More

  •  

    IUI: Day 15

    The embryo, now in the fallopian tube, will continue to divide. More

  •  

    IUI: Day 16

    The embryo continues to grow. More

  •  

    IUI: Day 17

    The embryo travels from the fallopian tube to the uterus. More

  •  

    IUI: Day 18

    Hormone levels continue to increase. More

  •  

    IUI: Day 19

    The uterine lining is now 8-12 mm thick. More

  •  

    IUI: Day 20

    Your embryo is working to ultimately attach to the lining of your uterus. More

  •  

    IUI: Day 21

    Your embryo will attach to your uterine lining. More

  •  

    IUI: Day 22

    The embryo is starting to implant. More

  •  

    IUI: Day 23

    The embryo continues to implant. More

  •  

    IUI: Day 25

    Your body begins to produce hCG and progesterone production continues. More

  •  

    IUI: Day 26

    The embryo continues to grow, and progesterone support continues. More

  •  

    IUI: Day 27

    The embryo continues to grow. More

  •  

    IUI: Day 28

    A blood pregnancy test will determine if you are pregnant. More

  •  

    IVF: Introduction

    More

    ivf
  •  

    IVF: Day 1

    On Day 1 of your IVF cycle, you'll begin fertility drug injections. More

  •  

    IVF: Day 2

    On Day 2 of your IVF cycle, you'll continue fertility drug injections. More

  •  

    IVF: Day 3

    Your follicles continue to grow as they respond to the fertility drug injections. More

  •  

    IVF: Day 4

    Your follicles continue to grow as you continue daily fertility drug injections. More

  •  

    IVF: Day 5

    As you continue to use fertility drugs you will be monitored by your fertility doctor. More

  •  

    IVF: Day 6

    The lining of your uterus is beginning to thicken as you continue fertility drug injections. More

  •  

    IVF: Day 7

    Daily fertility drug injections continue, and your fertility doctor may start monitoring hormone levels. More

  •  

    IVF: Day 8

    You'll continue fertility drug injections and follicles will continue to grow. More

  •  

    IVF: Day 9

    You'll continue fertility drug injections and follicles will continue to grow. More

  •  

    IVF: Day 10

    You'll stop using fertility drugs at this point in your IVF cycle. More

  •  

    IVF: Day 11

    Once your body has responded to the fertility drugs, you'll receive an hCG injection (trigger shot) and egg retrieval will be scheduled. More

  •  

    IVF: Day 12

    Your eggs are almost mature, and are ready for egg retrieval. More

  •  

    IVF: Day 13

    At this stage of the IVF cycle, your eggs are retrieved and fertilized. More

  •  

    IVF: Day 14

    Your eggs are fertilizing in the lab. More

  •  

    IVF: Day 15

    Embryos will continue to develop, and if PGD has been scheduled the procedure will take place. More

  •  

    IVF: Day 16

    Usually on Day 16 of your IVF cycle your embryo transfer will take place. More

  •  

    IVF: Day 17

    The embryo is in your uterus, and cells continue to divide and increase. More

  •  

    IVF: Day 18

    The embryo continues to grow and hormone levels increase. More

  •  

    IVF: Day 19

    The lining of your uterus is now 8-12 mm thick. More

  •  

    IVF: Day 20

    Your embryo is working to attach to the lining of your uterus. More

  •  

    IVF: Day 21

    The embryo attaches to the uterine lining. More

  •  

    IVF: Day 22

    The embryo begins to implant in the uterine lining. More

  •  

    IVF: Day 23

    The embryo continues implanting in the uterine lining. More

  •  

    IVF: Day 24

    More

  •  

    IVF: Day 25

    Your embryo continues to grow and progesterone continues to be produced. More

  •  

    IVF: Day 26

    Your implanted embryo continues to grow. More

  •  

    IVF: Day 27

    The implanted embryo continues cell division. More

  •  

    IVF Cycle: Day 28

    It's time to take a blood pregnancy test. More

Dollars and Sense

Dollars and Sense

Financing_1.jpg


by Evelina Weidman Sterling

Fertility treatments are expensive. And about 30 percent to 50 percent of the total costs can be chalked up to fertility medications, particularly the injectables. For a single cycle, the medication costs can easily exceed thousands of dollars.

For many families, it’s hard to budget for the high cost of fertility medications. Given our current economic crisis, people are finding it harder and harder to afford fertility treatments as well as the costs of the medications needed for the treatments to work.

I'm happy to report that pharmaceutical companies are feeling your pain, and many are finding new ways to ease your burden. Three major fertility drug companies — EMD Serono, Ferring Pharmaceuticals, and Schering-Plough — offer special programs that lessen the cost of many of the most common medications used in fertility treatments today.

Discounts on Gonal-F
A call to EMD Serono’s Fertility Lifelines (866-LETS-TRY or www.fertilitylifelines.com) gives you access to a Benefits Coordinator who can provide you with more information about affording treatment. Their special medication savings program called FertilityAssist 2 allows health care providers to enroll their cash-paying patients for discounts on Gonal-F. By simply placing a sticker on the Gonal-F order and filling the prescription though the online specialty pharmacy Freedom Fertility Pharmacy, patients receive savings on their first cycle. If you need a second cycle of Gonal-F, you can save another $250 to $500 depending on the amount of Gonal-F needed. Additionally, EMD Serono offers the Compassionate Care program which allows some patients with no insurance coverage and documented medical and financial need to receive EMD Serono medications free of charge.

Savings on Bravelle and Menopur
Ferring Fertility offers the HEART Program (which stands for Helping Expand Access to Reproductive Therapy). This program is specifically designed for patients who do not have insurance coverage or benefits for fertility medications and covers medications like Bravelle and Menopur. If you are interested in this program, ask your health care provider for a HEART Rx Initiative brochure or contact Ferring directly at www.ferringfertility.com/heart or 888-FERRING. To receive your discount, you will need to fill your prescription at a participating pharmacy (for a pharmacy near you, click here). Although it costs $10 for a one-year HEART Program membership, you can save $18 on every vial of Bravelle (up to 100 vials) and up to $3 on every vial of Menopur (up to 100 vials). This can result in a total savings of $2,100.

Reduced Costs for Follistim
To offer more patient discounts, DesignRx has partnered with a number of fertility-related companies, including Schering-Plough (which recently merged with Merck), the makers of Follistim. These discounts can range anywhere from 15% to 30% depending on which specialty pharmacy you choose. For a list of the DesignRx network of fertility pharmacies, click here. Through their Managed Cash program, DesignRx negotiates drug discounts on behalf of its members. Membership is free and can be obtained by visiting www.designrx.net or calling 877-416-6600.

To find out which program will work best for your individual protocol and treatment plan, talk with you health care provider.

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Evelina Weidman Sterling, PhD, MPH, CHES, is the co-author of Budgeting for Infertility: How to Bring Home a Baby without Breaking the Bank along with several other best-selling and award-winning books about fertility, including Having Your Baby through Egg Donation, Living with Polycystic Ovary Syndrome (PCOS), and Before Your Time: Living Well with Premature Ovarian Failure and Early Menopause. She is also the co-founder of My Fertility Plan, an innovative company that provides patients with the information, skills, and tools they need to fully understand their own individual fertility and progress through their infertility treatments in the most effective and efficient ways possible.

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