How to Afford IVF
Mini IVF uses lower doses of medications and costs 5,000 to 8,000 dollars per cycle, but the success rate is lower. Natural cycle IVF uses no medications and costs 4,000 to 7,000 dollars per cycle, but the success rate is the lowest. Shared risk or refund programs offered by some clinics charge a flat fee of 20,000 to 30,000 dollars for up to 6 cycles and refund a portion of the cost if treatment is unsuccessful. Grants and scholarships from organizations such as the Baby Quest Foundation, the Cade Foundation, and the Chick Mission can cover 5,000 to 15,000 dollars of treatment. Military veterans may qualify for free IVF through the VA, and some employers offer fertility benefits through Progyny or Carrot.
How to Pick an IVF Clinic
Look at the clinic success rates published by the Society for Assisted Reproductive Technology, or SART, and the CDC. The SART report includes live birth rates by age group and by cycle type, and the CDC report is the most comprehensive. Compare at least 3 clinics in your area on the metrics that matter most to you, including success rates, cost, patient reviews, and the services offered. Ask about the clinic experience with your specific diagnosis, since some clinics specialize in certain conditions such as PCOS, endometriosis, or male factor infertility. Tour the clinic, meet the team, and ask about the embryology lab accreditation and the staff turnover rate.
How to Maximize the Chance of Success
The biggest factor in IVF success is the age of the woman at the time of egg retrieval. Women under 35 have the highest success rates, with a 50 to 60 percent live birth rate per cycle. The next biggest factor is the quality of the embryos, which is determined by the egg and sperm quality, the lab conditions, and the culture media. The third biggest factor is the uterine environment, which can be improved with a saline sonogram, a hysteroscopy, and treatment of any underlying conditions such as polyps, fibroids, or endometriosis. Lifestyle factors such as maintaining a healthy weight, quitting smoking, limiting alcohol, and managing stress can also improve the chances of success.
Common Questions to Ask the Clinic
Ask the clinic for an itemized quote that lists every service and every cost. Ask about the medication protocol, since high dose protocols are more expensive than low dose protocols. Ask about the cancellation rate, since some clinics cancel up to 20 percent of cycles due to poor response. Ask about the embryo transfer policy, since some clinics transfer more embryos than others, which increases the risk of twins and higher order multiples. Ask about the frozen embryo transfer policy, since FET has a similar success rate to fresh transfer and is often cheaper. Ask about the cost of additional services such as ICSI, assisted hatching, and PGT, since these can add 1,500 to 5,000 dollars to the cycle.
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