A story by Dr. Gary Levy

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A story by Dr. Gary Levy

Our hearts melt when our patients text us: “We did it! I can’t believe it.”

We want to share a story of one our patient who underwent IVF and other procedures and lost her hope. However this story does have a happy end❤️

🌸Alice tried everything and her hope was lost🌸
By Dr. Gary Levy:

“I would like to introduce to you the story of Alice (name changed for the purposes of this blog post). Alice is a patient that came to us with the diagnosis of unexplained (undiagnosed) infertility. Alice had an evaluation that demonstrated normal ovarian reserve, her AMH was 3.58 ng/mL (the lab norm is from 1 to 7.6 ng/mL), her fallopian tubes were open as documented by a hysterosalpingogram test and her spouse’s sperm evaluation was completely normal. In addition, her male partner had two prior children from a previous relationship. Alice had been trying to conceive for over fourteen months prior to seeking care with us. She underwent a few cycles of letrozole and then underwent IVF and did not get pregnant with a frozen embryo transfer. After seeing her through our, always accessible, telehealth platform, we realized that Alice likely suffers from LPD. We discussed additional testing for PDG monitoring and confirmed our suspicions. We discussed her treatment options, and she underwent ovarian stimulation and progesterone support and got pregnant on her second treatment cycle. She was ecstatic, as her experience at FC allowed her to be successful and receive an answer to the question that has been unanswered for a long time providing much needed closure in a much more affordable manner.”

Can women have children at any age?

In general:

🔸women are most fertile before the age of 30
after 30
🔸women’s fertility starts to decrease
🔸after 35 fertility declines more significantly
by 40
🔸a woman’s fertility is about half the level it was before she was 30.

A study compared women’s ability to conceive, in different age groups. It showed that, compared to women aged 30-31, the chance of conceiving was:

🔹14 percent lower for women aged 34-35
🔹19 percent lower for women aged 36-37
🔹30 percent lower for women aged 38-39
🔹53 percent lower for women aged 40-41 years

Women younger than 30 have about a 20 percent chance of getting pregnant naturally each month. By age 40, the chance of pregnancy is about five percent each month.

So make sure you start your treatment ASAP in case you have infertility.

How do we diagnose PCOS?

PCOS is typically diagnosed via the Rotterdam Criteria which consists of four categories:

1️⃣Irregular menstrual cycles – typically defined as greater than 45 days apart or less than 10 per year
2️⃣Clinical or laboratory evidence of elevated male hormones (hyperandrogenism)
2️⃣Ultrasound findings consistent with polycystic ovaries and the absence of any other cause. The diagnosis is made when two of the three criteria are present. Also, keep in mind this syndrome is a spectrum and will have variable presentation and symptoms.

According to our polls 30% of women do not start treatment because it’s expensive.

We are so proud to say that me made it possible for everyone! Fertility treatment is not a luxurious purchase anymore. Most of our patients get pregnant within 6 months for under $2,500

You should plan to book an appointment ($150), go through a complete evaluation ($350) and then take a complete 6-month treatment ($289×6) until you get a positive pregnancy test. The total is expected to reach $2,234, and this is probably the maximum you can expect to pay at Fertility Cloud.

Everything is transparent.

And you can schedule an appointment and talk to a reproductive specialist today.

What doctor is right when you have infertility?

🔶Who is #OB-GYN?
OB-GYN refers to the two fields of #obstetrics and #gynecology, so most people use the abbreviation OB-GYN to refer to their obstetrician and gynecologist. Gynecologists specialize in women’s health, and generally treats medical and surgical conditions associated with female anatomy. Obstetricians care for you during pre-conception, pregnancy, childbirth and immediately after delivery. An OB-GYN does all these things. This doctor prescribes birth control and sees you through childbirth and menopause. This person also screens for cancer, treats infections and does some surgeries.

🔶Who is #REI?
REI stands for reproductive endocrinology and infertility. Doctors who work in REI train in the medical and surgical treatment of issues dealing with a woman’s reproductive tract and conditions causing infertility. REI specialists are skilled in helping women who are struggling to get pregnant. REI specialists work with genetic counselors and dietitians to help couples achieve their dream of having a child.

REI doctors work with those coping with things such as:
-Endometriosis
-Polycystic ovarian syndrome (PCOS)
-Male factor infertility
-Tubal factor infertility

Your OB-GYN might send you to an REI specialist if you’ve been trying to conceive for 6 to 12 months without success or if you have a history of miscarriages.

Some women are treated by both types of physicians: OB-GYN, and an REI doctor.

So, the difference between REIs and OB-GYNs is that REIs focus on both men and women, are more experienced in solving infertility issues, and create more individualized plans. Also usually REIs are more specialized to help you if you have a more complicated reproductive history or have not been successful with your OB/GYN.

Do you really have an unexplained infertility diagnosis?

Many patients come to us saying that they have been diagnosed with unexplained infertility earlier. However, the majority of them end up having another diagnosis.

An unexplained infertility diagnosis may be set after the following tests have been performed:

✅There are no serious uterine fertility issues (Evaluated with a hysteroscopy.)
✅You are ovulating regularly (Evaluated with ovulation home kits)
✅Your fallopian tubes are open and healthy. (Evaluated with an HSG.)
✅Your ovarian reserves are good. (Evaluated with blood work and/or an antral follicle count.)
✅Your partner’s semen analysis is normal (Evaluated with semen analysis, including total count, sperm movement, and sperm shape.)
✅Assessment of ovarian reserve, imaging to assess for tubal and uterine factors, transvaginal ultrasound, etc.

We make sure you don’t get treated from a wrong diagnosis🌸