Pacific Northwest Fertility

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Frequently Asked Questions - FAQ

 

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1. How long should we try to get pregnant before we should see an infertility specialist?
2. What does Reproductive Endocrinologist mean?
3. What is causing our infertility?
4. How do you test for infertility?
5. Can most of the fertility tests and treatments be done at your office?
6. What is an HSG (hysterosalpingogram)?
7. What infertility services does your clinic offer?
8. Can the doctors at Pacific NW Fertility perform my surgery?
9. What should I bring to my first appointment?
10. What will my first appointment like?
11. Will my insurance cover any of the infertility test and treatment?
12. Is fertility treatment expensive?
13. If I want to have donor sperm inseminations, how do I get started?
14. How do I schedule a semen analysis?
15. Is there an age limit for infertility treatment?
16. If I am still getting my period every month, doesn’t that mean I am still fertile?

 

 

 


 

How long should we try to get pregnant before we should see an infertility specialist?

  • For women 35 and younger, we recommend trying for pregnancy for one year before seeking help from a fertility specialist. For women over the age of 36, we recommend trying for pregnancy for six months before consulting a fertility specialist. If you are 35 and younger and have a complicated gynecological history, you should be seen sooner than a year.

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What does Reproductive Endocrinologist mean?

  • Reproductive Endocrinologists are medical doctors who are certified in the OB/GYN specialty, finish a fellowship and an additional 3 to 4 years of training in Reproductive Endocrinology.

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What is causing our infertility?

  • Many factors can contribute to the causes of infertility and these factors can be from one or both partners. Blockage of the fallopian tubes, the lack of ovulation, poor semen parameters, and age are a few of these reasons. Sometimes even fertility specialists cannot pinpoint the cause of patients’ infertility and this is referred to as ‘unexplained’ infertility. Regardless of the source of our patients’ infertility, we strive to offer a wide range of techniques to achieve pregnancy.

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How do you test for infertility?

  • Some of the common tests include checking hormone levels in blood, hysterosalpingogram (fallopian tube x-ray), semen analysis, and ultrasound.

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Can most of the fertility tests and treatments be done at your office?

  • With the exception of the HSG (which is performed at Swedish Outpatient Radiology on the 3rd floor of our building), all other blood draws, ultrasounds, inseminations, and all in vitro fertilization related treatments are performed in our clinic.

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What is an HSG (hysterosalpingogram)?

  • The hysterosalpingogram (HSG) is an x-ray examination performed in the Swedish Outpatient Radiology Department by one of our physicians. It is used to determine whether the fallopian tubes are open and to evaluate the uterine cavity. This information is important because at least one tube must be open to allow the sperm to travel through the tube to contact the egg and for the fertilized egg to travel back to the uterus. The cavity of the uterus must also be normal to allow the fertilized egg (embryo) to implant and develop normally.

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What infertility services does your clinic offer?

  • Along with consultations, basic evaluations and second opinions, we offer diagnostic testing, intrauterine insemination, ultrasound, a full range of Assisted Reproductive Technology services, including in vitro fertilization, ovum and embryo donation, and preimplantation genetic diagnosis. We have a state-of-the-art Andrology and Embryology Lab, staffed with skilled and innovative professionals.

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Can the doctors at Pacific NW Fertility perform my surgery?

  • Both of our physicians are skilled and experienced surgeons. They perform surgery at Swedish Hospital, as well as performing minor procedures in the clinic’s own ambulatory surgery center.

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What should I bring to my first appointment?

  • If you have a partner, please invite them to accompany you to your appointment(s). If you have had any previous fertility treatment, please provide us with those records. If you or your partner have had sterilization surgery, the operative note would be helpful. Please bring your insurance card and any benefit information you wish to bring.

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What will my first appointment like?

  • The first appointment is meant to acquaint our physicians with your medical and pregnancy history. Most of your first visit will be in consultation with one of our physicians, with a possible vaginal ultrasound at the end of the visit. Before your first appointment, we have you and your partner (if applicable) complete a questionnaire through our Patient Portal in our website. By the end of your first appointment, our physicians and staff will try to ensure you understand all the recommended diagnostic testing and treatment options for you.

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Will my insurance cover any of the infertility test and treatment?

  • Pacific NW Fertility is contracted with several medical insurance companies. Some of these companies cover an initial consultation and diagnostic testing, while others cover fertility treatments. Not all insurance companies cover fertility. Washington is not a state where the coverage of infertility services is mandated. We encourage you to consult with your insurance provider.

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Is fertility treatment expensive?

  • Some patients are surprised that the initial treatments, like intrauterine insemination, are not very expensive (under $1000). If your best chance for pregnancy includes any form of ART (Assisted Reproductive Treatment), the treatment cycles can range anywhere from a few thousand to several thousand dollars.

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If I want to have donor sperm inseminations, how do I get started?

  • First, you need to schedule a new patient visit with one of our providers. Next, there are required screening lab tests that need to have been done recently or can be done in our clinic. When your testing is completed and reviewed by a clinician, you may begin treatment.

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How do I schedule a semen analysis?

  • If your partner is a patient of our clinic, simply phone the Andrology Lab at 206-515-0002. If you have been referred to our laboratory by your own physician, we need a written order from your physician before you can make an appointment in the lab.

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Is there an age limit for infertility treatment?

  • There is no age limit for patients who wish to discuss the probability of becoming pregnant and the likelihood of delivering a healthy baby. However, age has a major impact on fertility, it is not reversible and not all fertility treatments are successful in older women. Our Egg Donor Program has an age limit for donor egg recipients. They must have the cycle complete by their 51st birthday.

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If I am still getting my period every month, doesn’t that mean I am still fertile?

  • Not necessarily. In an effort to produce a period, the female body does not have to release a lot of hormones in order to allow for menstruation. Menstruation is not evidence of the other complicated processes that are required to achieve pregnancy.

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To learn more about our services you contact us at info@pnwfertility.com or leave us a message on our contact us page.

 

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