Frequently Asked Questions (FAQ)

As a dedicated part of your fertility care team, FSAC is here to offer you comprehensive, hands-on support. Below is a list of questions we regularly field from patients. Of course, we welcome your additional inquiries at any time.

General/IVF Questions

One out of every 6 or 7 women needs some help getting pregnant. FSAC’s patients come from all over the world and include people of all ethnic groups and ages. Couples often suspect that infertility stems from the female partner, but in about 4 out of every 10 cases, male infertility is the key factor. That’s why both partners must participate in fertility testing from the start, so that doctors can assess the problem and begin treatment right away.

If you’ve been trying to conceive for a year without success, the doctors at FSAC recommend you make an appointment for a fertility evaluation. We suggest that you come in even sooner if you are a woman over 30 and have medical issues that might interfere with fertility or if you have irregular or painful periods or a history of miscarriage, endometriosis, pelvic inflammatory disease, uterine fibroids or ovarian cysts.

You receive regular care from your primary physician, who will personally follow your care every step of the way. Depending upon your individual situation, we may also recommend that you consult with other partners in our practice.

We are honored that so many of our patients travel long distances to be cared for by our doctors, and we’re available to answer all of your questions about transportation, lodging and the logistics of your treatment. The frequency of your visits will depend upon your individual treatment plan.

Our pregnancy rates are among the best in the United States. FSAC’s doctors carefully evaluate each couple’s probability of becoming pregnant, and we will be frank about your chances of conceiving with our help. The chances of success depend upon many factors, from the age and health of the couple to the quality of the sperm and eggs. Click here to review our pregnancy rate statistics.

Fertility treatment can be overwhelming. Our doctors understand that some of the procedures can be expensive and physically uncomfortable. You may be more emotional than usual during treatment and feel frustration at the loss of privacy. These feelings are normal, and our doctors and our staff have helped many patients through the emotional side of fertility treatment. FSAC offers a Liaison Network to connect couples who would like additional support, and we can offer consultation with psychologists who specialize in working with infertile couples.

Absolutely! Many women over 40 successfully carry pregnancies to term.

Nearly one quarter of our patients have already had at least one child. But every pregnancy is different. If you’ve been trying unsuccessfully to become pregnant, we’d like to help you.

Although luteal labs do not provide information on the possibility of a pregnancy, they do shed light on how to adjust the supplementation dosage of your medication.

You may resume treatment with the menstrual cycle that starts after the beta-hCG levels become negative.

A small amount of spotting is common during this time.

A small amount of spotting is common during this time. However, for significant bleeding, or uterine cramping, please call our office.

It is possible to do back-to-back cycles depending upon the findings (ultrasound and lab tests) at the beginning of the second cycle.

Yes. Please inform the health care provider that you are pregnant or are trying to conceive.

Yes. Please let your healthcare provider know you are pregnant or are trying to conceive.

Personal Care Questions

You can dye your hair at any time during the IVF process or while pregnant.

You may travel, including by air, while pregnant. Please avoid exertion if traveling to altitudes above 6,000 ft.

You may resume exercising as tolerated. Please limit your exercise to low impact activities and avoid overexertion.

You may resume intercourse once a heartbeat is seen unless there is vaginal bleeding.

Please do not change the litter box while pregnant.

It is best to avoid jarring activities, or those that put you at risk for a fall, while pregnant.

Please avoid alcohol while pregnant. One cup of coffee daily and moderate chocolate consumption is fine during pregnancy.

Please avoid foods made from unpasteurized milk, raw fish, raw meats or fish high in mercury (such as, tuna, mackerel, tilefish, shark and swordfish). Fish that is low in mercury may be eaten in moderation. For more information, please visit: http://www.epa.gov/waterscience/fishadvice/advice.html

Medication/Vitamin Questions

You may take Claritin, Benadryl for allergies, Phenergan or Zofran for nausea (please use sparingly), Tylenol for fevers, Sudafed for congestion and Colace or fiber supplements for constipation. Continue with thyroid medication and metformin as prescribed. Please do NOT take any triptan medications used for migraines such as Imitrex, Zomig or Maxalt.

Please call the office to determine if a make-up dose is necessary.

Please call the office to determine if a make-up dose is necessary.

Yes, the progesterone and estrogen supplementation are an essential part of your treatment.

Progesterone helps support the pregnancy. Some women make an inadequate amount of progesterone. Supplementation assures appropriate progesterone levels should pregnancy occur.

No – unless we determine it is necessary for you to add folic acid (indicated for women with a history of elevated homocysteine levels or who have had a child with neural tube defects, for instance).

You may resume prenatal vitamins after the beta-hCG levels become negative.

It is best to start on prenatal vitamins (prescription or over the counter) as soon as you are trying to conceive.

Please review the antidepressant with your physician.

Avoid herbs during ovulation induction or IVF unless prescribed for fertility.