INITIAL CONSULTATION AND EVALUATION Since infertility can develop as a result of both male and/or female problems, our comprehensive evaluation includes a personalized and in-depth consultation between the couple and our physicians. At this time, the physician will review the woman’s medical history, previous treatments and examinations, hormonal assessments, and other fertility testing. A complete semen analysis may be performed as part of the man’s evaluation and a hysterosalpingogram may be recommended for the woman to investigate the possibility of uterine and fallopian tube abnormalities. Based on these initial findings, a plan for fertility investigation will be discussed and initiated with the couple. Important! New patients need to provide all pertinent medical records and HSG X-rays to our office prior to their initial consultation. top
	COMPREHENSIVE FERTILITY TESTING Comprehensive fertility testing is available in our Center which includes a fully licensed and CLIA certified andrology laboratory for semen and sperm studies. Testing is individualized for each patient and may include: - Semen analysis with strict morphology studies - Hormonal evaluations - Ovarian reserve testing - Hysterosalpingograms - Hysterosonograms - Pelvic ultrasound - Endometrial biopsies Nearly 40% of infertility problems result from a male factor. Many of these factors can be treated and overcome. If required, our physicians work closely with urologists who specialize in male infertility if further investigation and treatment is required. top
	OVULATION INDUCTION AND SUPEROVULATION To help increase the opportunity for conception, the use of oral or injectable medications may be recommended to stimulate the ovaries to produce and release mature eggs. This is a common treatment for women with unexplained infertility. For women who do not ovulate on their own, medications are prescribed to induce ovulation so that conception can occur with either timed intercourse or artificial insemination (IUI). All ultrasound monitoring occurs at our Center and is completed by our Reproductive Endocrinologists who specialize and are extensively trained and experienced in ultrasound techniques and interpretations. top
	ANDROLOGY LABORATORY SERVICES Our licensed and CLIA certified andrology laboratory is staffed by two andrologists who are specially trained and credentialed to assess all parameters of sperm and semen. In addition to providing comprehensive sperm testing, our Center’s andrology laboratory provides superior methods for evaluating sperm for analysis and processing or “washing” sperm for intrauterine inseminations (IUIs). It is these specialized methods which contribute to higher fertility success rates from inseminations. Services performed by our Andrology Laboratory include: - Semen Analysis - Semen Culture - Sperm Washing - Cryopreservation (sperm freezing) Our laboratory is equipped to maintain the short term storage of “donor” semen specimens for donor insemination services. The Center’s “collection” room was specifically designed to offer our male patients privacy, comfort, and convenience for producing semen specimens. Appointments can be made from 7:30 am onward to help accommodate working schedules. top
	ASSISTED REPRODUCTIVE TECHNOLOGIES (ART) Beginning with the birth of the first IVF baby in 1978, ART has opened the doors for many women who could not conceive. The development of ART in recent years has become a foundation for highly successful fertility treatments and has resulted in tens of thousands of babies being born. Our physicians’ relationship with the New York University School of Medicine’s IVF Program gives our patients access to world class ART services including: - IVF – In Vitro Fertilization - ICSI – Intracytoplasmic Sperm Injection - Assisted Hatching - Blastocyst Culturing - Preimplantation Genetic Diagnosis (PGD) - Embryo Cryopreservation - Donor Oocyte (Egg) Services -Oocyte Cryopreservation (Egg Freezing) Services All IVF monitoring, inclusive of all blood and ultrasound monitoring as well as physician management, of the IVF cycle takes place at the Greenwich Fertility and IVF Center for our patient’s convenience as well as continuity of care. Only two trips to NYU’s Manhattan office will be required, one on the day of the egg retrieval and the other on the day of the embryo transfer. Working closely as a team with our physicians, NYU’s medical and embryology staff are experts in these specialized ART laboratory techniques.The embryologists are responsible for the preparation and fertilization of sperm and eggs in the laboratory and for the development of these embryos until it is time to transfer them back into the uterus. Once our patients receive their embryo transfer at NYU, they return back to the Greenwich Fertility Center for monitoring, pregnancy test, and any other required medical services. We believe the combination of the convenience, comfort, and personalized services our IVF patients receive from the Greenwich Fertility and IVF Center along with the expertise and success rates of the NYU physicians ART services, are a winning combination for our patients. top
	SURGICAL SERVICES Surgical procedures may be performed as a treatment for infertility and may reduce or eliminate the need for assisted reproductive technologies (ART). Our physicians have years of experience in reproductive surgical techniques used to treat fallopian tube obstructions, pelvic adhesions, endometriosis, fibroids, and uterine anomalies. Operative laparoscopy and hysteroscopy can often correct some of these related problems of infertility. top
	PATIENT EDUCATION AND SUPPORT SERVICES Our nursing and medical staff works closely with each patient to help the patient or couple best understand their fertility options and treatments. Patients are supplied with written educational materials necessary to answer all of their questions and to ensure that partners maintain a complete understanding and comfort level with the treatments. Comprehensive IVF teaching sessions are held for patients undergoing in vitro fertilization and all patients have access to our fertility lending library. Achieving a pregnancy may have significant emotional impact on a couple. Since emotional health is just as important as physical health, supportive counseling services are available to the couple as well. All counseling sessions are conducted in a discreet and confidential manner. Our program has teamed with Greenwich Hospital's Healthy Living Center and Integrative Medicine programs to make available to our patients a series of stress reducing Mind/Body services. These services include therapeutic massage, yoga, acupuncture, nutritional counseling, and "Priming for Pregnancy," a mind body series of relaxation classes to enhance fertility. top
	PATIENT FINANCIAL SERVICES Our Center provides a dedicated financial counselor to assist the patient in understanding program fees and financial responsibility once the patient decides upon fertility treatment. It is very important that patients fully understand and research their insurance coverage prior to receiving any treatments. Although we may participate in a patient’s insurance plan, coverage varies greatly and the patient must understand for what fertility and/or IVF services he/she is covered. It is our policy to accept payment for all out of network, uncovered or excluded services at time of treatment. Our financial counselor can be reached at (203) 863-2990 and is available to review fees and provide information and assistance whenever possible. Although it is ultimately the patient’s responsibility to understand his/her insurance coverage, we would be happy to call the insurance company to help the patient understand his/her coverage and responsibilities. We are happy to provide assistance to our patients in obtaining any pre-authorizations for services they may require. Please let us know how we can help you better understand your insurance benefits. We understand that it can get very complicated. top