Please Silence Your Cell Phones and Handheld Devices

Egg Thaw Cycle Orientation

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Copyright 2008 – 2013 NYU Fertility Center – rev. 06/05/2013

Please Silence Your Cell Phones and Handheld Devices

Visit us online at www.NYUFertilityCenter.org

Meet Our Physicians

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Dr. Frederick Licciardi Dr. James Grifo Dr. Nicole Noyes Dr. Alan Berkeley

Dr. Lisa Kump-Checchio Dr. M. Elizabeth Fino Dr. David Keefe

Reproductive Endocrinology Fellows

The NYU Fertility Center is part of the Division of Reproductive

Endocrinology and Infertility (REI) at NYU School of Medicine’s

Department of Obstetrics and Gynecology.

Our division offers a 3-year fellowship program in Reproductive

Endocrinology and Infertility approved by the American Board of

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Endocrinology and Infertility approved by the American Board of

Obstetrics and Gynecology. Fellows are licensed physicians and have

completed 4-year residencies in Ob-Gyn and have elected to sub-

specialize in REI.

Throughout your time at the NYUFC, you will interact with our fellows

who provide clinical care and provide on-call responsibilities (including

emergencies).

Reproductive Endocrinology Fellows

� Brooke Hodes-Wertz, MD

� Kara Goldman, MD

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� Kara Goldman, MD

� Jason Kofinas, MD

Satellite Programs

Madison Women's Health & Fertility, P.C. (select physicians only) 50 East 77th Street, New York, NY 10021 | Phone: (212) 639-9122

� Maureen O. Moomjy, MD

� Jessica R. Brown, MD

� Cristina Matera, MD

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� Cristina Matera, MD

Greenwich Fertility and IVF Center, P.C. 55 Holly Hill Lane, Suite 270, Greenwich, CT 06830 | Phone: (203) 863-2990

� Barry R. Witt, MD

� M. Elizabeth Fino, MD

Laboratory Schedule

� The NYU Fertility Center’s Embryology Laboratory

closes three times a year to perform maintenance.

Closures occur in:� April

� August

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� August

� December

� NYUFC continues to provide monitoring, consultations and non-egg/embryo thaw

procedures during the closure period.

� When scheduling your thaw cycle, please make sure you

can meet the cut-off dates before each shut down.

Contact the Patient Coordinators with any questions you

have regarding the cut-off dates.

Patient Care Staff

� Nursing� Peggy Chin (212) 263-3385

� Kamini Persaud (212) 263-7647

� Diane Gandolfi (212) 263-2728

� Nancy Kerns-Amsel (212) 263-0036

� Christina Obin (212) 263-5078

� Patient Coordinators� Maribel Feliciano (212) 263-7967

� Jackie Hernandez (212) 263-0375

� Shantel Morrison (212) 263-8652

Male Services ( S/A Appts)� Cris Serrano (212)263-0079

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� Christina Obin (212) 263-5078

� Viola Perez (212) 263-6674

� Lavina Mui (212) 263-7931

� Imelda Weil (212) 263-7976

� Lindeena Harris (212) 263-0026

� Cris Serrano (212)263-0079

� Medical Assistants

� (212) 263-6498

� Billing Associates Group

� (212) 263-8647

Cycle Monitoring

� Frequency of monitoring is based on your individual results of treatment.

� Blood Test and Ultrasound Hours: 7:00AM to 9:00AM, 7 days per week, no appointment necessary Please try to avoid the 8:59AM rush, particularly on weekends.

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� We will call with medication instructions the afternoon of your visit. Be prepared and have all medications you will need early in the day and before weekends.

� Follow instructions exactly. Call with questions: 212-263-8990� Best time to call nurses: after 9:30AM until 5:00PM

� If your orientation nurse is out of the office, other IVF nurses can assist you.

The Female Reproductive System

Fallopian Tube

Uterus

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Illustration Courtesy of Organon

Location of Organs Fallopian Tube and Ovary

Ovary

Uterus

Vagina

Egg Thaw Cycle 10

Prerequisite Tests, Consents & Appointments

� Required consultations and tests must be completed before your thaw cycle begins.

� Please inform us if you or your partner have any medical condition or allergies, or are on any prescription medications or herbal supplements. Some medical conditions will require documented clearance from your personal physician or specialist.

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� Your “Advance Directive” ( if you have one) should be provided at the start of treatment. Information available from your MD’s assistant.

� All consents for procedures and releases from cryopreservation must be completed, properly signed and witnessed prior to starting any medication.

� Incomplete testing or consents will delay the start of your cycle.

� No consent or lack of required testing means “No Start”.

Morning Monitoring Hotline

� Please call us at (212) 263-8999 on the day or evening

prior to your:

� Day 2 or Day 3 start date for Egg Thaw or FET

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� Record your name-spell it out, physician and your

protocol. Notification will allow your chart to be

available before you arrive.

Getting Started

� At today’s orientation� Your medication protocol and your egg thaw schedule will be reviewed.� If you are considering whether or not to move forward, please call one of our

patient coordinators, Jackie Hernandez or Maribel Feliciano at least one month prior to when you want to start to reserve a place on our start calendar. There are times when we are fully booked or in downtime and your treatment cycle may be delayed.

� *** If you have any insurance, be sure to consult with our billers regarding your financial responsibility. Cycles and medication must be authorized as per YOUR benefit. Do not start any medication unless you have received the approval of

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financial responsibility. Cycles and medication must be authorized as per YOUR benefit. Do not start any medication unless you have received the approval of the billing group.

� For Egg Thaw � Visit us on cycle day 2 between 7:00AM to 9:00AM for an estradiol blood test and a

baseline sonogram. � If you need your prescriptions, obtain them from the nurse on Day 2 while at

morning monitoring. If you do not require prescription authorization the prescriptions can be called in to your pharmacy. Please have the pharmacy information available.

Medication Pre-Certification

� Pre-certification for your medication in addition to your procedure may be required by your insurer. We will assist you with the process, but all information must be provided based on your individual insurance requirement. Every cycle, even repeats must be authorized in advance.

� Allow 3 weeks for pre-certification of your medication. Contact

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� Allow 3 weeks for pre-certification of your medication. Contact Shalanda Davis (212) 263-6498 or Jennifer Bush (212) 263-0392 (Monday-Friday only). Please provide us with all forms required by your pharmacy plan.

� Your pharmacy benefit plan will determine the type ofand quantity of medication that can be dispensed for your cycle at any one time.

� Patients must be aware of the pharmacy benefit and its limitations - we can assist you, but we are unable to circumvent the plan’s requirements.

Egg Thaw Medication

� Your physician has determined your medication

protocol. If you have questions or concerns, please

address them BEFORE you start the cycle.

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� The decision to start a patient’s medication is usually

based on your Day 2/Day 3 blood test and approval of

your insurance carrier. Medications, once dispensed,

cannot be returned to the pharmacy for credit, so wait

for your instructions before filling your medications.

Egg Thaw Medications

� Estradiol -Estrace™

� Doxycycline (antibiotic)

Methylprednisolone -Medrol ™

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� Methylprednisolone -Medrol ™

� Progesterone

� An antibiotic is prescribed for the male partner

Proper Needle Disposal is the Law

� Please collect your needles and syringes� Use a red “sharps container” (available at your pharmacy)

or

� Use a clean soda bottle with a cap or similar container

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� Bring the closed container to us and we will legally

dispose of them with our licensed medical waste

company � Your local hospital may accept the used items for disposal

� You can call your local health department for a legal drop-off facility

� Do not mail your syringes and or needles to NYUFC for disposal

Antibiotics for Male Partner

� Purpose: Protects against infection of the embryos.

� Type: DoxycyclineCiproflox will be prescribed for patients allergic to doxycycline. Please inform us if you have an allergy to “Cipro” or other medications.

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� Administration: oral medication, 100 mg twice a day (10 – 12 hours apart) for 10 days, beginning on the Day 5 of the female partner’s stimulation cycle. Advise your nurse of any medication or food allergies.

� Possible Side Effects: photosensitivity, gastro-intestinal distress.

Embryology and Andrology19

Embryology and Andrology

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Embryologists Andrologists

Embryology and Andrology

� The same day the eggs are thawed, the partner produces a fresh sample. Date and time determined by the embryology lab staff.

� If you are using donor sperm, it will be thawed the same day as the eggs.

� In routine cases, sperm is added to the lab dish containing the eggs and a

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� In routine cases, sperm is added to the lab dish containing the eggs and a special medium for fertilization.

� The dish is placed in an incubator where normal fertilization occurs.

� The resulting embryos are evaluated for 3 to 6 days; the best are placed into the uterus. The patient has the option to cryopreserve (freeze) excess, good-quality embryos; this requires a separate consent form.

Embryology

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Illustration Courtesy of Organon

ICSI Protocol

� To optimize fertilization, all Egg thaw cycles use

Intracytoplasmic Sperm Injection (ICSI) – a lab procedure

when a single sperm is injected into the egg

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Assisted Hatching

� Assisted Hatching – this is very rarely used- an opening

may be made in the “shell” surrounding the embryo to

assist implantation when transfer is on Day 3

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Embryo Development2525

Fertilized Egg Day 2 Embryo Blastocyst

Embryo Transfer

� The day after thaw, you will be contacted to receive preliminary results of fertilization. Please ensure the telephone number we have on file is correct.

� The Fertility Center physician will advise each patient about

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� The Fertility Center physician will advise each patient about the number of embryos to be transferred. Because we may need to change the day of your transfer from Day 3 to Day 5, please ensure the staff can reach you by telephone.

� Selected embryos are transferred directly into the uterus during a 10 to 15 minute procedure; sedation usually is not required.

Blastocyst Transfer on Day 5

� Purpose:

To reduce the occurrence of multiple gestation without

compromising the pregnancy rate.

Rationale:

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� Rationale:

The blastocyst stage represents the most advanced

stage of embryo development in the laboratory. These

embryos have the best chance of implanting. As a result,

the transfer of fewer embryos will achieve a clinical

pregnancy as often as more embryos transferred earlier

in the cycle.

Criteria for Day 5 Transfer

� Number of eggs at retrieval, fertilization rate and embryo development by day 3 post-retrieval determine day of transfer.

Many patients 42 years of age and older do not have

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� Many patients 42 years of age and older do not have sufficient numbers of good quality embryos for Day 5 Transfer.

� The decision to transfer on Day 3 or Day 5 has to do with the ability to accurately select the best embryos for transfer.

Embryo Transfer Guidelines

� The number of embryos to be transferred is determined by program guidelines and is influenced by factors including patient history, age and embryo quality.

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Recommended limits on the numbers of embryos to transfer

PrognosisAge

<35 yrs 35-37 yrs 38-40 yrs 41-42 yrs

Cleavage-stage embryosa

Favorableb 1-2 2 3 5

All Others 2 3 4 5

� It is very important to discuss these guidelines with your physician prior to the start of your IVF cycle. Some insurance carriers and states limit the number of embryos that may be transferred to maintain insurance coverage.

� Single embryo transfers are also performed at the patient’s request and sometimes at the program’s recommendation. Some insurers encourage SET.

All Others 2 3 4 5

Blastocystsa

Favorableb 1 2 2 3

All Others 2 2 3 3

a See text for more complete explanations. Justification for transferring one additional embryo more than the

recommended limit should be clearly documented in the patient’s medical record.b Favorable = first cycle of IVF, good embryo quality, excess embryos available for cryopreservation, or previous

successful IVF cycle.

Practice Committee Number of Embryos Transferred. Fertil Steril 2009.

Embryo Transfer

� The decision regarding the number of embryos to

replace in your Embryo transfer (ET) is an important one

for you and, if applicable, your partner. The decision has

significant implications for your health, the health of

your pregnancy and that of your children should you

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your pregnancy and that of your children should you

achieve pregnancy.

� Please review the information regarding clinical

pregnancy outcomes and multiple gestation as impacted

by the number of embryos replaced. This data is derived

from IVF cycles conducted here at the NYU Fertility

Center in 2009-2011.

Clinical Pregnancy Rate

per Embryo Transfer

Patient Age

at Egg Retrieval

Elective Single Embryo

Transfer (SET) Day 5

Two Embryo Transfer

Day 5

<35 65% (50/77) 63% (203/322)

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35-37 58% (25/43) 59% (131/223)

38-40 60% (9/15) 53% (124/235 )

Progesterone

� Purpose: supports the uterine lining to sustain embryo implantation and pregnancy

� Administration: injectable progesterone or a vaginal suppository is started the day after retrieval. Do not stop progesterone unless instructed by a staff member.

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suppository is started the day after retrieval. Do not stop progesterone unless instructed by a staff member.

� Possible side effects: cramping, headache, nausea, breast tenderness, mood swings or vaginal irritation.

� Please let your physician or nurse know if you have any nut allergies.

Post-Transfer Monitoring (Luteal Monitoring)

� Progesterone blood test: day of transfer.

� Pregnancy blood test: mandatory at a date to be determined by the Fertility Center. May be repeated 1 week later if positive, often sooner if level is “borderline” to identify the potential for ectopic or chemical pregnancy. Your

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the potential for ectopic or chemical pregnancy. Your insurance may dictate the # of pg tests it will cover.

� Pregnancy ultrasound: 1 to 2 weeks after the second pregnancy blood test.

� Transfer to obstetrician of your choice: once detection of fetal heartbeat is documented.

Frozen Embryo Transfer Cycle (FET)

� An FET cycle can only be initiated after consultation with your physician and a reservation is in place. Insurance authorization may also be required. A reservation will not be provided unless authorization is verified.

� Patients undergoing FET must have a properly signed and witnessed consent before starting treatment. Patient cannot start a cycle without an FET consent and partner release form, as well as completion of all prerequisite blood tests.

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FET consent and partner release form, as well as completion of all prerequisite blood tests.

� Visit us on day 2 of your menses between 7:00AM to 9:00AM for a blood test and sonogram. Begin oral Estrace® as directed by your physician.

� Visit us on day 14 of your menses between 7:00AM to 9:00AM for a blood test and a sonogram, and to schedule a transfer date. We will call you with the date and instructions regarding your transfer and start date of progesterone administration.

Informed Consent35

Consent Forms Required

� Embryo Cryopreservation and Egg Thaw Consent.

� Donor Sperm (if needed) – An additional consent is required for the use of donor sperm.

� Release for Frozen Sperm – A release is required before a frozen sperm specimen (donor or male partner) can be thawed.

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Release for Frozen Sperm – A release is required before a frozen sperm specimen (donor or male partner) can be thawed.

� PGD/PGS (if needed) - Be sure you have received the PGD/PGS packet and have confirmed the PGD/PGS schedule with Reprogenetics or other PGD lab directly.

� NYU School of Medicine Institutional Review Board consents for research studies

Signing Consents37

Consents must be completed in advance of the procedure. Not the day of thaw.

Program Consents

• Patient:

• ___ Initial Each Page

• _____________________Sign and date the last page

• Spouse or Sexually Intimate Partner (if applicable):• Spouse or Sexually Intimate Partner (if applicable):

• ___ Initial Each Page

• _____________________Sign and date the last page

• Please DO NOT use a checkmark for consent elements which require a specific decision. Record your initials where appropriate.

Research Consents

� A research consent CANNOT be witnessed by a Notary Public.

Signing Consents: Program Consents38

Research Consent

� All research at NYU Langone Medical Center must be approved by an ethics review board consisting of physicians, researchers and non-medical staff. This panel, called the Institutional Review Board (IRB), decides what research may be performed.

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� IRB research consent permits use of discarded materials for research.

� Only materials that would otherwise have been discarded will be used for research studies.

� Providing consent for research on discarded materials will not in any way jeopardize your medical treatment.

� Declining consent will not adversely affect your medical treatment.

Research Consent

� Providing consent permits us to improve scientific

techniques and to further understanding of infertility and

its treatment.

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� Without the consent of patients like yourselves, IVF or

egg freezing would never have been developed.

� Only through your consent can the techniques for

fertility preservation or infertility treatments be

developed further.

Research Consent

� Examination of genetic abnormalities in embryos that have stopped dividing and are therefore not suitable for transfer or freezing.

� Analysis of follicular fluid to determine whether molecular signals in this fluid will predict which eggs and embryos are most likely to create viable pregnancies.

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� Examination of signals from cells surrounding the developing oocyte to help predict which oocytes are likely to create pregnancy.

� Continuous monitoring of the discarded embryos for several days in a special incubator to gain more information about early embryo development.

� NYU Fertility Center is not involved in any activity that promotes human cloning.

Pregnancy Rates

� For your individual situation, please contact your physician.

� 2001- 2010, NYU Fertility Center performed 12,790 IVF cycles using fresh, non-donor eggs, resulting in 10,618 retrievals and 3,661 deliveries.

Patient Age at

Retrieval

# of Oocyte

Retrievals

Deliveries

(Live Births)

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<35 2778 51%

35 to 37 2264 43%

38 to 40 2598 32%

41 to 42 1654 20.4%

43+ 1324 8.4%

A comparison of clinic success rates may not be meaningful because

patient medical characteristics, treatment approaches and entrance criteria for ART may vary from clinic to clinic.

Issues to Consider Before Thawing Eggs

� Multiple pregnancy� Elective reduction of multi-fetal pregnancy

� Pre-term labor and cesarean delivery

� Prematurity

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� Prematurity

� Cryopreservation of additional embryos� The decision to cryopreserve is an important one that should be

made prior to creating embryos

� Custody in the event of death or divorce

� Donation for research

� Discard

Issues to Consider Before Thawing Eggs

� Multiple pregnancy (continued)� In 2010, the Program reported 239 deliveries resulting from fresh,

non-donor egg cycles. Of these, 59 or 25% were multiple births – all

twins, no triplets. This data does not include PGD cycles.

Patient Age Singletons Twins Triplets+

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Patient Age

at Retrieval

Singletons

(%)

Twins

(%)

Triplets

(%)

< 35 56 44 0

35-37 88 12 0

38-40 79 21 0

41-42 84 16 0

>42 100 0 0

A comparison of clinic success rates may not be meaningful because

patient medical characteristics, treatment approaches and entrance criteria for ART may vary from clinic to clinic.

Additional Services:PGD, PGS, Egg Freezing

� Preimplantation Genetic Diagnosis (PGD)� Single Gene Defect, Aneuploidy, Translocations

� Fees for NYU and for Reprogenetics or other PGD labs

� Under certain circumstances may be covered by insurance carriers

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� Egg Freezing: Elective or Medical� No services affiliated with egg freezing are covered unless you have

insurance coverage specifically for egg freezing

Ectopic Pregnancy

� Even though we put the embryos in the uterus, sometimes they can

wander into the tube, or more rarely, down into the cervix.

� Tubal pregnancies occur in

about 2-3% of IVF

pregnancies.

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pregnancies.

� Tubal adhesions

increase the risk of an ectopic.

� Treatment is with

medication (Methotrexate)

or surgery.

Wellness Programwww.NYUFertilityCenter.org/wellness

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Monthly Calendar of Wellness Events Can Be Found in the LobbyMonthly Calendar of Wellness Events Can Be Found in the Lobby

For Information and Support . . .

� Ask questions during your visits or call us at (212) 263-8990 during regular hours of 9:00AM to 5:00PM.

� Use the written materials and videos available in our library, located off the patient waiting area.

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� Visit our web site at www.NYUFertilityCenter.org� Injection training videos are available (English and Spanish)

through our website – look for this icon on any pageexcept the homepage

� Ask our staff for the names of additional patient advocacy, education and information programs.

� Wellness Program Services are most effective when started prior to your cycle.

Psychological Support Staff

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Shelley S. Lee, Ph.D.

(212) 263-0060

Mindy R. Schiffman, Ph.D.

(212) 263-0061

Psychological Support Services

� Consultations, treatment/support sessions for couples

and individuals � Consults are mandatory for all patients using donor gametes

� All patients/couples may utilize the services of our psychologists-call for

an appointment and fee schedule at 212-263-0054

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� Patient support groups, including:� Stress Management

� Therapies related to the mind-body connection and

infertility treatment

Acupuncture Services

� Services are provided by � Lara Rosenthal, L.Ac.

� Belinda Anderson, Ph.D., L.Ac.

� Sara Frohlich, L. Ac.

� Offered onsite� Offsite appointments are also available

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Offsite appointments are also available

� Can safely be used prior to and concurrently with fertility medications and procedures

� To schedule an appointment with any of the acupuncturists, please call (212) 807-6769 or email info@lararosenthal.com.

Mind/Body Support Group

� Services are provided by Helen Adrienne, LCSW, BCD

� Offered as a series of individual classes or as a one-day group program� Individual consultations are also available

� Main goal is to help patients realize that while you can’t control infertility,

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� Main goal is to help patients realize that while you can’t control infertility, you can control how you navigate it.

� If you would like to register, please contact: Helen Adrienne, LCSW, BCD(212) 758-0125helen@mind-body-unity.comhttp://www.mind-body-unity.com

Yoga for Fertility

� Services provided by Tracy Toon-Spencer � Classes are held onsite and offsite (265 W. 72nd St., 2nd Fl.)

� Bring your own mat or one will be provided for you

� Gentle practice focuses on deep relaxation, guided visualization and

breathing to trigger the relaxation response

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� Safe to practice at any time during your treatment

� (212) 375-1688 or TLToon@aol.com

� Restorative Yoga offered by Barrie Raffel� Classes are held offsite (371 Amsterdam Avenue)

� Soothing practice designed to elicit deep, conscious relaxation using

props and lengthening time in poses to deepen their effects

� barrieraffel@earthlink.net

Nutritionist

� Kimberly Ross, MS, RD, CDN offers integrative

holistic nutritional counseling for fertility patients� 165 West End Ave., Suite 1K

� Fridays at the NYU Fertility Center

� By appointment

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� By appointment

� Appointments made through Ms. Ross’ office.� www.kimrossnutrition.com

� (212) 877-7043

Financial Considerations55

Financial Policy- Egg Thaw

� You are responsible for payment of all charges. Payment for

the full egg thaw fee is due at the start of medication; other

services (e.g., cryopreservation), as indicated per our

payment policy. By law, co-insurance, co-pays and

deductibles must be paid and will not be waived.

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deductibles must be paid and will not be waived.

� Payment of co-pays, deductible, coinsurance or any fees due

to the doctor or program, can be made by cash, check or

credit card (Visa, MasterCard or American Express).

� Participating insurers: Aetna, United Healthcare, Empire Plan

(Center of Excellence), Optum Health/URN, Oxford

Financial Policy- Egg Thaw

� Insurance carriers have specific authorization requirements and these must be met by the patient. Do not start a cycle if you have not been authorized for the cycle ( including repeats and FETs). Starting without insurance authorization will result in the patient being responsible for all charges. Check your policy to identify if IVF/ART is a covered benefit - not all plans cover IVF/ART.

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Check your policy to identify if IVF/ART is a covered benefit - not all plans cover IVF/ART.

� Providers such as anesthesiologists, laboratories, geneticists, radiologists, or pharmacy and hospital fees are separate from the cycle fees. Your insurance may or may not cover these fees. Contact the provider directly for information. This is a sample list of sources of additional charges and cannot be considered complete. NYUFC cannot be held responsible for any charges related to your cycle that are billed by an outside provider.

Egg Thaw Charges

� Egg Thaw Cycle*� Endocrine assays and phlebotomy charges

� Follicular ultrasound monitoring

� Medical management

� Embryo transfer

� Lab culture

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� Lab culture

� Semen preparation

� Luteal monitoring up to initial pregnancy test

*Payment due at medication start for self pay patients/charges. Cycle will be cancelled for nonpayment of any charges including but not limited to co-pays, co-insurance, deductible and non-covered services.

Individual insurance plans dictate what is included in a cycle. Authorization must be obtained where required in advance of every cycle start.

FET Charges

� Frozen Embryo (FET) Cycle*� Endocrine assays and phlebotomy charges

� Follicular ultrasound monitoring

� Medical management

� Embryo transfer

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Embryo transfer

� Lab culture and fertilization

� Luteal monitoring up to pregnancy test

Payment due at cycle start for self pay patients/non-covered charges.

Cycle will be cancelled for nonpayment of any charges including but

not limited to co-pays, co-insurance, deductible and non-covered

services. Individual insurance plans dictate what is included in a cycle.

Authorization must be obtained where required in advance of every

cycle start.

Other Cycle-Related Charges

� Anesthesia (paid to NYU Anesthesia Associates)

� ICSI and PGD/PGS* and/or Assisted Hatching and Extended Blastocyst Culturing

� Semen cryopreservation (including 6 months of storage)� Additional storage billed semiannually

Initial Embryo & Egg cryopreservation (includes first year of storage)

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� Initial Embryo & Egg cryopreservation (includes first year of storage)� Additional storage billed annually on 1st day of anniversary month

� Diagnostic semen analysis

� Non-covered, excluded or experimental services as determined by your benefit plan

*PGD/PGS fees come from 2 sources: NYUFC for embryo biopsy and Reprogenetics or other genetics lab

Other Cycle-Related Charges

� Psychological services at NYUFC and Wellness services

� Urology services* – Outside physician/surgeon and NYUFC Andrology lab services

� Fertility and other medications –pharmacy

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� Surgical facility charges (non-IVF) for male partner

� Luteal monitoring and OB ultrasounds (following positive pregnancy test)

� All tests performed by outside laboratories: PGD-Reprogenetics, Enzo, Genzyme, Quest, Lab Corp, NYU Genetics

*Services payable to NYUFC and outside provider of service

I F Y O U H AV E A N Y

Q U E S T I O N S , P L E A S E C O N T A C T U S

2 1 2 . 2 6 3 . 8 9 9 0

Thank you 62

2 1 2 . 2 6 3 . 8 9 9 0

W W W . N Y U F E R T I L I T Y C E N T E R . O R G

B I L L I N G : 2 1 2 . 2 6 3 . 8 6 4 7