In-Vitro Fertilization ProgramThrough our In-Vitro Fertilization (IVF) Program, couples receive support, information, and counseling, as well as the most advanced treatment. IVF is the process of combining sperm and egg in a lab to create a viable embryo that can then be transferred to the mother's uterus. Our internationally renowned multidisciplinary team of physicians, scientists, and specialized staff have dedicated their lives’ work to improving our patients’ chances of completing their family. We strive to make the IVF experience as positive as possible, and to minimize any confusion or frustration couples may be experiencing. Our specialists are with patients every step of the way to help them navigate fertility issues by thoroughly discussing all procedures and aspects of care. Before starting treatment, all couples take part in an initial consultation and visit with our reproductive endocrinologists. After completing a comprehensive review and deciding to proceed with IVF treatment, we complete prenatal testing on both partners. We then tailor the treatment plan to the individual couple's needs. The next step is to meet with our dedicated team of financial counselors to clarify financial coverage. It is important to note that insurance companies require prior authorization before starting IVF. We also offer a Pre-IVF checklistto help keep track of the necessary steps prior to starting IVF. It is our privilege to participate in our patients’ care and to attend to the emotional, psychological, and physical needs of individuals and couples experiencing infertility. We believe that when any treatment is made simpler for patients, they are empowered to spend more energy on their medical goals—and in this case, one another.
Reproductive Endocrinology & InfertilityWe specialize in evaluating, diagnosing, managing, and treating a wide range of endocrine disorders that are either directly or indirectly related to reproduction. The clinical expertise of our physicians enables us to provide high-quality, compassionate, and individualized care. Our state-of-the-art Fertility Center offers comprehensive care and treatment options and our success rates for frozen embryo transfer are among the highest in the Northeast. We are among few centers in the country with a reproductive specialist with dual training in both male and female infertility. Our patients include same gender couples and transgender men and women. We are dedicated to helping all of our patients understand their treatment options and achieve pregnancy. We offer a variety of services for our patients across the following specialty programs: In Vitro Fertilization (IVF) Program. This program works with infertile couples, offering support, information, and counseling, as well as the latest technological procedures and advanced treatments in IVF. As the first IVF Program in the Northeast, Yale IVF has become a recognized leader in the field of assisted reproductive technology (ART). Third-Party Reproductive Program. This program offers counseling, support, and treatment options for couples pursuing third-party assistance in pregnancy, such as donor sperm, donor eggs, and surrogacy. Fertility Center Psychological Program. This program provides counseling services and support for couples dealing with fertility issues. Our specialists are trained to help couples navigate medical disorders and treatment options, multiple pregnancies, pregnancy loss, third-party assistance, and adoption. Endometriosis Program. Endometriosis is a common condition that can cause pelvic pain or infertility. Surgical options can remove endometriosis while medical therapies can often stop its progression. We offer effective testing for this condition as well as a large number of options for its treatment, management, and counseling. Polycystic Ovarian Syndrome (PCOS) Program. PCOS is one of the most common hormonal reproductive conditions in women of childbearing age. Our specialists treat PCOS through a combination of metabolic need assessment, lifestyle modification, psychological support, and medical interventions based on a patient’s individual needs. Perimenopausal and Menopausal Therapy Program. This program addresses both early and premature menopause and the challenges it presents to women. The program offers treatment options for women experiencing menopausal symptoms and other health risks, such as osteoporosis, diabetes, heart disease, and mood changes. We also offer donor egg IVF to address fertility needs of early menopausal women. Recurrent Pregnancy Loss Program. Our multidisciplinary team of pathologists, geneticists, and perinatologists uses a holistic approach to help couples with recurrent miscarriages and/or pregnancy losses. Male Fertility Program. Male infe
Fertility CenterWe offer an array of individualized treatment options for both women and men looking to start a family. Our physicians, staff, and scientists share our patients’ dreams. We have dedicated our life's work to improving their chance for fertility. When our research offers a new treatment option, our patients are the first to benefit. Our practice is specifically built to attend to the technological, emotional, and physical needs of men and women who are experiencing infertility. We use our expertise to both minimize the number of procedures our patients experience and to increase their chance of pregnancy. We help same-gender and transgender couples, as well as individuals with their fertility needs, including fertility preservation methods for those who are not yet ready to start a family but may in the future, or for those about to undergo cancer treatment. One of the few centers in the country with a reproductive specialist with dual training in both male and female infertility, we are also leaders in advanced sperm-retrieval procedures. All of our registered nurses have specialized in-vitro fertilization training through the American Society for Reproductive Medicine, and we have a dedicated team to guide patients through insurance coverage for the diagnosis and treatment of infertility.
Male Fertility ProgramFertility can be a complicated health issue with physical, emotional, and psychological ramifications. Our program, in conjunction with the Department of Urology, offers a patient-centered approach to male infertility, because we understand that each patient and each couple is different. Our patients receive care at the Yale Fertility Center, one of very few centers in the country that has a reproductive specialist with dual training in both male and female infertility. Our physicians are at the forefront of scientific research and clinical care in the field. When cutting-edge research offers a new treatment option, our patients are the first to benefit. The Male Fertility Program and Sperm Physiology Laboratory at the Fertility Center each has a national and international reputation for laboratory excellence, inventiveness, and outstanding research. We offer the most sophisticated,computer-assisted semen analysis, anti-sperm antibody testing,and evaluation ofsperm shape and morphology. In addition, the lab features thesperm migration test, which provides an assessment of the proportion of sperm that compete for fertilization. At most fertility centers, sperm retrievals must be timed and coordinated with an off-site urologist to perform the procedure. Here, we do not fragment our patient’s care, and are able to treat couples with male factor infertility as a whole. We offer the following sperm retrieval procedures: Percutaneous Epididymal Sperm Aspiration (PESA). This procedure harvests sperm from the epididymis and uses them for ICSI (Intracytoplasmic Sperm Injection, or injecting sperm into an egg). Testicular Sperm Extraction (TESE). This procedure requires a small incision where testicular tissue is biopsied for the presence of sperm. Embryologists thoroughly search the tissue for viable sperm to be used for ICSI.
Third Party Reproductive ProgramOur program has helped couples from around the country and all over the world achieve pregnancy. Our program welcomes same sex couples and has successfully helped many to become parents through assisted reproduction. The Third-Party Reproductive team works as a unit to provide medical care and psychological support services to make our patients’ experience a pleasant and successful one. The surrogacy and egg donationprocess can be an exciting, as well as stressful, endeavor for couples. Our counselors work closely with egg donors and intended parents to provide guidance and support throughout the screening process and treatment cycle. We provide important information about treatment options and help to facilitate discussions of such topics as whether or not to pursue a particular treatment, and how to pursue third-party assistance (donor sperm, egg donor, and surrogacy). Our coordinators also offer insurance guidance for couples who seek insurance coverage for the diagnosis and treatment of infertility. After meeting with the patient’s physician, our insurance coordinators will accurately determine each patient’s specific benefits. If interested in egg donation, please fill out the EggDonor Screening Questionnaireformprior to the first visit. All egg donors in our program are pre-screened, allowing couples to receive rapid matching results and avoid waiting lists.
Fertility Preservation ProgramThanks to advances in fertility preservation, cancer patients and others who wish to preserve fertility for the future now have many options. We can freeze (cryopreserve) embryos, eggs, sperm, and testicular tissue, and also extract sperm. Our specialists offer a new method of freezing immature egg cells (oocytes) that has a significantly higher rate of conception than previous methods. Ovaries are very sensitive to chemotherapy and radiotherapy treatment, especially certain forms of chemotherapeutic therapies. Women who are younger than 30 have a higher chance of recuperating their ovarian function after chemo or radiotherapy, as opposed to older women. However, since it is impossible to predict the true risk of premature menopause, it is always recommended to consider fertility preservation prior to beginning chemotherapy or radiotherapy. Likewise, chemotherapy and radiation can harm a man's fertility. We offer sperm cryopreservation, as well as the option of having sperm extracted from the testis during a testicular biopsy. We then freeze the sperm, which can be held until the man is ready for fatherhood. Our staff includes physicians who specialize in reproductive endocrinology and infertility, including one dually trained in treating both men and women. Our nurses and other caregivers, including a social worker, are up-to-date on the newest advances in infertility. In Connecticut, insurance companies are required to cover fertility preservation for female and male patients age 40 and under who have had cancer or other medical conditions. Our staff will help patients work with their insurance company, or for those without insurance, we offer self-pay options.
Fertility Center Psychological ProgramOur program is designed specifically to attend to the emotional needs of men and women who are experiencing infertility. Our clinicians and counselors understand that infertility can be a complex, stressful, and often time-consuming problem for couples. Men and women new to the problem are sometimes prepared for the physical procedures they will have to undergo, but often don't realize how emotionally difficult the process can be. Sometimes one partner is more devoted to the process than the other; sometimes infertility treatments can stretch on for months and become financially draining; and sometimes people experiencing infertility end up feeling alone and isolated, even from those who love them the most. That's why we are here—because we've been through it before, and we are here to help our patients through it, too. There are moral, ethical, and scientific dilemmas that can be challenging to resolve. Our strong communication throughout the process, and our continuous psychological support help our patients to gain perspective on why each person's experience is different. The education we provide helps our patients understand their options and feel confident about their decisions. Although infertility affects one in six couples in the United States, most people feel isolated and alone when faced with dealing with it. Feelings associated with infertility are: A loss of interest in usual activities Difficulty thinking of anything other than one's infertility Change in sleeping and/or eating patterns Fleeting thoughts of death and dying Difficulty making decisions Feelings of isolation and loneliness At times these symptoms may lead to strained relationships with one's partner, family, friends, and/or colleagues at work. An open (but entirely confidential) discussion of these issues with our counselors can often be helpful. Our counselors can provide important information about treatment options and help to facilitate discussion of such topics as whether or not to pursue a particular treatment; whether and how to pursue third-party assistance (such as donor sperm, an egg donor, and surrogacy); and whether or not to pursue adoption. We can also help with questions about multiple pregnancies, pregnancy loss, and when and whether to stop treatment.