Some facts are needed that will help us understand cheap vs. affordable.
At Magarelli Fertility, our Affordable IVF utilizes the finest technologies available. We prescribe the same medications used by every other IVF center in the U.S. The media we used is hailed as the best in the industry for embryo culture. Our incubators and embryology lab were designed and certified by the leading IVF lab designer in the country (Antonia Gilligan Ph.D.). And besides, Dr. Magarelli has designed and built 5 IVF centers (most IVF doctors have never built an IVF lab)! Dr. Mag was also instrumental in the design of the stem cell labs at the University of New Mexico and a molecular biology lab at Michigan State University.
Our air handling system for embryos exceeds every known standard in the industry; it is over 40 feet long and attached to our building. We are a CAP certified, FDA approved IVF center. Our embryologists have been trained by the best in the industry and are both lab inspectors for CAP (College of American Pathologist). Each IVF and FET patient receives an individualized IVF/FET optimized protocol that is inspected, daily, by Dr. Magarelli and his team to determine if the patient is responding optimally, both in the quantity of egg retrieval and the quality of those eggs/embryos.
We add Traditional Chinese Medicine (TCM) to our services because Dr. Mag believes in One Medicine: all healthcare practices are utilized to enhance IVF outcomes including the well-published, world famous CMAP protocol that Dr. Magarelli and Dr. Cridennda invented (Cridennda Magarelli Acupuncture Protocol). Dr. Magarelli recommends his patients utilize optimized nutraceuticals to enhance outcomes. Dr. Magarelli and his team also spearhead new technologies designed to reduce inefficiencies and optimize local and remote monitoring to reduce costs and improve patient compliance, and thereby their IVF outcomes.
What Sets Magarelli Fertility Apart?
Well, then what is the difference between Magarelli Fertility IVF cycles and others? Well, our IVF process is a 3-month program of care; IVF prime month, IVF stim month, and FET month are all included in the standard fees. All embryos are frozen and then transferred in another cycle to augment the chances for implantation (there are no extra fees for these services). Unlimited ultrasound and blood work is included as is up to 7 days of embryo culture (even the slow-poke embryos can make babies – unlike most IVF centers that stop at day 5 and discard embryos.) Also, we do not charge additional fees for longer culture.
ICSI, Assisted Hatching (if needed), ultrasound guided embryo transfer, and the final pregnancy test are also included. We even include up to 12 months of free extra-embryo storage on and off site, too, so you can await the outcome of your pregnancy prior to paying for storage. There is no limit on the number of embryos we culture or biopsy. Neat, huh?
So why is Magarelli Fertility Premium IVF $8,000 when most other program’s IVF cycles are $15,000+ and may not include FET cycle, 3 months care, unlimited US, etc.? The answer = efficiency and choice.
Every aspect of the IVF process has been optimized for delivery of the finest product with the least amount of wasted time, personnel, and supplies thereby lowering the costs. The fees charged for IVF in the U.S. are completely arbitrary. In most states, IVF is not mandated by insurance companies so it is up to the owners of the IVF centers to set prices.
What is really dangerous about today is that there are many venture capital firms that are purchasing IVF centers, so they set the prices not for what the patients can afford, but for the shareholders’ profits and returns on investment. Yikes! So, EVERY IVF center can match Magarelli Fertility’s fees no problem, IF they are willing to work harder, be more efficient in the provision of their services, and finally reduce the profits they expect. We want a fair profit for excellent work, and Magarelli Fertility is growing leaps and bounds because folks reading this blog understand. All IVF centers provide regulated care; there are no shortcuts you can take in the U.S. and call yourself a regulated IVF center.
So, you’re seeking a baby and you would like to have one ASAP? We get it. You want the best care (Rolls Royce, right?) You want people that know your name and care about you and provide you-centered protocols and management? Magarelli Fertility has all of that, and more!
Well, there you have it…Live long and Reproduce!
What is all the craziness about genetic testing of embryos?
PGD, PGS, CCS, PGT-A, NGS – jeez, this is a lot! Let’s walk through a little biology lesson first. (more…)
Star date 190101-01: If you’re a Star trek fan, you certainly understand this reference. This is my Day 1 Blog for Magarelli Fertility, and mostly for you, our patients. My goal is information, knowledge dissemination, and power. Why Power? Well, what I’ve come to realize over the last 30 years treating infertility is that patients simply don’t know about fertility. Sadly, even today infertility is a mystery to most doctors and healthcare providers. What I hope is that you find these blog posts a resource for decision-making based on the best knowledge about infertility and its management out there. I’ve always believed that as a profession (M.D., Ph.D.) my job is not only care, but education and professional advocacy for our dear patients.
Healthy Bodies, Fertile Bodies
“Healthy Body is a Fertile Body” and “One Medicine™” are terms I coined.
First, One Medicine™ is defined as medicine that utilizes the best of all practices: allopathic (Western), TCM (Eastern), cultural medicine (Mom and Grandma’s “health tips”), and others, to create or recreate a healthy body. Healthy being defined as a body, mind, and spirit that reflects the maximum potential of that organism: you.
Healthy Body is a Fertile Body™ is best understood as a mantra for couples/individuals to practice when it comes to assisting your assistors (me) in creating One Healthy Baby™(OHB), another term I coined as my goal for all couples being cared for by fertility professionals. There are many factors that can affect someone’s fertility, and these factors “should” be changed into behaviors (even temporary) that augment rather than decrease your fertility. Here are some examples.
The Power of Vitamins
Aneuploid means abnormal embryos. So the more vitamin D in your bloodstream, the fewer abnormal embryos. Neat huh!?
This data suggests that if men take an antioxidant, the live birth rates in their partners increase two- to three-fold.
Well, there you have it. Star date 190101-01: Live long and Reproduce! Remember a Healthy Body is a Fertile Body!
Do you have eggs? Then you need a blood test. Do you have sperm? Then a semen analysis (or access to donated sperm) is a must. Are the fallopian tubes open? An HSG or surgery should happen. Finally, is the uterus a safe place for the baby to grow? You’ll need an HSG or diagnostic hysteroscopy. Then, and only then, can options for treatments make any sense.
Here are some examples of pitfalls that most non-fertility doctors and patients fall into:
My husband had a baby with another woman so he does not need to get his sperm checked!
Men can stop making sperm in one day (maturation arrest)
I had a baby before, so I don’t need to have my eggs, uterus, or fallopian tubes checked!
Pregnancy is not like a water pump that is primed once and then keeps working. Each cycle is unique and aging impacts fertility in women and men.
Let’s try clomid and see how it works!
How does the doctor know your tubes are open or that your partner has sperm?
We were successful with IUI 10 years ago (when 30 years old) and now at 40 we want to do IUI again!
Same answer as above, as well as, men can stop making sperm at any time, also impact of age on uterus and fallopian tubes can not be underestimated… check first, treat after you KNOW what the issues are.
It doesn’t matter how old you are, try clomid first!
What about the 42 year-old that is rapidly losing her eggs? Is it worth the 6 months of failure before appropriate treatments are started?
So, what does this all mean?
Here are some decision examples:
1. 21 year-old woman: never pregnant, normal tubes and uterus, not ovulating, sperm parameters are acceptable (count, motility and shape of sperm).
a. OI – 15 % chance of success per try
b. OI/IUI – 25 % chance of success
c. IVF – 45% chance of success
d. IVF with Chromosomal Testing – 75% chance per try
2. 36 year-old woman: never pregnant, normal tubes and uterus, not ovulating, sperm ok.
a. OI – 3 % chance of success per try
b. OI/IUI – 8 % chance of success
c. IVF – 30% chance of success
d. IVF with Chromosomal Testing – 60% chance per try
3. 40 year-old woman: never pregnant, normal tubes and uterus, not ovulating, sperm ok.
a. OI – <1 % chance of success per try
b. OI/IUI – 1 % chance of success
c. IVF – 6% chance of success
d. IVF with Chromosomal Testing – 45% chance per try
There are many other factors, especially regarding sperm. If the sperm parameters demonstrate even one abnormality, then the pregnancy rates for OI alone and OI + IUI drop by more than half.
Contact us today to learn more, or check out last week’s blog on infertility treatment options.
Many couples ask “what are the treatments that we can use to try to get pregnant?” The answer is simple: the ones that work for you! This is not a glib answer either. Many times couples reach the RE&I physician after being “treated” for infertility by non-fertility experts. The likely reasons for the failure of these treatments is the lack of personalization necessary to provide optimized treatments. Testing before treatments is the critical first step in the journey to a healthy baby!
Infertility Management Options
Options for fertility management are based on time, money, desire, need, family view, and your personal values/ethics.
1. Test first
One test, the HSG, is noted to have an almost 15% effectiveness rate for pregnancy. Folks get pregnant after HSG.
2. Lifestyle changes
A healthy body is a fertile body!
- Alcohol, tobacco and street drugs (legal or not) impact fertility, so just say NO!
- Vitamins such as Vitamin D3, antioxidants, Myoinositol, DHEA, omega 3 fatty acids (and more) have demonstrable impact on pregnancy rates.
- Reducing carbohydrates, going on the Keto/Paleo diet, and/or increasing consumption of non-packaged foods can and do help the body prepare for pregnancy.
- Reducing excess body fat with low carb diets, and moving more, can and do positively impact pregnancy rates and ovulation rates.
- A diet can help a patient with PCOS start ovulating and therefore get pregnant, so food can be medicine
Dr. Magarelli and Dr. Cridennda created the CMAP protocol used in the treatment of infertility with IVF and TCM (Traditional Chinese Medicine) and have proven acupuncture helps modulate the stress hormones cortisol and prolactin. Acupuncture also has reduced miscarriage rates and ectopic rates when used in combination…this too is a treatment.
3. Ovulation Induction (Clomid, Letrozole, Injectable medication)
This is a method to help a woman ovulate and make available eggs for intercourse to function.
- Please insist on getting ultrasounds during the cycle and use a trigger shot (HCG) to ensure ovulation occurs. Also, demand a Progesterone level approximate on day 21 of your cycle to ensure that you actually ovulated–it may show that you need more progesterone to keep you pregnant.
- The OI can be done with timed intercourse or IUI (see below).
4. Intrauterine Insemination (putting sperm inside the uterus)
This can help couples where there is a male factor succeed. Over 50% of all infertility couples have a male factor contributing to their infertility. This is usually and should be combined with OI (see above).
5. In Vitro Fertilization (IVF)
IVF is the process of fertilizing eggs outside the body. There are many options for this.
6. IVF with Chromosomal Testing of the embryos is a method of taking a few placenta cells from the embryo and sending the cell for genetic testing to pre-determine which embryos are “normal” or not.