ADVANCED FERTILITY CENTER OF CHICAGO INFERTILITY & IVFTESTIMONIALSCONTACT USBLOGMICHELLE CATENACCI, MDGARY JONES,

MDMOHAMAD IRANI, MD

Our approach is simple: We are all here for you. Since 1992, we’ve helped tens of thousands of women and men to have children on their own timetable, using the newest and most advanced fertility treatments. Higher Standards, Life-Changing Results. If you’re here, then you know: the path to parenthood isn’t always easy. IVF SUCCESS RATES BY NUMBER OF EGGS AND AGE, EGG QUALITY The data in the graph above shows that: Women under 38 in our IVF program have acceptable live birth rates even with only 3 – 6 eggs, do better with more than 6 eggs, and do best with more than 10 eggs. Women 38-40 and 41-42 years old have low live birth rates with low egg numbers. Success rates are much better when relatively high egg DAY 3 FSH FERTILITY TEST OF OVARIAN RESERVE A clomiphene challenge test is a dynamic type of test that can discover some cases of poor ovarian reserve that are still showing a normal day 3 FSH. This test is done by: Obtaining a day 3 FSH and estradiol. Take 2 tablets of clomiphene (100 mg) on days 5-9 FEMALE AGE AND CHROMOSOME PROBLEMS IN EGGS AND EMBRYOS This study gives insight into how chromosomally abnormal eggs (and therefore, embryos) are more common in older women. 17% of the eggs studied from women 20-25 years old were found to have an abnormal spindle appearance and at least one chromosome displaced from proper alignment. 79% of the eggs studied from women 40-45 years old were

found to

IUI SUCCESS RATE

In couples with a young female partner (under age 35) studies have shown: Clomid plus IUI has about an 8% per month chance for successful pregnancy. Injectable FSH products (“injectables”) plus IUI give about 12% success per month. These statistics hold for about 3 DEBRA SCHELL M.D., INFERTILITY SPECIALIST AND IVF DOCTOR Dr. Schell is board certified in Obstetrics and Gynecology, with a sub-specialty board certification in Reproductive Endocrinology and Infertility. In addition to these areas, Dr. Schell has special interests in diagnosing and treating hormone dysfunction conditions including endometriosis, thyroid problems, polycystic ovarian

syndrome, and

HOW TO GET PREGNANT AFTER YOUR TUBES ARE TIED We have a bundled price for tubal reversal of $9,000 – includes our fees, surgery center and anesthesia. IVF costs between about $7,000 and $17,000 plus medications depending on the program. Medication costs vary according to the amount needed for the individual woman, but average about $2500 – $3000 for the cycle. IVF FAILED, WHAT TO DO FOR SUCCESS WITH A SECOND IVF ATTEMPT Follow links to the CDC and SART reports with success rates for all reputable clinics. See the CDC IVF success rates for any reputable clinic in the USA. See SART IVF success rates for all SART member clinics. The first thing that should happen after a failed IVF attempt is for the IVF specialist physician to review the cycle carefully to possibly learn something from the results of the IVF ANTRAL FOLLICLE COUNTS, TESTING OVARIAN RESERVE PREDICTS Antral follicle counts are a good predictor of the number of mature follicles that we will be able to stimulate in the woman’s ovaries when we give injectable FSH medications that are used for in vitro fertilization. The number of eggs retrieved correlates with IVF success rates. When there are an average (or high) number of antral

follicles

PROGESTERONE WITHDRAWAL TEST The progesterone challenge test is done by giving oral medroxyprogesterone acetate (Provera) 10 mg daily for 5-10 days or one intramuscular injection of 100-200 mg of progesterone in oil. ADVANCED FERTILITY CENTER OF CHICAGO INFERTILITY & IVFTESTIMONIALSCONTACT USBLOGMICHELLE CATENACCI, MDGARY JONES,

MDMOHAMAD IRANI, MD

Our approach is simple: We are all here for you. Since 1992, we’ve helped tens of thousands of women and men to have children on their own timetable, using the newest and most advanced fertility treatments. Higher Standards, Life-Changing Results. If you’re here, then you know: the path to parenthood isn’t always easy. IVF SUCCESS RATES BY NUMBER OF EGGS AND AGE, EGG QUALITY The data in the graph above shows that: Women under 38 in our IVF program have acceptable live birth rates even with only 3 – 6 eggs, do better with more than 6 eggs, and do best with more than 10 eggs. Women 38-40 and 41-42 years old have low live birth rates with low egg numbers. Success rates are much better when relatively high egg DAY 3 FSH FERTILITY TEST OF OVARIAN RESERVE A clomiphene challenge test is a dynamic type of test that can discover some cases of poor ovarian reserve that are still showing a normal day 3 FSH. This test is done by: Obtaining a day 3 FSH and estradiol. Take 2 tablets of clomiphene (100 mg) on days 5-9 FEMALE AGE AND CHROMOSOME PROBLEMS IN EGGS AND EMBRYOS This study gives insight into how chromosomally abnormal eggs (and therefore, embryos) are more common in older women. 17% of the eggs studied from women 20-25 years old were found to have an abnormal spindle appearance and at least one chromosome displaced from proper alignment. 79% of the eggs studied from women 40-45 years old were

found to

IUI SUCCESS RATE

In couples with a young female partner (under age 35) studies have shown: Clomid plus IUI has about an 8% per month chance for successful pregnancy. Injectable FSH products (“injectables”) plus IUI give about 12% success per month. These statistics hold for about 3 DEBRA SCHELL M.D., INFERTILITY SPECIALIST AND IVF DOCTOR Dr. Schell is board certified in Obstetrics and Gynecology, with a sub-specialty board certification in Reproductive Endocrinology and Infertility. In addition to these areas, Dr. Schell has special interests in diagnosing and treating hormone dysfunction conditions including endometriosis, thyroid problems, polycystic ovarian

syndrome, and

HOW TO GET PREGNANT AFTER YOUR TUBES ARE TIED We have a bundled price for tubal reversal of $9,000 – includes our fees, surgery center and anesthesia. IVF costs between about $7,000 and $17,000 plus medications depending on the program. Medication costs vary according to the amount needed for the individual woman, but average about $2500 – $3000 for the cycle. IVF FAILED, WHAT TO DO FOR SUCCESS WITH A SECOND IVF ATTEMPT Follow links to the CDC and SART reports with success rates for all reputable clinics. See the CDC IVF success rates for any reputable clinic in the USA. See SART IVF success rates for all SART member clinics. The first thing that should happen after a failed IVF attempt is for the IVF specialist physician to review the cycle carefully to possibly learn something from the results of the IVF ANTRAL FOLLICLE COUNTS, TESTING OVARIAN RESERVE PREDICTS Antral follicle counts are a good predictor of the number of mature follicles that we will be able to stimulate in the woman’s ovaries when we give injectable FSH medications that are used for in vitro fertilization. The number of eggs retrieved correlates with IVF success rates. When there are an average (or high) number of antral

follicles

PROGESTERONE WITHDRAWAL TEST The progesterone challenge test is done by giving oral medroxyprogesterone acetate (Provera) 10 mg daily for 5-10 days or one intramuscular injection of 100-200 mg of progesterone in oil. ADVANCED FERTILITY CENTER OF CHICAGO INFERTILITY & IVF If you’re here, then you know: the path to parenthood isn’t always easy. At Advanced Fertility Center of Chicago, you’ll receive compassionate, personalized fertility care from our expert team of doctors, whose success rates speak for themselves. FEMALE AGE AND MISCARRIAGE The CDC data only includes pregnancy losses after ultrasound confirmed pregnancy. Miscarriage rates would be higher if early miscarriages (such as “chemical pregnancies”) were included. The miscarriage rate after ultrasound confirmation of pregnancy was approximately: Under 15% at age 35 and under. 29% at age 40. 60% at age 44. IVF CYCLE CANCELLATION FOR POOR RESPONSE TO STIMULATION All IVF programs have criteria for cancellation of stimulation cycles that do not produce an adequate number of follicles to go through with egg retrieval procedure and in vitro fertilization.We use the same cancellation criteria for all IVF stimulations including patients using the “guarantee” pricing option for IVF, as well as those using the “traditional” (non-guarantee) IVF pricing PGS - PREIMPLANTATION GENETIC SCREENING OF IVF EMBRYOS FOR PGS, preimplantation genetic screening, refers to removing one or more cells from an in vitro fertilization embryo to test for chromosomal normalcy. PGS screens the embryo for normal chromosome number. Humans have 23 pairs of chromosomes – for a total of 46. Having an extra or a missing chromosome causes problems. FERTILITY & IVF AFTER AGE 40, OLDER WOMEN & INFERTILITY The age limit is usually between 42 and 45 at most programs in the US. The IVF live birth rate is < 1% for women older than 45 years old. Therefore, our age limit for IVF using own eggs is 45 (no IVF with own eggs after the 46th birthday) Most IVF clinics allow a woman to be a recipient of donor eggs through about age 50. HOW TO GET PREGNANT AFTER YOUR TUBES ARE TIED We have a bundled price for tubal reversal of $9,000 – includes our fees, surgery center and anesthesia. IVF costs between about $7,000 and $17,000 plus medications depending on the program. Medication costs vary according to the amount needed for the individual woman, but average about $2500 – $3000 for the cycle. FEMALE AGE AND CHROMOSOME PROBLEMS IN EGGS AND EMBRYOS This study gives insight into how chromosomally abnormal eggs (and therefore, embryos) are more common in older women. 17% of the eggs studied from women 20-25 years old were found to have an abnormal spindle appearance and at least one chromosome displaced from proper alignment. 79% of the eggs studied from women 40-45 years old were

found to

5 DAY BLASTOCYST TRANSFER SUCCESS RATES By age 37 the average rate of chromosomal abnormality is 45%. 75% of embryos are abnormal by age 42, and 90% by age 44. Some studies have shown that there is a higher percentage of chromosomal abnormalities in day 3 embryos than in day 5 embryos. This is because chromosomally abnormal embryos are more likely to arrest during early development ANTRAL FOLLICLE COUNTS, TESTING OVARIAN RESERVE PREDICTS Antral follicle counts are a good predictor of the number of mature follicles that we will be able to stimulate in the woman’s ovaries when we give injectable FSH medications that are used for in vitro fertilization. The number of eggs retrieved correlates with IVF success rates. When there are an average (or high) number of antral

follicles

DAY 5 BLASTOCYST TRANSFER WITH IVF CAN REDUCE MULTIPLE The risks of a multiple pregnancy are high. These expectant mothers face an increased risk for developing complications of pregnancy such as gestational diabetes, pre-eclampsia, preterm labor, hemorrhage, and other complications. The risks to the fetuses and children are mostly related to premature delivery and can be very severe. ADVANCED FERTILITY CENTER OF CHICAGO INFERTILITY & IVFTESTIMONIALSCONTACT USBLOGMICHELLE CATENACCI, MDGARY JONES,

MDMOHAMAD IRANI, MD

Our approach is simple: We are all here for you. Since 1992, we’ve helped tens of thousands of women and men to have children on their own timetable, using the newest and most advanced fertility treatments. Higher Standards, Life-Changing Results. If you’re here, then you know: the path to parenthood isn’t always easy. IVF SUCCESS RATES BY NUMBER OF EGGS AND AGE, EGG QUALITY The data in the graph above shows that: Women under 38 in our IVF program have acceptable live birth rates even with only 3 – 6 eggs, do better with more than 6 eggs, and do best with more than 10 eggs. Women 38-40 and 41-42 years old have low live birth rates with low egg numbers. Success rates are much better when relatively high egg ANTRAL FOLLICLE COUNTS, TESTING OVARIAN RESERVE PREDICTS Antral follicle counts are a good predictor of the number of mature follicles that we will be able to stimulate in the woman’s ovaries when we give injectable FSH medications that are used for in vitro fertilization. The number of eggs retrieved correlates with IVF success rates. When there are an average (or high) number of antral

follicles

PCOS AND CLOMID FERTILITY TREATMENT Women under 35 with PCOS should have about a 15% chance for pregnancy per month with Clomid treatment (for about 3-4 months) – if they ovulate with Clomid (if sperm and fallopian tubes are normal). Clomid for PCOS – Pregnancy Success Rates. Only about 50% FEMALE AGE AND MISCARRIAGE The CDC data only includes pregnancy losses after ultrasound confirmed pregnancy. Miscarriage rates would be higher if early miscarriages (such as “chemical pregnancies”) were included. The miscarriage rate after ultrasound confirmation of pregnancy was approximately: Under 15% at age 35 and under. 29% at age 40. 60% at age 44. DAY 3 FSH FERTILITY TEST OF OVARIAN RESERVE A clomiphene challenge test is a dynamic type of test that can discover some cases of poor ovarian reserve that are still showing a normal day 3 FSH. This test is done by: Obtaining a day 3 FSH and estradiol. Take 2 tablets of clomiphene (100 mg) on days 5-9 FEMALE AGE AND CHROMOSOME PROBLEMS IN EGGS AND EMBRYOS This study gives insight into how chromosomally abnormal eggs (and therefore, embryos) are more common in older women. 17% of the eggs studied from women 20-25 years old were found to have an abnormal spindle appearance and at least one chromosome displaced from proper alignment. 79% of the eggs studied from women 40-45 years old were

found to

IVF FAILED, WHAT TO DO FOR SUCCESS WITH A SECOND IVF ATTEMPT Follow links to the CDC and SART reports with success rates for all reputable clinics. See the CDC IVF success rates for any reputable clinic in the USA. See SART IVF success rates for all SART member clinics. The first thing that should happen after a failed IVF attempt is for the IVF specialist physician to review the cycle carefully to possibly learn something from the results of the IVF MICHELLE CATENACCI M.D., INFERTILITY SPECIALIST AND IVF DOCTOR Meet Infertility Specialist Michelle Catenacci, M.D. Dr. Michelle Catenacci was born and raised outside of Detroit, Michigan. She went to medical school at Wayne State University in Detroit and then moved to Ohio for post-graduate training. Her residency training in obstetrics and gynecology was done at MetroHealth Medical

Center/Cleveland

PROGESTERONE WITHDRAWAL TEST The progesterone challenge test is done by giving oral medroxyprogesterone acetate (Provera) 10 mg daily for 5-10 days or one intramuscular injection of 100-200 mg of progesterone in oil. ADVANCED FERTILITY CENTER OF CHICAGO INFERTILITY & IVFTESTIMONIALSCONTACT USBLOGMICHELLE CATENACCI, MDGARY JONES,

MDMOHAMAD IRANI, MD

Our approach is simple: We are all here for you. Since 1992, we’ve helped tens of thousands of women and men to have children on their own timetable, using the newest and most advanced fertility treatments. Higher Standards, Life-Changing Results. If you’re here, then you know: the path to parenthood isn’t always easy. IVF SUCCESS RATES BY NUMBER OF EGGS AND AGE, EGG QUALITY The data in the graph above shows that: Women under 38 in our IVF program have acceptable live birth rates even with only 3 – 6 eggs, do better with more than 6 eggs, and do best with more than 10 eggs. Women 38-40 and 41-42 years old have low live birth rates with low egg numbers. Success rates are much better when relatively high egg ANTRAL FOLLICLE COUNTS, TESTING OVARIAN RESERVE PREDICTS Antral follicle counts are a good predictor of the number of mature follicles that we will be able to stimulate in the woman’s ovaries when we give injectable FSH medications that are used for in vitro fertilization. The number of eggs retrieved correlates with IVF success rates. When there are an average (or high) number of antral

follicles

PCOS AND CLOMID FERTILITY TREATMENT Women under 35 with PCOS should have about a 15% chance for pregnancy per month with Clomid treatment (for about 3-4 months) – if they ovulate with Clomid (if sperm and fallopian tubes are normal). Clomid for PCOS – Pregnancy Success Rates. Only about 50% FEMALE AGE AND MISCARRIAGE The CDC data only includes pregnancy losses after ultrasound confirmed pregnancy. Miscarriage rates would be higher if early miscarriages (such as “chemical pregnancies”) were included. The miscarriage rate after ultrasound confirmation of pregnancy was approximately: Under 15% at age 35 and under. 29% at age 40. 60% at age 44. DAY 3 FSH FERTILITY TEST OF OVARIAN RESERVE A clomiphene challenge test is a dynamic type of test that can discover some cases of poor ovarian reserve that are still showing a normal day 3 FSH. This test is done by: Obtaining a day 3 FSH and estradiol. Take 2 tablets of clomiphene (100 mg) on days 5-9 FEMALE AGE AND CHROMOSOME PROBLEMS IN EGGS AND EMBRYOS This study gives insight into how chromosomally abnormal eggs (and therefore, embryos) are more common in older women. 17% of the eggs studied from women 20-25 years old were found to have an abnormal spindle appearance and at least one chromosome displaced from proper alignment. 79% of the eggs studied from women 40-45 years old were

found to

IVF FAILED, WHAT TO DO FOR SUCCESS WITH A SECOND IVF ATTEMPT Follow links to the CDC and SART reports with success rates for all reputable clinics. See the CDC IVF success rates for any reputable clinic in the USA. See SART IVF success rates for all SART member clinics. The first thing that should happen after a failed IVF attempt is for the IVF specialist physician to review the cycle carefully to possibly learn something from the results of the IVF MICHELLE CATENACCI M.D., INFERTILITY SPECIALIST AND IVF DOCTOR Meet Infertility Specialist Michelle Catenacci, M.D. Dr. Michelle Catenacci was born and raised outside of Detroit, Michigan. She went to medical school at Wayne State University in Detroit and then moved to Ohio for post-graduate training. Her residency training in obstetrics and gynecology was done at MetroHealth Medical

Center/Cleveland

PROGESTERONE WITHDRAWAL TEST The progesterone challenge test is done by giving oral medroxyprogesterone acetate (Provera) 10 mg daily for 5-10 days or one intramuscular injection of 100-200 mg of progesterone in oil. FEMALE AGE AND MISCARRIAGE The CDC data only includes pregnancy losses after ultrasound confirmed pregnancy. Miscarriage rates would be higher if early miscarriages (such as “chemical pregnancies”) were included. The miscarriage rate after ultrasound confirmation of pregnancy was approximately: Under 15% at age 35 and under. 29% at age 40. 60% at age 44. PGS - PREIMPLANTATION GENETIC SCREENING OF IVF EMBRYOS FOR PGS, preimplantation genetic screening, refers to removing one or more cells from an in vitro fertilization embryo to test for chromosomal normalcy. PGS screens the embryo for normal chromosome number. Humans have 23 pairs of chromosomes – for a total of 46. Having an extra or a missing chromosome causes problems. HOW TO GET PREGNANT AFTER YOUR TUBES ARE TIED We have a bundled price for tubal reversal of $9,000 – includes our fees, surgery center and anesthesia. IVF costs between about $7,000 and $17,000 plus medications depending on the program. Medication costs vary according to the amount needed for the individual woman, but average about $2500 – $3000 for the cycle. IVF EMBRYO QUALITY & GRADING, DAY 3 EMBRYO DEVELOPMENT IVF embryo quality and day 3 embryo grading after in vitro fertilization Cleavage stage embryo grading. Embryo picture of a “perfect” looking 8-cell embryo (day 3 embryo) There is no embryo fragmentation and the cells are very even, regular, and similarly sized. We call this is a “high quality” day 3 embryo. Embryo grading: 8 cell, grade 4. MICHELLE CATENACCI M.D., INFERTILITY SPECIALIST AND IVF DOCTOR Meet Infertility Specialist Michelle Catenacci, M.D. Dr. Michelle Catenacci was born and raised outside of Detroit, Michigan. She went to medical school at Wayne State University in Detroit and then moved to Ohio for post-graduate training. Her residency training in obstetrics and gynecology was done at MetroHealth Medical

Center/Cleveland

FROZEN DONOR EGGS COST Using frozen eggs costs less than fresh. Our fees for a basic egg donation cycle using a lot of 6 frozen eggs is $13,900 ($9,900 for the eggs and $4,000 for IVF services). This includes all donor and agency fees and all donor medications.Some of our donor eggs are priced higher. Medications for the recipient woman are usually about

$400-$1000.

IUI SUCCESS RATE

In couples with a young female partner (under age 35) studies have shown: Clomid plus IUI has about an 8% per month chance for successful pregnancy. Injectable FSH products (“injectables”) plus IUI give about 12% success per month. These statistics hold for about 3 CHICAGO EGG DONATION CLINIC Using Donor Eggs. IVF with donor eggs is an effective treatment for infertility, but success rates aren’t the same at every clinic. Advanced Fertility Center of Chicago has one of the best egg donation programs in the US. Our live birth success rate per transfer was 75.7% for 2017 for fresh donor eggs. USA national average for 2017 was

50.7%.

FERTILITY & IVF AFTER AGE 40, OLDER WOMEN & INFERTILITY The age limit is usually between 42 and 45 at most programs in the US. The IVF live birth rate is < 1% for women older than 45 years old. Therefore, our age limit for IVF using own eggs is 45 (no IVF with own eggs after the 46th birthday) Most IVF clinics allow a woman to be a recipient of donor eggs through about age 50.

FROZEN DONOR EGGS

Costs per treatment cycle are reduced using frozen donor eggs compared to fresh. However, the cost per baby born could be lower, the same, or higher – depending on the live birth rate per embryo transfer procedure at the clinic doing the procedure. The national average for live birth success rates using frozen frozen donor eggs at this time

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SUCCESS RATES NEVER MATTERED MORE WHAT SETS US APART FROM OTHER FERTILITY CLINICS?

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See more details on SART website SOME REASONS WE ARE SO SUCCESSFUL: * We give personalized attention to every patient, not possible in "super-sized" clinics * Tight quality control gives us consistently higher IVF success rates - so our patients are more likely to have babies See more details on SART website Advanced Fertility Center of Chicago Search Use up and down arrows to select available result. Press enter to go to selected search result. Touch devices users can use touch and

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Why do success rates matter so much? If you need IVF, you want the highest chance possible for the first cycle to be successful. CHECK THE DATA WITH LINKS TO SART & CDC (US GOVERNMENT) WITH IVF SUCCESS RATES FOR ALL CLINICS ------------------------- OFFICES IN CHICAGO, GURNEE AND CRYSTAL LAKE, IL * Conveniently located for couples living in the greater Chicago and southeastern Wisconsin areas * High quality infertility and IVF at reasonable cost * IVF PRICING PLANS INCLUDING MONEY-BACK GUARANTEE OPTIONS ------------------------- WHAT SETS US APART FROM OTHER FERTILITY CLINICS? WE GIVE PERSONALIZED ATTENTION TO EVERY PATIENT - CARE THAT IS NOT POSSIBLE IN "SUPER-SIZED" CLINICS TIGHT QUALITY CONTROL GIVES US CONSISTENTLY HIGHER IVF SUCCESS RATES - SO OUR PATIENTS ARE MORE LIKELY TO HAVE BABIES ------------------------- WHAT CAN YOU LEARN ON OUR SITE? * There are 300 pages about IVF, female infertility and male infertility * Learn about details of IVF procedures , ICSI , PGD , blastocyst transfer , egg donation , infertility surgery and both diagnosis and treatment of fertility problems * Pictures of eggs, sperm and embryos and IVF laboratory photos are used to illustrate ------------------------- One blastocyst embryo transferred on day 5 - Nick arrived 9 months

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