most affordable place in DC area for IVF with ICSI? (no insurance)

Anonymous
NCIVF is great (and ISCI is included in the cost) if it works the first time, but I think its riskier financially that doing even just 1 medicated IVF. Of course, if you have to pay out of pocket for meds this could make it more attractive.

I am at DF and I think their IVF is right about at 10k w/o meds.
Anonymous
Anonymous wrote:
Anonymous wrote:Thank you, all. I'm the OP. Just to give more details, we have a strong male factor problem (poor morphology) and I'm already 38 (so I don't qualify for shared risk at GWU) and I may have suboptimal fertility as well (we're trying to get to the bottom of that, but still trying to figure out my problems). We've been to Columbia Fertility but have since switched to Shady Grove (b/c they at least give discounts based on income, and have the multi-cycle IVF with ICSI for a "reduced" cost). But before we commit to actually going through IVF with ICSI, I'm trying to make sure there isn't a more affordable place than Shady Grove to do IVF with ICSI. Thanks again for any advice/recommendations.


GW will also price match any other clinic's quoted price. Just FYI. The nurses there are great too! I love the nurse I see in the mornings, Katherine. Always so helpful!


Love Katherine, hate Melissa--she's clueless and insensitive.

Katherine does painless blood draws and "gets" it. Kind and compassionate.
Anonymous
We have 2% morphology, lowish motility with good counts. No other problem detected from blood tests and HSG. IUI worked for us the first time. I know a lot of places push IVF+ICSI for low morphology but have you tried IUI?
Anonymous
I agree with the others re GW's financial office. So much more organized than my experience with CFA. They have always been helpful and get that this is a huge financial stressor for most people.
Anonymous
PP

We have 2% morphology, lowish motility with good counts. No other problem detected from blood tests and HSG. IUI worked for us the first time. I know a lot of places push IVF+ICSI for low morphology but have you tried IUI?


OP here -- We haven't tried IUI b/c we'd have to pay for that out of pocket, and were thinking that given its chance of success is so low, we'd be safer going for IVF with ICSI...Both Shady Grove and Columbia have said the same thing...Interesting, though, b/c we also have no more than 2% morphology (depends on the semen sample). I might or might not be suboptimal fertility-wise (will find out soon) - Columbia said I was sub-optimal, but Shady Grove says that's not necessarily so -- so I'm waiting to do 3 day blood work and antra follicular count....PP - would you mind telling me your age and any blood work results (if you feel comfortable with that...of course, feel free not to , and any insight on why you decided to go with IUI rather than IVF? Thank you.
Anonymous
We are both 33. Don't remember the details of my blood work details but they are completely normal and I ovulate on my own every 28-30 days. For my IUI cycle, day 3 antra follicle count was around 20 and I had just 1 mature follicle. We went to Shady Grove and another smaller practice and both thought we could start with IUI as first step for treatment.

We don't have insurance coverage for infertility treatment just like you so it was a difficult decision whether to go with IUI or IVF and I did quite a bit research online. We ended up deciding to do IUI for 1 or 2 cycles mostly because we just were not mentally ready to go through with IVF.

Low morphology is not a very well understood fertility problem. Theory is misshapen sperm has problem fertilizing eggs but the evaluation process of morphology has gotten so strict in the last 30 years many think morphology alone has lost the ability to indicate male fertility. My husband's morphology problem are mostly heads that are too big, too round, tapered etc. Not many of them have two tails or broken middle section. That may be why we were successful with IUI.

How's your husband's total sperm count? If that number is really good, then even a 2% morphology will give you a lot of normal shaped sperm.
Anonymous
Have you considered international IVF - places like the Czech Republic have excellent IVF clinics and are a fraction of the cost of things in the US. Even with air fare, you'll pay MUCH less if you go abroad.
jindc
Member Offline
Anonymous wrote:

Love Katherine, hate Melissa--she's clueless and insensitive.

Katherine does painless blood draws and "gets" it. Kind and compassionate.


Melissa is gone, FYI.

OP: if you have no coverage, it would be worth seeing if you qualify for donated meds. If our cycle is successful, we will definitely donate our meds back to GW so those without the means can use them. I know many people do this for their treatment, and it might be of some help (every bit can help).
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