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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]usually the infertility board is much kinder.

let me ask the question more specifically --  how could shady grove have manipulated its statistics to make its success rates appear higher, particularly against other clinics in the area?  especially given that these things are (at least theoretically) standardized by SART?[/quote]

NP, but I have some thoughts on this. Just my opinions based on my and my friends' experiences at SGF and other local clinics. First, SGF has higher standards for acceptability for procedures. For example, they require (though not sure how strict this is as a "requirement") 10m washed sperm for IUIs whereas GW looks for 3m+ sperm. They also "push" donor eggs sooner than other clinics, and have the reputation for not being good for or specializing in diminished ovarian reserve (DOR), which are notoriously hard to treat cases and have lower success rates. So folks with MFI or DOR that want to stick with their own genetics go with Dominion or CCRM or GW, versus SGF. They also tend to cancel cycles more frequently instead of letting someone go to retrieval with 2-3 follicles. If you're OOP and only have limited funds to put towards treatment, it makes sense not to "waste" money on cycles with low odds. But if you have more serious fertility problems and are willing to try many cycles to have a genetic child because you have insurance coverage or are made of money, then SGF's policies are not going to be a good fit for you. All of these things impact patient care, but also have the benefit of boosting SGF's success rates because the harder clients are weeded out or have their cycles cancelled. [/quote]

thank you for this.

i'm thinking, though, the cycle cancellation part wouldn't affect the stats--  SART counts "LIVE BIRTHS PER INTENDED EGG RETRIEVAL," so going to retrieval would actually _increase_ their stats, even in poor cases (as opposed to canceling and then having 0% odds of live birth).[/quote]

Though, maybe that's how they manipulate stats, by not counting them as "intended" if they cancel early enough or convert to IUI or TI. If you change course mid-stims, does that count as "intended" or only if you go to retrieval and fail to retrieve any eggs? [/quote]

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