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NeoFertility Frequently Asked Questions

Prospective Patients

Cost of Treatment

How much is treatment with Neo?

The cost of the initial consultation is €250 for 45 minutes. Following the initial consultation, the doctor will have a good idea of whether a treatment plan is likely to work for you, or whether additional tests are necessary to establish the likelihood of pregnancy. The cost of the Treatment Plan is €1,650 and includes all medical consultations (every 3-4 months), Ultrasound Follicle Tracking scans (as advised), pregnancy scan, follow-up pregnancy scan, Charting book and user manual, analysis of all blood tests, prescriptions and prescription adjustments, hormone support throughout pregnancy, consultant referrals if applicable, and telephone and email support throughout. If preferred this can also be paid in 7 monthly instalments of €250 (€1,750) and both options are payable either on the day of or within 2 weeks of your initial consultation.

If I conceive early do monthly payments cease?

The cost of treatment is set and we feel this is a reasonable price for those who conceive quickly in our programme and does not make the cost excessive for those who take longer to conceive.

Can I claim for treatment with NeoFertility on my health insurance?

If your health insurance policy has coverage for GP visits then you will be able to claim for your consultations with NeoFertility.  For treatment not covered by health insurance you can claim back 20% of the costs of treatment from revenue here

Medications

Does treatment with NeoFertility involve medications and if so, what are they?

Yes, our treatment usually does include medication although we monitor hormone levels with regular blood tests while you are on treatment to ensure your oestradiol and progesterone levels are balanced. Over stimulation will result in a twin pregnancy and under stimulation will make it more difficult to conceive and increase the risk of miscarriage. We treat each patient as an individual. A plan is designed for you based on your blood test results and your fertility chart.

Patient Not a Resident of Ireland

I do not live in Ireland; can I still do treatment with Neo?

Our consultations can be done by a secure telemedicine link but you will need to first check that your pharmacy will accept Irish prescriptions and that you will be able to access blood tests and ultrasound scans locally. It can sometimes be difficult getting medications in other countries.

Pregnancy

How long does it take to get pregnant with Neo?

There is no definite answer to this as some of our patients conceive very quickly and others have more challenging cases often requiring surgical intervention and can take longer to conceive. Generally, when hormones have been balanced, we hope to see conception occur within 12 months. Most couples conceive between 5 to 8 balanced cycles.

I have just found out I am pregnant and have had several miscarriages in the past. A friend recommended I contact NeoFertility, can you help?

Ideally, we prefer to see couples before conception to balance hormones and treat all other underlying issues. We can offer a pregnancy support package where we will prescribe medications to help reduce the risk of miscarriage. This will include an ultrasound scan at 7 and 10 weeks gestation as well as monitoring hormone levels throughout pregnancy.

TEST RESULTS

I have attended another clinic in the past and have had a lot of testing done. Will I have to have all these tests done again?

If your tests have been done in the last 12 months they should not need to be repeated unless there is a result that is of concern. We test oestradiol and progesterone every cycle and this is essential to our treatment to let us know how much medication is needed to optimize hormone levels.

Treatment

Am I suitable for treatment?

Our fertility treatment is suitable for most couples as long as one fallopian tube is clear and the woman has not reached full menopause (no bleed for 1 full year). If the man’s sperm count is zero (azoospermia), we cannot treat that.

What is the upper age limit for a female who wishes to attend for treatment?

We would love to be able to say that age wasn’t a barrier but unfortunately, we have had very little success clinically with patients aged 45 and above. Rather than give unrealistic promises we usually discourage commencing treatment over the age of 44.

I have been trying to conceive for 6 months without success. Should I make an appointment?

It is normal to take 12 months to conceive and officially you do not have a fertility problem unless you have been trying to conceive for a year. We advise all couples planning a pregnancy to track your fertility cycle with www.ChartNeo.com. If you work with one of our fertility advisors they can identify “At Risk” cycles even before you attempt conception or have a miscarriage. This is a huge advantage to detect impaired fertility cycles and treat them early. If age is advancing or you have strong symptoms of endometriosis or a family history that concerns you, we will be happy to see you anytime you wish.

How often do I need to attend the clinic and does my partner need to come with me?

Your first consultation can be very informative. We advise both partners to attend if possible to benefit fully from your consultation. After your initial consultation you will generally come for a review 2 cycles later at which point you should have the required blood test results and cycles charted to enable the doctor to draw up a treatment plan for you. Subsequent reviews are every 3 – 4 months. For blood tests most patients go to their own GP and send the results in to us to ensure the medications prescribed are achieving the desired hormone levels.

CURRENT Patients

Antibiotics

I have been prescribed antibiotics. Can I conceive or try to conceive while taking antibiotics?

We recommend that you do not try to conceive for the cycle you are prescribed antibiotics.

Bloods

I have received blood test results. Where do I send them?

Please send all blood test results to beacon@neofertiltiy.ie along with a list of any medications you took for the cycle of the test. Peak + 7 bloods will be reviewed by a doctor and medications will be adjusted if necessary as we receive them, but day 3 bloods will be discussed with you at review.

My peak + 7 falls on a Saturday and my GP is not open. How can I get my peak + 7 bloods done?

The peak + 7 blood test can actually be done on day 6,7,8 or 9 after peak so either Friday or Monday will be fine to have your bloods tested.

I need to have Day 3 bloods done and my GP can’t do AMH or DHEA.

The day 3 blood test only needs to be done once and can be tested between day 2 and day 5 of your cycle. Only the FSH and LH absolutely need to be done at this time. The other tests listed can be done at any time of the month but are combined with the day 3 bloods as they only need to be done once unlike the peak + 7 bloods which need to be done every cycle. If your GP can only do some of the tests requested, the remainder can be done at your next appointment with Neo.

Charting Queries

I am not sure how to chart my cycle. I think I may be doing it wrong?

Your Fertility Advisor is there to help. Please contact your Fertility Advisor for any queries you have in regards to your chart and they will guide you through it and ensure accuracy.

HCG Trigger Shot

I have been prescribed a HCG/Gonasi trigger shot. When should I take this?

The trigger shot should be taken 24-48 hours before estimated peak day but can still be taken up to 24 hours after your peak if you forget or have difficulty getting the medication on time.

Medications and blood tests during pregnancy

I have been put on hormone support during pregnancy. How long do I stay on this?

Your bloods will let us know when to adjust your medications. Following your positive test you will have your bloods tested weekly for the first three weeks of pregnancy to avoid an early miscarriage, then every two weeks for the remainder of the first trimester and every 4 weeks for the second trimester or for as long as the doctors feel that hormonal support is of benefit to you.

Medication Queries

I am having some side effects with my medications. What should I do?

For all queries regarding your medication please email beacon@neofertility.ie or call us on 01 2933816. Charting and cycle queries should be addressed to your Fertility Advisor.

Positive Pregnancy Test

I have just done a pregnancy test and it is positive. What do I do next?

You should arrange to have a blood test for oestradiol, progesterone, and HCG and repeat this test weekly for the first 3 weeks of pregnancy. You should have a pregnancy prescription (usually stapled to the back of your chart book) and you should get this filled and start medications immediately to avoid risk of miscarriage. Please call the clinic and arrange a pregnancy scan for 3 weeks after the date of your positive test (7 weeks gestation).

Spotting and Brown Bleeding

The doctor asked me to have follicle tracking done next cycle. Why do I need these scans and when do I need to do this?

Follicle tracking scans are done during the first or second cycle of treatment to ensure you are producing a good-sized dominant follicle before your peak day and that follicle rupture occurs within a few days of peak. There is a bit of guesswork involved in scheduling scans but the guide would be to come 2 days before your estimated peak day to assess the size of the dominant follicle and then to return for a post rupture scan 3 days after your peak day according to your Neo chart.

Surgery

I am having surgery next cycle. What should I do regarding my medications?

For the cycle of your surgery, stop all medications and also leave out your peak + 7 blood test.

Ultrasound Follicle Tracking

The doctor asked me to have follicle tracking done next cycle. Why do I need these scans and when do I need to do this?

Follicle tracking scans are done during the first or second cycle of treatment to ensure you are producing a good-sized dominant follicle before your peak day and that follicle rupture occurs within a few days of peak. There is a bit of guesswork involved in scheduling scans but the guide would be to come 2 days before your estimated peak day to assess the size of the dominant follicle and then to return for a post rupture scan 3 days after your peak day according to your Neo chart.

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