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    Fertility FAQ

    What questions should I ask my insurance company?

    • What is my maximum number of IUI and/or IVF cycles?
    • What is the maximum dollar amount? Is this yearly or lifetime?
    • Do I need prior authorization?
    • Are fertility medications covered?
    • What types of fertility medication are covered?
    • Will fertility medications come out of my fertility maximum?
    • Do I need to use a specific pharmacy?

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    What do I need to do before I start treatment?

    • Complete the recommendations and instructions given at time of consult.
    • Complete all required tests for both you and your spouse/partner.
    • Retrieve all your outside medical records.
    • Know what type of treatment you want to start with.
      • Timed Intercourse
      • Natural IUI
      • Clomid plus IUI
      • Injectible plus IUI
    • Know where your prescriptions can be sent.

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    I'm ready to start treatment. Now what?

    If you have completed pretreatment requirements, call us on day one of your period:

    Palo Alto: 650-853-2200
    Fremont: 510-498-2982
    8 a.m. to 4 p.m.
    Calls after 4 p.m. will be returned the following day.

    Weekends and holidays
    8 to 11 a.m.
    Calls after 11 a.m. will be returned the following day.

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    My insurance doesn't cover fertility services. Are there any programs for cash-pay patients?

    Yes, please inquire about our Prompt Pay Option.
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    I would like to start Clomid. How do I get a prescription?

    If you are a current patient, a prescription for Clomid may be given at time of ultrasound visit with your doctor. This usually takes place on cycle day three, four or five of your cycle. Every patient is unique and medication start dates can vary.
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    My pregnancy test is positive. What do I do now?

    • If you had treatment to achieve pregnancy, we will monitor your blood HCG levels by checking it twice. Call our office so we can order these tests for you.
    • If you achieved pregnancy on your own, without medication or treatment, please contact your OB/Gyn's office to order the appropriate tests.
    • We monitor our pregnant patients during the first eight to 10 weeks of pregnancy with ultrasounds around six and a half weeks and eight weeks.
    • Please notify your OB/Gyn after your second positive blood test to ensure continuous care. If you do not have an OB/Gyn we will be happy to assist you.

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    My doctor ordered a HSG test. Can I do it other than on days 8 through 12 of my cycle?

    This test must be done during this time for several medical reasons. It is important to call the radiology department on day one, or first weekday, of your period to schedule your HSG. If the test cannot be done, you may schedule it for your next cycle.
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    Can the HSG be done in the same cycle I want to have treatment?

    Yes. As long as it is done day 8 through 12 and you have not ovulated prior to the test.
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    Do Progesterone supplements delay my period from starting?

    They can. Some patients may have breakthrough bleeding.

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    When will my period start after I stop taking the Progesterone?

    Typically two to four days after your last dose.
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    What do I do with my used needles and medication bottles?

    Use the red Sharps container for needles, if your pharmacy provided one.
    You may bring in needles and medication vials to any PAMF pharmacy. Needles must be in a puncture proof container.
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