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Success Guarantee Plan

This plan is based on the principles of mutual commitments. It requires certain entry criteria and therefore not all couples will qualify. Those couples who would like to be considered must apply for entry into the program. The application is reviewed based on the following entry criteria.

• The embryo-recipient must be physically and mentally healthy enough to undertake a pregnancy.
• Using the same combination of ovum, sperm and uterus, the intended parents must not have failed more than 2 IVF cycles in their history.
• The embryo-recipient must have a normal uterus as assessed by a transvaginal ultrasound and either a normal hysterosalpingogram, sonohysterogram or hysteroscopy performed in the preceding 12 months. In previous fertility treatment therapies the embryo recipient must not have demonstrated a poor endometrial response, as demonstrated by a peak endometrial thickness of <8mm and/or an endometrial echo pattern that is not trilaminar to estrogenic stimulation in the proliferative phase of the menstrual cycle.
• All indicated infectious disease screening labs on both male and female partners must be performed and be within normal ranges.
• The egg provider must have a day three FSH< 9.0mIU/ml, estradiol<65 pg/ml and antral follicle count of 10 or more.
• The man must be capable of producing sperm in his ejaculate, or be willing to go through a procedure to obtain sperm or use a sperm donor. Alternatively, if there is absolutely no sperm in the ejaculate (azospermia), the male partner must have normal testicular sperm production as evidenced by a normal FSH (<12 mIU/ml) and a normal testosterone level. If the sperm concentration in the ejaculate is < 10 million/cc, the sperm motility is less than 30% or the Kruger Strict Criteria morphology is less than 10%, the male partner or sperm donor must undergo Sperm Chromatin Structure Assay (SCSA) and the resulting DNA fragmentation index must be less than 30%.
• The couple, in consultation with the physicians and embryologist, will determine the number of embryos/blastocysts placed per each transfer. A minimum of two embryos will be replaced. In general, we adhere to the established guidelines published by the American Society of Reproductive Medicine. The couple must agree to have all embryos transferred, either fresh or thawed, before the cycle is considered complete per the plan.
• In all previous IVF cycles, using the same ovum and sperm source together there must have been >5 embryos created.
• Treatment cycles involving pre-implantation genetic diagnosis (PGD) are excluded from this plan.

A fully completed plan cycle is defined as a complete cycle of follicular stimulation, ultrasound and blood monitoring, transvaginal egg retrieval, fresh embryo transfer and all frozen embryo cycles to transfer all embryos produced from the original egg retrieval.

A successful outcome is based on a live birth. A live birth is defined as a child born who lives more than 72 hours post delivery.

 

What is the first step?

Each established patient completes a request to process an application form. Once an application is implemented by a SDFC fiancial party, the SDFC commitee reviews the application and approves or denies it based on the entry criteria. Age is determined based on the egg provider's age at the time of the start of gonadotropin medications.

Once approved, the Plan entitles the patient to one complete IVF cycle. Either a pregnancy, determined by the birth of a live born child is achieved or a refund of the % determined based on the age of the egg provider and the cycle number is provided. The couple must complete the fresh cycle to stay within the applicable age group to which the ovum source is assigned on the date of execution of the agreement. If the ovum source enters into an older age group before the fresh cycle is complete any refunds will apply to the older age group.