FAQ (conceptions and misconceptions)
What is in vitro fertilization?
Please see IVF in our services section.
What is ICSI?
ICSI is an acronym to describe Intra-Cytoplasmic Sperm Injection. Please see ICSI in our services section.
What does CReATe stand for?
CReATe represents Canadian Reproductive Assisted Technology.
How much does it cost to do an IVF cycle?
The cost can vary regarding what type of treatment is required. Please see our cost section.
How do I set up an appointment at CReATe?
See our getting started section.
Are the procedures for IVF painful? Will I be awake during the procedures?
Our desire is to make your IVF and other procedures as comfortable as possible. Thus, we use pain relief medication for the egg retrieval procedure called conscious sedation. This medication often creates a temporary amnesia, so you will likely have no memory of the procedure.
I am a single woman. Am I able to access services at your clinic?
Yes. We are a full service clinic and offer services to women and men of all marital statuses. We will help you make the right decision for yourself.
Can fibroids affect my chances at IVF?
The physician will evaluate your fibroids and recommend whether surgical intervention is required prior to your IVF cycle. The physician may also do a sonohysterogram to determine if the fibroid is distorting your uterine cavity. If the fibroid extends into the uterine cavity, it is generally thought that your success in IVF will be lessened if it is not removed.
I have been told that my FSH is elevated, or my AMH is low. What does this mean and what can I do?
These are blood tests. They will give an indication of how well your ovaries are functioning for fertility purposes. If your ovarian reserve is consistently low, you may not respond well to fertility drugs and therefore you may not be a candidate for IVF. Your physician will advise you regarding the steps to take regarding treatment. You may be advised to consider the donor egg program if your AMH is low or your FSH remains consistently elevated.
I am involved in a same-sex relationship. Am I able to access services at your clinic?
Yes. We have full services available for men or women in same-sex relationships. For women there are several sperm banks for you to choose a suitable sperm donor. We provide egg donation and surrogacy services for men as well.
I am over 40 years old. What are my options?
The physician will do complete ovarian reserve testing including antral follicle count, FSH, and AMH to determine if your ovarian reserve is adequate. You may or may not respond well to fertility drugs. Fertility decreases as you get older and there is a higher rate of miscarriage and genetically abnormal embryos. However, pre-implantation genetic screening (PGS) is now available in-house at CReATe to detect age-related abnormalities in embryos prior to transfer into the uterus.
What does CReATe do with extra embryos if I develop too many for transfer?
You will be given a report on the quality and number of embryos which will be discussed with you on the day of your transfer. Any surplus embryos above those transferred to your uterus can be frozen for use at a later time. There is no limit to how long they can be stored. These frozen embryos can be thawed at a future date either for another child or to try again without the need for an entire fresh IVF cycle.
What are the side effects of the medications? What drugs will I be taking?
Fertility medications may stimulate your ovaries to produce multiple follicles (egg sacs). You may feel bloated and/or have abdominal distention as these follicles grow towards the end of the cycle. Your physician will adjust these medications depending on your age, diagnosis and treatment plan. Generally for IVF, you will be required to take daily injections. We can teach you or your partner how to inject these medications. You are also welcome to complete all of your daily injections in our clinic.
Will my drug plan pay for the drugs?
Each drug plan has their own specific rules so it is wise to check with your drug plan BEFORE starting treatment. Coverage varies between insurance companies; some insurance companies have a lifetime maximum or a certain dollar value while other companies cover a maximum number of cycles per lifetime. Unfortunately, some insurance plans do not cover fertility drugs at all. We are happy to provide you with the DIN’s (drug identification numbers) or a letter to submit to your plan to pre-authorize your drugs.
What does a blastocyst embryo transfer mean?
Blastocyst embryo transfer means transferring the embryos to your uterus 5 days after fertilization. Please see our services.
Does CReATe care for gestational carriers?
Yes, CReATe will help you locate a gestational carrier when required. We do not provide the gestational carrier, but can put you in touch with an organization that can help you locate a carrier. Alternatively, you may find a carrier of your own (sister, cousin, friend, etc.) We co-ordinate the necessary steps for preparing the gestational carrier’s uterine lining to match the timing of your retrieval.
My husband has been told he has extremely low sperm count. Can you still help me?
A careful evaluation of your partner will be done including bloodwork and semen analysis. We also work closely with several urologists who may be able to suggest various options. At times, it is necessary to do testicular biopsies or sperm aspirations. These could be synchronized to the timing of an IVF cycle and ICSI would be performed.
How long does an IVF cycle take? How many days of work will I need to take off?
Generally an IVF cycle takes about 2-3 weeks. You are only required to come to the clinic on some of these days. If you live far from the clinic we may be able to arrange some of the monitoring to be done nearer to where you live but you will need to be here towards the end of your IVF cycle. We have several affiliated satellite monitoring locations that you can visit for some of your fertility care. Ask your doctor for more details. It would be necessary to be off from work on the day of the retrieval. If you are from out of town or out of the country, we can suggest reasonably priced accommodations close to the clinic.