Author Archives: Kevin L. Winslow, M.D., P.A.

What To Expect On Your First Infertility Visit

Approximately 40% of infertility is related to the female, 30% to the male – in 20% there may be a combined problem (10% of infertility is unexplained).  For that reason patients are encouraged to come in as a couple to review both partners’ history.  The female history will focus on the menstrual cycle, which gives [...]
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Maybe the Best IVF Value in the Country

Have you thought about in vitro fertilization but are concerned about the investment? The Florida Institute for Reproductive Medicine offers a package of three fresh IVF cycles as well as the transfer of all cryopreserved embryos.  This package includes intracytoplasmic sperm injection as well as assisted hatching if indicated, and it includes cryopreservation of embryos [...]
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Paying For Infertility Care

Diagnosis and treatment of infertility is expensive.  Unfortunately most insurance companies continue to look at infertility as an elective part of health care – frequently not covering diagnostic testing or treatment.  Infertility costs for the most common treatment (i.e. ovulation induction with washed intrauterine insemination) ranges between $500 – $600 at the Florida Institute for [...]
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Egg Freezing

The ability to freeze a human egg offers at least two important options for women: fertility preservation for women faced with potentially sterilizing therapies and individuals postponing childbearing, as well as couples requiring in vitro fertilization (IVF) who are ethically opposed to freezing (pre)embryos.  Being able to freeze eggs also allows for the establishment of [...]
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Post Tubal Ligation Tubal Reanastomosis Versus In Vitro Fertilization

Approximately 10% of women who undergo tubal ligation subsequently wish to have another child – the most common reason being a new male partner who has never fathered children.  Tubal ligation involves the interruption of the tube, typically in the mid portion or rarely resection of the distal end of the tube.  All tubal ligation [...]
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An Explanation of IVF Success Rates

Following passage of the Wyden bill in 1991, fertility programs in the United States were required to report their in vitro fertilization (IVF) pregnancy data to the Centers for Disease Control (CDC). This bill was intended to give the consumer a means of evaluating a particular IVF program. While the majority of programs in this [...]
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IVF Value

Costs in the U.S. for in vitro fertilization typically range from $10,000 to $18,000 inclusive of medications.  Added potential costs include intracytoplasmic sperm injection (severe male factor) $500 – $2000, assisted hatching (patients 38 years and older) $500 – $2000, as well as costs associated with cryopreservation of embryos $500 – $2000.  Costs for subsequent [...]
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Why Can’t I Have Another Baby?

Almost half of infertility occurs following an initial pregnancy that may have occurred soon after discontinuing contraception.  This problem, known as secondary infertility, is often overlooked or downplayed by physicians who see these patients as being fertile and are then reluctant to evaluate or treat.  Maternal age and the duration of secondary infertility are critical [...]
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How to Evaluate an IVF Program with 5 Important Questions

Five of the Most Important Questions to Ask 1)  Ask to see the program’s official CDC pregnancy statistics. The Wyden Bill requires that all IVF programs report their results to the CDC yearly.  While this is a law, it is not enforced by any significant penalty.  Treatment centers that do not report their data know [...]
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Biological Clock

A female has the maximum number of eggs she will ever have as a fetus in utero at 20 weeks gestation, approximately 20 million.  During the last 20 weeks of in utero development, over 90% of the eggs will be lost, forming scars in the ovary.  At the time of birth, there are about a [...]
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