Patient Instructions - Crozer-Keystone Health System - PA

Patient Instructions

Who Qualifies

Women must not have reached their 43rd birthday before beginning the first stimulation cycle. Couples must be capable of and committed to completing the program in the 12-16 month time limit. If IVF has been previously recommended based on standard infertility testing and/or treatment, any couple (with female partner under 43 years old) may purchase this payment plan. IVF cycles for which Preimplantation Genetic Diagnosis (PGD) is planned would have extra fees for the PGD procedure.

Patients are expected to:

Closely follow all of the physician’s instructions and to tightly adhere to their medication protocols both during IVF treatment and during their pregnancy until medically released from our care.

Have proper medical obstetrical care with their physician immediately after being released from our care and throughout their IVF pregnancy. Failure to do so may disqualify a patient from the financial discounts in this plan.

Instructions for Scheduling Your Basic Work Up

Please Note:

  • Patients are responsible for obtaining the appropriate referral for each visit
  • You should continue to have yearly PAP Smears performed at your primary GYN office and have a copy of the result sent to us to be placed in your chart
  • Your last pap smear must be within the current year to pursue fertility treatment after all testing completed
  • It is extremely important that you use barrier contraceptive (a condom) during the month of your testing cycle-beginning the first day of your menses until all of your testing is complete

Female Work Up

INITIAL VISIT: Included an examination and a culture; other testing may have needed to be performed at that time.

CYCLE DAY #1: Call the office (610) 447-2727 to begin scheduling some of your testing (HSG, Endometrial Biopsy, Office Hysteroscopy, and a Vaginal Ultrasound with the Doctor). If this day falls on the weekend, please leave a message on our machine and a nurse will call you back Monday morning.

CYCLE DAY #3: Lab testing. Please take the lab slip provided by the nurse to a lab approved by your insurance company or your primary care physician's office and have your blood drawn. If cycle day #3 falls on a Sunday, you can have your blood drawn on cycle day #4 (Monday).

***You cannot eat or drink anything after midnight the night before the blood is to be drawn***

CYCLE DAY #7-11: Hysterosalpingogram see enclosed explanation. This test is performed in the radiology department by Dr. El-Roeiy. You are advised to take Tylenol, Advil or Motrin one hour before the test to minimize any discomfort. You are also advised to take an antibiotic (Z-pack) before the test. This antibiotic is to be taken with a full breakfast. Take two pills the morning before the scheduled date of the test and then one pill a day for the next four days (starting on the day of the test). The antibiotic is taken to help prevent any pelvic infection related to the test. You are also required to come into the office prior to the HSG or the day of the HSG for a pregnancy test. Please make an appointment with the receptionist for the pregnancy test.

CYCLE DAY #7-11: Office hysteroscopy see enclosed explanation. This test is performed in the office by Dr. El-Roeiy. Follow the instructions above listed for the hysterosalpingogram.

***Please notify the nurse if you have any allergies to antibiotics, shellfish/Iodine dye or a history of Mitral Valve Prolaspe so the appropriate medication precautions or substitutions can be taken***

CYCLE DAY #20-24: Enodometrial Biopsy see enclosed explanation. This test is performed in our office by Dr. El-Roeiy. You are advised to take Tylenol, Advil or Motirn1 hour before the test to minimize any discomfort.

Other (Any Cycle Day)

VAGINAL ULTRASOUND WITH THE DR. IN THE OFFICE: Schedule this test with the receptionist.

MAMMOGRAM/MRI/CAT SCAN: Call the radiology department of the hospital indicated by your insurance company. Be sure to take the prescription for the test with you to your appointment.

24-HOUR URINE: Take the prescription provided to the lab indicated by your insurance company to pick up the container. Follow instructions to collect the urine and return the full container to the same lab.

Male Work Up

SEMEN ANALYSIS: Call (610) 447-2273 to schedule see attached explanation.

LAB TESTING: Please take the lab slip provided by the nurse to any lab approved by your insurance company or your primary care physician’s office and have your blood drawn.

***A return consultation should be scheduled with the physician two weeks after your testing is completed. ALL testing must be completed, both male and female for the doctor to see you for your return consult. The physician will go over all of your results of the testing. No results will be given over the phone. They must be given in a return consultation with the physician.***