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#1 cthomper

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Posted 01 February 2006 - 12:28 PM

Hi all,

I have sent off info requests to all the clinics in the GTA that I know of (Including Mississauga) and I am so lost!!!! Mississauga seems to be cheaper (ISIS & Astra) but is it reliable? I have heard good things about the Markham clinic? And Create and TCART in toronto, and of course IVF Canada?

How did you deside on a clinic? Have you had good results?

Please HELP!!!

Thanks so Much

IVF try #1 - canceled due to poor response • IVF try #2 - canceled due to over suppression from BCP only
IVF try #2 take 2 - May/June 2009 -
9 eggs retrieved, 7 mature and ICSI'd - no Embryos developed the end of the IVF dream
Dec 6th 2009 - Appointment with a counselor who is a specialist in dealing with infertility issues. - Went great!
Jan 18, 2010 - Follow up appt with RE :D Getting things moving again!

dIUI attempt #1 Feb13/10 - BFN • dIUI attempt #2 - March 12/10 - BFN • dIUI attempt #3 - 125iu Puragon, B2B insemination - April 5 & 6 2010 - BFN

Gave up on the idea of being pregnant, but not the idea of being a mother........


#2

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Posted 01 February 2006 - 02:10 PM

My family doctor recommended a doctor, who happened to work at LifeQuest. I knew nothing about cliniks... I just needed a specialist doctor and so far she is good! I hope in 3 weeks I get the BFP :pray:
Des

#3

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Posted 01 February 2006 - 04:27 PM

Hello,

I'm at Markham and I'm very happy with how things are going there. Where are you in the GTA? Given the amount of appts one goes through, it makes it a lot less stressful if you can choose a clinic near your home or work.

Be forwarned, however, that we waited 10 months to get an appt at Markham.

WRWoman

#4

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Posted 01 February 2006 - 04:36 PM

Hi there.

I went to LifeQuest as well. I didn't choose it - my family doctor simply referred me there and I wasn't really informed enough at the time to shop around.

Although I didn't get pregnant, I had a positive experience at LifeQuest. I particularly liked my RE, Tom Hannam - a smart guy but, more importantly, a nice guy. He seems to be up on all the latest technology and listens to his patients. The embryologist is also apparently top notch. As for the staff, some were very nice, some okay, and some shouldn't be in a "helping" profession! I think it would be the same anywhere.

On success stats, I think most of the better clinics have similar technology and expertise, so if there's one clinic that claims success rates much above other well-known clinics, I'd be a bit skeptical. If you're into comparing success rates, make sure you compare apples to apples.

Not everyone has had a great experience at LifeQuest - it's an experience personal to each patient. I would give the clinic a thumbs up and a big thumbs up to my RE ... but that's just me.

Good luck to you.

Jillie

#5 cknock

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Posted 01 February 2006 - 05:32 PM

Hi CT!
I think that choosing a clinic and RE are the most important things you can do - having the chance to ask the forum is a great idea.

Like the others my family DR recommended LQ because he had heard it was the best clinic in Toronto (highest reported success rates and a lab with an excellent record). But like Jillie mentioned it's hard to compare success rates.

As far as something that differentiates LQ - many clinics offer 3 Day transfers & LQ offers 5 Day as well. LQ's lab takes extra steps to keep the egg longer so it will develop into an embryo increasing your chances for success (because the ones that last that long and grow that quickly....are likley the ones most likely to get you BFP). That's something you might want to ask about when your considering clinics.

I'd also like to mention that while at LQ I changed RE's because I didn't feel like I was getting great care...I felt like I was basically going through a process that was not differentiated to my needs (I'm a poor responder and needed extra care/help to figure out my protocol). My original RE was really great about me switching RE's but staying at the clinic - and more importantly it didn't disrupt my IVF schedule. Anyway I ended up going with the same RE as Jillie and hey - BFP - so who's complaining. :D

That said I've heard absolutely amazing things about the Markham clinic. I do not know of any other clinic that does IVIG (haven't heard of it...well if you have immune issues you'll need it - and if a clinic doesn't offer it they likely aren't going to test you for it either so IVF will fail and you'll have no idea why). Dr Virro is supposed to be fabulous but I think you might have to wait 5-9months to see him.

Just my 2 cents! Good luck on your journey...I hope it's short!!
C.
CKnock
3 IUI BFN (Started Oct04)
Feb05 Pelviscopy/Lap (normal)
May05 & Aug05 Cancelled IVF
IVF#1 Nov 05 BFP (1 egg)
Healthy Baby Boy Born August 4th 2006
Trying for #2 - IVF converted to IUI Sept08
BFP! HB 135

#6 cthomper

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Posted 01 February 2006 - 11:42 PM

Hello,

I'm at Markham and I'm very happy with how things are going there. Where are you in the GTA? Given the amount of appts one goes through, it makes it a lot less stressful if you can choose a clinic near your home or work.

Be forwarned, however, that we waited 10 months to get an appt at Markham.

WRWoman


I have heard great things about Markham, I have also hear about the wait time.

I am in Scarborough, the closest clinic would be IVF canada, but I have not heard much about them at all....

My dh's UR wants us to go to IVF Canada..... I think that he might get a kickback. I don't know.....

Thank you all for the input thus far :)

IVF try #1 - canceled due to poor response • IVF try #2 - canceled due to over suppression from BCP only
IVF try #2 take 2 - May/June 2009 -
9 eggs retrieved, 7 mature and ICSI'd - no Embryos developed the end of the IVF dream
Dec 6th 2009 - Appointment with a counselor who is a specialist in dealing with infertility issues. - Went great!
Jan 18, 2010 - Follow up appt with RE :D Getting things moving again!

dIUI attempt #1 Feb13/10 - BFN • dIUI attempt #2 - March 12/10 - BFN • dIUI attempt #3 - 125iu Puragon, B2B insemination - April 5 & 6 2010 - BFN

Gave up on the idea of being pregnant, but not the idea of being a mother........


#7 Wishing

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Posted 02 February 2006 - 01:19 AM

I did not like my brief experience with TCART. I went with Create and I got pregnant first cycle doing IVF, my IM got pregnant first cycle with my eggs, and two other woman that I was cycling with got pregnant that I know of.

The only down side was that I got OHSS and was very sick but I guess that can happen anywhere.
Me:38 DH:40

DS (clomid baby) DD (IVF baby) 4 angels in heaven
DS TWIN boys born Feb. 5 @ 31 weeks (FET babies).
Lost my Dante to SIDS April 2, 2009

#8 Joiia

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Posted 02 February 2006 - 07:09 PM

Hi Cthomper,

My family doctor referred me to Dr. Tanya Williams (Rouge Valley Fertility Clinic). She is in Scarborough at Ellesmere & Neilson. All the u/s and b/w is done there. The ER and ET takes places at Lifequest (downtown Toronto). I have had a very positive experience with Dr. Williams and the staff.

Good Luck,

Joiia

#9 cthomper

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Posted 02 February 2006 - 07:19 PM

Hi Cthomper,

My family doctor referred me to Dr. Tanya Williams (Rouge Valley Fertility Clinic). She is in Scarborough at Ellesmere & Neilson. All the u/s and b/w is done there. The ER and ET takes places at Lifequest (downtown Toronto). I have had a very positive experience with Dr. Williams and the staff.

Good Luck,

Joiia


Hi Joiia,

I didn't know about RVFC, and that is VERY close to me. Could you please post some contact information for me?

That would be great :D

IVF try #1 - canceled due to poor response • IVF try #2 - canceled due to over suppression from BCP only
IVF try #2 take 2 - May/June 2009 -
9 eggs retrieved, 7 mature and ICSI'd - no Embryos developed the end of the IVF dream
Dec 6th 2009 - Appointment with a counselor who is a specialist in dealing with infertility issues. - Went great!
Jan 18, 2010 - Follow up appt with RE :D Getting things moving again!

dIUI attempt #1 Feb13/10 - BFN • dIUI attempt #2 - March 12/10 - BFN • dIUI attempt #3 - 125iu Puragon, B2B insemination - April 5 & 6 2010 - BFN

Gave up on the idea of being pregnant, but not the idea of being a mother........


#10

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Posted 02 February 2006 - 08:05 PM

Hi Cthomper,

My family doctor referred me to Dr. Tanya Williams (Rouge Valley Fertility Clinic). She is in Scarborough at Ellesmere & Neilson. All the u/s and b/w is done there. The ER and ET takes places at Lifequest (downtown Toronto). I have had a very positive experience with Dr. Williams and the staff.

Good Luck,

Joiia


Hi Joiia,

I didn't know about RVFC, and that is VERY close to me. Could you please post some contact information for me?

That would be great :D






Hi

I didn't like TCART and I didn't like my experience at Lifequest very much either. I have immune issues since I tested positive for anti nuclear antibodies and anti thyroid antibodies yet this didn't come out during my tests at Lifequest. I recently completed a cycle in the USA and needed IVIG infussion and couldn't get into Dr Virro's program because there's awaiting list of 8 months. At 39, I don't have time to waste. I would suggest you tests yourself for immune issues which can affect implantation and cause miscarriage. if you do have this then my advice is to sign on with Dr Virro. he is the only Doctor that I know does the IVIG infussion in an IVF program. I had to do it in the USA at a cost of $3000 USD.

Best of Luck

Sadie

#11 Milena

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Posted 02 February 2006 - 08:11 PM

I was with Dr. Hannam at LifeQuest too and think he's the greatest! He is on top of the latest research, entirely devoted to his patients, takes time to listen and understand, and generally makes you feel like you're being well taken care of. His nurses are equally excellent. Infertility is such an emotional process; feeling good about your health care is a real gift.
Me 39
Him older
ttc since 2002
Dx: low ovarian reserve, male factor: low motility & morphology, high dna fragmentation
History:
summer 2005 Scheduled IUI cycle
cycle cancelled: natural bfp! baby 1 m/c 12 weeks 2005
winter 2005: Scheduled IVF cycle
cancelled for natural bfp! baby 2 born perfect 2006
baby 3 natural conception, m/c 8.5 weeks (D&C 10.5 weeks) 2008
moving on to IVF
IVF #1. bcp in Jan-Feb 2009, Stims in March. Cycle cancelled on day 8 due to totally pathetic response.
What next?

#12 cthomper

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Posted 02 February 2006 - 08:21 PM

Sadie,

That is a great idea!! If I do have immune issues, I would save myself some money for sure. I am sorry that you had to go through everything you did before you found out. How do they test for immune issues? Is it blood tests? Could I get my GP or GYN to do it?

Thank you for the info

IVF try #1 - canceled due to poor response • IVF try #2 - canceled due to over suppression from BCP only
IVF try #2 take 2 - May/June 2009 -
9 eggs retrieved, 7 mature and ICSI'd - no Embryos developed the end of the IVF dream
Dec 6th 2009 - Appointment with a counselor who is a specialist in dealing with infertility issues. - Went great!
Jan 18, 2010 - Follow up appt with RE :D Getting things moving again!

dIUI attempt #1 Feb13/10 - BFN • dIUI attempt #2 - March 12/10 - BFN • dIUI attempt #3 - 125iu Puragon, B2B insemination - April 5 & 6 2010 - BFN

Gave up on the idea of being pregnant, but not the idea of being a mother........


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Posted 02 February 2006 - 09:37 PM

Sadie,

That is a great idea!! If I do have immune issues, I would save myself some money for sure. I am sorry that you had to go through everything you did before you found out. How do they test for immune issues? Is it blood tests? Could I get my GP or GYN to do it?

Thank you for the info



Hi there,

You can have the immune issues tests done with an Endocrinologist or go to Dr David Clarke in Hamilton. I got my GP to refer me to Dr Clarke. I have heard that there's also a Dr Shereen Ezzat at Mount Sinai Hospital in Toronto who is an Endocrinologist. Yes, it's blood tests. These are specialised tests so I doubt the GP could do it. You could ask.

Hope this helps!

Sadie

#14 Joiia

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Posted 02 February 2006 - 09:49 PM

Hi Ladies,


Sadie-when you say immune issues, can you be more specific so that I may better understand. What should look for in order to find out whether I need those tests? Thanks!


Cthomper - Here is the website it has all their info on it. If you have any other questions just ask. I haven't used any other clinic so I can't compare but I am happy with Rouge Valley. They open at 7am during the week so that during cycling/monitoring you can get your b/w, u/s and speak to the nurse before heading to work. They always follow up later on with a phone call about the b/w and let you know the next step, etc. (this is probably standard with all clinics) Hope this helps!!!

http://www.rougevall...ntre.medem.com/


Joiia

#15 cthomper

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Posted 02 February 2006 - 10:56 PM

Thank you Sadie and Jolia for that info.

Jolia, have you done a complete cycle at Rouge Vally? My husbads UR says that we should really be careful about choosing a clinic and that kinda freaked me out. I was looking for a place that charged less, but now I am scared. It is way more involved then I though. But then I though that all you had to do to get preggers was BD :rofl: All of this is kinda overwhelming right now.

Thank you all once again

IVF try #1 - canceled due to poor response • IVF try #2 - canceled due to over suppression from BCP only
IVF try #2 take 2 - May/June 2009 -
9 eggs retrieved, 7 mature and ICSI'd - no Embryos developed the end of the IVF dream
Dec 6th 2009 - Appointment with a counselor who is a specialist in dealing with infertility issues. - Went great!
Jan 18, 2010 - Follow up appt with RE :D Getting things moving again!

dIUI attempt #1 Feb13/10 - BFN • dIUI attempt #2 - March 12/10 - BFN • dIUI attempt #3 - 125iu Puragon, B2B insemination - April 5 & 6 2010 - BFN

Gave up on the idea of being pregnant, but not the idea of being a mother........


#16

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Posted 03 February 2006 - 06:24 AM

Hi Ladies,


Sadie-when you say immune issues, can you be more specific so that I may better understand. What should look for in order to find out whether I need those tests? Thanks!


Cthomper - Here is the website it has all their info on it. If you have any other questions just ask. I haven't used any other clinic so I can't compare but I am happy with Rouge Valley. They open at 7am during the week so that during cycling/monitoring you can get your b/w, u/s and speak to the nurse before heading to work. They always follow up later on with a phone call about the b/w and let you know the next step, etc. (this is probably standard with all clinics) Hope this helps!!!

http://www.rougevall...ntre.medem.com/


Joiia


Hi Joiia! :wavey:


Well there are some women out there who have unexplained infertility. Studies seem to point out more and more that the culprit may be immune issues. The woman may have antibodies in her bloodstream that makes her immune system very strong and this means it can fight off many diseases but complications arise when the woman wants to get pregnant. The antibodies attack the embryo as a foreign entity and impedes the right environment to be created in the uterus to allow the embryo to implant. It also accounts for miscarriages. There are no symptoms which means that unless you have symptoms your GP won't send you to get tested. You'd have to see an Endocrinologist and ask him you want to be tested for immune issues, you want to know whether you'd have antibodies that could put an obstacle to carrying a pregnancy to term. There are different types of antibodies, anti nuclear antibodies and anti thyroid antibodies are only 2 of many. Your Doctor will know what to test for. Look in the Internet, lots of Endocrinologists there or go to Dr Ezzat at Mount Sinai. he's a well renowned Endocrinologist.

Sadie

#17 Joiia

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Posted 03 February 2006 - 09:58 AM

Sadie - Thanks for that very detailed information. Right now we are dealing with a male factor, but we haven't had an opportunity to complete a cycle due to poor response and timing. I find you learn new things as you go further, so I am just learning as I go along.

Cthomper - I have had 2 cancelled cycles. We are dealing with male factor and we are having trouble having me ready for the Er the same day as my dh's surgery. The BCP really shuts down my body and IU have a hard time responding to the stims after that. So for the next attempt we are going to cycle me without BCP and freeze dh's sperm. We'll see how that works.
IVF is definitely expensive but you don't want to choose based one money only. That may cost you more money in the end if they aren't efficient. Good Luck!!

Joiia

#18 cthomper

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Posted 03 February 2006 - 01:55 PM

Sadie - Thanks for that very detailed information. Right now we are dealing with a male factor, but we haven't had an opportunity to complete a cycle due to poor response and timing. I find you learn new things as you go further, so I am just learning as I go along.

Cthomper - I have had 2 cancelled cycles. We are dealing with male factor and we are having trouble having me ready for the Er the same day as my dh's surgery. The BCP really shuts down my body and IU have a hard time responding to the stims after that. So for the next attempt we are going to cycle me without BCP and freeze dh's sperm. We'll see how that works.
IVF is definitely expensive but you don't want to choose based one money only. That may cost you more money in the end if they aren't efficient. Good Luck!!

Joiia


DH and I are also fighting against MF Infertility. So we will need IVF with ICSI and possibly TESA(I think that is what it is called, the surgery to extract sperm from the testies?) I wish that it was all just a little bit more affordable. Everyplace in Toronto had quoted us $10-13 000. I am not sure that we can afford that.
Oh well, where there is a will there is a way! And this girls got will! :crsd:

IVF try #1 - canceled due to poor response • IVF try #2 - canceled due to over suppression from BCP only
IVF try #2 take 2 - May/June 2009 -
9 eggs retrieved, 7 mature and ICSI'd - no Embryos developed the end of the IVF dream
Dec 6th 2009 - Appointment with a counselor who is a specialist in dealing with infertility issues. - Went great!
Jan 18, 2010 - Follow up appt with RE :D Getting things moving again!

dIUI attempt #1 Feb13/10 - BFN • dIUI attempt #2 - March 12/10 - BFN • dIUI attempt #3 - 125iu Puragon, B2B insemination - April 5 & 6 2010 - BFN

Gave up on the idea of being pregnant, but not the idea of being a mother........


#19 Joiia

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Posted 03 February 2006 - 08:43 PM

Hi Cthomper,

Sounds like we are dealing with the same issues. Yes everything to do with infertility costs money. Do you have any coverage for your meds? Luckily we have our meds covered. Upto this point we have already spent close to $10,000 on meds and we didn't even get a chance to cycle. As far as prices go I guess it depends on your needs. For my dh's TESA we have to pay $1500 separate from the $5800 for IVF and an extra $1000 for ICSI. By the time we do a cycle with meds, IVF, ICSI and TESA it will cost about $13,300. The prices are ridiculous. We haven't even discussed how many we will attempt. I don't even want to think about having to decide to stop due to $. But like you said, "where there is a will there is a way". It is amazing how you can save money when you really want something badly.

Which doctor is your dh seeing? My dh is with Dr. Jarvi.
Have a great weekend!

Joiia

#20 cthomper

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Posted 03 February 2006 - 10:00 PM

Hi Cthomper,

Sounds like we are dealing with the same issues. Yes everything to do with infertility costs money. Do you have any coverage for your meds? Luckily we have our meds covered. Upto this point we have already spent close to $10,000 on meds and we didn't even get a chance to cycle. As far as prices go I guess it depends on your needs. For my dh's TESA we have to pay $1500 separate from the $5800 for IVF and an extra $1000 for ICSI. By the time we do a cycle with meds, IVF, ICSI and TESA it will cost about $13,300. The prices are ridiculous. We haven't even discussed how many we will attempt. I don't even want to think about having to decide to stop due to $. But like you said, "where there is a will there is a way". It is amazing how you can save money when you really want something badly.

Which doctor is your dh seeing? My dh is with Dr. Jarvi.
Have a great weekend!

Joiia


Hi Joiia,

DH is self employed and I don't work so there is not Drug coverage at all. I have been looking buting some, but I have yet to find a place that will cover Fertility Meds. Anyone know of any??? Everything will be out of pocket. :angry:
I have tryed talking to DH about treatment and how far we are going to go etc. but he dosen't want to talk about any of it right now. I think he is a little down and feeling guilty about it all.
DH is/was seeing Dr A Abramovich. We won't see him again unless he need TESA (I hope not, he already has gone throuhg 1 VERY painful surgery for this, hoping that the problem was just a blockace of the 'sperm tubes' but it was scar tissue everywhere and little sperm in the testies. We still don't know what caused it) I hope he dosen't need anymore.

IVF try #1 - canceled due to poor response • IVF try #2 - canceled due to over suppression from BCP only
IVF try #2 take 2 - May/June 2009 -
9 eggs retrieved, 7 mature and ICSI'd - no Embryos developed the end of the IVF dream
Dec 6th 2009 - Appointment with a counselor who is a specialist in dealing with infertility issues. - Went great!
Jan 18, 2010 - Follow up appt with RE :D Getting things moving again!

dIUI attempt #1 Feb13/10 - BFN • dIUI attempt #2 - March 12/10 - BFN • dIUI attempt #3 - 125iu Puragon, B2B insemination - April 5 & 6 2010 - BFN

Gave up on the idea of being pregnant, but not the idea of being a mother........


#21 cthomper

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Posted 06 February 2006 - 12:08 AM

Hi Cthomper,

Sounds like we are dealing with the same issues. Yes everything to do with infertility costs money. Do you have any coverage for your meds? Luckily we have our meds covered. Upto this point we have already spent close to $10,000 on meds and we didn't even get a chance to cycle. As far as prices go I guess it depends on your needs. For my dh's TESA we have to pay $1500 separate from the $5800 for IVF and an extra $1000 for ICSI. By the time we do a cycle with meds, IVF, ICSI and TESA it will cost about $13,300. The prices are ridiculous. We haven't even discussed how many we will attempt. I don't even want to think about having to decide to stop due to $. But like you said, "where there is a will there is a way". It is amazing how you can save money when you really want something badly.

Which doctor is your dh seeing? My dh is with Dr. Jarvi.
Have a great weekend!

Joiia


Hi Joiia,

DH is self employed and I don't work so there is not Drug coverage at all. I have been looking buting some, but I have yet to find a place that will cover Fertility Meds. Anyone know of any??? Everything will be out of pocket. :angry:
I have tryed talking to DH about treatment and how far we are going to go etc. but he dosen't want to talk about any of it right now. I think he is a little down and feeling guilty about it all.
DH is/was seeing Dr A Abramovich. We won't see him again unless he need TESA (I hope not, he already has gone throuhg 1 VERY painful surgery for this, hoping that the problem was just a blockace of the 'sperm tubes' but it was scar tissue everywhere and little sperm in the testies. We still don't know what caused it) I hope he dosen't need anymore.


IVF try #1 - canceled due to poor response • IVF try #2 - canceled due to over suppression from BCP only
IVF try #2 take 2 - May/June 2009 -
9 eggs retrieved, 7 mature and ICSI'd - no Embryos developed the end of the IVF dream
Dec 6th 2009 - Appointment with a counselor who is a specialist in dealing with infertility issues. - Went great!
Jan 18, 2010 - Follow up appt with RE :D Getting things moving again!

dIUI attempt #1 Feb13/10 - BFN • dIUI attempt #2 - March 12/10 - BFN • dIUI attempt #3 - 125iu Puragon, B2B insemination - April 5 & 6 2010 - BFN

Gave up on the idea of being pregnant, but not the idea of being a mother........


#22 marley

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Posted 06 February 2006 - 12:25 AM

Cthomper,

I would really encourage you to speak to clients and investigate the clinics you are considering. There are a ton in the GTA and pros and cons for each. We went with the clinic recommended by another specialist and we're thrilled when the wait list was short. Unfortunately, we wasted a year, a lot of heartache and over $20,000.

I think if your issues are pretty straightforward then you are fine at most clinics. If you have a history of negatives or mc/ and the possibility of immune issues, uterine abnormalities - then be especially careful.

My pick would be Markham hands down. There is a lengthy wait to get in, but we discovered problems missed at other clinics.


p.s. Sadie, great advice about immune issues! It's so important to get tested for so you don't waste precious fertility time and money. It's really hard to get the testing done in Canada. I've heard great things about Dr. Clarke in Hamilton too, but it's hard to get in to see him. Most Canadian labs do not run testing for recurrent miscarriage or implantation failure. I ordered a kit from http://millenova.com and their results are apparently pretty reliable and used by many IVF clinics. Expensive though.

Good luck everyone!
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Twin Girls born Feb/07

#23 taimis

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Posted 28 November 2015 - 09:17 PM

Try Dr. Anthony Auyeung. A lot of my friends went to him and he was strongly recommended. Take note, these friends were from so many clinics already and never got pregnant but when they went to him, they did! I was kind of hesitant to go and try getting a second opinion from him since I have so much history already from my present clinic which is Hannam. There wasn't any regrets, he made sure he reviewed my history carefully and I spent almost two hours with him during my first consult! At Hannam? no way will I go back there. All they did was take money from me. For them you're just a number. My husband and I feel so positive about this. I will definitely keep you updated guys!



#24 mamusia

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Posted 01 April 2016 - 09:19 PM

I went to ivf and they are too expensive so I would not recommend it I am in the process of looking for another clinic in Toronto or scarborugh but I don't know which one to choose too any advice from anybody



#25 InnissBaby

InnissBaby
  • Member
  • 21 posts
  • Dx:Unexplained
  • My Clinic:RCC

Posted 16 September 2017 - 06:04 PM

No ones mentioned RCC Mississauga on here. Should I be worried