1. Will Mt Sinai fax any tests requisitions needed to you so that you can get as much done before the initial appointment as possible to speed things along?
This varies by clinic. Some (like Markham) will mail make the arrangements prior to your initial consult and others prefer to meet with you and your partner to get a full history and then they use that to determine which tests they want you and your partner to undergo.
2. Has anyone ever had like a tele-conference with them instead of having to physically go there?
This varies by clinic. I do not know if Mt. Sinai offers this service. Some of the challenges with a telephone consultation is getting the patient to honour the appointment time. Some of the clinics that I have been to that do not offer it, or ended that service, cited that as a problem.
3. Will they make me go through another procedure to check again about my tubes or will the report from my OB/GYN satisfy them?
4. Has anyone received financial help from the Power of Hope Cost Reduction Program for Cancer Patients? Any idea how to apply for it?
I am not familiar with this company.
5. I was told before that because both of my tubes are blocked OHIP will pay for 3 cycles of IVF....how does that work? Does the clinic do the paperwork or do I?
Currently the province of Ontario covers part of the cost of 3 IVF attempts for patients with bilaterally blocked tubes. (This will change when funding is eventually extended to all qualified Ontario residents, but one cycle only).
The OHIP coverage does not cover all expenses, so you will still have to pay for medications, etc. It can reduce your costs, though. It is my understanding that Mt. Sinai's cycle fees are pretty much covered by OHIP, but if you are at a more expensive clinic, the OHIP coverage reduces your costs and you end up paying the difference.
When you go to the clinic you will do a number of tests including a saline sonohysterogram (sp?) to determine the shape of your uterus and to confirm whether your tubes are blocked. The clinic may also ask you to do an "HSG" test. This is where a dye is injected into your uterus to determine the shape of the uterus and it also determines whether there is tubal blockage.
If bilateral tubal blockage is confirmed then you will be designated an OHIP-covered (or whatever the terminology is) patient and the clinic will bill you accordingly.
6. How many embryos will they re-insert at a time?
It depends on a number of things: your age, the quality of the embryos, and how many you have. Generally when a patient is under 35 and there are a number of good quality embryos the clinic will put one back in because there is a greater likelihood of implantation.
When the patient is older, there may be a lower chance of implantation, so the doctor/RE might transfer 2 if the embryo quality is less than ideal. Some believe that 2 poorer quality embryos will help one another along, but you end up with 1 take-home baby when the mother is over 35.
With your first attempt your RE might be inclined to transfer one only just to see.
But it is not cut and dry. There is also a lot of guessing in the world of Assisted Reproduction.
7. Will I have to keep going back to the clinic once I have conceived or can I just see my OB/GYN?
If your initial pregnancy test (also know as "Beta" in this world) is strong and conclusive, you will have an ultrasound at the clinic at around the 6-7 (or 8) week mark before being referred onto an OB/GYN.
However, if your initial beta is not conclusive (because it is possible to be "a little pregnant" in the world of IVF), then you will do several beta tests to determine whether the pregnancy was viable or not. Once that is determined, you will either be referred to an OB, or not.
8. how long does it usually take after the initial appointment to start treatments? my oncologist wants to do another CT scan before I start treatments, but he wants to wait to order it until we find out when that will be.
It varies by clinic. If you end up doing the testing after the consultation, it can be about 6 weeks depending on the clinic. Some tests can only take place during specific times in your cycle, plus there are limited openings for some of the testing. There can be a lot of "hurry-up and wait" in the world of IVF.
The ladies at Mt. Sinai can give you a better idea of the timelines.
All the best to you.