Infertility Questions & Answers: Who, What, Where, When to Start?

author-spotlight-MIf you’re struggling with infertility you’re not alone. More than seven million men and women in the U.S. are impacted by infertility. Dr. Maria F. Costantini from Reproductive Medicine Associates of New Jersey (RMANJ) offers some insights about when to start fertility care.

I tell every patient that age plays the biggest factor when it comes to fertility. The likelihood of conceiving varies dramatically between a 30, 35, and 40-year-old. While it is not widely known, even a healthy fertile 30-year-old woman has just a 20% chance of getting pregnant. According to the American Society of Reproductive Medicine, if you’re in your mid 30’s and have been unsuccessful in conceiving for 6-12 months it’s time to speak to your OBGYN or fertility specialist.

When you’re ready to find a doctor it’s important to consider not just the practical things such as office hours and locations, but to do your research into the facilities service offerings and delivery rates. Patients should look for a fertility program that can complete an initial work-up within 30 days or less and offer all the validated and safe services that any patient might need to be successful – from intrauterine insemination (IUI) to in vitro fertilization (IVF) and fertility preservation. The best fertility clinics will also offer more holistic and well-rounded services such as acupuncture and yoga and they will offer early morning cycle monitoring at multiple locations to make help patients maintain their work-life balance during treatments.

For myself and my colleagues, pregnancy alone is not our end goal; we truly consider success to be the birth of a healthy baby.  While many practices  promote clinical pregnancy rates, patients should ask or look for live birth success rates.  You aren’t looking to simply get pregnant you want to build your family.  Patients should search or to review delivery success rates across all fertility practices in the U.S.

This is important because while many patients can get pregnant, they often struggle through multiple miscarriages and it’s important to work with a facility that knows how to navigate that.  For example, studies suggest that 50-70% of all miscarriages are due to embryos with too few or too many chromosomes.  Therefore, at RMANJ we routinely offer Comprehensive Chromosome Screening (CCS) to help us improve chance of success for our patients. By focusing on helping our patients have healthy pregnancies and deliver healthy babies, RMANJ can boast success rates above 60 percent, well above the national average. We are dedicated to providing hopeful parents safe and validated services including intrauterine insemination (IUI), in vitro fertilization (IVF), egg donation, gestational surrogacy, comprehensive chromosome screening (CCS), pre-implantation genetic diagnosis (PGD), fertility preservation services, acupuncture, yoga and even patient-to-patient networking.

Visit or call 973-656-2089 to speak with a personal patient liaison with your questions today.


AS SEEN IN (201) MAGAZINE  March 2015- The Best of Bergen, in your mailbox, every month.

Maria Costantini Ferrando MD, FACOG

Reproductive Medicine Associates of New Jersey - Englewood, NJ

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