Issues Affecting Fertility Today – Treatment & Financial Options

photo-1444807016527-23eae0a4b246The primary issue affecting fertility today is female age. Factors associated with female aging include delaying motherhood due to later age at marriage, career, or other personal reasons. “Unfortunately, physiologically, our bodies haven’t caught up to the current social norms,” says Dr. Shefali Shastri. “In previous generations, women were having their children in their 20s. That’s now changed, with women having their children into their 30s and 40s.” Which is why science and technology has slowly become an important role in the family building process for many women and couples.

“There are multiple treatment options available for patients trying to start or complete their family,” says Dr. Shastri. For couples with a mild male factor or women with menstrual irregularities the initial treatment of choice maybe ovulation induction with intrauterine insemination (IUI) to help optimize the chance of conception by targeting each step of the process. With IUI the semen is purified and the most motile sperm are injected into the uterus.  For couples with unexplained infertility, tubal factor, severe male factor or women with a low egg reserve in vitro fertilization (IVF) is the treatment recommendation. IVF is the most effective and most common fertility treatment today. Eggs are combined with sperm to achieve fertilization in the laboratory. To improve the embryo selection process in IVF, RMANJ developed and validated SelectCCS to screen selected embryos, identifying those with a normal number of chromosomes to implant in the uterus and supporting greater chances for a healthy pregnancy.

More than 50% of patients in the US today pay out of pocket for IVF care. Despite mandated insurance coverage, many patients in NJ as well as NY and PA still lack IVF coverage and have to pay out of pocket for fertility treatment. One of the greatest barriers to care for couples or individuals who are trying to grow their families remains financial. The CareShare program was introduced to help alleviate some of the financial burden patients experience through infertility treatment.

The RMANJ CareShare Program is a 100% refund program that offers multiple IVF cycles for a single – package price with a 100% refund if the treatment doesn’t help achieve a live birth.   Traditionally patients pay for each treatment cycle, irrespective of whether or not they conceive. “The goal of this program,” says Dr. Shastri “was to give patients peace of mind and financial resources to pursue multiple IVF cycles, if needed, to improve their chance of conception and live birth. If unsuccessful, patients would have the financial resources to pursue other fertility treatment options.”

Eligibility for the CareShare Program is based on clinical criteria, prior history and ultimately determined together with your physician. Specific inclusion criteria includes age, markers of ovarian reserve, the presence of a normal uterine cavity and lining, prior IVF history, and the ability to complete all IVF cycles prior to age 41.

Through CareShare, built on RMANJ’s successful and award-winning treatment paradigm, we’re focused on success but still willing to share in the risk of failure that many of our patients face.


Dr. Shefali Shastri

Reproductive Medicine Associates of New Jersey Springfield, NJ

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