[{"_id":"project-settings","settings":{"translateMetaTags":true,"translateAriaLabels":true,"translateTitle":true,"showWidget":true,"isFeedbackEnabled":false,"fv":1,"customWidget":{"theme":"custom","font":"rgb(255,255,255)","header":"rgb(0,0,0)","background":"rgba(0,0,0,0.8)","position":"right","positionVertical":"bottom","border":"rgb(204,204,204)","borderRequired":false,"widgetCompact":true,"isWidgetPositionRelative":false},"widgetLanguages":[],"activeLanguages":{"fr-CA":"Français (Canada)","es":"Español","en":"English"},"enabledLanguages":["en","es","fr-CA"],"debugInfo":false,"displayBranding":true,"displayBrandingName":false,"localizeImages":false,"localizeUrls":false,"localizeImagesLimit":false,"localizeUrlsLimit":true,"localizeAudio":false,"localizeAudioLimit":false,"localizeDates":false,"disabledPages":[],"regexPhrases":[],"allowComplexCssSelectors":false,"blockedClasses":false,"blockedIds":false,"phraseDetection":true,"customDomainSettings":[],"seoSetting":[],"translateSource":false,"overage":false,"detectPhraseFromAllLanguage":false,"googleAnalytics":false,"mixpanel":false,"heap":false,"disableDateLocalization":false,"ignoreCurrencyInTranslation":false,"blockedComplexSelectors":[]},"version":25063},{"_id":"en","source":"en","pluralFn":"return n != 1 ? 1 : 0;","pluralForm":2,"dictionary":{},"version":25063},{"_id":"outdated","outdated":{"#<strong ljsid-0=\"\">Foods that support liver health</strong> include beets, lemons, limes, cabbage, and carrots.":1,"#<strong ljsid-0=\"\">Healthy fats</strong> can help balance hormones and encourage fertility. These fatty acids can be found in avocados, nut butters, chia seeds, extra virgin olive oil, and fatty fish, like wild salmon when possible.":1,"#<strong ljsid-0=\"\">Seed oils</strong> are common in processed foods and restaurant cooking because they’re cheap and have a neutral taste, so they work in almost any dish. Vegetable oils like soybean, canola, rapeseed, sunflower, and safflower mostly contain omega-6 fats, which can lead to inflammation. Avoid these fats by cooking with coconut oil, olive oil, or ghee (which is clarified butter) at home.":1,"#<strong ljsid-0=\"\">Highly processed carbs<a ljsid-0-1=\"\">, </a></strong>such as white bread, potato chips, and other highly processed foods should be avoided. Since these are rapidly processed in the body, like excess sugar, the same hormone and inflammation issues mentioned above may happen.":1,"#<strong ljsid-0=\"\">Excess added sugar</strong> both disrupts hormone balance and triggers an inflammatory response in the body. Inflammation is one of the primary causes of insulin problems, hormone imbalance, and PCOS.":1,"#PCOS is also known to be a metabolic disorder with a level of insulin resistance for most patients. Because it involves insulin resistance and metabolism, diet and exercise changes are an important step in its treatment — more on this later. For those with PCOS who are overweight, weight loss has been shown to improve PCOS symptoms and fertility. <a ljsid-1=\"\">Learn more about PCOS</a>.":1,"#PCOS is a hormone disorder where the body makes too many androgenic hormones. It often causes enlarged ovaries with small cysts, which is where the name comes from. These hormonal changes can lead to a lack of periods or longer time between periods, as well as infertility.":1,"#Finding the best foods for you can be difficult, but when you have a hormonal disorder or a disease it can be even more complicated. Then add trying to conceive on top of it. So how do you make sure you’re living a healthy lifestyle? We’ve broken down what foods to avoid and what to eat if you have polycystic ovary syndrome (PCOS).":1,"#What to eat if you have polycystic ovary syndrome (PCOS) | Progyny":1,"#What to eat if you have polycystic ovary syndrome (PCOS)":1,"#send an email to enteryour@addresshere.com?subject=Why+would+you+have+your+estradiol+levels+checked%3F&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Feducation%2Festradiol%2F":1,"#Looking to better understand your coverage or eligibility? We can help! <a ljsid-1=\"\">Contáctenos</a>.":1,"#We’re joined by Jennifer Sargent, CEO of Pacify, to discuss how doulas and lactation specialists fill critical gaps in support.":1,"#How postpartum doulas support new parents | Progyny":1,"#The DocTalk series, where we discuss current events on the full spectrum of women’s health and family building and what they might mean for you. From news, research studies, pop culture, and everything in-between, we’re going to break it all down and sift through the noise with the help of our expert Chief Medical Officer, Dr. Janet Choi and host, Lissa Kline, LCSW":1,"#This show does not constitute medical advice.":1,"#Lissa Kline, LCSW, SVP, Provider and Member Services, Progyny":1,"#Dr. Janet Choi, Chief Medical Officer, Progyny":1,"#Hosts":1,"#Jennifer Sargent, Chief Executive Officer, Pacify":1,"#Today, we’re focusing on the postpartum period — a chapter that is essential to maternal well-being, infant development, and the overall transition into parenthood. We’re joined by Jennifer Sargent, CEO of Pacify, to discuss how doulas and lactation specialists fill critical gaps in support and why expanding access to this care is an important step toward improving the postpartum experience.":1,"#Qui utilise ces options ?":1,"#Qu'est-ce que la congélation d'ovocytes et la conservation d'embryons ?":1,"#Congélation d'ovocytes et conservation d'embryons: quelle est la différence ?":1,"#<strong ljsid-0=\"\">Call your Progyny Care Advocate</strong> for more information regarding your medication coverage.":1,"#You may also watch these videos directly on our <a ljsid-1=\"\">YouTube IVF Medication Injection Playlist</a>.":1,"#Use the drop-down menu to find your medication and watch a video demonstrating how to inject it.":1,"#When you receive your fertility medications, a Progyny Rx specialist will be available to explain how to safely administer, store, and dispose of them. Before you get started, check out our videos demonstrating how to inject the medications below.":1,"#Amount you may be expected to pay is approximately: $2025 to $2250":1,"#Watch clinical experts, advocates, and Progyny leaders discuss all things women’s health, fertility and family building.":1,"#Deep breathing for stress management":1,"#Written by the Progyny Editorial Team — November 2025. Have you noticed that when you’re stressed, worried, or anxious, your […]":1,"#Mindfulness for stress management":1,"#Written by the Progyny Editorial Team. Reviewed by the Progyny Clinical Team — November 2025. If you were recently diagnosed […]":1,"#What should I know after being diagnosed with gestational diabetes?":1,"#Written by the Progyny Editorial Team. Reviewed by the Progyny Clinical Team — November 2025. With gestational diabetes, your number […]":1,"#Blood sugar monitoring for gestational diabetes":1,"#Written by the Progyny Editorial Team. Reviewed by the Progyny Clinical Team — November 2025. Getting the right amounts of […]":1,"#How much weight should I gain during pregnancy?":1,"#Written by the Progyny Editorial Team — November 2025. Did you know that your own breath is a powerful tool […]":1,"#In IUI cycles, the hCG injection is used to make ovulation occur on a given day to help schedule the insemination at the ideal time for conception.":1,"#hCG injections are used to induce the final maturation of eggs. Once mature, eggs can then separate from the cells within the follicle and be released or ovulated approximately 34 to 36 hours after the injection.":1,"#hCG mimics LH, which causes ovulation. Administering hCG helps time ovulation in intrauterine insemination (IUI) cycles or egg retrieval in in vitro fertilization (IVF) cycles. In IVF, the hCG injection is typically given about 36 hours before retrieval to help eggs mature and separate from the follicle.":1,"#However, hCG can also be used to mature eggs and induce ovulation. That’s because it is very similar in structure and function to the hormone known as luteinizing hormone (LH). LH levels rise or surge just prior to ovulation and induce the ovulatory process. So, giving hCG causes a similar response by the ovary to induce ovulation.":1,"#hCG is a hormone that is primarily produced during pregnancy. It’s also the hormone detected in a pregnancy test, either using blood or urine.":1,"#It’s important to wait for the recommended amount of time, usually 10 days after the injection, before taking a urine pregnancy test. If you take a urine pregnancy test too soon, you may get a skewed result.":1,"#Your healthcare provider will likely schedule a blood test 12 to 14 days after your IUI or 8 to 14 days after an embryo transfer for a more accurate result. The two-week wait can be tough, but taking at-home tests too early may lead to confusion.":1,"#In natural (or non-medicated) embryo transfer cycles, an hCG injection is sometimes used to make ovulation happen on a given day to schedule the embryo transfer at the optimal time for implantation.":1,"#In IVF cycles, the hCG injection is given about 36 hours before the scheduled egg retrieval. This is done to optimize the timing of the egg retrieval to retrieve the maximal number of eggs. If you try to retrieve eggs without using hCG, they won’t separate from the follicular fluid and can’t be collected.":1,"#If you’re undergoing fertility treatments, you’ll need to give yourself different injections on a schedule. Timing is especially important for human chorionic gonadotropin (hCG) injections.":1,"#Does human chorionic gonadotropin interfere with a urine pregnancy test?":1,"#Appel: <a ljsid-1=\"\">855-315-5353</a>":1,"#If the sperm count is very low, your provider may recommend genetic testing, such as karyotyping, to look for chromosomal conditions.":1,"#Normal sperm concentration ranges from 15 million to 200 million sperm per milliliter. Fewer than 15 million sperm per milliliter is considered low. However, sperm count alone doesn’t fully predict fertility. Some people with low counts can conceive naturally, and some with high counts may still have difficulty.":1,"#Concentration":1,"#Patients with both low volume and low sperm concentration may be experiencing testosterone deficiency. Less often, a low volume with either no sperm (azoospermia) or severely low sperm (severe oligospermia) may suggest some sort of obstruction.":1,"#The normal volume of semen is at least 1.5 milliliters. Low semen volume can happen for a few reasons, including an incomplete sample collection and partial retrograde ejaculation, when some semen flows back into the bladder instead of out through the urethra. In these cases, a second sample is often collected after emptying the bladder.":1,"#A semen analysis measures the amount and quality of semen and evaluates sperm under a microscope. It typically looks at:":1,"#Sperm-related infertility, also called male factor infertility, plays a role in up to 50% of fertility problems.":1,"#What’s a semen analysis?":1,"#In vitro fertilization with an intracytoplasmic sperm injection (injecting a single sperm directly into an egg in the lab)":1,"#Intrauterine insemination (placing sperm that are living and motile) directly into the uterus)":1,"#Depending on the cause, assisted reproductive technology may be needed. The options to increase the odds of conception include:":1,"#Your provider will review your results and may suggest repeating the test, since results can change between samples. If the analysis shows possible sperm-related fertility problems, you may be referred to a reproductive urologist for more testing and possible treatment.":1,"#When to visit a reproductive urologist":1,"#Motility describes how well sperm move toward the egg. Experts say the lower limit of normal total motility is 40%. Unless all sperm have poor movement, motility alone is usually not a strong predictor of infertility.":1,"#Motility":1,"#Morphology refers to sperm shape and structure. Healthy sperm have oval heads and long tails that help them swim. A normal sperm morphology result is 4% or more of sperm having a normal shape.":1,"#Morphology":1,"#Sperm-related infertility, also called male factor infertility, plays a role in up to 50% of fertility problems. To evaluate your sperm, your healthcare provider will recommend a semen analysis as part of an infertility workup.":1,"#send an email to enteryour@addresshere.com?subject=The+importance+of+hydration+while+trying+to+conceive&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Feducation%2Ftrying-to-conceive%2Fthe-importance-of-hydration-while-trying-to-conceive%2F":1,"#The information provided by Progyny is for educational purposes only and is not medical advice. Always consult a qualified healthcare provider for medical guidance.":1,"#Disclaimer:":1,"#étude de 2022":1,"#Aborder la question des avantages liés à la fertilité et à la fondation d'une famille au sein de votre organisation peut sembler intimidant. À qui s'adresser ? Comment faire ? […]":1,"#Les femmes noires sont <a ljsid-1=\"\">two times more likely</a> to be impacted by infertility":1,"#Privacy Policy Revision date: May 5, 2025 Progyny, Inc. and its affiliates and subsidiaries (collectively “Progyny”, “us”, “we”, or “our”) operates the https://progyny.com website, member portal, provider portal and member […]":1,"#Men’s health and fertility: A key component of the family building journey It’s time to shift the narrative around fertility. It’s time to talk about sperm. Addressing men’s fertility early […]":1,"#Men's health and fertility: A key component of the family building journey":1,"#Finding a doctor perfect for you is the first step for effective fertility treatment. Not sure if a clinic is in network? <mark ljsid-1=\"\">Use the </mark><a ljsid-2=\"\"><mark ljsid-2-0=\"\">Progyny Provider Search Tool</mark></a><mark ljsid-3=\"\"> to verify. Armed with the questions to consider and a better understanding of what you want, give your PCA a call and begin building the family of your dreams today!</mark> All Progyny members also have access to a <a ljsid-5=\"\">Clinical Educator</a>, a nurse who can assist you if you’d like added help in choosing a clinic. Reach out to your PCA to set up a conversation with a Progyny Clinical Educator.":1,"#DocTalk episode: Scrambled movie, male fertility and covid pregnancies":1,"#DocTalk episode: Birth control... for men":1,"#Updated by the Progyny Clinical Team — September 2025. Sperm freezing is becoming a common choice if you want to […]":1,"#Updated by the Progyny Clinical Team — September 2025. What is a varicocele? Like a varicose vein in the legs, […]":1,"#Cancel Record":1,"#Start Record":1,"#Notre écosystème de soins cohérent permet à nos membres de bénéficier de soins dispensés par des professionnels de santé féminine hautement qualifiés et directement accrédités. Progyny est accrédité NCQA en matière <a ljsid-1=\"\">d'agrément</a> .":1,"#Updated by the Progyny Clinical Team — September 2025. When people talk about age and fertility, most of the focus […]":1,"#Updated by the Progyny Clinical Team — August 2025. In vitro fertilization (IVF) lab advances have improved how embryos are […]":1,"#How clinics are keeping you safe and what fertility treatment will look like during COVID and beyond.":1,"#DocTalk episode: Cracking the code on male fertility":1,"#DocTalk episode: Ep. 18: Five conditions women face more often than men":1,"#Fertility preservation for cancer patients: Focusing on your life after cancer":1,"#Updated by the Progyny Clinical Team — August 2025. Early pregnancy can be an emotional time. Every ache, pain, or […]":1,"#Updated by the Progyny Clinical Team — August 2025. If you’re trying to conceive, you probably know hormones play a […]":1,"#<strong ljsid-0=\"\">New or increasing chest pain</strong> or shortness of breath should be reported to the provider. This goes beyond the mild shortness of breath that can be common at the end of pregnancy.":1,"#<strong ljsid-0=\"\">Persistent headaches</strong>, which are different than usual headaches and not relieved by over-the-counter medications, can be a sign too.":1,"#<strong ljsid-0=\"\">Visual disturbances</strong> like blurry vision, flashes of light in the peripheral vision (scotoma), sensitivity to light (photophobia), and temporary loss of vision can be signs of preeclampsia.":1,"#<strong ljsid-0=\"\">Swelling</strong> (edema) can occur, particularly in the hands and face. While mild swelling is common during pregnancy, sudden or severe swelling should be reported to the provider.":1,"#<strong ljsid-0=\"\">Too much protein in the urine </strong>(proteinuria) shows that the kidneys are not working normally. During routine prenatal visits, a provider may test urine for protein.":1,"#<strong ljsid-0=\"\">High blood pressure</strong> (hypertension): Blood pressures above 140 mm hg systolic (top number of the blood pressure cuff) or above 90 mm hg diastolic (bottom number of the blood pressure cuff) are considered elevated. These are typically elevated on two separate occasions, at least four hours apart, to make the hypertension diagnosis.":1,"#Preeclampsia is a more severe type of gestational hypertension, where a person has high blood pressure and signs of damage to other organs.":1,"#pregnant woman with blood pressure cuff":1,"#Progyny is here for you if you have any questions. Please contact your Progyny Care Advocate for support.":1,"#Regular prenatal care and communication with your provider is essential for the early identification and management of preeclampsia. If you have concerns about your risk of developing it, talk to your provider.":1,"#There are several signs and symptoms of preeclampsia that parents should be aware of, including:":1,"#<a ljsid-0=\"\">Preeclampsia</a> is a serious condition that requires prompt medical attention. Knowing the signs, symptoms, and risk factors is very important for early detection and effective management. This is to ensure the health and safety of both the birthing parent and their baby.":1,"#Those who have had preeclampsia should continue to monitor their blood pressure and symptoms postpartum. That’s because they remain at increased risk of complications such as eclampsia (seizures) and strokes.":1,"#The only cure is delivery of the baby and placenta. In some cases, if the condition is serious, providers may recommend delivering the baby early to avoid health problems for the birthing parent.":1,"#If the case is mild, it can usually be managed with regular checkups outside the hospital. But if it’s more serious, the person may need to stay in the hospital until delivery so doctors can closely watch and manage the symptoms.":1,"#A provider may recommend starting aspirin to reduce the risk of preeclampsia for those with one or more risk factors. Medications may be prescribed to lower blood pressure and prevent complications — it depends on how serious the condition is.":1,"#Going to all prenatal appointments allows healthcare providers to monitor blood pressure, urine protein levels, and other signs to recognize and treat preeclampsia.":1,"#Prevention and management":1,"#If the birthing parent has one of more of these risk factors, the provider may recommend starting daily low-dose aspirin. This may be started as early as 12 weeks to reduce risk.":1,"#In vitro fertilization pregnancies":1,"#Carrying twins, triplets, or more":1,"#If not diagnosed and treated, preeclampsia can cause serious complications for both the baby and birthing parent, including low birth weight or preterm delivery for the baby, and rare but serious complications such as seizures or strokes for the birthing parent. According to the Preeclampsia Foundation, the rate of preeclampsia in the US has increased by 25 percent in the last two decades and is a leading cause of maternal and infant illness and death.":1,"#Being overweight or obese prior to pregnancy":1,"#A family history of it, especially in a mother or sister":1,"#Birthing parents under age 20 or over age 40":1,"#Other medical issues, such as diabetes, autoimmune disorders (such as lupus or Crohn’s disease), and kidney disease":1,"#Pre-existing high blood pressure (chronic hypertension)":1,"#A history of hypertension or preeclampsia in a previous pregnancy, especially if it was severe or occurred early on":1,"#First pregnancies or those carrying a child with a new partner":1,"#There are certain risk factors that make it more likely to develop hypertension or preeclampsia during pregnancy:":1,"#Risk factors":1,"#<strong ljsid-0=\"\">Upper abdominal pain</strong>, usually on the right side under the ribs, can be a symptom of liver involvement in severe preeclampsia. This pain may also come with heartburn, nausea, or vomiting.":1,"#Gestational hypertension is high blood pressure that develops during pregnancy, typically after the 20th week. It’s a serious complication that occurs in 1 in 12 pregnancies. Preeclampsia is a more severe type of gestational hypertension, where a person has high blood pressure and signs of damage to other organs, most commonly the liver and kidneys.":1,"#Younger people who are thinking about their ovarian reserve as they age. (The number and quality of eggs goes down with age, so egg freezing tends to be used by people under 35.)":1,"#<strong ljsid-0=\"\">Egg freezing</strong> can be an option for:":1,"#Who uses these options?":1,"#<strong ljsid-0=\"\">Embryo banking </strong>allows you to retrieve eggs (like with egg freezing). Then, in a lab, those eggs are fertilized with sperm to create embryos that are frozen for the future. It is commonly done during the in vitro fertilization (IVF) process.":1,"#The egg freezing process involves daily hormone injections, ultrasounds and bloodwork to monitor progress, and a procedure under anesthesia to retrieve the eggs.":1,"#<strong ljsid-0=\"\">Egg freezing </strong>(also known as egg banking or oocyte cryopreservation) allows you to retrieve unfertilized eggs and store them for future use.":1,"#Egg freezing and embryo banking are very different. Let’s walk through what they are and how to compare your options.":1,"#seated woman contemplating":1,"#And remember, your Progyny Care Advocate is always here to support your journey and answer questions along the way.":1,"#What is egg freezing and embryo banking?":1,"#Choosing egg freezing or embryo banking is a personal choice. But you don’t have to think through everything alone. When you meet with a reproductive endocrinology specialist, you can discuss your goals, health history, and values. They’ll help you explore your options and decide the right path for you.":1,"#Making an informed decision":1,"#Costs vary based on the specific services you choose, but your Progyny Care Advocate can walk you through the details.":1,"#Embryo banking is more expensive at the start since it involves fertilizing the eggs with sperm and developing an embryo(s). Future costs include storage and frozen embryo transfer to the uterus.":1,"#Egg freezing tends to be lower cost at the start because it has fewer steps. Future costs will include thawing and fertilizing the eggs followed by growing embryos in the lab.":1,"#Your Progyny benefit eases many concerns about cost, but it’s important to understand.":1,"#Costs":1,"#In terms of live birth success rates, neither egg freezing nor embryo banking can guarantee that an embryo will develop and end with a live birth. Your age at the time of treatment is one of the best predictors of future pregnancy. (Younger people have higher success rates.)":1,"#Not all eggs or embryos survive the thawing process. Egg freezing has a lower survival rate than embryo banking. Since not all eggs thaw, fertilize, or develop as hoped, many eggs are frozen to increase the chances of success.":1,"#Both frozen eggs and embryos can be safely stored until they’re ready to be used. (They can be frozen for any length of time.)":1,"#They <em ljsid-1=\"\">sound </em>similar, and they both offer flexibility for growing your family. But egg freezing and embryo banking are very different. Let’s walk through what they are and how to compare your options.":1,"#During your initial consultation, be sure to talk with your doctor to share your goals and understand success rates for your unique situation.":1,"#Everyone’s journey is different, and your feelings are valid. Your thoughts and emotions may also change throughout the process, and that’s OK. Talking with your healthcare team or a fertility counselor can help you think things through. This is a big decision, and you have a supportive team on your side.":1,"#Egg banking may ease some of these concerns for some people since it involves preserving eggs rather than embryos.":1,"#Embryo banking raises ethical and emotional considerations. Some people may feel a strong attachment to their embryos and may struggle with the idea of discarding unused embryos.":1,"#Ethical and emotional considerations":1,"#People or couples undergoing IVF who wish to store embryos for future pregnancies.":1,"#<strong ljsid-0=\"\">Embryo banking </strong>may be an option for:":1,"#Egg freezing allows reproductive freedom for people who are not in a committed relationship or in case a relationship ends.":1,"#Trans people who wish to preserve their fertility":1,"#People with conditions that may affect their fertility (such as endometriosis) or who are having treatments for cancer":1,"#If you’re facing fertility challenges or are interested in preserving your fertility, you may have heard of egg freezing (also called egg banking) and embryo banking.":1,"#Updated by the Progyny Editorial Team — November 2025.":1,"#El beneficio de Progyny solo está disponible a través de los beneficios patrocinados por su organización o la de su pareja y debe estar inscrito en un plan de salud elegible. Si no tiene acceso al beneficio de Progyny, ahora es el momento de iniciar la conversación. ¿Sabía que el 64 % de las organizaciones que ofrecen un beneficio de fertilidad lo hacen porque un empleado lo solicitó? Inicie la conversación <a ljsid-1=\"\">con estos recursos</a>.":1,"#Progyny está incluido en los beneficios de salud de su organización cuando está inscrito en un plan elegible. Es posible que tenga responsabilidad financiera (o gastos de bolsillo) por ciertos servicios, según su plan de salud. Para obtener más información, llame a su Defensor de Atención de Progyny (PCA). También puede <a ljsid-1=\"\">Mira este seminario web</a> para obtener más información sobre los aspectos financieros del tratamiento de fertilidad y qué esperar al utilizar el beneficio de Progyny.":1,"#Más nacimientos vivos<sup ljsid-1=\"\">3</sup>":1,"#Menos abortos espontáneos<sup ljsid-1=\"\">2</sup>":1,"#Some egg banks offer financing options or payment plans, which can help manage the financial aspect of fertility treatments. Be sure to review <a ljsid-1=\"\">Progyny’s in-network tissue banks for purchase of donor eggs (or sperm).</a>":1,"#An egg bank should provide you with a complete cost for using its donor eggs. This includes the price of the donor eggs, as well as additional fees for storage, thawing, shipping, and related services.":1,"#Clear cost structure":1,"#Comprehensive donor profiles with detailed medical and personal information are essential for making an informed choice.":1,"#An egg bank with a broad and varied selection of donors increases the chances you’ll find a donor who meets your criteria. Look for diversity in terms of ethnicity, physical characteristics, educational backgrounds, and personal interests.":1,"#Large and diverse donor pools":1,"#To get a better idea of how an individual facility stacks up, compare its rates to national averages and other egg banks you’re considering. For help understanding the data, review it with your healthcare team and ask any questions you have.":1,"#Success rates reflect the number of successful pregnancies and live births through an egg bank’s donor eggs. Success rates are a strong indicator of the egg bank’s performance.":1,"#If you’ve decided to use a donor egg for your journey to pregnancy, it’s important to choose the right egg bank.":1,"#scientist handling specimens in lab setting":1,"#If you have questions, please reach out to your Progyny Care Advocate. We’re here to help guide you!":1,"#By considering these factors and asking the right questions, you can select an egg bank that meets your needs and enhances your chances of achieving a successful pregnancy.":1,"#Look for egg banks that perform extensive medical, genetic, and psychological evaluations to ensure the health and suitability of their donors. It’s important that donors are re-screened frequently to maintain high standards.":1,"#Careful donor screening":1,"#If you’ve decided to use a donor egg for your journey to pregnancy, it’s important to choose the right egg bank. Here are a few things to think about when choosing a high-quality facility that meets your needs.":1,"#Anemia":1,"#Egg freezing and embryo banking: What's the difference? | Progyny":1,"#In a chemical pregnancy, there’s enough hCG to get a positive test, but the pregnancy stops growing before anything can be seen on an ultrasound. The test may come back negative a few days or weeks later.":1,"#After an egg is fertilized, your body starts to make a hormone called human chorionic gonadotropin (hCG). This hormone is tested by urine and blood pregnancy tests and is often the first and earliest evidence of a pregnancy. Pregnancy tests become positive at much lower levels of hCG than when a pregnancy can be identified on an ultrasound.":1,"#A chemical pregnancy from unassisted conception means that fertilization happened and the embryo started to implant in the uterus. In fertility treatments, fertilization occurs in a lab and the embryo is transferred to the uterus. A chemical pregnancy in both cases suggests early embryo attachment.":1,"#A chemical pregnancy is a very early miscarriage that happens before the fifth week of pregnancy. It usually happens around the time of your expected period, so you may not even know you were pregnant. If you’ve had more than one loss, schedule a visit to talk about it with your healthcare provider.":1,"#Genetic/chromosomal differences":1,"#Hormonal issues that create luteal phase defects":1,"#What is a chemical pregnancy?":1,"#If levels are out-of-range, it’s important to find out what is causing it and treat it. The solution could be as simple as stopping a specific prescription or could involve treating an underlying condition such as hypothyroidism.":1,"#Many everyday issues can affect levels too. Intense exercise, lack of sleep, and some foods and medicine (especially some anti-depressants and painkillers) can raise prolactin levels. A provider may give out information about how to prepare for the test to minimize the impact of these factors.":1,"#For those who are not chestfeeding, high prolactin levels are often caused by prolactinoma — a small, usually benign tumor on the pituitary gland that releases excess prolactin in the body. An underactive thyroid or other, more rare medical problems can also raise prolactin levels.":1,"#High prolactin levels inhibit secretion of FSH, which is the hormone that helps the body prepare for ovulation. So, if prolactin levels are high, ovulation may be suppressed. This is why people who are chestfeeding (who typically have high levels of prolactin) usually don’t become pregnant.":1,"#Prolactin levels are checked at any point in the menstrual cycle. Levels vary throughout the day but are highest while sleeping and first thing in the morning. So, if a result is out-of-range, the healthcare provider may ask patients to repeat the test if the first test was drawn in the afternoon or evening.":1,"#A person with a uterus may also have prolactin levels checked if they have stopped having a period or have any unexpected nipple discharge. It is unclear what role prolactin plays in people with sperm, but abnormal results have been clearly linked to infertility and sex drive.":1,"#Prolactin is a hormone that plays a role in fertility by preventing <a ljsid-1=\"\">follicle-stimulating hormone</a> (FSH) and gonadotropin-releasing hormone (GnRH). These hormones trigger ovulation (when an egg is released from the ovary) and allow eggs to develop and mature.":1,"#Prolactin levels and testing":1,"#What is involved in a Clomid and IUI cycle?":1,"#IUI places prepared sperm directly into the uterus with a thin catheter, making it easier for sperm to reach the egg. Using Clomid with IUI can increase the chance of pregnancy compared with Clomid alone.":1,"#When no clear cause of infertility is found, Clomid on its own may not be as effective. In these cases, Clomid is often combined with IUI.":1,"#Clomid is commonly used for polycystic ovarian syndrome and can improve the chances of both ovulation and pregnancy.":1,"#If the main issue is that you don’t ovulate on your own, Clomid is often very effective and can help many people to release their eggs.":1,"#Success with Clomid depends on your age and the reason for infertility. As age increases, egg quality declines, which can lower success rates.":1,"#What are the success rates with Clomid, with and without intrauterine insemination (IUI)?":1,"#Clomid works by making your brain think there is less estrogen in your body than there really is.":1,"#Clomiphene citrate (Clomid) and intrauterine insemination | Progyny":1,"#woman about to swallow a pill":1,"#Clomid alone and Clomid with IUI each have their own benefits, success rates, risks of multiples, side effects, and costs. Talk with your REI about which approach may be right for you.":1,"#Which option is best for you?":1,"#Clomid works by making your brain think there is less estrogen in your body than there really is. In response, your brain produces more follicle-stimulating hormone, which helps eggs grow inside your ovaries.":1,"#Hypothalamic amenorrhea, which is a condition where the brain does not send signals needed to start ovulation. It can be linked to very low body weight, stress, or excessive exercise.":1,"#Hormonal conditions, such as high prolactin levels or thyroid issues.":1,"#Very low ovarian reserve, which means there are very few eggs remaining.":1,"#Blocked fallopian tubes.":1,"#Clomid is less likely to be effective if you have:":1,"#Are there cases where Clomid will not work?":1,"#Yes. The risk of twins with Clomid and IUI is about 8%. The chance of triplets is less than 1%.":1,"#Does Clomid increase the risk of twins or triplets?":1,"#About 24 to 36 hours after ovulation, the insemination takes place. If you’re using partner sperm, a semen sample will be collected and prepared in the lab. If you’re using donor sperm, the frozen sample will be thawed and prepared the same way. This process removes substances that could cause cramping if placed directly in the uterus.":1,"#On day 3 of your cycle, you’ll have bloodwork and start taking Clomid for five days. Your REI will use ultrasound to track how your body responds to the medication.":1,"#Clomiphene citrate (brand name Clomid) is an oral medication that helps stimulate ovulation. It may be prescribed if you don’t ovulate regularly, or if your reproductive endocrinologist (REI) wants to encourage the release of more than one egg.":1,"#What is clomiphene citrate?":1,"#Choosing an egg bank | Progyny":1,"#Quel est mon rôle dans ce processus ?":1,"#Why would you have your estradiol levels checked? | Progyny":1,"#Estradiol plays a vital role in reproductive health and is a key hormone measured during fertility evaluations and treatments. Testing estradiol levels helps assess ovarian function, interpret other hormone levels like FSH, and monitor response to fertility medicine.":1,"#In in vitro fertilization (IVF), estrogen “priming” may be used prior to stimulation to improve ovarian response or support a more predictable cycle.":1,"#Estradiol (in the form on estrogen pills, patches, suppositories, or injections) can support the endometrial lining, especially in people with a thin uterus lining.":1,"#<strong ljsid-0=\"\">To monitor fertility treatment response:</strong> If you’ve started fertility medicine, estradiol levels help determine how your ovaries are responding to stimulation.":1,"#<strong ljsid-0=\"\">To interpret FSH levels accurately:</strong> Estradiol can suppress FSH. If your FSH appears normal but estradiol is high, it may be artificially lowering FSH, potentially masking signs of diminished ovarian reserve.":1,"#<strong ljsid-0=\"\">To evaluate ovarian reserve:</strong> When tested on day 3 of your cycle, estradiol levels help assess how well your ovaries may respond to stimulation. This is one part of evaluating ovarian reserve, often used in combination with tests like follicle-stimulating hormone (FSH), anti-mullerian hormone (AMH), and ultrasound.":1,"#Why would you have your estradiol levels checked?":1,"#send an email to enteryour@addresshere.com?subject=Embryos+don%E2%80%99t+fall+out+after+IVF+transfer&body=Check%20this%20out:%20https%3A%2F%2Fprogyny.com%2Feducation%2Fembryos-dont-fall-out%2F":1,"#Starting your fertility journey: what to expect and when to seek care | Progyny":1,"#No vigorous activities such as heavy lifting (over 10 pounds), bending, or exercise. These could raise body temperature and embryos do not like heat.":1,"#For the 24 hours following your transfer, it is generally recommended that you take it easy. You may have some spotting or leakage from the cleaning solution, which is nothing to worry about. While walking, using the bathroom, and going about your everyday activities are fine. But your clinic will give you recommendations for what you should avoid, which may include:":1,"#Several recent studies have confirmed that immediate bed rest after the embryo transfer is unnecessary. One <a ljsid-1=\"\">study</a> showed better pregnancy rates after an immediate return to normal activities, compared to bed rest right after the embryo transfer.":1,"#The embryo must then implant into the uterine lining on its own over the next few days, with the goal of developing into a successful pregnancy.":1,"#After cleaning the cervix with sterile solution, a thin, soft catheter is placed through the cervix and into the uterus. This is done under ultrasound guidance for ideal catheter and embryo placement.":1,"#When the transfer is ready to happen, the embryologist removes the embryo from the incubator. Then, they use a vaginal speculum to visualize the cervix and cleanse the cervix with some sterile fluid. Typically, there is no pain during this, but a person may feel pressure. For those who have had routine pap smears, the sensation is usually very similar.":1,"#During IVF, the embryos develop in a Petri dish for three to five days, and the healthiest embryo is chosen for the transfer.":1,"#Many people worry about what they can and cannot do after an embryo transfer. The fear is if they do something wrong, the embryo won’t attach or fall out. Some assume that bed rest is the only way to keep it in.":1,"#Related content":1,"#No hot baths, hot tubs, or whirlpools. Showers are okay because they won’t elevate body temperature.":1,"#Updated by the Progyny Clinical Team — May 2025":1,"#Embryos don’t fall out after IVF transfer":1,"#Fruits and vegetables":1,"#Watch":1,"#provider laughing with patient":1,"#woman on headphones listening to podcast":1},"version":25063}]