How to Choose an Infertility Clinic
April 26, 2000 (Atlanta) -- Infertility experts offer some near-universal
advice for couples trying to select a clinic: Start with SART.
Clinics that belong to the Society for Assisted Reproductive Technology
(SART) follow specific guidelines to limit the chance of such things happening
as multiple births. And couples shouldn't have too much trouble finding
"About 95% to 97% of the clinics that offer ART [assisted reproductive
technology] -- essentially, in vitro fertilization -- are members of SART,"
says Debra Crawford, of the American Society for Reproductive Medicine.
"We're actually about to start a campaign so that when patients come into a
fertility clinic, they'll know it has the SART 'Good Housekeeping'
Still, that's just a starting point. Experts also advise that couples
educate themselves, ask questions, study clinics' success rates -- and,
ultimately, follow their instincts.
All U.S. fertility clinics are required by federal law to supply the Centers
for Disease Control and Prevention with "success rate" statistics,
including the rate of twins and triplets born. The CDC compiles this
information into a report available to the public at http://www.cdc.gov/nccdphp/drh/art.htm.
The problem is that by the time consumers get
the information, it's about two years old. That's because successful
pregnancies usually last nine months, and then there is the time it takes to
review, validate, and approve all the data.
Another problem is that the data don't
necessarily tell the whole story behind a particular clinic.
"Don't just look at the bottom line,"
advises Margaret Hollister, director of the help line at RESOLVE, a national
infertility education group based in Somerville, Mass. RESOLVE can be reached
at (617) 623-0744. "Some clinics are actually selecting for better
rates," by, for example, taking on only younger infertility patients,
Hollister says. "Other clinics may take all comers. That's something that
may not show up in success rates."
Still, the report is a good place to start.
"It's the only oversight committee we have," says Pamela Madsen,
executive director of the American Infertility Association. "They are
audited success rates, and it does give patients a lot of good
information," including a clinic's skill at dealing with the many causes of
infertility. Her guidance on this point: "The more practice you have baking
a cake, the better the cake will be." In other words, find a
Madsen says that any doctor can hang out a
shingle that says "Infertility Specialist," but patients should check
the fine print for the words "reproductive endocrinologist."
Then it's time to schedule a consultation, and,
to a certain extent, let instinct take over.
"Infertility treatment is very different
than getting treated for a stomachache by an internist. You need to feel like
you're part of a team," Madsen says. "You've got to feel comfortable
with that staff and physician, that you are cared about. If, for some reason,
the pit of your stomach is saying, 'This is not the right place for me,' it's