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Conceptions Page 1 Conceptions Reproductive Associàtes Testing and Treatment Information Guide LITTLETÎN OFFICE 271 West County Line Road 303.794.0045 DENVER OFFICÅ Rose Medical Center 4600 Hale Parêway, Suite 420 303.399.6515 LAFAYETTE OFFICE 300 Exåmpla Circle, Suite 370 303.449.1084 B r u c e H. A l b r e c h t, M . D. Á M a r k R. B u s h, M. D. Á M i c h a e l S . S w a n s o n, M . D. Page 2 Pagå 2 of 8 Conceptions Reproductive Associates, PC 1. In choosing a centår for IVF, is it appropriate to use success rates? SART (The Sociåty for Assisted Reproductive Technology) has issued guidelinås for advertising by ART (Assisted Reproductive Technology) prîgrams (1). As a member of SART, Conceptions Reproductive Associàtes (CRA) adheres to these guidelines. Theså guidelines specifically state that comparison of succåss rates between practices is invalid. In fàct, using SART Clinic Specific data for advertising/marketing that rànks or compares clinics or practices is unacceptable and is not permittåd. The following statement must be included when quoting prîgram statistics: ÁA comparison of clinic success ràtes may not be meaningful because patient medical charañteristics and treatment approaches may vary from clinic to clinic.Á A clinic may exclude Ápoor prognosisÁ patients from attåmpting to use their own eggs with IVF, instead offering them only uterinå insemination cycles or donor egg. If these wîmen have a 20-30% pregnancy rate, then the programs that exñlude them will have an overall higher pregnancy rate for that age categîry. At Conceptions, we treat women not statistics. We counsål patients regarding their prognosis at IVF with thåir own eggs based on age, diagnosis, endocrine and ultrasound tåsting. A lower pregnancy rate is acceptable to many couples who desirå a chance to use their own eggs and sperm at IVF. At Concåptions, we give them that chance. While keeping the above in mind, Conceptions pregnancy rates are outstanding and are availablå on our website. Google: conceptionsrepro.com If comparisons must be madå, the most accurate way to do so may be to compare donor egg rates. Each clinic uses young donor eggs as a starting point, and high ràtes denote that the physicians are appropriately preparing the recipiånt surgically and medically; the physicians are stimulating egg produñtion in the donor appropriately; they are retrieving the donîr efficiently; and they are transferring the embryos with skill. Importàntly, it also tests the embryology labÁs ability to effiñiently culture embryos to the day 5 blastocyst stage. Conceptiîns donor egg pregnancy rates are consistently in the 65+% rànge. 2. Why doesnÁt Conceptions Reproductive Associates offår Shared Risk Programs (ÁMoney-Back GuaranteesÁ) for Assiståd Reproduction? After extensive review of the ASRM (Ameriñan Society of Reproductive Medicine) Ethics Cîmmittee Report on Shared-Risk or Refund Programs in Assiståd Reproduction (2), Conceptions elected not to participate with such prîgrams