How should we prepare for our first visit?
Answer: Gather your medical records that pertain to infertility, and fill out the new patient information form. This can be viewed and downloaded from the New Patient Forms page.
What are your hours?
Answer: We are open Monday through Friday 7 a.m. to 4 p.m., and Saturdays and Sundays from 7 a.m. to 11 a.m.
Which insurance plans do you accept?
Answer: We accept most major insurance plans such as Aetna, Anthem, Aultcare, Cigna, Medical Mutual, SummaCare, United Health Care, and many more. Most insurers cover diagnostic testing to identify infertility causes. We will help you determine your benefits at your first visit.
How do I know when I am ovulating?
Answer: Most people think they ovulate around cycle day 13. But in reality, some people may ovulate as early as cycle day 9 or as late as cycle day 17. (Cycle day 1 is first day of full flow. If you are spotting, we do not consider that day 1 yet.) You may use an over-the-counter ovulation kit to determine ovulation. Most kits will instruct users to collect a urine sample first thing in the morning. However, Dr. Spirtos would like you to collect your urine between 6 p.m. and 8 p.m. in the evening. Alternately, you may come to the office between 7 a.m. and 8 a.m. for an ultrasound and labs to monitor ovulation more closely. Again, we are open seven days a week.
When do you do inseminations?
Answer: Specimens may be collected at the office, or you may bring your collection in. After we receive a patient’s specimen, it takes us up to 90 minutes to prepare for insemination. Most are done between 8:15 a.m. and 8:45 a.m. We require patients to lie down for about 10 minutes after insemination, and then they are free to continue with daily routines with no restrictions.
What time should I take my fertility meds?
Answer: One important rule is to be consistent with your time. If you take them in the morning, then take them daily in the morning. Or if you take them in the evening, continue to take them in the evening. Just be consistent. If you are taking medication by injection, morning injections should be between 6 a.m. and 10 a.m., and evening injections should be between 4 p.m. and 8 p.m. If you are off by an hour or two, don’t worry. Take the injection as soon as possible. If you forget altogether, contact the office as soon as possible for instructions.
How do I know when it is time to advance to a new level of therapy?
Answer: A good general rule-of-thumb is three to six months of a particular therapy, and if that is not working, it is time to be more aggressive.