Costs

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Not everyone in the U.S. has insurance coverage for fertility investigations and treatments, especially when a couple already has children. Many states are starting to mandate coverage, and the rate of utilization is 277% higher in states with complete coverage. [4]

2005 approximate treatment/diagnosis costs (United States, costs in US$):

* Initial workup: hysteroscopy, hysterosalpingogram, blood tests ~$2,000
* Artificial insemination ~ $500- 900 per. trial
* Sonohysterogram (SHG) ~ $600 - 1,000
* Clomiphene citrate cycle ~ $ 200 - 500
* IVF cycle ~ $10,000 -14,000
* Use of a surrogate mother to carry the child - dependent on arrangements

Another way to look at costs is to determine the cost of establishing a pregnancy. Thus if a clomiphene treatment has a chance to establish a pregnancy in 8% of cycles and costs $500, it will cost ~ $6,000 to establish a pregnancy, compared to an IVF cycle (cycle fecundity 40%) with a corresponding cost of ($12,000/40%) $30,000.

In the UK all patients have the right to preliminary testing, provided free of charge by the National Health Service. However, treatment is not widely available on the NHS and there can be long waiting lists. Most patients therefore seek help from private clinics.

Infertility
This article discusses the latest technology in treatment options for male infertility, including the Intracytoplasmic Sperm Injection and donor insemination.

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