Below are a number of questions/answers which you may find useful. If you have any other queries which are not answered on this page please contact us.
Are there support groups I can contact to help me cope with my infertility?
Yes. There are several support groups for which we can give you contact details, depending upon your specific needs.
In addition you may want to have a look at the websites for the following organisations that may be able to offer you advice and support:
The HFEA: www.hfea.gov.uk
National Gamete Donation Trust: www.ngdt.co.uk
Please always remember that our counselling service is also available to you. Please just ring reception on 0114 2268050 to speak to a counsellor or to make an appointment.
Can I have a blastocyst transfer as part of my treatment, I've heard the success rate is higher?
This needs to be discussed with your doctor/embryologist. Blastocyst transfer is where your embryos are grown to day 5 of development (day of egg collection is termed day 0). Using this technique allows us to gain more information about your embryos and how they are developing.
Your doctor/embryologist will discuss whether or not you would be a suitable candidate for this. It is recommended if you are under 37 years of age and on your first or second cycle that you have a single blastocyst transferred during your IVF treatment. This is to avoid a multiple pregnancy but should still give you a good chance of a pregnancy. It is not suitable for all patients and requires a good number of eggs/embryos which are of good quality.
At Jessop Fertility there is no extra charge for blastocyst culture. Whether you are self-funding or NHS-funded, all costs for this service are included in your treatment cycle.
Can you tell me more about my pessaries?
As part of your treatment you may have been given some progesterone pessaries. These help to keep the lining of your womb prepared for an embryo to implant.
You can use your pessaries either vaginally or rectally, or a combination of both. If you use them vaginally then you may have some discharge. This is likely to be from the pessary coating and is nothing to worry about - just use a panty liner if you need to. There is usually very little discharge if you use the pessaries rectally, so you may find that this method is more convenient.
We usually advise you to use the pessaries approximately 12 hours apart (e.g. 9 o'clock each morning and evening). However, on the day of your embryo transfer, please do not use your pessary that morning but bring it with you to use straight after your embryo transfer.
You should keep using your pessaries until you attend for your pregnancy test. Depending on your pregnancy test result we will advise you whether or not you need to keep using them.
If you have any other questions then please get in touch with the nurses.
Do I have to pay a separate HFEA fee?
All UK fertility clinics, both NHS and private, are charged a fee by the HFEA for each cycle of IVF, ICSI and donor insemination they carry out. This charge goes towards the costs of the clinic being regulated and inspected by the HFEA.
Some clinics pass this fee on to their patients as an additional item on the bill. At Jessop Fertility, even if you are self funding your treatment, your HFEA fee is included in the cost of your cycle.
Do you have female doctors?
Yes there are female doctors in residence at the ACU and we will try to arrange that you see a female doctor for your treatment if this is what you wish. However, we are a busy clinic and it will depend upon which doctor is carrying out procedures that particular day, so we cannot guarnatee that there will be a female doctor available to see you.
Please make your wishes known to our staff as soon as possible when you come for treatment.
Do you recruit sperm and egg donors?
Yes, we are always happy to talk to you if you are thinking about becoming a sperm or egg donor.
Please contact us if you would like more information. There is no obligation at this stage, please feel free to just call us for an informal chat.
Does Jessop Fertility have time lapse technology?
Yes, at Jessop Fertility we have 2 time lapse systems (Embryoscope™ and PrimoVision™) that can constantly monitor your embryos' development.
Time lapse will benefit some patients more than others. If we feel that your chances might be helped by this technology then the embryologist will talk to you about it when you come in for your egg collection.
If we think that you will benefit from time lapse, you won't be charged extra for it. The cost will be covered either by your NHS funding, or be included in the cost of your self-funded cycle.
Find out more about time lapse here
How can I find out more about my embryos?
As you progress through your treatment cycle you may want to find out more about your embryos' development. Likewise, you may want to find out more about your options for thawing embryos for your frozen embryo replacement (FER) cycle, or to discuss your embryo quality and development after your cycle is complete.
The Embryology Team are always happy to talk to you about these and other issues. Please contact reception on 0114 2268050 to arrange an embryology consultation if you think this would be helpful for you.
How do I make a complaint about Jessop Fertility?
We aim to provide the highest standards of care and are continually striving to improve our service to patients. Whilst we hope that you will be entirely happy with your treatment at the Jessop Fertility, we welcome any comments, suggestions or constructive criticism.
If you have a complaint about any aspect of your treatment, please do not hesitate to tell us and we will endeavour to resolve the matter immediately.
You may complain either verbally, if the matter is not too serious, or in writing, addressing the complaint to Ms Val Kitcheman, Business Support Manager, if you feel that the nature of the complaint justifies a full investigation.
If you wish to make a suggestion as to how we might improve our service, please feel free to fill out a suggestion form and leave it in the box in reception. You do not need to give your name, but if you do, we will respond in writing to your suggestion.
All complaints and suggestions are recorded for monitoring purposes and may be inspected by the Human Fertilisation and Embryology Authority.
We will respond quickly and sensitively to all written complaints, by acknowledging the complaint in writing. We will then investigate as necessary and respond in writing according to Trust policy. If you would like to meet to discuss the issue in greater detail, we will be happy to arrange this. In some instances the matter cannot be dealt with satisfactorily within the specified time periods. If this is the case we will report regularly to you on the progress of the matter.
If you do not believe that your complaint has been adequately dealt with, you may take the matter to the Chief Executive of the Sheffield Teaching Hospitals NHS Trust using the NHS complaints procedure or to the Human Fertilisation and Embryology Authority.
How full should my bladder be for embryo transfer?
When you come in for your embryo transfer we will ask you to have a full bladder. The reason is that, for most women, a full bladder helps us to pass the catheter containing your embryo(s) more easily. It also may give us a clearer picture as we scan you during the transfer.
We don't want you to be too uncomfortable for your embryo transfer, so don't make your bladder too full. It's actually more important that your bladder isn't empty, so just drink as normal but don't empty your bladder for an hour or two before your embryo transfer appointment.
Don't be afraid to ask us for more advice if you're still unsure.
How long is the waiting list?
This can depend on many factors including your eligibility for funding and which treatment you need. We will do everything we can to ensure that you do not encounter any unneccessary delays to your treatment.
Please contact us for more information.
How long will my different appointments take?
You will have many different appointments before and as you come through for treatment. All vary in length depending on your personal circumstances and the type of treatment you are having. Below is a general guide:
Doctor's appointment (medical consultation): half an hour to an hour
Nurse appointment: half an hour to an hour and a half
Egg collection: Allow around 3 hours so that you have plenty of time to recover before heading home
Embryo transfer: Around half an hour
Intrauterine insemination (IUI): Around half an hour
Trial sperm prep: A couple of minutes for a chat, and then however long it takes you to produce a semen sample
How many blastocysts will I have on day 5?
If you have 3 or more good quality embryos on day 3 then we may suggest that we continue to grow them in the lab until day 5. At this point we would hope that some of your embryos may have formed blastocysts.
We will talk to you every day whilst your embryos are growing in the lab. We will make the decision with you about whether or not to grow your embryos to the blastocyst stage. This decision won't be made until we know how many embryos you have made and what their quality is like. You will both be involved in making this decision.
It is not unusual to have only one or two blastocysts on day 5, even if you have several good quality embryos on day 3. In some cases the embryos might not form blastocysts at all. However, by growing them until day 5 we will know which of your embryos are the strongest and the most likely to form a successful pregnancy. It is incredibly rare for all embryos to stop developing on day 3.
How many embryos should I have replaced during my IVF treatment?
This depends upon several factors: your age; embryo quality; whether or not you have been pregnant before; and how many treatments you have had previously.
Our general recommendations are if you are aged 37 and under, on your first cycle and have good quality embryos you should replace one embryo in your IVF cycle (we may be able to freeze some of the remaining embryos). This is because there is only a very small difference between the pregnancy chances when replacing one or two embryos in this group of patients, but the chance of a twin pregnancy is much higher.
There may be circumstances under which we may discuss with you the possibility of having two embryos replaced. If you are younger than 40 then by law you are allowed a maximum of two embryos to be replaced, although some health authorities will stipulate a single embryo transfer in the funding contract.
What advice can you give me before we start trying for a family?
In orer to maximise the chances of conception and to help pregnancy outcome, you should consider the following aspects of preconceptual care:
Folic acid: This has been shown to reduce the occurence of Spina Bifida. You should take 400 micrograms daily for 4 months before conception and continue until the 12th week of pregnancy.
Rubella: You should check your immunity to Rubella (german measles) through your GP.
Cervical smear: You should be up to date with your cervical smears.
Weight: You should try and make sure your weight is within the normal limits. NHS funding can be affected if you very over- or under-weight.
Limiting your alcohol intake and stopping smoking may increase your chances of pregnancy and general health and wellbeing.
What are the extra costs if I am self-funding my treatment?
At Jessop Fertility we offer a "package" price for your treatment cycle. We have no registration fees and no hidden charges. The package price includes:
- cost of your treatment cycle
- HFEA fee (where appropriate)
- all consultations
- all drugs
- cycle monitoring
- HIV screening
- early pregnancy monitoring
- blastocyst culture
- time lapse culture (if recommended)
It does not include:
- any non-routine investigations
- embryo freezing and storage
- anaesthetic costs for patients who prefer to have general anaesthetic for their egg collection
- extra unforseen procedures that are necessary for your treatment (such as ICSI or surgical sperm retrieval)
Before you start your treatment cycle we will provide you with your personalised "costed treatment plan" which will outline exactly what you will pay for your cycle.
Please have a look at our costs for more information.
What are the risks of IVF?
Side effects may occur from the fertility drugs taken during your cycle. These may include hot flushes, feelings of depression or irritability, headaches and restlessness. ·
One of the major risks of fertility drugs is ovarian hyper-stimulation syndrome (OHSS). OHSS is a result of sensitivity to the fertility drugs and the development of many eggs in the ovary which can become large and painful. Symptoms of mild OHSS include abdominal pain and bloating, nausea and vomiting. Occasionally cases of severe OHSS are observed which are associated with an increase in vascular permeability and the build up of fluid in the body resulting in cardiac, respiratory and renal problems. Our treatments aim to greatly reduce your risk of developing OHSS.
There is a slightly higher risk of ectopic pregnancy with IVF, by which a fertilised egg implants in the fallopian tube rather than the womb.
Multiple births are one of the major risks of IVF and the incidence of double (twins) or triple (triplets) gestations is increased with treatment. While for many couples struggling to have children this may seem like a bonus, multiple pregnancies carry many serious medical risks to both the mother and the babies:
Multiple gestations can: cause your blood pressure to rise significantly; increase your risk of developing diabetes and increase the risk of a still birth. Approximately 50% of twins and 90% of triplets are born premature or at a low birth weight. It is approximately 5 or 9 times more likely (for twins and triplets respectively) that a multiple birth baby will not survive the first week of life over that of a singleton baby. Also, babies from multiple gestations display an increased occurrence of cardiac defects.
To reduce the risk of multiple births there are strict guidelines regarding the number of embryos a woman can have transferred back. The governing body for IVF treatment in the UK, the Human Fertilisation and Embryology Authority (HFEA), insists that a maximum of two embryos are put back into the womb during treatment in women under the age of 40. The HFEA also encourages elective single embryo transfer (eSET) in women who are most at risk of having twins such as women 37 years or under who have a good number of quality embryos. At Jessop Fertility we suggest eSET for women under 37 years of age who have a good number of quality embryos at the day5/blastocyst stage.
What are your opening times?
We are open Monday to Friday 8.00am - 5.00pm and from 8.00am to 3.30pm on Saturdays.
We also have 24 hour emergency nursing cover during your treatment. You will be given information on how to access this service once you start your treatment cycle.
What can I do after my embryo transfer?
Once you have had your embryo transfer you can carry on as normal. However we do advise you to follow these lifestyle guidelines:
- Avoid any foods that are not recommended for pregnant women, such as unpasteurised dairy products.
- Do not smoke or drink alcohol.
- There is no need to stop exercising if this is something that your body is used to. However, do not do too much and become over-tired.
- You are fine to return to work, assuming you have recovered well after your egg collection. If you have a job that involves strenuous physical activity then please ask for individual advice.
- You are fine to continue to have sexual intercourse.
- Continue with your pessaries or other medication until we tell you otherwise.
If you have any doubts or queries then please contact us and speak to one of our nurses.
What is ICSI?
ICSI is a technique where a single sperm is injected into each egg during the IVF process. ICSI is recommended where the male partner has a low sperm count or the number of sperm swimming (motility) is low or if you have had a previous cycle of treatment where none or a very low number of eggs have fertilised.
All of the other steps in the IVF process are the same.
What time should I ring for my results?
This depends what results you are ringing for. Pregnancy results are available from 1:30-2pm. All other results are available from 2-3:30pm.
The number you need to ring for all results is 0114 2268066
Where can I park?
Parking can be a problem around the Jessop Wing/Hallamshire Hospital.
There is a pay and display car park at the Jessop Wing but you may struggle to find a space as numbers are limited. There is a large multi-storey car park at the main Royal Hallamshire Hospital which is well signed. However, this car park also fills up by about 1030 each day, with spaces then becoming avaialable as and when people leave.
In April 2016 a new public multi-storey car park opened on Durham Rd, opposite the Children's Hospital, which is just a few minutes walk from the Jessop Wing.
There is limited street parking, often with time restrictions.
There are some public car parks in Broomhill which is a 5-10 minute walk away.
If you are travelling by car then we would advise allowing plenty of time to find a parking space.
Which is day 1 of my embryo development?
As you come through for your IVF or ICSI cycle we will talk to you about how your embryos are likely to develop from day 1 to day 5 or 6.
Day 0 is the day of your egg collection.
Day 1 is the day that we check for fertilisation.
Day 2: we expect your embryos to have 2-4 cells.
Day 3: we expect your embryos to have 5-8 cells.
Day 4: we do not look at your embryos as they are difficult to grade and assess at this stage (morula stage).
Day 5: we hope that your embryos may have developed into one or more blastocysts.
Why don't you look at my embryos every day?
The vast majority of eggs that fertilise on day 1 (the day after your egg collection) will usually go on and form an embryo on day 2. Therefore, if you have a reasonable number of eggs that have fertilised (usually 3 or more) then we will not ring you on day 2. However, if your day 2 falls on a Saturday, meaning that you would not be able to have a day 3 transfer (on Sunday) then we may ring you on day 2.
On day 4 of development (4 days after your egg collection) your embryos should be at the "morula" stage. A morula is a ball of cells that are usually too many to count. It is also difficult to assess the quality of the cells, even if we are able to count them.
Because it is so difficult to grade your embryos at this stage, we won't usually look at them on day 4 and we won't ring you. You will be told a day and time afor your embryo transfer when we speak to you on day 3.
Will my treatment be funded on the NHS?
This will depend upon a number of criteria and you will need to ask your GP/ clinic administration department to find out if your treatment is covered. The criteria are different for each primary care trust.
If you want or need to self fund please see our costs
If you have any queries regarding your funding then please contact us