If you're starting fertility treatment at CHR what should you know?

If you're starting fertility treatment at CHR what should you know? 

If you are starting fertility treatment at CHR, it is important to understand that your experience may look very different from what you have encountered at other clinics. CHR is known for working with complex cases and for patients who often feel they have run out of options. That means the process is thoughtful, detailed, and highly individualized from the very beginning. 

Your Consultation Is Just the Starting Point 

Your journey at CHR begins with an in depth consultation that looks beyond surface level diagnoses. Rather than relying on labels like unexplained infertility, the goal is to understand what is actually happening in your body. Age, prior IVF outcomes, hormone patterns, immune factors, ovarian response, and overall health are all considered together. 

This initial visit is not about rushing you into treatment. It is about creating a clear plan that is grounded in data and tailored to you. Our consultations are about one hour in length.  

A Comprehensive and Personalized Workup 

After your consultation, you will receive a detailed diagnostic workup. For many patients, this goes well beyond standard fertility testing. Depending on your history and clinical presentation, this may include immune or autoimmune evaluations, hormone screening networks, hysterosalpingograms, saline sonograms, uterine assessments, and metabolic or inflammatory testing. 

Some patients may also undergo more specialized evaluations related to ovarian aging, egg quality, or recurrent pregnancy loss. The purpose of this testing is not to overwhelm you, but to uncover patterns that may have been missed elsewhere. We do not believe in unexplained infertility and try to uncover the cause of your infertility.  

This depth of testing allows your care team to design a treatment plan based on evidence rather than assumptions. 

Common base testing at CHR includes:  

RPR (Syphilis) 

HIV 1 

HIV 2 

HTLV 1&2 

Hep B Surf Ag 

Hep B Surf Ab Quant 

Hep B Core Ab 

Hep CAb 

Blood Group & RH 

TSH 

Prolactin 

Vitamin D 

HSN 

Pap Smear 

HPV 

Physical Exam 

Mammogram 

CBC/Platelets 

Androgen Panel & Cortisol & SHBG 

GC/CT Gonorrhea/Chlamydia 

Measles/Rubella/Mumps 

Hg A1c/Fasting Glucose/Insulin 

Fragile X 

Cystic Fibrosis 

Spinal Muscular Atrophy 

Expanded Carrier Screening 

Lupus Anti-Coagulant 

Thyroid Peroxidase Antibody 

Antithyroglobulin Antibody 

C-Poactivo Drotoin 

Interleukin-6 

IGF-1 

Antinuclear Antinadv Dane 

Antiphospholipid Antibody Panel 

Immunoglobulins IgG lgA IgM IgE 

HSG 

HSN (if needed)  

Daily Monitoring and Real Time Adjustments 

One of the biggest differences patients notice at CHR is the level of monitoring during treatment. Once stimulation begins, many patients are monitored every day or every other day. This frequent monitoring allows the team to see exactly how your body is responding in real time. 

Medication dosing is adjusted based on your hormone levels and follicle development, not on a preset calendar. This is especially important for patients over 40, those with diminished ovarian reserve, or those who have had poor response in previous cycles. 

Rather than forcing your body to fit a protocol, the protocol is shaped around your biology. 

Trigger and Retrieval Decisions Are Not Automatic 

At the end of stimulation, the decision of when to trigger and retrieve eggs is made carefully and intentionally. This is not based solely on follicle size or standard timelines. Hormone trends, egg maturity patterns, and your individual response all factor into the timing. 

In some cases, retrieving earlier may yield better quality eggs. In others, waiting slightly longer may be appropriate. These decisions are made collaboratively by physicians who review your data closely and adjust based on what your cycle is showing. 

This level of precision is one of the reasons CHR is known for helping patients who have experienced repeated failed IVF cycles elsewhere. 

A Team That Specializes in Complex Cases 

CHR patients are often those who need a little extra attention and a deeper level of investigation. Many are over 40. Many have low ovarian reserve, recurrent pregnancy loss, or prior IVF failures. The clinic’s approach reflects that reality. 

Every aspect of care is individualized, from stimulation protocols to transfer timing to lab decisions. There is no single template that every patient follows. 

What Patients Should Know Moving Forward 

Starting fertility treatment can feel overwhelming, especially if you have been through unsuccessful cycles before. At CHR, the goal is not to rush the process or promise easy answers. The goal is to give you clarity, transparency, and a plan that is built specifically for you. 

Understanding your body, responding to it carefully, and adjusting treatment along the way is central to how care is delivered. For many patients, that difference is what makes moving forward feel possible again. 

If you are beginning treatment at CHR, know that your care is guided by careful observation, ongoing evaluation, and a commitment to individualized medicine at every step.