Deep Dive

When Your Clinic Doesn't Have a Lab

The cost for a clinic to start its own laboratory is approximately $500,000 to $1 million, minimum. A lot of doctors don’t have that kind of capital, so there’s a reasonable chance you will go to a clinic that uses another clinic’s laboratory. According to our data, roughly 17% of U.S. clinics have this sort of arrangement. This happens more often in smaller clinics, but it’s also true of the fourth largest clinic in the country, which commands 50% of the market in a top-three city for IVF, and where about half of the patient volume is processed at a third-party laboratory.

Frankly, we don’t have much in the way of data to show whether in-house laboratories outperform outsourced laboratories. One way to try and attack the question is to compare an in-house laboratory at a large clinic, with a neighboring outsourced laboratorie. Since these labs are in the same region, they presumably have a similar patient mix, and since they receive patients from many of the same FCI doctors, their patients were presumably subjected to the same treatment protocols, and levels of ICSI and PGS. Overall, their performance rates are identical. As to whether all outsourced labs are as skilled as this outsourced laboratory is hard for us to say at the moment.

We will be providing a list of clinics who do not have their own in-house laboratory. If you would like your clinic to be on the list — we will verify all submissions — please email us at founders@fertilityIQ.com.

Expert's Perspective
How Long Are Frozen Eggs and Embryos Good For?

IVF treatment is a relatively new treatment, and egg and embryo freezing are newer still. So do we know how long these gametes can be safely stored and still work?

Expert's Perspective
Is it safe to ship cryopreserved eggs (and embryos)?

Patients are increasingly eager to ship their eggs and embryos to clinics out of town, out of state and out of the country. Vitrification has made that a far more delicate process. Peter Nagy, Ph.D helps explain the outcomes, steps and costs associated with shipping gametes from one clinic to another.

Expert's Perspective
Egg Freezing, Vitrification & Judging Your Lab’s Track Record

With every passing year, fertility treatment relies more and more upon the laboratory's ability to freeze and thaw gametes. Vitrification has forever changed how we store eggs and embryos, and yet the process requires a fair amount of experience, specifically when it comes to egg freezing. Peter Nagy, one of the fathers of vitrification, helps patients ascertain whether their lab is experienced enough to trust.

Expert's Perspective
Improving IVF Success Rates: Using Low Oxygen in the Lab

Selecting a clinic is as much about selecting their laboratory as anything else. A key determinant of lab quality is the conditions they use to culture embryos. Using low oxygen in the incubator is preferable, yet a third of laboratories don't do this.

Expert's Perspective
The Problem of Mosaic Embryos in IVF

While clinicians are adopting PGS at a rapid rate (now 35% of all IVF procedures), it's now become clear that the results we get from such a test are not as black-and-white as we originally presumed. What is now unclear is how often we are dismissing good embryos, and what we do from here.