Myths & Facts About Fertility Medications

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The treatment of infertility is not possible without the use of fertility medications. There are several medications used to prepare the uterus for treatment and raise the probability that the ovaries will release many healthy eggs. The type of medication will depend on your situation but in general most women are given at least 2-4 different types of medications.

The first thing to know about these medications is that you will never be told that sometimes they do not work. Doctors will make it sound like every medication works and that is far from truth. No one knows why some women do not respond to these medications and it is a complete “hit and miss” event.

The second thing which many fertility doctors never take time to explain is that every single medication used to treat infertility has side effects. These side effects vary from person to person and may be mild or severe. If the side effects are not tolerable, then the doctor usually switches the medications.

The third thing you need to know is that these medications are also prohibitively expensive. By the time you have been through several cycles, you will have spent enough money for a down payment on a car.

The one medication that all women with infertility are prescribed is clomiphene. The medication works in the brain and is used to stimulate ovulation in women who have infrequent or absent periods. It is only taken for a few days but as the dose is increased it can cause hot flashes, breast tenderness, nausea, headache, mood swings and lower abdominal discomfort.

Another very common medication used to trigger ovulation is an injection of human chorionic gonadotrophin. This drug is relatively safe and does not cause side effects as long as it is not taken with other fertility medications.

Women who do not respond to HCG or clomiphene are administered follicle stimulating hormone or human menopausal gonadotrophin as an injection just below the skin. These hormones have several unpleasant side effects like nausea, mood swings, breast tenderness, and lower abdominal pain. These are very potent medications and only administered to women who fail to respond to the above medications.

Women who have high levels of prolactin are often prescribed bromocriptine or cabergoline by mouth. These medications can cause nausea, severe vomiting, headache, fainting, and dizziness.

Some women are administered medications like Lupron and Zoladex to prevent premature ovulation. These medications prevent the mid cycle hormonal surge which can result in a cancelled cycle. They have a few side effects like hot flashes, headache, insomnia and mood swings.

There are many other medications prescribed to women with infertility and they include steroids, antibiotics like doxycycline and progesterone injections.

The type of medication you will receive will depend on how you respond and your overall condition. The one thing you can rest assured is that you cannot conceive if these medications are not used. Unfortunately there are no herbs, lotions, potions, or magical solutions that can help women with infertility.

Fertility Treatment Costs In New York

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The costs of fertility treatment vary across the country, with the cost of In Vitro Fertilization (IVF) averaging around $12,400 per cycle, and intrauterine insemination averaging around $1,000 per cycle. IVF costs range from $7,000 upwards of $13,000 in New York City. However, this cost can fluctuate based on the cost of additional procedures like intracytoplasmic sperm injection (ICSI) or preimplantation genetic diagnosis (PGD), fertility drug costs, fees associated with donor eggs or donor sperm, and any laboratory or facility fees. Fortunately for fertility patients in New York City, New York is one of 15 states with mandated infertility insurance coverage. There are also financing options to offset costs not covered by insurance.

Fertility Drug Costs

Depending on your treatment protocol, the costs of fertility drugs can range from $50 to a few thousand dollars. A cycle of Clomid usually consists of 5 pills which cost around $10 per pill. Injectible fertility drugs, called gonadotropins, and other medications can range up to $6,000 per cycle in addition to the cost of the IUI or IVF treatment.

Intrauterine Insemination (IUI) Costs

The fees associated with IUI are initially less costly than those of IVF. However, some fertility patients will find they have spent more money over the course of several failed IUI cycles compared to the cost of one IVF cycle. It is important to discuss all aspects of treatment with your fertility doctor. IUI is not covered by financial plans at a fertility clinic. Keep in mind that medication costs can also increase the total cycle cost of IUI.

IVF Refund Programs, Multi-Cycle Discounts, and IVF Financing Options

Many New York fertility clinics offer an IVF Refund or money back program that allows a fertility patient to pay in advance for a specific number of in vitro fertilization (IVF) cycles. If the patient does not achieve a pregnancy within that number of cycles, she may receive a full or partial refund. Typically, three fresh IVF cycles are included in this package. These programs are a good option for patients who expect to undergo several cycles before achieving a pregnancy. However, there are often age and diagnosis requirements for participating in the program. If a patient gets pregnant on the first attempt, the fertility clinic is entitled to the entire cost (of three cycles paid in advance), therefore the patient has paid more for the cost of a single cycle than a traditional fee-for-service cycle.

Some fertility clinics provide reduced cost subsequent cycles to their patients who have not gotten pregnant on their first IVF cycle. The discount can range from a few hundred dollars up to the cost of physician fees, depending on the clinic.

Other financing options are available in the form of loans or grants for fertility treatment. Your New York fertility clinic may have a relationship with a specific financial institution that will help you obtain a loan for fertility treatment expenses. Some organizations offer grants to patients who qualify based on health insurance and income guidelines.

Low-Cost IVF

Treatment protocols like mini-IVF or in vitro maturation (IVM) cost less than a traditional IVF cycle because lower doses of ovarian stimulation fertility drugs are prescribed. Fertility treatment costs can be reduced if a patient partakes in a group IVF cycle (all IVF patients in the clinic cycle at the same times per year).

For patients using donor eggs for their IVF cycle, they can save money by sharing a pool of donor eggs with other couples, and by using a frozen egg bank which allows the freedom to cycle on your own time as opposed to coordinating a cycle with your donor. Consult your fertility doctor to find out which treatment is best for you.

IVF Research Programs

New York City is the home to many fertility clinics on the cutting edge of reproductive medicine research. Participating in an IVF research program can reduce the costs of fertility treatment, though you must understand the risks and benefits to participating in a research study. Clinical trials are strictly monitored by the federal government to ensure protection of human subjects. You may qualify for free or reduced cost fertility treatment if you meet the age and diagnosis requirements set forth in the research study protocol. For information on fertility research studies, visit clinicaltrials.gov.

Standard Health Insurance

New York is currently one of 15 states that mandate insurance coverage for fertility treatment, however, the degree of coverage varies depending on your employer’s policy and IVF is not included in the mandate. In New York, fertility patients between the ages of 21 and 44 are covered for surgeries and tests related to infertility, fertility drug costs, ultrasound, blood work, and IUI. You should talk to an insurance company representative and financial advisor at your fertility clinic to verify coverage.

For more information on medications used to treat infertility and additional fertility resources, click here!

Dried Plums May Save Your Bones

pharmacy solution bone density plums

A recent small study involving older women with low bone density had the women eat 1.75 oz. or 3.5 oz. of prunes per day for six months as well as take vitamin D and calcium.

The control group had the supplements but no prunes. Participants in both the prune groups had no bone loss and a decrease in certain blood markers indicating a slowing of bone breakdown.

The “no prune” group experienced a small amount of bone loss.

The bottom line: Prunes or “dried plums”, which are rich in vitamin K, magnesium, potassium and boron, may in fact, save you from loss of bone density. Here’s to your new favorite fruit!

3 Things to Know Before Picking a Fertility Doctor

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1. There are many fertility clinics in New York but not all of them are right for you. It is very important to have a connection with your doctor. You want to feel like you are being cared for in a situation that may be very difficult. Also, do not only look at a clinic’s success rate; a clinic may have a high success rate because they only take “easy” cases. Always find a doctor who tailors to your particular situation.

 

2. Treatment can become very expensive so it is important to see if your insurance covers any part of the treatment. Certain clinics have different payment plans and offers. Always talk to the clinic staff to see their payment options.

 

3. Do not be embarrassed or feel as if you are going through this situation alone. There are many men and women in the US who are going through exactly what you are right now. Find a fertility clinic that also has a support group to help you during this process.

 

In addition to choosing the right fertility doctor, it is important to choose the right pharmacy to fill your medications. Kings Pharmacy specializes in many different conditions including infertility. We work closely with all patients to provide their medications quickly and are able to provide certain discounts. The friendly staff at Kings Pharmacy also care for you and are able to deliver your medications to your home to uphold your privacy.


Call Kings Pharmacy at 
718-230-3535 to find out more information!

Written by Kings Pharmacy resident, Jillian Christy.

How to Deal With the Overwhelm of Infertility

Infertility can be one of the most overwhelming obstacles that a couple ever experiences together, and often comes with physical, mental, and emotional shifts for both the men and women.

Infertility can have severe impacts on psychological wellbeing.

The long term inability to conceive a child can evoke significant feelings of loss, depression, and anxiety. Coping with the multitude of medical decisions and the uncertainties that childlessness creates can create great emotional upheaval for most couples.

As our experts from Brooklyn, New York share, almost everyone has emotional ups and downs as they travel through their fertility journey and pursue infertility treatment. It’s perfectly normal, and there are solutions.

What should I do if I’m feeling significantly affected by infertility?

Feeling happy, sad, and overwhelmed are perfectly normal responses. However, if you experience any of the following indications over a lengthy period of time, you can advantage a great deal from working with a mental health professional:

  • Lowering the interest in daily activities
  • Depression that doesn’t lift
  • Strained interpersonal relationships with partner, family and friends or coworkers)
  • Difficulty thinking of anything other than your infertility
  • High levels of anxiety.
  • Reduced ability to complete tasks
  • Difficulty with concentration
  • Change in your sleep patterns like: difficulty falling asleep, early morning awakening, napping more than usual.
  • Change in your appetite or weight changes (no matter if decrease or increase of body mass)
  • Usage of drugs or alcohol is getting more and more increased
  • Thoughts about death or suicide
  • Social isolation
  • Persistent emotional changes from bitterness to anger

In addition, there are certain points throughout the process of infertility treatment when discussion with a mental health expert of various decisions and consideration of your feelings about these options can help facilitate explanation of your opinion and help with your choice. For example, consultation with a mental health expert will be useful to you and your family in case you are:

  • At a treatment crossroad
  • Deciding between alternative treatment opportunities
  • Discovering other family building options
  • Considering third party assistance (gamete donation, surrogacy)
  • Hard communication and/or ideas about what direction to take.

How can psychological treatment help me/us cope with infertility?

A good professional therapist will be able help you sort out feelings, reinforced already present surviving abilities and develop new ones, and interconnect with others more openly. For many, the life crisis of infertility eventually proves to be a chance for improving personal growth.

Mental health professionals with experience in infertility treatment can help a lot. Their main aim is to help couples to learn how to cope with the physical and emotional changes related to the infertility, as well as with the medical conducts that can be hurting and intrusive.

A lot of people consider, the focus on deal with a partner’s reaction. For others, it may be on how to choose the right medications or how to begin exploring other family building possibilities. For still others, it may be on how to control stress, anxiety, or depression.

By educating patients problem-solving plans in an understanding environment, mental health specialists help people work through their angst, fear, so that they can find resolution of their emotional effects of infertility.

What qualities should I look for in a mental health professional experienced in working with infertility?

First and foremost, make sure you choose a professional who is familiar with the emotional effects of infertility. It is recommended that they have:

  • Gradation in a mental health profession
  • A license and/or national recordkeeping
  • Scientific training focused on the emotional aspects of infertility
  • Experience in the medical and emotional aspects of reproductive treatment

And lastly, chose someone with whom you’re comfortable, is a good listener, and makes you feel safe.

How can I find a mental health professional in Brooklyn or New York City experienced in working with infertility?

There are several resources available to those in New York and nationally, including:

PsychologyToday.com
Solace For Mothers
Resolve
Therapy Tribe

Despite Severe Criticism, Drug Prices Keep Rising in NYC

Finding the lowest price meds in NYC is definitely a challenge nowadays as drug costs have skyrocketed through the roof since the beginning of the year. Even though drug makers withered considerable criticism over the continuously rising costs of meds, nothing seems to work as it should, and the prices are still rising. Drug manufacturers have effectively increased the prices on brand-name medication by double-digit percentages. And this is only since the start of the current year. This is according to some of the Express Scripts as well as SVS Caremark executives. The trend used to be fairly simple – drug makers would increase the costs of drugs once every year. Now, what’s happening is they are doing so multiple times every single year.

Is That the Whole Picture, Though?

As it may turn out, this isn’t the only problem in the medical industry. The IMS Health report, which stated that the list prices of the drugs rose with the staggering 12% last year also revealed that the actual net price of the drugs only rose with about 2.8%. So what does this mean? It means that drug makers are forced into higher discounts and steep competition in order to stay afloat. It means that the rebate isn’t entirely disclosed as there are factors to be considered such as discounts and insurances.

The aforementioned is wholeheartedly true for infertility meds in New York City. With this in mind, Kings Pharmacy in NYC remains one of the best options out there. With considerable discounts on infertility meds in New York City, this particular fertility pharmacy has managed to establish itself as a leader in the health care community of Brooklyn. Furthermore, the venue offers both fertility and infertility compounding medications in NYC. There are several different locations that you might want to check out – Kings Park Slope Pharmacy and Kings Third Avenue Pharmacy.

In any case, finding the lowest price meds in New York City is becoming more and more challenging as the costs of drugs on a wider scale continue to grow considerably. With this in mind, it’s worth noting that the political, as well as social pressure which is being applied on drug makers, doesn’t seem to have much of an effect. However, the entire market is entirely volatile as insurers also pressure for discounts which makes the net price of the drug increase inconsiderably in comparison. Unfortunately, the perspectives don’t seem to be very bright and taking advantage of the lowest price meds in NYC in Kings Pharmacy might be a good idea for the foreseeable future.

The Lowest Price Drugs in New York City …with Service.

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If you think finding the lowest priced drugs in New York City means also finding a low standard of service, then we can definitely convince you otherwise.

Here at Kings Pharmacy in NYC, we pride ourselves on being part of the local community. We partake in community events and do sidewalk expos to educate locals about popular medical issues.

We want to support good health care provision to local New Yorkers, with a friendly smile from professional, helpful staff.

…And we also want to achieve all that in a way that is cost-effective for our customers.

We aren’t part of a large corporate chain, but with three branches – Kings Park Slope and Kings Drug and Surgical in Brooklyn, and Kings Third Avenue – we are accessible to a large number of people. In particular, we pride ourselves on our specialist pharmacy services. Ensuring the lowest priced drugs in NYC goes hand in hand with our disease management programs, offering patients a one-stop-shop for pharmacist advice and purchasing prescription medication. That saves time and money for our clients, leading to our high level of customer satisfaction.

For us, providing the lowest priced drugs in NYC is all about the service. Take our Hepatitis C program, for example. We provide emotional as well as pharmacist support to patients with Hep C. Knowing specialist pharmacy services are available for their condition, 24/7, is important to those coping with the stress of Hep C. Our professional and highly trained pharmacy staff will support patients discreetly, and provide advice and guidance.

We also want to ensure that the cost of the drugs isn’t another source of worry for patients. Hep C drugs in expensive New York City can amount to a fair bit of money, especially as patients need to take their medication for some time. This is why at Kings, at our Hep C pharmacies in New York City and in Brooklyn, we aim to provide the lowest cost Hep C drugs. Of course, we can’t provide drugs for free, but, as well as keeping our drug costs as low as possible, we also support patients in working out whether they are eligible for any of the co-op cards, or the patient assistance programs provided by some drug manufacturers to help with costs. There are also some Foundations that provide financial support. We help you in filling out the paperwork – it’s all part of the service we provide as part of the local health care community in Brooklyn and NYC.

So, Hep C patients in NYC can be confident knowing that they have a Hep C specialist pharmacy available in both NYC and in Brooklyn, able to ensure a professional, confidential and friendly service, as well as Hep C drugs that are as low cost as we can manage.

It doesn’t just end with Hep C treatments. We provide the same level of service across all our specialist programs, as well as our general pharmacy provision. Visit us at any of our three sites for advice from our knowledgeable staff, as well as access to the lowest cost drugs in NYC and Brooklyn.

Our Services

Kings Specialty Pharmacy is a URAC and ACHC accredited pharmacy providing the utmost level of care to its patients. With over 70 years of experience and the owner on site, you can be assured that we are highly professional in meeting all your healthcare needs.

Our Staff

Kings Pharmacy’s staff of pharmaceutical professionals will put their knowledge and expertise to work for you, providing an unmatched resource not only for the highest quality medications and supplies, but timely information and personalized treatment management.