I said to a patient in my office just yesterday, “If we put stress, time, and money aside, the best chance for you to get pregnant would be IVF with ICSI.” And then we talked through the stress, time, and money that actually ARE involved. She made the decision to proceed with a different treatment that was less intense – and less expensive, even though it would give her a lower chance of getting pregnant. (For those who don’t recognize the lingo, IVF with ICSI is a very high-tech option for conceiving in many cases of infertility.)
When can you ever put stress, time, and money aside? Medical care does not exist in a vacuum. There are times when a serious illness demands something be done right now – sometimes something intense and expensive. But there are many more situations where there are choices involved. And I believe those choices are available much more often than most people realize.