What to Expect

Whether we are your first stop or your last hope during your infertility journey, we want your time with us to be as comfortable as possible. It is our goal to be sure you understand your care and are an active participant in decisions. The more our patients understand, the more helpful they are during visits. After all, this is your journey, we’re just here to guide and support you.

At Delaware Institute for Reproductive Medicine, you are not just a number. You have individual needs and will receive individualized care.

Prior to your appointment, you should receive an email with instructions on accessing your patient portal.  When you arrive, you will be greeted by our friendly receptionists.  If any paperwork is unfinished, you will be asked to complete it at that time.  We understand that you may have questions or may need assistance and our caring front desk is here to help!

After check-in, the Patient Accounts Department will spend time with you going over insurance information and answering any financial questions you may have.  They will also discuss financial policies and payments at that time.  They are aware that the financial aspect of your care can sometimes be the most stressful part of your appointment and are open and understanding.

Every person comes into our office at a different place financially, but every patient deserves and will receive the same care.  After meeting with the Patient Accounts Department, our warm and knowledgeable staff will spend time getting to know you and your fertility needs.  Depending on our discussion, we may give you the option of initiating testing during this appointment or waiting until the following month

Appointment Checklist:

  • Completed male and female medical questionnaires and registration forms, via patient portal
  • A copy of pertinent medical records
  • Insurance cards and photo ID for both partners
  • Insurance authorizations and a referral, if applicable
  • Please arrive 15 minutes early for parking and registration.
  • This visit typically lasts  60-90 minutes

Once you have completed your initial new patient documents, you will have the opportunity to meet with the Patient Accounts Department.  Your insurance will be reviewed, along with what coverage is available to you.  Our Financial Policy will be explained, and you will have the chance to answer any questions you may have regarding policies and payments.

Our Patient Accounts Department has an open door, so no appointments are required to discuss your account.  Feel free to ask to speak with someone during your office visits, call or send a portal message.  Infertility is stressful – we want to help guide you through the financial aspect of treatment.

After each cycle is completed, you will meet with Dr. Russell and/or a Clinician to review the cycle in detail, discuss the outcome, and agree on a treatment plan moving forward.

Diagnostic Cycle Review – we recommend scheduling this consultation visit on cycle day 2 or 3 of your menses and both patient and partner be present. After reviewing both your and your partner’s test results, treatment options will be discussed. Once a treatment plan is agreed upon, you will have baseline labs and ultrasound. Please allow approximately 60 minutes for this visit.

Positive Pregnancy Test – Should your cycle be successful, and you receive a positive pregnancy test, you will be advised to repeat the test in 2-3 days, to ensure proper rise in levels. You will be closely monitored at our location until approximately 13 weeks of gestation, at which time, you’ll be released back to the care of your OB/GYN.

Negative Pregnancy Test – Should your cycle have a less than optimal outcome and you are not pregnant; you will discontinue all cycle-specific medications and schedule a repeat baseline visit on cycle day 2 or 3 of your menses.

During a Free Second Opinion Consultation, Dr. Russell will review your previous diagnostics and treatment, if applicable, from your initial Reproductive Endocrinologist & Infertility Specialist. We may have questions for you during this visit, so your records will be reviewed with you present. Dr. Russell will make suggestions on additional diagnostic testing and treatment options.