Fertility care at Anova

1How do I become a patient of Anova?
There are a few different avenues you can take:
  • If you have a family physician, OBGyn, or other physician, request a referral by giving them this form. Since you physician will be involved in follow up care in later pregnancy, we like to involve them at the start of the process.
  • If you do not have a physician, please email us so that we can discuss the options for you to see an Anova fertility specialist
  • If you are currently receiving care at another clinic, you can request a chart transfer or a second opinion. Please email us to learn more.
2Once my referral has been sent, how long is the wait to see a physician?
Once a referral has been received, Anova will reach out to you via phone and/or email to schedule your appointment. We aim to respond within 2 business days, though sometimes it can take a few calls to get in touch. Typically, we are able to see new patients within 1-2 weeks of receiving the referral. If you believe you were referred, please feel free to reach out to us about the status of your referral. It is helpful if you have the details of the physician who was sending the referral.
3How do I prepare for my appointment?
In preparation for this appointment, you will need to complete a patient intake form covering past medical and other relevant history. After the appointment, usually you will be asked to come into the clinic to have testing done to support the fertility assessment. An Anova team member will be here to answer any questions relating to your workup, and help to schedule the necessary testing. Your appointment might be virtual or in person. Here are some ways to prepare for your initial consult with the physician:
  • Ensure that you have submitted the patient intake form, and that you have browed the available resources at Anovafertility.com and anovalife.com
  • For virtual appointments:
    • check to ensure you have the correct equipment. This includes an audio/video component to your computer, tablet or smart phone, as well as a strong connection to the internet
    • Sit in a private, quiet and comfortable place
    • If there is an issue with the call quality, please know that the physician will call you via telephone. It will appear as an unknown caller.
  • Even virtually, physician schedules can run behind. Please be patient, and allocate some extra wiggle room for your appointment in case it starts late.
4Does Anova see Recurrent Loss Patients?
Recurrent pregnancy loss (RPL), or recurrent miscarriage is the occurrence of two or more consecutive pregnancy losses. Here at Anova, we are a team of health care professionals who will support you through your investigations and treatment. Our medical team will carry out a series of investigations along with close surveillance pregnancy monitoring to ensure our patients feel well supported during this sensitive time. Investigations may include:
  • Assessment of the woman’s uterine cavity (Sonohysterogram)
  • Chromosome/Karyotype testing
  • Thrombophilia testing
  • Endometrial biopsy
  • Hormone Profile
  • Product of conception testing
To become a patient, please have your physician send us a referral form, along with any supporting documentation.
5Does Anova see PCOS Patients?
Polycystic ovary syndrome (PCOS) is an endocrine disorder common among women of reproductive age. It affects 8% of women, though the signs, symptoms and severity of PCOS vary. They may include:
  • Infrequent, prolonged menstrual periods
  • weight gain
  • acne
  • excess male hormone (androgen) levels
  • excessive hair growth
  • numerous ovarian cysts, failure to ovulate
Unfortunately, over 50% of PCOS patients don’t get diagnosed or the treatment they need. They often receive a diagnosis only after they are struggling to get pregnant. Raising awareness of PCOS and its treatment options will help improve diagnosis rate, patient experience, and outcome. You might from this article interesting, written by our Endocrinologist, Dr. Alyse Goldberg. Here at Anova, we do have a dedicated PCOS Endocrinology program, and our specialists can address your questions and concerns around fertility and PCOS.
6Does Anova work with Naturopaths?
Yes, we recognize and appreciate the importance of working hand-in-hand with your naturopathic team to ensure you feel fully supported throughout your fertility journey. We do accept referrals from NDs, and are associated with different allied healthcare providers. To learn more, visit our integrated care page
7Do I need to see a counsellor before starting my fertility journey?
Navigating your fertility journey can be hard, and we commonly hear from patients how important having a support network outside of the clinic can be. Although it is not mandatory except in certain situations*, Anova highly recommends that patients participate in individual/couples counselling. Here are a list of Counsellors that Anova has worked with in the past. To ensure that all the Anova community is supported, we additionally organize Support Groups that are moderated by a trained counsellor. These occur in person, and virtually, creating a safe environment for patients to be open and honest about their fertility experience. If you are an existing patient, you can join our closed Facebook support group If you would like to join a virtual support group, please email us. *Counselling is a mandatory component for patients proceeding with Collaborative Family Planning (Third Party Reproduction).
8My physician ordered a Sonohysterogram. What is this, why am I doing it, and how do I prepare?
A sonohysterogram, commonly called a sono, is a procedure that examines the uterus and the uterine cavity. This is performed using a transvaginal ultrasound probe, and uses a saline solution to safely expand the uterus and endometrial cavity. The purpose of this test is to detect any structural abnormalities. The sono procedure will be booked anytime between days 6-10 of your cycle. The sono is a very safe procedure that is performed by a physician. It may cause some cramping, spotting and vaginal discharge. Some may experience cramping for several hours after the procedure, and patients are often recommended to take ibuprofen beforehand. You might find this link from the American Society of Reproductive Medicine useful.
9My partner needs to perform a Semen Analysis. Why this being performed and what are the instructions?
As 1/3 of infertility diagnoses are related to the male partner, performing a semen analysis is an important part of the fertility assessment (read this article to learn more). This test measures the count, motility and morphology of the sperm. The analysis must be performed on a fresh sperm sample, which can be collected either at home or at the clinic, though there are very specific instructions about transport if collecting at home. It is recommended to abstain from ejaculation for 2-4 days before your test. To schedule your semen analysis, please email us.
10What is AMH, and why is it being ordered?
This test measure the level of anti-mullerian hormone (AMH) in the blood, and it part of a standard fertility assessment alongside other hormones. Knowing a woman’s AMH level helps us to understand your ability to produce eggs that can be fertilized for pregnancy. Along with other tests, it will provide your physician with a clear picture of your ovarian reserve, as well as how you may respond to certain fertility medications. This test is not covered by OHIP and has a fee of $150.
11I am beginning my cycle monitoring process. Do I need a full bladder for each visit?
You are required to have a full bladder for your first visit, which is booked in between your cycle day 2 to 5 – even if it is commonly referred to as Day 3 cycle monitoring. During this first cycle monitoring appointment, the ultrasound technician will perform a pelvic and transvaginal ultrasound. Having a full bladder is needed to help clearly show the appearance of the ovaries and uterus. You will be asked to drink 1 liter of water 1 hour before your appointment, and the scan should take about 30mins. During your follow up cycle monitoring appointments at later days in your cycle, you will not typically require a full bladder.
12How do I know if I qualify for an IVF Funded Cycle?
If you are an Ontario resident with a valid OHIP number and under the age of 43, then you are likely eligible for the Ontario Fertility Program funding. This program is a special program offered by the Ministry of Health and Long Term Care, and does however have a limited yearly funding allocation. This means that in a typical year, there are more patients requesting fertility funding than is made available. Anova is one of the fertility clinics in Ontario that does receive a funding allocation, and our waitlist is currently around 12-18 months. Please recognize that you must be a under the care of an Anova physician to be on our funded waitlist. To learn more about the Ontario Fertility Program eligibility click here .
13My medications are covered by my benefits plan. Will Anova charge my insurance directly for medications?
Whether your insurance, benefit, or healthcare spending account covers fertility medications or other aspects of fertility care, such as egg freezing, is very plan specific. Often, we see a specified amount of medications being covered during the lifetime of a patient. This is important to consider, as you may need multiple rounds of medication along your fertility journey. Anova does not able to charge your benefits provider directly, though we are here to help you to navigate your coverage. If you are asked to purchase medications, you will be provided with a detailed receipt including the DIN numbers to submit. We are happy to work with you to understand if your benefits provider has fertility medication coverage. If you are interested in receiving a sample invoice of a patient receiving fertility care at Anova, please click here.
15>Do you have a waiting list – how long would it take me to get in to see a doctor?
The wait time for each of our specialists varies.  Our Medical Director, Dr. Dixon has the longest wait time.  It is about 2 months to have your initial visit with her.  We have other specialists that are able to see you within 2-3 weeks.  Our physicians work very closely together and have the same specialized training. Meet our medical team here
16I have eggs/sperm/embryos at another clinic…am I able to move them to Anova if I decide to change clinics?
Absolutely.  Products are routinely moved between clinics, however it requires the use of couriers who are familiar with the shipment of cryogenically stored products.  We have a team member who works closely with patients and other facilities to safely move product from one facility to the next.  It does take some time, so it is always best to moved product before starting any treatment cycles.  The costs associated with shipment would be the patient’s responsibility.  The clinic where your items are currently stored may also charge an admin fee.  If this is something you are contemplating, we can have someone reach out to you with additional details about the process and associated fees.
17Does the clinic have an age limit for IVF?
For patients wanting to retrieve eggs our upper age limit is 44 yrs, 12 months, equal to your 45 birthday.  Beyond your 45 birthday we are unable to provide this service.   As with any retrieval, proceeding with a cycle is at the specialist’s discretion and requires a set of tests to ensure that you are a good candidate. For patients wanting to carry a pregnancy and therefore go through a transfer cycle, we will transfer embryos into a patient up to the age of 50 years, 12 months.  In other words, once a patient reaches their 51st birthday we will no longer perform a transfer.
18Do you have a BMI limit…the clinic I went to wouldn’t treat me because of my BMI?
At Anova, our BMI upper limit is 40 for IVF treatments.  Our goal is to ensure the patient’s safety and to optimize the chances for success.  Should a patient need support in reaching a BMI goal, we are happy to help with resources.

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