Find the answers to the questions you are looking for, here!


Jump to...


Administrative

Where are you located? How do I get to your clinic?

We are located in just north of the 407 and Ninth Line, in Markham. You can find a map and directions to our clinic under More > Contact.

What are the clinic’s hours?

Monday-Thursday: 8:00 am - 2:00 pm

Friday: 8:00 am - 1:00 pm

What are the cycle monitoring hours?

Monday-Friday: 7:00 - 8:00 am

Sat/Sunday & Holidays: 6:45 - 7:30 am  

What are the blood lab hours?

For Cycle Monitoring (Monday-Sunday): 7:00am -7:30am

For Pregnancy Tests (Monday-Friday): 7:00am - 9:00 am*
*Note: Pregnancy tests are not available on weekends.
 Pregnancy tests are available until 11:45am, but results for pregnancy tests performed after 9:00am are not available on the same day.

Day 3 FSH (Monday-Friday): 8:00 am - 11:45 am

Day 3 FSH (Saturday/Sunday/Holidays): 8:00-8:30 am (no later) 

All other Tests, excluding cycle monitoring (Monday-Friday): 8:00 am - 11:45 am

What time can I pick up my medicine?

Monday-Friday: 7:00 am - 2:00 pm  

Sat/Sunday & Holidays: NO MEDICATIONS CAN BE DISPENSED ON WEEKENDS/HOLIDAYS

Please make certain you have enough medication for the Weekend and any holidays.

Are the services you provide covered by OHIP?

Your initial consultation (if you are formally referred to us by your physician), initial investigative blood work, initial ultrasound and diagnostic testing – with the exception of some lab testing and DNA sperm analysis – are all covered by OHIP. Subsequent treatment and medications may not be covered by OHIP, and any potential costs will be reviewed before commencing treatment.  If you have an extended health plan or insurance,  various aspects of your fertility treatment may be covered.

Are you currently accepting regular gynaecological patients? What about if I have PCOS but am not looking to become pregnant?

No – we are currently only accepting patients who are trying to start a family. We are not accepting general gynaecological patients or PCOS patients who are not trying to get pregnant.

 

Fertility

How can we make sure that we are doing everything possible to improve our chances of fertility?

It is most important to assure that you and your partner are doing everything you can to maintain a healthy lifestyle in order to maximize your fertility potential; your chances for conception and laying down a natural foundation for healthy baby building will greatly improve if you…

  • Make sure your annual physical is up to date including: pap smear, breast exam, any blood work your physician deems appropriate for you (ie. cholesterol, blood sugar, iron level, thyroid).
  • Check to assure that your immunizations are up to date, including MMR (measles, mumps, and rubella). If you are not immune to rubella, you should be vaccinated and must wait one month after vaccination before conception.
  • If you haven’t had chicken-pox, you may wish to discuss getting the vaccine with your Family Doctor.
  • Maintain a healthy, well balanced diet including plenty of colorful fruits, vegetables, including green leafy vegetables, low fat proteins, low fat dairy, etc.
  • If your weight/body mass index is not within an ideal range, consider a referral to a registered dietician/nutritionist.
  • Don’t smoke!
  • No recreational drugs or steroids
  • Avoid alcohol
  • Limit caffeine to 300mg/day – 1 cup coffee/day
  • Try to live a well balanced lifestyle that allows for regular exercise (not excessive) and proper sleep, rest and relaxation to help avoid stress. Practices such as yoga and meditation can be beneficial in reducing stress and increasing exercise.

Can I take non-fertility medications while I’m trying to conceive?

You should avoid any over the counter treatments and herbal medications unless you are specifically advised to use them by your physician.

Do tell any physician you happen to see that you are attempting pregnancy, or may be pregnant before taking any prescribed medications.

If you are uncertain about any medications, over the counter treatments, or homeopathic remedies, contact MOTHERISK (Hospital for Sick Children) information line at 416-813-6780416-813-6780

When should I start taking prenatal vitamins?

You should start taking prenatal vitamins, including folic acid, 3 months prior to conception, as well as throughout pregnancy (at the direction of your physician).

Prenatal vitamins such as Materna, Orifer F, etc, may be obtained over the counter at your local pharmacy. Note that these vitamins contain iron which may be constipating; therefore you should increase your daily intake of fiber.

How much folic acid do I need? What about Vitamin D?

Most healthy women should take at least 1 mg of folic acid every day at least 2-3 months post conception (i.e. for the first 2-3 months of pregnancy) to reduce the risk of neural tube defects like spina bifida. 

You should take 5 mg folic acid if any of the following apply to you:

  • Diabetes
  • Obesity (BMI>35)
  • Epilepsy
  • Family history of neural tube defects
  • Variable diet (lack of folate rich foods)
  • History of difficulty remembering to take vitamins regularly

Foods that are high in folic acid include: dark green vegetables, orange juice, eggs, whole grain breads and fortified cereals

Vitamin D supplementation is recommended – take 1500-2000 IU per day.

Are there any foods I should avoid while trying to get pregnant or while pregnant?

There are a number of foods you should avoid or limit during pre-conception and pregnancy.

  • No un-pasteurized milk & cheese (eg. Feta)
  • No raw eggs
  • No un-pasteurized juice (eg. apple cider)
  • No raw fish (shellfish, oysters, clams)
  • No raw sprouts (especially alfalfa)
  • No undercooked meat, poultry, seafood or hotdogs
  • No deli meats
  • No herbal teas (chamomile, aloe, colts foot, juniper berries, pennyroyal, buckthorn bark, comfrey, labrador tea, sassafras, duckroots, lobelia, senna leaves) to name a few.
  • Limit Tuna – fresh or albacore – no more than 2 times per month
  • Limit Tuna canned, light – no more than 4 times per month
  • Limit other seafood – salmon, tilapia, trout, lobster, crab, shrimp are all ok, but limit to 2 times per week at a 75 gram serving

If you are interested in learning more about how to care for yourself nutritionally before, during and after your pregnancy, we encourage you to seek the extensive expertise of our resident nutritionist.

I am a single woman. Can I seek treatment at York Fertility Centre?

Yes. Options exist for single women looking to start a family, namely therapeutic donor insemination (TDI). Please see Therapeutic Donor Insemination under Our Services to learn more about the program we offer at York Fertility Centre. We have also included helpful resources regarding TDI and sperm donation in Canada under our Patient Resources > Websites section.

I am in a same-sex relationship. Can I seek treatment at York Fertility Centre?

Yes.Options exist for women in same-sex relationships looking to start a family, namely therapeutic donor insemination (TDI). Please see Therapeutic Donor Insemination under Our Services to learn more about the program we offer at York Fertility Centre. We have also included helpful resources regarding TDI and sperm donation in Canada under our Patient Resources > Websites section.

If I am pregnant, does Dr. Pyselman continue to care for me or do I have to find an obstetrician?

Dr. Pyselman is pleased to continue caring for you during pregnancy, past your prenatal screening (IPS) and past your 18 weeks ultrasound, up until your 24th week.

At that point, your care will be transferred to Dr. Gita Singh, who is a trusted obstetrical colleague of Dr. Pyselman,  . Dr. Singh is an excellent OBGYN and is on staff at Markham-Stouffville Hospital with full medical privileges.   

Alternatively, you may seek to continue your care through another OBGYN of your choice, your family physician or midwife, after the initial 24 weeks. If you are planning to transfer your care to someone other than Dr. Singh, you may wish to secure that connection as soon as possible as OB offices do have a limit on the number of patients they may see for prenatal care based on your due date.

You will be given an information package regarding prenatal care when you are in for your dating and viability ultrasound.  

Who should have genetic testing performed and why?

All patients are offered non-invasive genetic testing during pregnancy.

Some patients are offered pre-pregnancy genetic testing. These patients include those who have a family history of inherited diseases or chromosomal abnormalities, recurrent pregnancy loss, sperm abnormalities or premature ovarian failure. In addition, a family history of developmental delay or autism may initiate genetic testing.

We have pets at home including a cat, what about toxoplasmosis?

You should avoid coming into contact with cat litter. You may be exposed to toxoplasmosis, which can cause serious problems for an unborn child. Accidentally touching your hands to your mouth after handling cat feces from a toxoplasmosis infected cat that is shedding the organism in its feces can expose you to the bacteria. This may happen if you were to accidentally touch your hands to your mouth after cleaning a cat’s litter box, gardening or touching anything that has come into contact with cat feces. You are best to allow another member of your family to deal with the litter box and wear good quality gardening gloves when gardening. Always wash your hand well after handling a cat.

 

Cycle Monitoring & Blood and Ultrasound Tests

What is cycle monitoring?

Cycle monitoring simply refers to the monitoring of your menstrual cycle using blood tests and/or ultrasounds. Cycle monitoring is primarily used to determine when you are ovulating, and thus the best time to engage in intercourse or to receive an IUI.

What time do I have to be there for cycle monitoring?

During the week, cycle monitoringhours are 7-8 AM daily.  On the weekends and on holidays, cycle monitoring hours are 6:45-7:30 am.

Do I need a full bladder for my ultrasound appointment?

Every “cycle” starts with a full bladder ultrasound on the first day of monitoring.  All additional ultrasounds are done internally and do not require you to have a full bladder. Please see our Ultrasound Information Sheet. 

Do I need a requisition for my blood test?

Most often not if you are in the cycle monitoring program, but pregnancy tests do require you to have a requisition.  On occasion you may be asked to pick up a requisition to have additional hormones tested.

Does my partner have to come with me to my appointments?

Yes, we suggest that your partner accompany you for your first appointment with Dr. Pyselman, your follow-up appointment to discuss and plan for your treatment, and any important follow-up appointments throughout your treatment.

Your partner is not required to accompany you daily for cycle monitoring blood tests and ultrasounds.

What time will you contact me with my cycle monitoring instructions?

Calls or emails are made daily between the hours 12 and 3pm. During these calls/emails we will inform you of your daily medication doses as well as whether or not you will have to come in for blood tests or ultrasound the following morning.

Can I exercise while doing cycle monitoring?

Yes, we encourage you to continue to exercise to maintain good health and to relieve stress.However, we do not suggest excessive exercise.  You will be advised to restrict exercise after an egg retrieval or embryo transfer for a period of time.

Are embryo transfers painful? Can I resume normal activity after an embryo transfer?

No, embryo transfers are not painful and do not require anaesthesia. They are very similar in sensation to a Pap test, except that they are preformed with a full bladder. We suggest two days of rest after an embryo transfer.

Are IVFs painful? Can I resume normal activity after an IVF?

IVFs are performed under a twilight anaesthetic and most patients do not experience any pain. The occasional patient may experience some discomfort or pressure sensations during IVF. Mild cramping is also normal immediately following the procedure. If you are experiencing significant pain following IVF you should seek medical attention. For more detailed information about IVF please read the IVF consent form and information package provided to you by our office.

We recommend rest on the day of the IVF procedure.

Can I exercise before and after an IVF?

Moderate exercise can be done prior to IVF, but you should limit yourself to walking and normal everyday activities after IVF until your pregnancy test. You should avoid heavy exercise at this time. On the day of retrieval and 2 days after transfer increased rest is recommended.

Can I eat normally before an ultrasound or sonohysterogram?

Yes, we encourage you to eat before both procedures.

 

Fertility Medications

Where and when do I pick up my medications?

You can pick up your medications from our clinic, between the hours of 7:00 am - 2:00 pm Monday to Friday. No prescriptions are given/medications cannot be picked up on weekends/holidays. Please make sure you have enough medication to last the weekend and any holidays.

Can I use my medical benefits card to purchase my fertility medications?

Unfortunately, you cannot purchase your medications with your benefits card directly.  We dispense the medications to you along with a second invoice; you can submit the invoice to your insurance provider for eligibility and reimbursement.

How do I take my fertility medications?

Please see our Medication Education section in our Patient Centre (click More > Patient Log-in) to find video and printable instructions on how to take your particular medications. Please make sure you take the correct dose, as directed by our nurse or doctor. If you are still unclear about how to take your medication after reviewing these online instructions, please call our nurse.

What time should I give my injections?

We recommend that you take your injections daily around 6:00-6:30pm, unless otherwise directed.

Does it matter if I inject into my thigh or my belly?

Most medications are not site specific.  Inject in the site you are most comfortable with.  Injections are best tolerated in fattier sites.

If I'm not pregnant, should I stop my progesterone suppositories?

Yes. You will be advised to discontinue your progesterone support if your pregnancy test is negative.  This will result in a period starting in 3-4 days.

Do the medications need to be stored in the refrigerator?

Some medications require refrigeration and others can be stored at room temperature.   Progesterone, Puregon, Lupron, and Ovidrel are best stored in the fridge. Check the medication instructions or the websites listed in our Medication Education sectionfor more details on storage for your particular type of medicine.