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Why some patients benefit from Clomid
following treatment cycle. There would be a charge for the new monitoring cycle. Women of reproductive age have varying ovarian reserve. When FSH, the hormone controlling the ovaries is high and the For whom is this protocol not suitable?
because fewer eggs can be obtained. (See  a patient with a history of recurring MFS infosheet ‘Ovarian Reserve Test.’) Such patients may be referred to as ‘poor The Clomid Challenge for private
responders’. Hormone tests are used to patients
measure ovarian response and to design the best treatment pathway for each If a private patient were to go straight to a cycle of IVF or ICSI she would have to pay the full-cost of the treatment cycle depending on her individual hormone test rates and reduce the risk of cycles being as it will have been delivered to her home address. The Clomid Challenge
Instead, if there is evidence that she may be a ‘poor responder’ her MFS clinician injection used in IVF can vary from month will suggest a Clomid Challenge cycle – to month in ‘poor responders’ so MFS has the cost of which includes the monitoring developed ‘The Clomid Challenge’ – a not recruit follicles the Clomid Challenge established fertility medicine in tablet conversion to IVF or ICSI does not happen and so the associated costs are avoided. more FSH. In many women this will result If follicles are recruited then she will convert to a cycle of IVF or ICSI. The cost follicle each month. ‘Poor responders’ may achieve a similar number of follicles to that which they would get with six days converted to a standard IVF/ICSI protocol collection. (See MFS infosheets ‘IVF’ and The Clomid Challenge for NHS patients
the cancellation of IVF or ICSI in the early stages, the NHS funding will be lost for that cycle. If a patient is possibly a ‘poor Challenge may be attempted – this is also Challenge cycle at her own cost.
If she does not recruit follicles from the Clomid Challenge, and so doesn’t convert unused medication which is stored at MFS. If she wishes to continue with a new Clomid Challenge, any unused medication (2013) Midland Fertility Services / 3,32 clomid v01-01/2013 page 1 of 2
But NHS funding for at least a full single IVF/ICSI treatment cycle is still available – the private cost of which would potentially be more than 10x the cost of the Clomid Challenge. If the patient then has another cycle of Clomid, a further charge for the Clomid Challenge would apply. What is included in the cost?
The Clomid Challenge includes:  a treatment planning appointment and scan  two monitoring scans to check the ovarian  charges for the Clomid medications are extra If a Clomid Challenge cycle is cancelled or does not convert to treatment within that cycle, the charge is due in full, plus any medication charges, regardless of how many scans have been performed. If a Clomid Challenge cycle is successful and the patient converts to treatment within that cycle, the Clomid Challenge fee will be credited and the patient would then be invoiced for whichever treatment she converts to. She would pay the difference between this credit and invoice plus any extra drugs if applicable. What is not included in the cost?
Any other fertility investigations, treatments or preservation services for either partner. Success rates
Please refer to for details of the most recent published results. Please refer to the current List of Charges in either the Patient Finance Information leaflet or via For clarification of treatment costs at MFS please call 01922 455911 to speak to one of the finance team or email Further information
Please visitand search for IVF or ICSI, or read the following MFS infosheets:  IVF  ICSI (downloadable from by searching for ‘MFS Treatment Literature’, or in hardcopy from MFS). (2013) Midland Fertility Services / 3,32 clomid v01-01/2013 page 2 of 2

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