Alabama IVF Patients Are Running Out of Time

In October, Melissa began an in vitro fertilization cycle. A resident of Birmingham, Alabama, her fertility journey to that point had been not just difficult, but harrowing—earlier that year, she had nearly bled to death during a procedure to resolve a second-trimester miscarriage. When the IVF process yielded just a single viable embryo, she had it frozen, and a few months later started another cycle. “It’s very easy to lose an embryo,” she says. “This is such a delicate process.

Each transfer costs $3,500; each round of medication another $500 or so. For Paula, a 38-year-old Birmingham resident, the bulk of her expenses are carried by Progyny, a fertility insurance company that she has access to through her husband’s job. Paula, who also asked to use a pseudonym, has already undergone one embryo transfer, in April of last year. It resulted in a miscarriage.

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