FAQs

General guidance suggests that individuals under 35 who have been trying to conceive for 12 months without success, those 35 and older after 6 months, or anyone with a known condition affecting fertility, such as irregular cycles, prior pelvic surgery, or a diagnosis of endometriosis or PCOS, should consider a consultation. For individuals without a partner or in same-sex relationships, a consultation can begin at any point.

Many patients who come to Kofinas have had prior treatment that did not produce answers about why conception has been difficult. A diagnosis-first approach means that the clinical team looks carefully for structural, hormonal, immunological, or other factors that may be contributing before recommending any procedure. This is not the default approach in all fertility practices, but it reflects the view that accurate diagnosis leads to more appropriate treatment and fewer cycles spent without a clear rationale.

This depends entirely on your diagnosis and the treatment path. A single IUI cycle involves approximately two weeks of monitoring. An IVF cycle from medication start to pregnancy test takes approximately 4 to 6 weeks. Surgical recovery varies by procedure. If multiple treatment steps are involved, the overall timeline will be longer, and your care team will lay this out clearly at your consultation.

Yes. Kofinas has experience supporting patients who travel for care. This typically involves virtual consultations, a remote records review, and a compressed in-person schedule for evaluation, surgery, or IVF when travel is required. Your care team can explain how a shared-care arrangement with your local physician can support continuity after you return home.

Yes. Kofinas has experience with a range of family-building pathways including reciprocal IVF, donor sperm insemination and IVF, donor egg IVF, and gestational carrier arrangements. The team works with same-sex couples, single individuals, and transgender patients. Inclusive, bias-free care is the standard.