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Infertile patients cannot afford to wait for treatment while their eggs get older.

Dr. Sherman Silber, Infertility Center of St. Louis, is offering video consultations for patients who need to plan now for their treatment while stay-at-home orders are in place. He is talking to and evaluating patients in their home to comply with social distancing measures.

Dr. Silber is discovering that patients actually prefer this method of telemedicine consultation over the conventional office visit. Patients have conveyed that “it is so much more convenient and less stressful” to have a telemedicine personal consultation than to take a day off from work to travel to the doctor’s office and sit with other nervous patients in the waiting room.

The COVID-19 pandemic is thus changing much of the way we will do things in the future, and for the better. “Our patients are surprisingly much happier with this approach. Of course, at some point we need to perform hands on treatment. But with this new manner of seeing patients, we can come to the right diagnosis and treatment plan for most patients more efficiently, quickly, and painlessly, with no loss of personal one-on-one communication.” This is a very welcome new era of telemedicine that has been forced on us by the current difficult times.

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The Infertility Center of St. Louis
The Infertility Center of St. Louis
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Egg Freezing Step-by-Step: Jana’s Story at the Infertility Center of St. Louis (Part 5)

Episode 5 of Jana’s eight-part egg-freezing series zooms in on logistics—showing viewers, step by step, how a complex medical procedure becomes a well-orchestrated project. It begins with a 45-minute phone consultation: Dr. Sherman J. Silber outlines optimal timing (start stimulation on day 2–3 of the menstrual cycle), explains medications (low-dose FSH and LH injections plus an antagonist to prevent premature ovulation), and reviews retrieval day, anesthesia, and post-op expectations. He quotes the center’s 95% egg-survival rate after vitrification and a 70% cumulative live-birth probability when 15–20 mature oocytes are banked. Jana fires off questions about side effects, travel, and insurance; each receives a clear, data-backed answer.

After two days to reflect, Jana confirms she’ll begin with her upcoming period. A dedicated nurse coordinator emails a personalized stimulation calendar that dovetails with her work deadlines. Color-coded boxes specify injection type, dose, and lab-monitoring dates, while automatic SMS reminders reduce the chance of missed shots. The clinic ships a starter kit: pre-filled syringes, alcohol swabs, a sharps container, and a “first-night” Zoom where a nurse demonstrates reconstitution and subcutaneous technique.

Jana films herself organizing supplies in a labeled tackle box and pinning the calendar above her coffee station. She notes mild nerves but says the structured plan makes her feel “more CEO than patient.” Ultrasounds every other morning track follicle growth; through voice-over she explains estradiol bloodwork and how dose adjustments keep follicles in sync. When the majority reach 18 mm, the coordinator schedules retrieval for 36 hours after a trigger injection. Jana’s final takeaway: expert guidance + precise scheduling = confidence. What seemed overwhelming now fits neatly into her Google Calendar, proving fertility preservation can be manageable for busy professionals.