IVF

Lane Fertility Institute

Fertility Specialists & Infertility Specialists located in San Francisco, CA & Novato, CA

Families struggling to conceive from Novato, San Francisco, The North Bay and nearby locations have benefited from the IVF treatments provided by Dr. Lane and her experienced team at the Lane Fertility Institute.

IVF Q&A

What is In Vitro Fertilization?

In vitro fertilization, or more commonly known as IVF, is a procedure used to help infertile couples conceive a child. The procedure is complex and takes place outside of the womb and is typically used when other treatments have not been successful. IVF involves five steps. In the first step, the patient takes injections to stimulate the ovary to mature multiple eggs at the same time. Then the eggs are retrieved and placed with sperm in a dish, or in some cases, a single sperm is injected into the egg to achieve fertilization.  Once the embryos are formed, they are placed inside the woman’s uterus via a catheter. If there are additional embryos, they are frozen for future use if the treatment is not successful.

What Actually Happens During Hyper-stimulation of the Ovaries?

Typically, the patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This is the same hormone a woman’s body produces naturally to cause one egg to develop. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What Happens During Egg Retrieval?

When the follicles have developed enough to be harvested, the patient is anesthetized at the Lane Fertility Clinic Surgical Center. Then an ultrasound probe is used to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle withdraws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What Happens to the Eggs?

The harvested eggs are then fertilized. If the sperm has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely sharp glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the Embryos Transferred Back to the Uterus?

The doctor and the patient will discuss the number of embryos to be transferred. This number is usually determined by the the number of eggs successfully fertilized.  Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient schedules two pregnancy tests to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Insurance Providers

We contact with a limited number of insurance companies. When contracting with insurance companies, providers are often forced to increase their fees to ensure maximum reimbursement. We believe that this negatively impacts that majority of our patients who are without insurance benefits. Therefore, we have chosen to not take this approach. After doing the research, we can assure you that the majority of our patients benefit from our lower cash pay system. In addition, because of our unique patient care model, patients typically find that their care is so well stream-lined and carefully administered that their overall costs are still lower than what they “paid other places”. Questions? Call today and let us help with information about in vitro fertilization cost, IUI cost, fertility test for men, fertility test for women, genetic testing pregnancy or anything else you may need. Our patients come to us from San Francisco and The North Bay, Novato (Marin County), Santa Rosa and nearby areas.

Aetna
Blue Cross
Cigna
Health Net
Multiplan, Inc.
PHCS
Progyny
SutterSelect
UnitedHealthcare
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