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Fertility Treatments for International Patients
FERTILITY DOCTOR SAN DIEGO
Fertility Treatments for International Patients
Dr. Hosseinzadeh’s over 25 years experience along with her commitment to do what is best for the international fertility patients makes her uniquely qualified to take care of you.
Her many years of experience gives her the ability to tailor your treatment to suit your needs with respect to the amount of time you are able to spend in our wonderful city of San Diego.
We offer video consultations to facilitate the process in order to gather the information, order the necessary diagnostic tests and review the treatment options. Many of our international fertility patients are able to have their testing done locally, near their home as well as some of their monitoring. Prior to starting your treatment cycle, you will be given a calendar of when to anticipate your procedures and we will be with you at every step of the way, to hold your hand, give guidance and answer all your questions.
Once you travel to San Diego, Dr. Hosseinzadeh will conduct all of your appointments, unlike larger practices where you are treated by a variety of physicians and no one really knows your specific situation personally.
We offer quality care in a small, boutique setting. Some of the types of treatments we offer our international patients are listed below:
In Vitro Fertilization
Depending on your situation, you may opt to travel to San Diego for the entire IVF cycle, including stimulation, egg retrieval and embryo transfer. For some patients, the first part of the stimulation regimen can be monitored by your OBGYN at home and the results are communicated to Dr. Hosseinzadeh who will be making all decisions regarding the dosage of your medications. Once the follicles are larger, you will travel to San Diego and have the egg retrieval performed. The eggs will be fertilized with ICSI and cultured to the blastocyst (day 5/6) stage. The blastocysts will undergo biopsy for PGT-A and then cryopreserved or frozen. Once you have at least one euploid (genetically normal) embryo, you will then be prepared for a frozen embryo transfer (FET) cycle. This will require injections and the embryo transfer is usually performed under ultrasound guidance. You will be able to fly home 2 days after the embryo transfer. About 9 to 11 days after the embryo transfer, you will take a blood pregnancy test.
Read more about our In Vitro Fertilization Program here.
Preimplantation Genetic Testing for Aneuploidy (PGT-A)
Our protocol is to bank embryos at the blastocyst (day 5/6) stage after embryo biopsy for Preimplantation Genetic Testing for Aneuploidy (PGT-A) is performed. After each egg retrieval, embryos are cultured to the blastocyst stage at which time embryo biopsy is performed for PGT-A. Following the biopsy, the embryo is frozen using vitrification (flash-freezing method).
The purpose for the PGT-A is to determine which embryos are chromosomally normal and therefore most likely to develop into a healthy pregnancy. These blastocysts can stay cryopreserved for many years thereby preserving your reproductive potential.
Read more about our Preimplantation Genetic Testing Program here.
Egg Donation
Frozen Embryo Transfer Cycle:
In this scenario, the donor is monitored, the eggs are harvested, fertilized and the resulting embryos are grown in culture and usually cryopreserved or frozen at the blastocyst stage. A sperm sample will be required on the day of the egg retrieval, and depending on your circumstances either a fresh sperm sample or alternatively a frozen sperm sample that is stored in our institution can be used. Following this, the cycle of the intended parent is coordinated so that the approximate day of the embryo transfer is predetermined at a time that is convenient for you. You may begin the preparation for this cycle at home and arrive in San Diego closer to the time of the embryo transfer.
Read more about our Egg Donor Program here.
Gestational Carrier
You are the one who chooses the surrogate. She may be a family member, friend or chosen from a Surrogacy agency. The surrogates undergo an extensive screening as well as psychological assessment. They must also give informed consent for the procedure. Surrogates are also required to execute a legal contract.The process will vary depending on whether the intended parent will be providing the eggs or using an egg donor. In the case where the intended parent is providing the eggs, your cycle will be similar to a long-distance IVF cycle. If you plan on using an egg donor, then your cycle would resemble that of a long-distance egg donation cycle.
Read more about our Gestational Carrier/Surrogacy Program here.
Egg Freezing
What is Egg Freezing?
The American Society for Reproductive Medicine no longer considers egg freezing or cryopreservation experimental. Egg freezing involves stimulating the ovaries with gonadotropins, undergoing an egg retrieval to extract the eggs, freezing and then storing these eggs. The eggs can be stored for several years and when one is ready to use them, the eggs are thawed, fertilized with sperm to create embryos and transferred into the uterus.
Advances in cryoprotectants and the new vitrification protocols have resulted in significant survival rates compared to the slow freezing protocols used in the past. This innovative procedure better protects the delicate cell structure of the unfertilized egg by preventing the formation of ice crystals in the egg and as a result they are less likely to fracture upon thawing.
This new technology has revolutionized the field of reproductive medicine in that for the very first time, women now have a means to stop their biological clock. To date, approximately 2,000 babies have been born from frozen eggs. There appears to be no increased risk of birth defects when compared to the general population.
Who Would Benefit From Egg Freezing?
Some of the patients who would benefit from egg freezing include:
- Women diagnosed with cancer prior to undergoing chemotherapy or radiation therapy.
- Women undergoing IVF for whom embryo freezing or cryopreservation is not an option for ethical, religious or moral reasons.
- Women who must undergo surgery to remove their ovaries due to diseases such as endometriosis.
- Women with a family history of premature menopause who may wish to freeze eggs before their eggs are depleted at an early age.
- Single women in their 20s and early to mid 30s who desire to delay becoming pregnant due to the pursuit of career or educational goals, not having met their life partner, or for other personal or medical reasons.
Is Egg Freezing For You?
If you are considering egg freezing, we ask that you contact us to set up an appointment, as your success rates will depend on several factors. The most important factors that come into play will be your age and your ovarian reserve testing. The younger you are and the more eggs that you have, the greater the likelihood for success.
In order to be able to counsel you with a greater degree of accuracy, we will first need to assess your ovarian reserve or egg quality. This consists of a blood test to measure your anti-Müllerian hormone (AMH) and a transvaginal pelvic ultrasound in order to measure your total antral follicle count (AFC). With this information in hand, Dr. Hosseinzadeh will be in a better position to counsel you regarding whether you are a candidate for this procedure.
How Many Eggs Should I Bank To Achieve a Pregnancy?
In good prognosis patients, thaw rates of 75% and fertilization rates of 75% are to be anticipated. In women under the age of 35, it is recommended to have at least 10 eggs to freeze and 20 eggs if you are 35 years or older. Unfortunately, women over the age of 35 usually require multiple stimulation cycles in order to be able to freeze this number of mature eggs.
Patients must be cautious and understand that there are no guarantees that they will have a baby even if they freeze this number of mature eggs. Also, not all pregnancies will result in a baby, as approximately 15% of patients will have a miscarriage.
Family Building Options
There are many ways to help our patients achieve their goal of becoming parents depending on what your situation and diagnosis maybe. We tailor the treatments to your needs with the compassionate care that you deserve. Dr. Hosseinzadeh will review all of the options available to you so that you can make an informed decision of what best suits you.
Family Building Options for Women:
Some of the treatment options available are:
- Donor insemination by intrauterine insemination is an option for single women and lesbian couples. The sperm donor may be someone known to you or you may select a donor from a sperm bank. This approach will allow you to have a biological connection to your child.
- Same sex couples also have an option through IVF in which one partner undergoes the ovarian stimulation and egg retrieval and the resulting embryos are transferred into the uterus of the other partner to carry the pregnancy. This way both partners are contributing and sharing in the experience of making their dreams a reality.
Family Building Options for Men:
Some of the treatment options available are:
- Single men and gay couples can use an egg donor and a “gestational surrogate”. In this scenario, IVF is used. The egg donor undergoes ovarian stimulation and an egg retrieval. The eggs from the egg donor are fertilized with the sperm from the intended father. In the case of gay couples, the eggs can be split between the sperm of both intended fathers. This will allow each intended father to have their own biological children. Subsequently, one to two embryos are transferred into the uterus of the gestational carrier, who in this case has no biological connection with the child.
Out of State and International Fertility Patients
Dr. Hosseinzadeh’s over 25 years experience along with her commitment to do what is best for the patients makes her uniquely qualified to take care of you. Dr. Hosseinzadeh will conduct all of your appointments, unlike larger practices where you are treated by a variety of physicians and no one really knows your specific situation personally. We offer quality care in a small, boutique setting. Her years of experience gives her the ability to synchronize and coordinate the cycles of donors, surrogates and the intended parent in order to simplify the process for patients who are required to travel to our center. You will be given a calendar of what to expect and we will be with you at every step of the way, to hold your hand, give guidance and answer all your questions.
Fertility Treatments for International Patients
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Meet Our Fertility Specialist
Dr. Minoos Hosseinzadeh
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