Fertility treatments at TLC LA

Minimal treatments:

Our philosophy is to provide you with a treatment plan tailored to your situation. We always attempt to restore your natural fertility first and aim to avoid complex fertility treatments. We like to perform a monitoring cycle and check if there is a hormonal imbalance that can be easily fixed. Especially in cases of irregular periods, simple treatments can create miracles. We also typically evaluate your partner with a semen analysis and hormonal workup.

AMH testing and consultation

AMH testing provides insight about the number of remaining eggs in the ovary. It is a valuable tool for women at any age. It can help determine the risk for premature ovarian failure. We strongly recommend this test to every woman who plans to reproduce in the future. We are happy to provide you with our special offer for an AMH test and consultation. You can get tested across the United States regardless where you live.

 

Timed Intercourse

The most basic form of treatment, which assists patients’ timing of intercourse around their most fertility days of the month. Find out more about this important element of conception. We determine your ovulation with monitoring your ovulation and help you identify your most fertile days. The ultrasound evaluation provides more insight than any other fertility app. We can ensure your follicle ruptures and your egg is released. In rare cases you might be diagnosed with LUF (luteinized unruptred follicles) or luteal phase insufficiency.

Ovulation Induction

Some women experience inconsistent ovulation, which can make conception difficult. They suffer from irregular or complete absence of menstrual periods. In many cases, simple fertility treatments with oral medication (Clomid, Letrozole, Tamoxifen) can fully restore the natural ovulation process. The effects can be quite impressive and once the ovulatory dysfunction is fixed, patients can mature eggs again and get pregnant naturally.

Intrauterine Insemination (IUI)

IUI increases the number of sperm that can reach the Fallopian tube, subsequently increasing the chance of fertilization. This treatment offers sperm an advantage by giving it a head start. Sperm also bypasses the cervical mucus that in some cases inhibits the sperm progression. Best results are achieved when the IUI is performed exactly at the time of spontaneous ovulation. An artificial ovulation trigger in form of hCG (pregnancy hormone) can further optimize insemination timing.

Advanced fertility treatments

Supraovulation with gonadotropins

Aka controlled ovarian hyperstimulation. The process of inducing a woman to release more than one egg in a month. It’s different from ovulation induction, where the goal is to release one egg a month.

In Vitro Fertilization (IVF)

A more advanced procedure, in vitro fertilization (IVF) refers to when a physician will remove eggs from your ovaries. These eggs are fertilized by sperm inside the lab. IVF has the highest success rate of treatments that use your own eggs or sperm.

Intracytoplasmic Sperm Injection (ICSI)

This treatment involves the direct injection of sperm into eggs obtained during in vitro fertilization (IVF). Once the steps of ICSI have been completed and fertilization has succeeded, the embryo is transferred to the woman’s uterus.

Frozen Embryo Transfer (FET)

A frozen embryo transfer is a type of IVF treatment where a cryopreserved embryo (created during a full IVF cycle) is thawed and transferred to a woman’s uterus. The cryopreserved embryo can be from a woman’s previous conventional IVF cycle or it can be a donor embryo.

Elective single embryo transfer (eSet)

This treatment involves identifying an embryo with a strong chance of successful pregnancy, then transferring that single embryo to the uterus. The lab “freezes” any additional healthy embryos for future use.

Mini IVF

Aka micro or minimal stimulation IVF. Similar to conventional IVF in the creation of the embryo happens outside of the body during treatment. What’s different is how much medication is used to stimulate the ovaries to produce eggs. While typical IVF aims to produce a higher number of eggs for retrieval, mini-IVF uses weaker medications or lower doses of medications to produce only a few eggs. It may also be done without any ovarian stimulating drugs and then it becomes natural IVF.

Natural IVF

Natural cycle IVF is a treatment similar to traditional, or stimulated, IVF, but without the use of medications to stimulate the ovaries to produce multiple eggs. It may appeal to those who dislike medications

Gender Selection (PGS)

This is a process where embryos are selected by their sex chromosomes during an IVF cycle in order to produce a male or female offspring, according to the wishes of the parents. This may be considered when possible medical issues arise that are linked to x chromosome disorders

Egg Freezing & Fertility Preservation

The process of saving or protecting eggs, sperm, or reproductive tissue so that a person can use them to have biological children in the future. Women freeze their eggs in order to proactively plan for their future as potential mothers. Social egg freezing has quickly become the next logical step for women who wish to hold on to the dream of motherhood, but aren’t in the right situation to have children or are unsure.  When you are ready to take the next step in becoming a mother, whether it be through sperm donation or you and a partner find difficulty conceiving, your frozen eggs provide a backup option.
The first step is for a woman to see her fertility doctor for an ultrasound and physical exam. On ultrasound the ovaries are measured and the number of follicles determined. A treatment calendar with a schedule of injectable fertility drugs is initiated. Using fertility medications for approximately ten days, multiple eggs begin to mature in the ovaries. Under sedation, the eggs are retrieved, a process that takes about 10-15 minutes. The eggs are then cryopreserved and placed in frozen storage. At a later time, the eggs can be thawed, inseminated with sperm (ICSI is recommended), and the embryo(s) created transferred back into the uterus to develop into a pregnancy.

Preimplantation Genetic Diagnosis for single Gene disorders

This test allows patients who are carriers or who are affected by genetic diseases to select unaffected embryos for transfer before becoming pregnant.

Preconceptional Genetic Testing

Aka carrier screening - this test is a way for a paent to get a glimpse at their own genetic makeup and see what they may pass on to future children. A future parent may determine their risk of having a child with a genetic disorder. Being a carrier means you don't present with any symptoms but that you have the gene and could potentially pass it along to your offspring.

Tubal Reversal Surgery after Tubal Sterilization

This is a surgical procedure to restore fertility after a woman has had a tubal ligation — a process that cuts or blocks the fallopian tubes to prevent pregnancy. During reversal, a surgeon will reopen, untie, or reconnect your fallopian tubes.

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