Our high pregnancy rates result from applying advanced fertility treatments in a caring and empathetic environment.

recent article



Using an Egg Donor to Help with Secondary Infertility

Amy, a 48-year-old medical marketing executive from San Clemente, easily conceived her three older children: an 18-year-old son and 16-year-old daughter from her first marriage and a three-and-a-half year-old from her second.

However, Amy and her husband Diego wanted a sibling for their youngest. After trying unsuccessfully to conceive, the couple realized they were facing secondary infertility and would need the help of an infertility specialist. Amy’s OBGYN recommended Dr. Jane Frederick. Dr. Frederick suggested Amy go through one round of IVF to see if she could produce any of her own eggs, but none were found.

“Of course it was disappointing because we’d been so hopeful,” recalls Amy. “In the same discussion, Dr. Frederick recommended egg sharing as a solution.”

The couple quickly found a donor who looked like Amy and had been matched with one other person. Within a week, they were matched with her. Four out of the five fertilized eggs proved viable, and Amy and Diego chose a male embryo. The best news: Amy became pregnant with her first donor cycle, had a model pregnancy and gave birth to Sam earlier this year.

Though Diego never had second thoughts about using an egg donor, Amy tried to reconcile their objective to expand their family with new technology.

She says, “I kept reflecting on the bigger picture of what we were trying to accomplish while being in awe of the new advances that could be executed so easily. In the back of my mind, I feared I might feel differently about a child not genetically related to me. But those concerns immediately evaporated when Sam was born.”

Overall, Amy says she had an amazing experience with Dr. Frederick and her staff. Though the process was complex, she applauds the HRC Fertility team members for being great communicators, educators and problem solvers who were available whenever they were needed.

“We felt cared for from the first appointment until we delivered our baby — and even after that,” she says. “Dr. Frederick and all the employees seemed genuinely happy for us, like we were partners working together to achieve our goal. She and her staff held our hands through a nerve-wracking experience and gave us the best possible outcome. We will always consider Dr. Frederick Sam’s first doctor.”




Dr. Frederick Patients Resilient During Fertility Treatment

Anna Marie and Michelle Carreno-Bolong knew as a same-sex couple they would need assisted reproduction to fulfill their dream of becoming parents. The thirtysomething married couple obviously love kids; they are owners of a children’s gym in Redondo Beach.

In 2014, they began their journey to parenthood by making several appointments with an Orange County fertility specialist who, they felt, lacked the compassion the couple was seeking. After a friend recommended HRC Fertility, Anna Marie and Michelle decided to seek treatment with Dr. Jane Frederick.

Anna Marie recalls, “Dr. Frederick exuded warmth and kindness. Right from the start, I knew we’d made the right choice.”

Despite the fact that Michelle failed to get pregnant after several IUIs and Anna Marie miscarried after her first IUI, the couple never lost faith in their new team and in their own resilience.

“Dr. Frederick and her staff were genuine in their emotions and were excellent communicators–always making us feel a part of their family,” says Anna Marie. “When we suffered the heartbreak of the miscarriage, they gave us space to mourn the loss and prepare ourselves emotionally and physically before moving on to IVF.”

After their break, Anna Marie and Michelle returned to HRC Fertility in February 2015 to undergo an IVF cycle. Because they didn’t want to experience more losses, Anna Marie and Michelle decided to have their embryos genetically tested. Those two beautiful embryos led to the birth of their eight-month-old twins.

Anna Marie and Michelle will always feel forever blessed for their two little ones, but also extremely fortunate they selected the right professionals to help them make their dreams come true. Their experience with the two clinics was like night and day. In fact, they’ve already recommended HRC Fertility to one friend who will be undergoing reciprocal IVF, and are looking forward to referring more.




Important Points About Unexplained Infertility

unexplainedFor couples who have been trying to get pregnant for months or even years, hearing they have a ‘diagnosis’ of unexplained infertility can seem like a double blow, both physically and psychologically. Please keep this in mind:

You’re not alone
Unexplained infertility affects approximately 15% of couples. It is defined as the lack of an identified cause for a couple’s inability to conceive after 12 months (or six months for women 35 and older), despite evaluation of: tubal potency and a normal uterus; adequate ovulation; and, a normal semen analysis.

There are many treatment options
Though you may not receive an official diagnosis with unexplained infertility, it does not mean that unexplained infertility is untreatable. The prognosis for unexplained infertility is directly dependent on the female partner’s age.

Treatment options include Clomid combined with IUI. If that is not successful after three for four cycles, IVF is generally recommended. In fact, results from FASTT*, the fast track and standard treatment randomized clinical trial, showed that it made more sense financially and emotionally to refer patients with unexplained infertility to IVF after failed IUIs versus advising more IUIs with injectable hormone medications.

In addition, laparoscopy will be offered to patients with symptoms suggestive of endometriosis or pelvic adhesions.

IVF can be a diagnostic tool
Once a patient undergoes IVF, we might discover factors we did not know about previously, such as poor egg quality, embryo development or implantation. Having the ability to look at these variables under laboratory conditions can help us assess a reason for your infertility.

Having no diagnosis can be frustrating
Having no diagnosis is often stressful and very frustrating. People generally do better knowing that there is an identifiable reason for their difficulties, and that there is a solution for it. Unexplained infertility is associated with a lot of uncertainty and creates typically high stress and frustration, more so, of course, when treatment fails.

You can optimize your fertility
In addition to standard courses of treatment, many patients feel better emotionally and physically when they take steps to live a healthier and more mindful lifestyle, which also may benefit their fertility. Eating healthy, exercising, and incorporating mind/body techniques can help you feel more in control.

As always, please feel free to contact us if you have any questions about this or another fertility topic.




Four IUI Cycles + Dr. Jeffrey Nelson = One Beautiful Baby Girl

Even though her infertility journey was a roller coaster ride emotionally, Carrie is grateful to be able to call herself a mother.

After a year and a half of trying to conceive, Carrie and her husband realized they needed professional help. At 35, she knew her age might be a factor in addition to an underlying medical condition. The couple, living in Chicago at the time, consulted a local fertility doctor who conducted preliminary testing and made treatment recommendations. But as often happens, life got in the way and Carrie and her husband found themselves moving to California because of a job promotion.

Once in California, Carrie learned about HRC Fertility and Dr. Jeffrey Nelson from a friend’s mother and she immediately made an appointment with him so the couple could move forward with treatment. Not only was he highly recommended, his office was convenient to her new home in Pasadena.

Everything moved quickly once they made an appointment. “Dr. Nelson accepted all the paperwork and test results from our first doctor, which saved us a lot of time and money,” says Carrie. “What he recommended for treatment, however, was different. Our Chicago doctor thought we should start with Clomid, but Dr. Nelson felt that would be unnecessary since I didn’t have a problem with ovulating.”

The couple threw themselves into treatment and, within a month, they had started the first of four intrauterine insemination (IUI) cycles. Luckily, they got pregnant with their baby girl on the final round before they would have moved onto IVF.

“Emotionally, you are up and down,” recalls Carrie. “You start your cycle full of hope, but lose it when you receive a negative pregnancy test. The HRC Fertility nurses were wonderfully supportive, however, as was Dr. Nelson. They answered all my questions and were calming and reassuring. I felt I was in good hands even though it was a difficult time.”

Through fertility treatment can feel scary, Carrie advises others to find a team of professionals like she had with Dr. Nelson and the nurses at HRC Fertility. Though her infertility journey was literally one with a cross-country move, she couldn’t be happier with the result: her newborn daughter.




IVF with Dr. David Tourgeman: Fast Track to Baby

At 45, Sharon was hoping she and her husband had not missed their opportunity to have a baby. They had been trying to conceive for the previous four years, but Sharon’s husband was reluctant to try high-tech treatments, instead opting for acupuncture and other low-tech methods. Their inability to conceive was frustrating because their could not find any reason for their infertility.

Last year, Sharon convinced her husband to schedule a consultation with Dr. David Tourgeman in HRC’s West LA office. “From my perspective, it was now or never,” said Sharon. “We were nervous, but Dr. Tourgeman reassured us that we could try IVF with my own eggs. However, he also was realistic about our chances due to my age. When he conducted some in-depth tests, he found I had small growths in my uterus and suggested I have surgery to remove them before proceeding with IVF.”

From that point, Dr. Tourgeman moved swiftly. Within a month, Sharon completed testing, had surgery and underwent her first IVF cycle. As she recalls, her first appointment was in June and she was pregnant in July.

Dr. Tourgeman transferred two of the three embryos created and Sharon became pregnant with her now seven-week-old daughter.

“Our baby truly is a miracle. We knew our odds statistically were very low, but felt we needed to take this one last stab before moving forward. We are so grateful to Dr. Tourgeman for listening to us, honoring our wishes and being so knowledgeable and compassionate.”

Sharon has enthusiastically referred several friends to HRC and Dr. Tourgeman. Knowing she and her husband were lucky, she also advises them to seek treatment as soon as they suspect a fertility problem. In addition, she recommends that patients manage infertility stress by taking one step at a time, celebrating each one as an achievement–versus only focusing on the goal of having a baby.

That is wise advice for a more stress-free journey!