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



A Fertility Doctor’s Struggle With (Her Own) Infertility

Posted by Diana Chavkin | Filed under Blog, Infertility

I am a 41-year-old woman with a one-year-old child. She is my first child. Her birth was not my first time in a delivery room, though. I’m an Ob-Gyn who had been in hundreds of delivery rooms before I was checked in under my own name. I’m also a fertility specialist who helped hundreds of other women get pregnant before I admitted that I was a specialist who needed a specialist.

Even fertility doctors can have a hard time conceiving. No matter how much help we give other people, like all human beings, sometimes we have to ask for help too.

Consider also that I was doing everything “right.” Sure I was in my late thirties when my partner and I started trying to have a baby. But I also felt young, and I am a healthy woman who exercises, eats well and takes care of myself. It should have been easy, right? Not so much. After many months of trying, we realized that it wasn’t happening.

It became harder to be around happy moms with their beautiful kids. That was something my clients often expressed when they first visited me, and here I was, having similar thoughts.

If they could do it, why not me? So I gave myself the advice I’ve given countless friends in similar situations: go see a specialist.
My doctor told me what I had told so many women: getting pregnant at age 39 can be tricky. And even though I already knew that as a fact, coming from my doctor, it still made me feel better.

Sometimes women who come to see me are shocked to learn how difficult it can sometimes be to get pregnant in their late and sometimes mid-thirties. This is in part because the media too often highlights celebrities who get pregnant in their 40’s and50’s which lets us draw the incorrect conclusion that this is the norm. What is not advertised though is that women conceiving in their late 40’s and 50’s usually conceive with the eggs of younger women rather than their own.

There are many reasons to see a fertility specialist.

Some women want to conceive faster than they are able to do so on their own. Some women have their potential pregnancies can be tested before conception in order to increase the chance that they will give birth to a healthy baby.

Some women want to use donor sperm to conceive either because they are in a same-sex relationship, because their husbands are unable to donate, or because they want to be single moms.

A young and healthy woman who wants kids “one day” may consider visiting a fertility specialist to check on the status of her eggs now. If you have a good and healthy egg supply then you may feel comfortable waiting and seeing.

On the other hand, if you are running out of eggs faster than would be predicted based on your age, you may want to make a decision earlier. A fertility specialist can help figure this out using blood tests and ultrasound.

Technology today also gives you choices your mother and grandmother never had. For instance, you may want to freeze your eggs. This would allow you to use those eggs one day in the future if you happened to have trouble conceiving down the road.

For me, deciding after a very emotionally difficult period of time to take some of my own medicine was the best thing I ever did. I saw a specialist and was treated for infertility. After a few bumps in the road, I gave birth a year ago to a little baby girl who has brought more joy to my life than I could have ever imagined was possible. I often thank her for coming into this world and making me a mommy.

So, should women eat healthily and stay fit and decrease their stress?? Absolutely! That will only increase the chance that a woman’s body will be able to house a happy, healthy and growing baby one day. But sometimes we just need some expert, outside help.




#ListenUp for National Infertility Awareness Week

Posted by admin | Filed under Blog, Getting Pregnant, Infertility, IVF

#ListenUp! In honor of National Infertility Awareness Week (NIAW), April 23-29, our infertility specialists are trying to make infertility treatment more accessible to new patients. Often, taking the first step to schedule an appointment with a physician is a difficult one. Patients don’t know what to anticipate during the initial meeting. They may be intimidated and confused.

Drs. Jane Frederick, Daniel Potter, Sanaz Ghazal and Mickey Coffler hope to break down some of those barriers by providing the following specials during NIAW. New patients can respond on the doctors’ individual Facebook pages.

* Dr. Jane Frederick and Dr. Daniel Potter: Raffles for a $500 gift certificate toward fertility treatment with the first 10 people responding getting a free “new patient” consultation voucher
* Dr. Sanaz Ghazal is offering a $500 gift certificate and five free “new patient” consult vouchers
* Dr. Mickey Coffler will be providing a $250 raffle

#ListenUp: So what happens during the initial consultation? Here’s what you should know about an initial consultation:

Your first impression
The initial consultation usually is the first meeting between you and the doctor (unless you met at one of our seminars) who will be your primary infertility specialist at HRC Fertility Orange County. Expect the appointment to last between 60-90 minutes. We encourage both partners to attend this meeting. You are in this together to make a baby!

Initial paperwork
Please try to complete the financial, administrative and medical history paperwork we send in the initial consultation packet. This includes other important documents to help us more effectively plan your care.

Become informed about your health insurance
It’s always a good idea to know what your insurance plan will pay for the diagnosis and treatment of infertility. We have experienced financial counselors who will work with you to figure out what will be covered as well as other options you can take to afford treatment.

Bring your medical records
If you have had previous diagnostic tests or treatment performed by an obstetrician/gynecologist or a reproductive endocrinologist, please arrange for the release of those records. You can either bring these records to the initial consultation or, better yet, have them sent before your appointment. You can save previous time and money with the receipt of these important documents. We do not want to repeat any unnecessary tests or procedures.

Reviewing your medical history

Your past records and the completed medical history forms will alert us to any health concerns or issues you and your partner might have. During the consultation, we will ask both partners about past medical problems, surgeries, and prescription medications they are using. With the female partner, we will discuss her OB history, previous infertility workups and treatments, and if her mother or sisters have had trouble conceiving.

We also want to know if the father-to-be has already fathered a child/gotten a woman pregnant and lifestyle factors that may affect his sperm. If he has already completed his semen analysis, the doctor will also go over those results as well.

Explaining and scheduling diagnostic testing
We will explain what each test entails and what the results will mean. For women, we will schedule blood work on day three of your menstrual cycle to evaluate your hormone levels and other key indicators of fertility, as well as an ultrasound to visualize your ovaries and pelvic cavity, and a hysterosalpingogram, a specialized x-ray to assess the anatomy of your fallopian tubes and uterus.

The male partner has it relatively simple. He must produce a semen sample to be evaluated.

Developing a roadmap to success
Our goal is to get you pregnant! The initial consultation is the first step in outlining your treatment options. Unless otherwise medically indicated, we proceed from low-tech (medication and/or intrauterine insemination) options to more complex, such as assisted reproductive technologies, including in vitro fertilization. We also discuss success rates based on age and diagnosis. We want you to feel comfortable with your treatment course.

We hope you leave the consultation with a positive viewpoint and a feeling that you are on the way to making your dreams come true.




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

Posted by admin | Filed under Blog, Infertility

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.




Not Feeling it? Change Fertility Doctors

Posted by admin | Filed under Blog, Male Infertility


Claire didn’t like her doctor. She was investigating IVF options and undergoing tests with a fertility specialist, and it had so far been a bad experience.

And a bad experience is not what Claire and her husband Rod needed. Rod had had a vasectomy more than a decade before they were married, and the couple wasn’t sure a reversal would be successful. They also didn’t have an unlimited budget to spend on fertility treatments.

As Claire recalls, despite the nicely decorated waiting room and office, “I didn’t really feel like the doctor cared that much. It was much more about how amazing he was rather than how he could help me.”

So how did she find HRC Fertility and Dr. David Tourgeman? She asked a perfect stranger personal questions.

“I happened to be just hanging out on the beach with my husband when this woman walked along behind me with two young children about two or three years old,” she said. “I heard the English accent when they were talking. I’m English, too, and I don’t usually speak to people I don’t know. It’s an English thing. But I was like, ‘Oh hi. You’re from England.’ She said, ‘Oh yes’ and she introduced me to her twins. It was really out of character for me to be so personal with someone I don’t know, but I asked if she had her twins with IVF and she said yes. She told me Dr. Tourgeman had helped her and gave me his information.”

Claire went in for a consultation. She quickly discovered the whole attitude at HRC Fertility’s West Los Angeles office was different than the previous office. Claire knew she had found the right doctor in Dr. Tourgeman to help her build her family with Rod.

“He was so warm, friendly and personable, eager to help, and interested in hearing about me rather than just interested in talking about himself,” she said. I got a whole different feeling there, and it was a much better experience. “

Claire felt she had found a great doctor to help them start their family together. She was right. They are the proud parents of their daughter Hadley, nearly eight months old. She credits the care of Dr. Tourgeman and his staff for helping her to stay relaxed and comfortable throughout the treatment—a factor she considers a large contributor to her success.

“I think it’s really important for IVF to be successful that you feel happy and relaxed and comfortable,” she said. “And I definitely got those feelings from Dr. Tourgeman and his staff.”




True Infertility Success Stories: The Uncertainty of Secondary Infertility

Posted by admin | Filed under Blog, Egg Donation, Uncategorized

Erica and her husband wanted to give their son a sibling. Little did they know that since their son had been born two years earlier, something had changed.  The couple now suffered from secondary infertility, the inability to become pregnant or carry a child to term after the successful birth of other biological children. Readmore ….