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

04/10

2017

#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.

Share

03/15

2017

HRC Fertility Free Seminar a Game-Changer

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

Margot had a gut instinct that she might have polycystic ovary syndrome, or PCOS. Though she is thin, Margot experienced irregular periods and suffered from bouts of acne. However, every doctor insisted Margot was fine, even though she and her husband had been trying unsuccessfully to get pregnant for just over one year. Luckily, Margot persisted in discovering the truth behind her inability to conceive and is now the mother of a 20-month-old toddler, Asher.

A registered nurse, Margot and her husband both wanted to start a family soon after they were married in 2013. Unfortunately, Margot’s search for a gynecologist who could confirm her diagnosis proved fruitless until she attended one of HRC Fertility’s free seminars in Fullerton. As part of the event, Margot was offered a free consultation with an infertility specialist. She and her husband scheduled an appointment with Dr. John Norian at HRC’s Rancho Cucamonga office.

“Within the first five minutes of meeting him, Dr. Norian was convinced I had PCOS,” recalls Margot. “An ultrasound confirmed my ovaries were polycystic. Dr. Norian reviewed all of our treatment options, including intrauterine insemination (IUI) and in vitro fertilization (IVF). However, my husband was unsure about IVF. Fortunately, Dr. Norian was very accommodating and didn’t want us to feel any pressure about how to proceed.”

The couple decided to undergo several rounds of treatment with the medication Letrozole. Though the first cycle didn’t work, Dr. Norian carefully monitored Margot with ultrasounds and the couple achieved success on their second cycle. Margot learned she was pregnant on her 33rd birthday!

She says, “We were fortunate that HRC had an incredibly encouraging and supportive staff. Infertility presents you with such a roller coaster of emotions and it was wonderful to have a great group of nurses and an outstanding doctor who understood our journey.”

Margot recommends that others follow their intuition and find a specialist who has expertise in infertility, adding, “It will save you a lot of pain and heartache if you do. Even if you have to go without your partner, it will give you peace of mind.”

Share

03/07

2017

Frozen Embryo Twins, Thanks to Dr. David Tourgeman

Posted by admin | Filed under All About Eggs, Getting Pregnant, IVF

Traci’s children Connor and Cassie are two years apart, yet their origins began at the same time in the HRC Fertility laboratory. Like many IVF babies, they are frozen embryo twins.

Traci and her husband began trying to get pregnant about a year after their 2011 wedding. When nothing happened, Traci sought the advice of her gynecologist, who found that her progesterone levels were too low to sustain a pregnancy. After several months of taking Clomid without getting pregnant, her doctor referred her to Dr. David Tourgeman at HRC.

Dr. Tourgeman initially recommended three rounds of IUI. When those didn’t work, the couple decided to undergo IVF, which produced four embryos. Dr. Tourgeman transferred the two healthiest embryos, one of which became Connor.

“After Connor’s first birthday, we decided to transfer the other two stored embryos even though the prognosis for their development wasn’t all that optimistic,” Traci recalls. “There was only a 30 percent chance of pregnancy, but luckily one developed into our new baby daughter Cassie.”

Traci is very appreciative of the support she received from HRC, adding, “The staff can make or break a patient’s experience because we’re visiting the clinic so often. Most of the nurses were experienced working in the infertility field, plus they had children of their own and understood how important this was to me. Dr. Tourgeman and the entire staff were excellent at explaining what I needed to know about my cycle to make it a success.”

Traci is enjoying her new role as the busy mother of two young, active and healthy children. She is also thankful for the many wonderful infertility resources that were available to her and her husband. Going forward, she is happy to be part of the conversation to help people talk more about infertility. Even though the process was emotionally challenging, Traci knows she was in the best of hands with HRC.

Share

08/29

2016

A Four-Year Infertility Journey has a Happy Ending

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

When Lori gazes at at her adorable infant daughter Kai, she realizes the heartbreak and frustration of her four-year infertility journey was worth it.

Lori’s and husband Sean’s path to parenthood was complicated. It included treatment from her OBGYN and two local fertility clinics in Phoenix, as well as an ectopic pregnancy, one failed IVF cycle and three devastating miscarriages. After those providers failed to find the answers to their infertility problems, Lori and Sean decided to look elsewhere for an IVF clinic.

Sean’s online research took them across state lines to Orange County California and Dr. Jane Frederick, where their experience exceeded their expectations.

From day one with their Skype consultation, the couple knew they had found the right doctor. “We were so impressed by Dr. Frederick’s confidence and compassion,” said Lori. She reassured us we could make our efforts work. It was the first time we felt we had met a doctor who understood our pain.”

The couple found that living out of state wasn’t an issue because Dr. Frederick’s office was so organized. The office went out of its way to accommodate their busy schedules and helped coordinate testing and monitoring with Arizona clinicians. Lori and Sean only traveled to California when it was necessary for the IVF retrieval and transfer.

LoriAllen3

The two found all staff to be helpful, reassuring and positive, especially Dr. Frederick’s coordinator Priscilla. They felt they had access to Dr. Frederick or her staff at all times via email or phone.

Lori and Sean were understandably anxious because of their previous losses. So while they were thrilled to learn they they were pregnant, they were also concerned when their hCG levels started dropping. The HRC staff, however, alleviated their fears by communicating with the couple and their local physician.

“I would fly from anywhere in the country to have Dr. Frederick as my doctor,” said Lori. “She and her staff gave us hope and understanding when others didn’t.”

As a health nurse manager, Lori realizes how rare it is to find a doctor with the same level of care, concern and professionalism as Dr. Frederick. She always made Lori and Sean feel like they were her only patients, now matter how busy she might have been. That, she pointed out, is a rare combination and Lori hopes other couples take advantage of Dr. Frederick’s expertise and compassion.

Share

07/15

2015

Fresh vs. Frozen Embryo Transfers

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

Couples undergoing IVF treatments have to make a lot of decisions: how many cycles to prepare for; how many embryos to transfer;  whether to transfer “fresh” embryos right away; and, or wait to transfer “frozen” embryos.

Carrie and Steve were patients of Dr. Jane Frederick, and were following her recommendation to start IVF treatment. They chose to transfer two embryos right after their egg harvest and fertilization, a common decision for patients doing IVF.

Unfortunately, Carrie did not become pregnant. The couple was disappointed, but still hopeful.

“I’m not a doctor, so I don’t know all the pros and cons of fresh versus frozen,” Carrie said. “But I have read that frozen transfers can be more successful with some women.”

After waiting a few weeks to let Carrie  get back on schedule, the couple went back for another transfer of two more embryos that this time had been frozen and thawed.

Frozen and thawed turned out to be the magic formula. Carrie and Steve are now the proud parents of 18-month-old Kenzie and 16-weeks pregnant with their second child, also a girl.

“I don’t know why it worked,” said Carrie. “For the first cycle, I’d just been through all the drugs to stimulate egg growth and harvesting. But from a patient perspective, I don’t think there was any difference between the transfers that I noticed.”

Both Carrie and Steve agreed that the shots were the most difficult part of the cycles.

“My part was easy compared to what she had to go through with the shots,” noted Steve. “I think that was the most difficult part for me, watching her get those shots and watch her be in discomfort.”

“Yes, but that being said, I would do shots everyday to get what we got out of it,” added Carrie.

Every couple must decide for themselves what works with their treatment, including when to transfer the embryos. For Steve and Carrie, they were successful with a frozen embryo transfer—twice. All the decisions and the waiting and even the shots were worth it.

Share