A Leader in Fertility Options
RSMC’s mission is to provide all necessary resources to help make fertility treatment and options as streamlined as possible while offering our personal touch. We are a team of individuals with over 150 years of experience in IVF and third party reproduction and are dedicated to growing your family tree.
Under One Roof
RSMC offers a comprehensive, end-to-end solution to all fertility challenges under one roof. Our services include diagnosis and testing, various IVF treatments, surrogacy, egg donation, personalized OB/GYN care and legal counsel. You can be assured that you will receive the very best and consistent care without having to shuttle from one specialist to another.
Additionally, RSMC offers a Guarantee Program, allowing patients to enter the process with confidence and financial peace of mind. RSMC never declines service to patients regardless of nationality, sexual orientation, or marital status. To learn more, please contact us.
Infertility Is More Common Than You Think
Infertility is the inability to conceive a child naturally and affects both men and women. Though you may not know someone who is having difficulty conceiving, it is much more common than you think. According to Center for Disease Control and Prevention (CDC), approximately 12 percent of women ages 15 to 44 in the U.S. alone have difficulty becoming or staying pregnant.
The ways in which couples or individuals discover infertility may vary, but most couples experience these four phases:
Phase 1: Conceiving Naturally
After you and your partner have decided it’s time to start a family, you both stop using birth control and let nature take its course. At this time, you may not be tracking your fertility window and may be having sex whenever the mood is right.
Phase 2: Mild Concern
It’s been a couple of months and your period continues to be consistent and on time. You may start to wonder if your timing is off. During this phase, you may try to be more clever and start utilizing ovulation trackers to understand your fertility window.
Now that you know when you are ovulating, you plan accordingly, hoping for a positive result. Unfortunately, no signs of pregnancy occur. You start to become concerned and compare your situation to those of your friends and family who were able to conceive in the same amount of time.
Phase 3: Uneasiness
It’s been months, maybe a year, since you’ve started trying. Tracking your ovulation and planning accordingly has not been successful. You and your partner start to google reasons why you’re not able to conceive with the hope of finding a new method. You try the recommended methods, but the result is the same. Uneasiness sets in and you both decide it’s time to see a fertility specialist.
Phase 4: Diagnosis
While seeing your reproductive endocrinologist, you discuss your efforts and failed attempts. Your doctor may draw blood, test and evaluate hormone levels, as well as collect a sperm sample from your partner. There are several tests and evaluations your doctor will use to determine infertility. (Infertility Diagnosis and Testing) Once lab results are back, your doctor will discuss the treatment options and next steps. While the road leading to this point may not have been easy, you are not alone.
Our medical team at RSMC will help you have the family of your dreams. We specialize in challenging cases and are dedicated to helping you achieve your family goals.
Everything You Need to Know About IVF and Surrogacy/Egg Donation
Assisted reproductive technologies (ART) have come a long way and may be the solution to your infertility challenges. Couples can alleviate some of the anxiety by educating themselves on their options. It critical to get the right advice from an experienced physician.
Reproductive Sciences Medical Center differs from other fertility centers in that we are the only medical center to offer all fertility solutions and services under one roof. Since 1995, our team has successfully helped thousands of families to successfully realize their dream of a baby.
For more information on infertility, IVF, surrogacy and egg donation please click here to download this FREE e-book co-authored by Dr. Harari and Yingru Li.
Damon and Rick, Los Angeles, CA
When my partner and I decided we were ready to build a family, we didn’t exactly feel ‘welcome’ by the first two clinics we visited. But when we met the great doctor and the rest of the staff at RSMC, we knew they were as enthusiastic about our family as we were.
Ned and Tammy H., Chicago, IL
Like a lot of people, we were nervous about what we could afford when the news about the economy just kept getting worse and worse. But when we realized we had a financing option, and that it was so simple to use, we agreed we couldn’t put off our family anymore.
Y.L., San Diego, CA
Because I am Chinese and grew up in a medical family, I have used many Chinese therapies to try to overcome infertility issues. However, after 6 years of trying and numerous Chinese doctors (Acupuncture, herbs, etc.), there was still no success in sight. We went to another IVF clinic and did not get pregnant in the first cycle.
Skye and James G., San Diego, CA
My husband and I struggled for over a year to have children before we went to visit RSMC. The IVF process is grueling on all parties involved. The center’s staff were amazing. They made us feel right at home and so comfortable with the process. I was lucky enough to get pregnant the first time around.
Two and a half years later Jagger is such a great kid and so smart! He makes us laugh each and everyday. He is quite the character. He LOVES music (it might be because of his rock star name or just a coincidence). He knows songs by heart and has some “mean” dance moves to go with them. He loves to read. He would much rather look through a book then play with most of his toys. He knows his ABC’s and can count to 20. He can even count backwards (am I bragging). He is so active and daring and the most loving child I have ever encountered. He lights up our world and we are so thankful to have him.
Mark and Stacey G.
We couldn’t be more pleased with the RSMC staff and our outcome! We are so thrilled to have 2 healthy babies from just 1 viable embryo! What a tribute to the extraordinary skills of the doctors and the whole RSMC staff. We wouldn’t go anywhere else if we try again, and will continue to refer our friends and rave about our experience. Thank you for our miracle babies! Without you, our family wouldn’t be the same. We will forever be grateful!
Jack and Alyssa, Dana Point, CA
Jack and I wanted to write today to say thank you. Three years ago you gave us our beautiful twin daughters Jacqueline Rose and Katy Bell. We had to use an egg donor but you didn’t think a surrogate was necessary.
H., San Diego, CA
We searched for the best assistance with our fertility issues and found it with RSMC. We could not have been treated better throughout our journey, which can be very emotional at times. The care we received at RSMC made all the difference. In the end, we were blessed with a beautiful and healthy baby boy!
Jim L., Austin, TX
I am enthusiastically offering this positive patient feedback on behalf of the doctors and amazing staff at Reproductive Sciences Medical Center in Del Mar. My wife and I dreamed of having children since we fell in love 13 years ago. When it was finally time, we tried and tried until we realized it just wasn’t going to work the old-fashioned way (though we had a lot of fun!)
Cherie is the perfect addition to our family and my wife and I couldn’t be happier. Thank you RSMC!
Marion J., Carlsbad, CA
Excellent care and great support services! They spent a huge amount of time with me and my husband as we weighed different options. We got pregnant after transferring just one embryo! I can’t think of a single negative thing or reservation about recommending RSMC. Everything was great, which isn’t easy in what can be a difficult process.
Impaired fecundity is a condition related to infertility and refers to women who have difficulty getting pregnant or carrying a pregnancy to term.
Also, about 11% of women 15–44 years of age in the United States have difficulty getting pregnant or carrying a pregnancy to term, regardless of marital status (impaired fecundity).
No, infertility is not always a woman’s problem. Both men and women contribute to infertility.
Many couples struggle with infertility and seek help to become pregnant; however, it is often thought of as only a women’s condition. A CDC study analyzed data from the 2002 National Survey of Family Growth and found that 7.5% of all sexually experienced men younger than age 45 reported seeing a fertility doctor during their lifetime—this equals 3.3–4.7 million men. Of the men who sought help, 18% were diagnosed with a male-related infertility problem, including sperm or semen problems (14%) and varicocele (6%).
Conditions that can contribute to abnormal semen analyses include—
• Blockage (obstruction) of the male reproductive tract
• Hormonal factors affecting the formation and development of sperm
• Varicocele (an enlargement of the veins within the scrotum)
• Certain genetic diseases (i.e. cystic fibrosis)
• Exposure to environmental toxins and excessive heat
• Lifestyle factors (smoking, drinking, drug use, steroids, obesity),
• Cancer and other medical conditions and treatments
Women need functioning ovaries, fallopian tubes, and a uterus to get pregnant. Conditions affecting any one of these organs can contribute to female infertility. Some of these conditions are listed below and can be evaluated using a number of different tests.
Female fertility is known to decline with age. Many women are waiting until their 30s and 40s to have children. In fact, about 20% of women in the United States now have their first child after age 35, and this leads to age becoming a growing cause of fertility problems. About one-third of couples in which the woman is older than 35 years have fertility problems. Aging not only decreases a woman’s chances of having a baby but also increases her chances of miscarriage and of having a child with a genetic abnormality.
• Aging decreases a woman’s chances of having a baby in the following ways—
• Her ovaries become less able to release eggs.
• She has a smaller number of eggs left.
• Her eggs are not as healthy.
• She is more likely to have health conditions that can cause fertility problems.
• She is more likely to have a miscarriage.
• Excessive alcohol use.
• Extreme weight gain or loss.
• Excessive physical or emotional stress that results in amenorrhea (absent periods).
Most experts suggest at least one year for women younger than age 35. However, women aged 35 years or older should see a health care provider after 6 months of trying unsuccessfully. A woman’s chances of having a baby decrease rapidly every year after the age of 30.
Some health problems also increase the risk of infertility, so women should talk to a health care provider if they have
• Irregular periods or no menstrual periods.
• Very painful periods.
• Pelvic inflammatory disease.
• More than one miscarriage.
It is a good idea for any woman and her partner to talk to a health care provider before trying to get pregnant. They can help a woman prepare her body for carrying a pregnancy and delivering a healthy baby, and can also answer questions on fertility and give tips on conceiving.
• The factors contributing to the infertility.
• The duration of the infertility.
• The age of the female.
• The couple’s treatment preference after counseling about success rates, risks, and benefits of each treatment option.
Some common medicines used to treat infertility in women include—
• Clomiphene citrate (Clomid®*): A medicine that causes ovulation by acting on the pituitary gland. It is often used in women who have polycystic ovarian syndrome (PCOS) or other problems with ovulation. This medicine is taken by mouth.
• Human menopausal gonadotropin or hMG (Repronex®*; Pergonal®*): Medicine often used for women who don’t ovulate because of problems with their pituitary gland—hMG acts directly on the ovaries to stimulate ovulation. It is an injected medicine.
• Follicle-stimulating hormone or FSH (Gonal-F®*; Follistim®*): Medicine that work much like hMG. It causes the ovaries to begin the process of ovulation. These medicines are usually injected.
• Gonadotropin-releasing hormone (Gn-RH): Medicine often used for women who don’t ovulate regularly each month. Women who ovulate before the egg is ready can also use these medicines. Gn-RH: Analogs that act on the pituitary gland to change when the body ovulates. These medicines are usually injected or given with a nasal spray.
• Metformin (Glucophage®*): A medicine doctors use for women who have insulin resistance and/or PCOS. This drug helps lower the high levels of male hormones in women with these conditions. This helps the body to ovulate. Sometimes clomiphene citrate or FSH is combined with metformin. This medicine is usually taken by mouth.
• Bromocriptine (Parlodel®*): A medicine used for women with ovulation problems because of high levels of prolactin. Prolactin is a hormone that causes milk production.
Intrauterine insemination (IUI) is an infertility treatment that is often called artificial insemination. In this procedure, specially prepared sperm are inserted into the woman’s uterus. Sometimes the woman is also treated with medicine that stimulates ovulation before IUI.
According to the CDC’s 2011 Preliminary ART Success Rates, the average percentage of fresh, nondonor ART cycles that led to pregnancy were—
• 40% in women younger than 35 years of age.
• 32% in women aged 35–37 years.
• 22% in women aged 38–40 years.
• 12% in women aged 41–42 years.
• 5% in women aged 43–44 years.
• 1% in women aged 44 years and older.
Please see RSMC success rates here….
• 75% in women younger than 35 years of age.
• 73% in women aged 35–37 years.
• 55% in women aged 38–40 years.
• 44% in women aged 41–42 years.*
• 50% in women aged 43–44 years.*
• Women using Donor Eggs: 58% fresh 68% frozen.
* 2 years combined (2011-2012)
• Intrauterine insemination (IUI) in which processed sperm is injected directly into the uterus by-passing the cervix. Insemination may be combined with ovarian stimulation to increase the chance of fertilization of one or more eggs occurring inside the fallopian tubes.
• In vitro fertilization (IVF), meaning fertilization outside of the body. IVF is one of the most commonly used techniques in which eggs are combined with sperm in a dish in a laboratory. Once fertilization has occurred, the resulting embryos develop for several days before being placed into the uterus.
• Intracytoplasmic sperm injection (ICSI) is often used for couples with male factor infertility, unexplained infertility or for those patients with failed conventional IVF attempts. In ICSI, a single sperm is injected into a mature egg with a microscopic needle. Once fertilization occurs, the embryos are grown for several days and then transferred into the uterus.
• Egg Donation is used for women with no eggs or unhealthy eggs. A young egg donor undergoes ovarian stimulation and an egg retrieval procedure to donate her eggs to another patient. The eggs are fertilized with the partner’s sperm and resultant embryos transferred to the patient’s uterus.
• A Gestational Carrier (gestational surrogate) is implanted with an embryo that is not biologically related to her, for the purpose of achieving a pregnancy for an infertile couple. It is recommended for women who have no uterus or for medical reasons are unable to carry a pregnancy. Couples undergo an IVF procedure and the resultant embryos are transferred into the surrogate’s uterus.
• Donor Sperm or Donor Embryos for women who are unable to conceive using their own sperm or embryos.