Upon your arrival, you will check in with a Patient Care Coordinator. We will obtain your insurance information for benefits verification, a copy of your identification, and take a picture for your electronic medical chart.
The consultation includes a comprehensive evaluation with your physician. Together, you will review your goals and medical records, allowing ample time to discuss your goals and questions. We ...Read More
All initial onsite consultations will include a fertility evaluation, which consists of a physical examination, follicular ultrasound and testing, allowing the physician to evaluate your current fertility status ...Read More
Your Reproductive Endocrinologist will consider all factors and develop a comprehensive plan of care, also known as your treatment plan. The plan includes the recommendations for treatment from the ...Read More
Once your physician creates your plan of care, you will meet with a financial coordinator. The coordinator will review...Read More
Reproductive Sciences Medical Center (RSMC) is the nation’s first comprehensive IVF clinic. Since its establishment in 1995, the RSMC medical team has completed more than 8,000 cases or IVF, and more than 3,000 cases of egg donation and surrogacy.
We help individuals and couples overcome obstacles to achieve their dream of a family, regardless of nationality, sexual orientation, or marital status.
Our fertility clinic specializes in challenging cases (due to failures or age), and we are confident in our ability to help you start or grow your family.
Established
Cases of Egg Donors and Surrogacy
Cases of IVF
Our internationally respected team of experts is advancing IVF technologies to enter into a future generation of better outcomes for infertility.
The lab accounts for up to 30-40% of success rates. Centralized control and strict oversight by an experienced, full-time lab director are essential to our success.
Our fully-integrated service model streamlines an otherwise complicated process.
RSMC is completely transparent about the pricing of procedures and any additional costs that may occur before your treatment begins.
Over 40 customized protocols to increase success rates for our patients whereas many facilities take a “one-protocol-fits-all” approach.
Our pregnancy success rates surpass the industry average.
In general, infertility is defined as not being able to get pregnant (conceive) after one year of unprotected sex. Impaired fecundity is a condition related to infertility and refers to women who have difficulty getting pregnant or carrying a pregnancy to term.
Yes. About 6% of married women 15–44 years of age in the United States are unable to get pregnant after one year of unprotected sex (infertility). 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 woman’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%).
Infertility in men can be caused by a variety of factors prompting them to seek fertility treatments to become a parent. A specialist will evaluate the number of sperm (concentration), motility (movement), and morphology (shape). A slightly abnormal semen analysis does not mean that a man is necessarily infertile. Instead, a semen analysis helps determine if and how male factors are contributing to infertility.
Conditions that can contribute to abnormal semen analyses include:
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 that bar them from becoming a parent. 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.
• Smoking.
• 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 healthcare 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 healthcare provider if they have the following issues and require infertility treatments.
It is a good idea for any woman and her partner to talk to a healthcare 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.
Fertility doctors will begin by collecting a medical and sexual history from both partners. The initial evaluation usually includes a semen analysis, a tubal evaluation, and ovarian reserve testing.
Infertility can be treated with medicine, surgery, or assisted reproductive technology such as intra-uterine insemination, IVF, etc. Many times these treatments are combined. Doctors recommend specific treatments for infertility based on
• 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.
Male infertility may be treated with medical, surgical, or assisted reproductive therapies depending on the underlying cause. Medical and surgical therapies are usually managed by a urologist who specializes in infertility & its treatments. A reproductive endocrinologist may offer intrauterine inseminations (IUIs) or in vitro fertilization (IVF) to help overcome male factor infertility.
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 orally.
• 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 works 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.
Assisted reproductive technology (ART) includes all fertility treatments in which both eggs and sperm are handled outside of the body. In general, ART procedures involve surgically removing eggs from a woman’s ovaries, combining them with sperm in the laboratory, and returning them to the woman’s body or donating them to another woman. The main type of ART is in vitro fertilization (IVF).
The success rates of fertility treatments vary and depend on many factors, including the clinic performing the procedure, the infertility diagnosis, and the age of the woman undergoing the procedure. This last factor—the woman’s age—is especially important when trying to become a parent.
According to the CDC’s 2011 Preliminary ART Success Rates, the average percentage of fresh, nondonor ART cycles that led to pregnancy were—
Please see RSMC success rates here….
Women using Donor Eggs: 58% fresh, and 68% frozen.
* 2 years combined (2011-2012)
Common ART procedures include—
This depends on whether or not infertility treatment has been purchased as a benefit. Some insurance providers may cover a portion of treatment if it is a medical necessity. Benefits vary by insurance policy. We always encourage our patients to reach out to their providers for an explanation of coverage.
Physician’s Surrogacy – the partner surrogacy agency of RSMC, accepts both “in-network” and “out-of-network” insurance. We work with Aetna, Anthem Blue Cross, Blue Shield, Cigna, Healthnet, Tricare, and United Health Care. Before your consultation, we will verify your insurance benefits and review detailed coverage information at your consultation. In cases where insurance is not accepted, our coordinators will arrange for discounted cash pricing. In cases where your insurance plan is not accepted, or your insurance does not offer coverage, we will work with you to make fertility treatment expenses affordable.
Following your initial consultation, your physician will outline a treatment plan and the associated costs. The costs will vary depending on what type of treatment is recommended. We have several financing options if you don’t have insurance. Schedule a consultation now so we can discuss the costs.
Couples often find out that infertility diagnosis and certain treatments are covered by their insurance. However, IVF and others may be excluded. California is one of 13 states with an infertility mandate in place. This is a “soft” mandate, which gives employers the option to offer infertility benefits. Since it is not required, not many employers will purchase the coverage.
If your insurance coverage doesn’t include infertility benefits, consider speaking with your Human Resources representative to explore the possibility of adding infertility treatments to your benefits package.
Here are some important questions to ensure that you have the right coverage for treatment:
Amid the Coronavirus/COVID-19 situation, some individuals found it a suitable time to explore fertility options. Our patients have adjusted their routines, creating space to consider parenthood. Whether you choose virtual consultations via telephone or Skype, or prefer in-person office visits, we’re equipped to provide ultrasound and AMH testing.
We recommend postponing your cycle if you are exhibiting symptoms, have been in contact with someone who tested positive or tested positive yourself. Additionally, please contact your coordinator or physician to discuss your unique circumstances.
If you are suspected of having contracted COVID-19, you will be placed on home quarantine until the lab test results are back and are negative.
Your fertility treatment cycle will be postponed if you have contracted Coronavirus/Covid-19. This delay means that you can not continue with insemination, retrievals, or embryo transfers for the time being. Your cycle can be delayed until a later time when you are healthy. Even in the case of embryo transfer, the frozen embryos will not be thawed until immediately before your transfer.
We realize that postponing a cycle can be disappointing; however, we are making these recommendations to maximize your safety.
RSMC San Diego Address: 3661 Valley Centre Dr., Suite 100, San Diego, CA 92130
Phone: 858-436-7186
Fax: 858-436-7171
You are all set and good to move forward. Focus on the treatment program and let’s bring your baby to you.
Based on the findings you can choose the right treatment package and payment plan including insurance program authorization, paying fully, or selecting the installment contract.
You can bring your card along when visiting for consultation or take a nice and clean pic of the insurance card and send it over email, fax, or through your patient portal.
You will travel to our San Diego location (all expenses covered) for retrieval. Eggs are retrieved vaginally through a 15-minute minimally invasive procedure under sedation. You will return home between 24-48 hours after your retrieval
