Fertility & Surgical Associates of California combines the expertise of experienced, board-certified reproductive endocrinologists, registered nurses, certified embryologists and laboratory technical staff to achieve the highest pregnancy rates possible for our patients. The in vitro fertilization (IVF) laboratory at FSAC offers the latest, most successful treatments available through our collaboration and research with other leading fertility programs worldwide. Our Center is the only program in Ventura County with a full-service on-site Assisted Reproductive Technology (ART) laboratory, surgery center and PhD IVF lab director. FSAC has consistently achieved excellent results in the area of IVF, and is dedicated to providing the latest refinements for IVF, micromanipulation, assisted hatching, and embryo implantation. We fully recognize that IVF treatment demands time, energy and an emotional, as well as, financial commitment. Our entire staff makes every effort to provide you with personalized and compassionate care to make this difficult time as successful and comfortable as possible.
In Vitro Fertilization (IVF) and Embryo Transfer (ET)
IVF is a widely accepted treatment for infertile couples and individuals that has been used worldwide since the early 1980′s, with the first IVF baby born in England in 1978. IVF-ET involves the removal of eggs, fertilization of the eggs in the laboratory, and replacement of the fertilized eggs (embryos) into the uterine cavity. IVF-ET is used for patients with tubal factor, endometriosis, unexplained infertility, polycystic ovarian syndrome, male factor, infertility and recurrent pregnancy loss.
Embryo and Semen Cryopreservation
Embryo cryopreservation (also known as embryo freezing) preserves embryos for use at a future date. Semen and testicular tissue may be frozen and stored for future use.
Intracytoplasmic Sperm Injection (ICSI)
ICSI is a micromanipulation technique whereby a single sperm is injected into a mature egg. This is done to assist fertilization, generally in cases of male factor infertility or prior poor fertilization with standard IVF. Once fertilized, embryos are cultured in the laboratory and subsequently transferred. Pregnancy outcomes are no different than and are equivalent to natural insemination rates during IVF.
Blastocyst Culture and Transfer
Intended to increase the likelihood of pregnancy and reduce the risk of a multiple gestation (pregnancy), blastocyst culture and transfer may be recommended for some patients. In this procedure, the embryos are cultured in the laboratory for five days. This provides additional time to evaluate the embryos and implant only those most likely to result in a viable pregnancy.
Embryo Biopsy/Preimplantation Genetic Diagnosis (PGD)
The removal of a single cell from a day three embryo is performed to facilitate the rapid analysis of the embryo’s genetic status prior to embryo transfer. We use the latest techniques in embryo biopsy. We no longer perform day 3 embryo biopsies because it has been proven that this can damage the embryo, therefore we now perform all of our biopsies at the blastocyst stage (day 5 or 6 of development). This adds greater accuracy over day 3 because we can biopsy and test more cells and there is no evidence of damage to the embryo. We biopsy only the cells that are destined to become the placenta and not the inner cell mass and to destined to become the baby. Those cells are then tested with the latest techniques including next generation gene sequencing and comparative genomic hybridization (CGH) to render the most accurate diagnosis for each embryo.
Assisted hatching is a procedure which creates a small opening in the protective outer coating (zona pellucida) surrounding the embryos to assist the hatching process prior to embryo transfer. There are certain circumstances when assisted hatching is performed; if a frozen embryo is used, if the female patient is 38 years or older, prior unsuccessful IVF cycles and if the zona pellucida is thicker than normal.