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In a normal fertility cycle, following ovulation, the body will produce the hormone progesterone, which serves to thicken the uterine lining and help an egg to implant and grow, thus maintaining an early pregnancy. In an IVF cycle, progesterone is taken most commonly by intra-vaginal insertion of micronized progesterone. Less commonly, women can take the progesterone by intra-muscular injection. Progesterone is continued for two weeks, when the patient receives a pregnancy test and continued when pregnant for an additional 3 weeks after the positive test.
When women take the IVF stimulation medications, her estrogen levels will be very high at the end of the stimulation phase. They will tend to fall after the egg retrieval. In order to avoid a precipitous fall and risk early uterine bleeding, we usually prescribe Vivelle estrogen patches to keep a nice even level during the luteal phase. This estrogen is stopped at the first pregnancy test, regardless of the result.
It is very common to have light bleeding during the luteal phase. It is also common to have sensation of 'heaviness' or cramping in your pelvic area up to 10 days after egg retrieval. The ovaries frequently enlarge at this time.
Call our clinic anytime if there are any concerns, and contact us immediately if any of the following symptoms occur:
- Intense cramping
- Bleeding that is more than spotting
- Weight gain of more than 10 pounds in 3 days
- Fever of above 100 degrees
- Shortness of breath
The following parameters inform our success rates and philosophy at PFC:
Please contact us anytime if you would like further clarification of the information below.
- At Pacific Fertility Center we provide every patient with an objective and thorough overview of their fertility situation. This includes a review of each treatment's success statistics, time frame and risks associated with a given procedure(s). It is important to us that every decision and treatment choice be well informed.
- In developing a treatment plan, our patients and physicians work as a team, carefully reviewing goals, diagnosis and expected outcome.
- While a patient may face a low chance of success according to historical fertility treatment statistics, we believe that the decision to proceed with a given treatment is an individual one, and we will not interfere with a patient's decision or turn that patient away. Some centers may discourage treatment for patients with a challenging diagnosis in an effort to maintain high pregnancy results. At PFC, we do not believe in this practice. However, we do believe in providing, to the best of our ability, the greatest possible care and the most honest assessment and advice to help decide on that course of care.
- PFC performs a large volume of IVF, frozen embryo transfer and egg donor cycles. This higher volume enables our clinic to have stronger statistical accuracy.
- When determining the maximum number of embryos to transfer, PFC adheres to guidelines set by the American Society for Reproductive Medicine. This practice helps us to lower the risk of twins and 'high order multiples' (three or more offspring in one birth), which can lead to such complications as pre-term labor, low birth weight, fetal stress and maternal health symptoms.
- We present live birth rates, so there is a significant lag between the year we present and the current dates as we must wait until October of the following year to obtain all the birth information.
Pacific Fertility Center has been successfully treating patients with IVF since 1991, and has helped XXX patients have babies. The success of each IVF cycle is dependent on a few factors, like the severity of existing medical issues, maternal age, egg viability, etc. Generally, the success rate for IVF for women under the age of 35 is approximately 40 percent. We will work with you to customize a treatment plan that will yield the highest chance of success.
Being an egg donor has significantly impacted my life in such positive ways! I never imagined how my eyes would be opened to this world, and I am so grateful for the opportunity PFC has given me to help other families through egg donation.”
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Pacific Fertility Center®
55 Francisco Street, Suite 500
San Francisco, CA 94133
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Next Seminar Dates
- Free Fertility Seminar: Wednesday, September 4 Click here to register