The following questions and answers will help you learn more about the IVF procedure offered by The Permanente Medical Group.
What are the types of tests that I will need prior to IVF?
This will depend on the nature of the underlying infertility issues involved as well as the previous types of tests you have had performed.
What is the average number of eggs that are retrieved during IVF?
This can vary significantly depending on the patient's age and other factors.
Do you perform assisted hatching?
Yes; however, this will only be performed after consultation with your personal infertility doctor and the embryologist.
Do you perform Intracytoplasmic Sperm Injection (ICSI)?
Yes, ICSI is a service we offer.
How many embryos do you transfer?
The Northern California Kaiser Permanente Centers for Reproductive Health (based in Fremont and Sacramento) follow the guidelines set forth by the American Society for Reproductive Medicine (ASRM) and the Society for Assisted Reproductive Technology (SART). These guidelines are used to determine the appropriate number of cleavage-stage (usually 2 or 3 days after fertilization) embryos or blastocysts (usually 5 or 6 days after fertilization) to transfer.
ASRM Guidelines for top quality embryo transfer
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Do your patients experience multiple pregnancies?
Yes. Multiple pregnancies do occur in l IVF/ICSI treatments. Multiple pregnancy (two or more implanted embryos) is not the desired outcome, because multiple gestations lead to an increased risk of complications in both the fetuses and the mothers. At Kaiser Permanente we are committed to the health of our patients, therefore for certain patients we offer a single embryo transfer (eSET) procedure. In the eSET procedure, only one (1) embryo is transferred.
Patients who qualify for a single embryo transfer have a good probability of becoming pregnant. When the single embryo transfer is coupled with a subsequent single frozen embryo transfer (if initial transfer is not successful) cumulative pregnancy rates are very similar to rates of transferring 2 embryos at the initial transfer. However with eSET there is a markedly decreased risk of twins. At Kaiser Permanente we are committed to one healthy baby at a time. Therefore, we offer this subsequent frozen embryo transfer at no additional charge.
Who should consider Single Embryo Transfer?
Patients identified as having greater risk for multiple gestations or who do not want to risk a high order multiple pregnancy may benefit from a single embryo transfer (eSET) procedure. The decision to transfer one embryo will be made by the patient in consultation with her physician and embryologist.
What are the concerns surrounding having twins?
Although the prospect of conceiving twins may be attractive to some couples, the fact is that the potential risk of complications for mother or babies during a twin pregnancy is higher than with a singleton pregnancy. Multiple pregnancies may increase the risk of miscarriage, premature births and other medical problems for mother and/or child.
What are my options if I still don't get pregnant after IVF?
There are a number of other options available to you at our fertility clinics in Sacramento and Fremont, CA. Your personal infertility doctor will be able to discuss them with you.
Please speak to your personal infertility doctor about any questions or concerns not addressed here.