Out of Area Patients

Our goal is to provide the highest quality reproductive care. In doing so, we are only able to provide treatment to patients who reside within the United States.

The outcome of fertility treatments depends primarily on the egg quality. It is important to make sure that normal quality eggs can be produced by the ovaries before a potential out-of-the-San-Francisco-Bay-Area patient/egg donor arrives at our Clinic for treatment.

Out-of-area patients/egg donors will need to go through the following steps:

• For your safety during the egg retrieval procedure, your weight must be no greater than the following high limits:

   

 

• Before your initial visit to our center can be scheduled, you need to have a preliminary ultrasound examination of your uterus and ovaries. If your uterus has any myomas (fibroids), we need to know their size and location.

  We also need to know the number of ovarian antral follicles greater than 4 mm for each ovary and the presence of any ovarian cysts or masses. Please have the ultrasound report available when calling to schedule your initial visit at Bay IVF.

• On one of the first four days of your menstrual cycle, have your Follicle Stimulating Hormone (FSH), estradiol (estrogen), and Anti-Mullerian Hormone (AMH) levels measured. You should have these results available when calling Bay IVF to make your appointment.

• If the total number of antral follicles in both ovaries or your AMH level are too high, the risk of severe ovarian hyperstimulation would be unacceptably high for you to be treated in an out-of-your-area fertility clinic.

  The symptoms of ovarian hyperstimulation peak one to two weeks after egg retrieval and embryo transfer. During this period you may require several immediate visits to our Clinic.

• If the results of these tests are normal, we will schedule your initial visit with us which will include a pelvic ultrasound. Your treatment can begin as early as your first menstrual period after your initial consultation at Bay IVF. We will develop your treatment schedule which will show the dates of your ovarian stimulation and the approximate dates of your egg retrieval procedure.

• For the first approximately two to four weeks (depending on your treatment schedule), you will be taking oral contraceptives and injections of Lupron. Since there are no clinic visits during this time, you do not have to stay in the area.

• After approximately two to four weeks, ovarian stimulation will begin, followed by the egg retrieval procedure and embryo transfer. Ovarian stimulation will take approximately one to two weeks to complete. During this time you will need to be available to visit our Clinic regularly.

• Once you have had your embryo transfer (or the day after egg retrieval for egg donors), you can travel out of the area.