There are very few prerequisites before your treatment can start.
- Lifestyle and reproductive health
Environmental factors have a significant impact on reproductive health. Please review Lifestyle and Reproductive Health page and Reproductive Health Check-off Form for a complete list of environmental reproductive health requirements and a source for dietary supplements.
- Female partner's age
Pregnancy complications increase significantly with age and could compromise the mother’s and baby’s health. You must be 48 and 11 months or younger at the time your treatment begins. If you are between the ages of 44 and 48, we will need a letter from your OB/GYN, internist, or your family physician stating that it is medically safe for you to become pregnant.
- Select your frozen donor egg source
Egg banks have pools of frozen eggs from pre-selected egg donors for you to choose from.
Once you have finalized your selection, the egg bank will coordinate with our Embryology Laboratory to have your selected frozen donor eggs transferred to Bay IVF. The two egg banks our embryologists recommend are Fairfax Egg Bank↗ and Donor Egg Bank USA at California Cryobank↗.
- Pathogen testing
This testing is required by the State of California. You and your partner (if applicable) must be tested for Hepatitis B-Surface Antigen, Hepatitis C-Antibody, HIV I&II, HTLV I&II, and RPR.
The blood for these tests should be drawn as soon as possible and no later than the menstrual period at the beginning of your treatment. You can go to a laboratory of your choice, or we can draw your blood at our center.
If you have had any of these tests done within the last 12 months, they do not need to be repeated.
- Measurement of the uterus
It is important to place embryo(s) 15 MM below the top of the endometrial cavity. A thin embryo transfer catheter is passed through the cervical canal to the top of the uterus to measure the length of the endometrial cavity.
We perform a sonohysterogram (saline ultrasound) to assess the endometrial cavity of your uterus. A thin, soft catheter is passed through the cervix into the uterus, and a small amount of sterile saline solution is instilled. A transvaginal ultrasound is used to visualize the contours of the endometrial cavity.
The presence of polyps, fibroids, or scarring inside the uterus can significantly reduce the probability of implantation. If any polyps, fibroids, or scarring are found, their removal would require a simple outpatient procedure by your OB/GYN or a specialist.
This ultrasound image shows a normal endometrial cavity. Polyps and fibroids (myomas) would show as lighter shade "filling defects" within the dark saline-filled endometrial cavity.