What To Expect?

Compassionate Medical Staff Devoted to Your Care

Our fertility clinic is committed to helping you achieve your dream of bringing a new baby into your life.

We provide highly successful advanced reproductive care that prioritizes your comfort and relaxation. Our objective is to create an environment where you feel as if you are visiting a friend rather than a clinical facility.

Treatment Flow

When you make your initial call to Bay IVF, you will be asked a short series of screening questions about your reproductive history.

At the end of the call, you will be scheduled for an initial consultation with Dr. Polansky.

Once your consultation is scheduled, you will receive a confirmation email.

Approximately two to three days before your appointment, you will receive another email containing final instructions for your appointment.

Upon receiving the email, please confirm your appointment by replying via email, sending a text, or making a phone call.

The day prior to your appointment, Dr. Polansky will review all available information, including your previous medical records.

The entire consultation will last approximately 60 minutes. Upon arrival at the clinic, one of the IVF nurses will record your vital signs, weight, and height.

The nurse will then provide Dr. Polansky with a brief report and any relevant updates.

Dr. Polansky will meet you in the waiting area, welcome you, and take you to his office.

Dr. Polansky will begin by discussing the potential causes of your infertility and then propose the most suitable treatment options for you.

You will then be escorted to one of the exam rooms. Dr. Polansky will listen to your lungs and heart and perform a pelvic ultrasound to assess the number of antral follicles in your ovaries.

Dr. Polansky will review your examination findings and confirm the most appropriate treatment for you.

After the brief examination, you will return to the receptionist area and discuss the next steps and the associated costs of your treatment plan.

As you progress with your treatment, the next step will involve completing the necessary prerequisites, such as medical tests, paperwork, etc., which are typically quick, easy, and straightforward.

Treatment will start with the onset of your menstrual periods. We will develop a treatment calendar for you and send it via email.

A complete cycle of reproductive treatment usually takes approximately six to eight weeks and will only require a few brief visits to our Clinic.

A pregnancy test will be conducted ten days after the completion of treatment. A pregnancy heartbeat ultrasound will be scheduled two weeks later if the test is positive.

If the ultrasound results are normal, your care at Bay IVF will conclude, and you will transition back to your regular OB/GYN for prenatal care.

Prerequisites for IVF, Embryo Banking, and Gender Selection

Only a few treatment prerequisites are needed before the start of your treatment. They assess the egg and sperm quality and ensure that embryos can be accurately placed in a healthy uterus.

Female partner’s age

The likelihood of a successful IVF treatment significantly decreases by the age of 44. To be eligible for IVF treatment, you must be 43 years and 11 months or younger when your treatment begins. Patients who are 44 and older should strongly consider Donor Egg IVF as the most effective treatment option for achieving a successful pregnancy.

Female partner’s weight

For an optimal ovarian response and your safety during the egg retrieval procedure, it is important that your BMI is no greater than 31. If your BMI is higher, we recommend following the IVF Diet and Lifestyle (PDF) recommendations as closely as possible. By doing so, you can achieve weight loss at an appropriate rate, which may significantly enhance your chances of a successful pregnancy.

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.

Ovarian Reserve Assay (ORA)

ORA assesses the likelihood of producing normal-quality eggs. It involves measuring the levels of Follicle Stimulating Hormone (FSH), estradiol (estrogen, E2), and Anti-Mullerian Hormone (AMH) in the blood.

These test results provide insights into the quality of eggs and are utilized to optimize your ovarian stimulation.

Uterine measurement and saline ultrasound

Knowing the length of the uterus is essential for precise embryo placement. Saline ultrasound is performed to eliminate the presence of intrauterine polyps and fibroids.

Semen evaluation

The male partner’s semen will be assessed at the Bay IVF laboratory to determine the optimal method of semen preparation for IVF egg insemination.

Parents’ genetic testing (optional)

All prospective parents should consider genetic screening for hundreds of the most prevalent genetic diseases. Please inform us during your initial appointment at Bay IVF if you would like to have your blood sample sent for genetic screening.

IVF diet and lifestyle

Environmental factors can greatly influence reproductive health. We encourage you to review the IVF Diet and Lifestyle document (PDF) for a comprehensive list of requirements regarding reproductive health and a recommended source for dietary supplements.

Purchasing Frozen Donor Eggs
Finding an Egg Donor

You choose your frozen donor eggs from a donor egg bank catalog, and the egg bank will ship your selected frozen eggs to our Clinic.

The egg banks our embryologists recommend are Fairfax Egg BankDonor Egg Bank USA at California Cryobank, and Cryos International-USA.

Alternatively, you may be able to find an egg donor who is blood-related to you (the female partner) to preserve the genetic link, or you could choose an anonymous pre-screened egg donor from an egg donor agency. The donor will then become a patient at our Clinic.

Whether you use frozen donor eggs or an egg donor, once your Donor Egg IVF treatment is completed, your pregnancy will be indistinguishable from conception through intercourse.

Out of San Francisco Bay Area Patients

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

  • Prior to your initial visit, you must undergo a preliminary ultrasound examination of your uterus and ovaries.
  • Please have your FSH, estrogen, and AMH levels measured within the first four days of your menstrual period.
  • If the results of these tests are within the normal range, we will proceed to schedule your initial visit with us.
  • Your treatment can commence as early as your first menstrual period following the initial consultation at Bay IVF.
  • The ovarian stimulation phase is expected to last approximately one to two weeks. It is important that you are available for regular visits to our clinic during this time.
  • Once you have undergone your embryo transfer (or the day after egg retrieval for egg donors), you will be free to travel outside of the area.

FAQ — Find Answers to Your Queries

Here are some of the most commonly asked fertility-related questions. A more comprehensive FAQ selection is available on the FAQ page.

Do medications used in the IVF treatment have any side effects?

Most patients should expect minimal, if any, side effects from the medications used in In Vitro Fertilization. You should be able to continue with your everyday activities during the treatment.

How long does it take to complete a cycle of IVF?

It typically takes approximately 6 to 8 weeks from the start of your treatment to the egg retrieval and embryo transfer.

Is the egg retrieval procedure painful?

Your egg retrieval should be a very comfortable experience as we use effective pain and relaxation medications. Most patients will sleep through the 5-10 minute egg retrieval procedure. Some may experience mild menstrual-like cramping.

What is ICSI, and how does it affect my embryos?

n the Intracytoplasmic Sperm Injection (ICSI) procedure, a single sperm is directly inserted into the center of an egg. ICSI has been widely used since 1993, and approximately 2 million babies have been born worldwide without significant side effects through the use of ICSI.

I am over 40. Should I plan to do PGT?

You may consider adding Preimplantation Genetic Testing (PGT) to your In Vitro Fertilization or Donor Egg IVF treatment. If you choose to do so, it eliminates the need for amniocentesis. While adding PGT to these treatments has not been proven to improve the chances of a successful outcome consistently, it can help reduce the risk of miscarriage.

How many embryos should we transfer?

We adhere to the recommendation of the American Society for Reproductive Medicine that most patients should consider transferring only one or two embryos. While we will always provide guidance, the ultimate decision of whether to transfer one or two embryos will be up to you.

Is bed rest recommended after an embryo transfer?

From a conception standpoint, it is not recommended to rest immediately after embryo transfer. Recent studies have shown that remaining active and moving around after the transfer can increase the probability of implantation. Therefore, it is advised to start moving around immediately after your transfer.

I am from the LGBTQ+ community. Can I have my treatment at Bay IVF?

Yes! We take pride in being one of the first fertility clinics in Northern California to offer In Vitro Fertilization services for lesbian partners. Our clinic is LGBTQ+ friendly and experienced in both lesbian IVF and Reciprocal IVF.

Meet Your Doctor

  • Dr. Polansky received his medical diploma from Charles University in Prague, the Czech Republic, in 1978.
  • After completing his OB/GYN residency at Jewish Hospital in Saint Louis, MO, he graduated from the Reproductive Endocrinology and Infertility (REI) fellowship at Stanford University in 1985.
  • In the same year, he co-founded the Stanford IVF Clinic.
  • Dr. Polansky obtained board certification in Obstetrics and Gynecology in 1986 and became REI subspecialty board certified in 1988.
  • In 1987, he left Stanford University and established Nova IVF.
  • In 2011, he founded Bay IVF, where he provides advanced fertility treatments with a holistic approach, utilizing state-of-the-art techniques.
  • Dr. Polansky personally performs ultrasound examinations, egg retrievals, embryo transfers, and ovarian and endometrial stimulations for his patients.
  • He is deeply committed to his patients and freely shares his cell phone number, ensuring accessibility and availability 24/7.

Frank Polansky, M.D.

Initial Appointment Questions

When you call to schedule your consultation, one of our Front Office Coordinators will ask you a short series of questions regarding your reproductive history.

  • Your name
  • Your date of birth
  • Your height
  • Your weight
  • Do you know which treatment you plan to have?
  • How many times have you been pregnant?
  • For each of your pregnancies, what was the conception date? (month and year)
  • What was the outcome?
  • Were the pregnancies with your current partner?
  • If known, what is the cause of your infertility?
  • What is your average cycle length? (number of days between onsets of your periods)
  • Are you currently taking any medications? If yes, which ones?
  • Are you allergic to any medications? If yes, which ones?
  • Your partner’s name (if applicable)
  • Your partner’s date of birth (if applicable)
  • What is the length of your relationship with your current partner? (years and months)
  • When was the last time either of you used any contraception?
  • Is the male partner currently taking any medications? If yes, which ones?
  • Is the male partner allergic to any medications? If yes, which ones?
  • What is the total number of pregnancies the male partner has ever caused?
  • Has the male partner ever caused a pregnancy without the ICSI (Intracytoplasmic Sperm Injection) procedure?
  • Has the male partner had a vasectomy or vasectomy reversal?
  • If available, for each Semen Analysis, please give the date (day, month, and year), volume, concentration (sperm count), percentage of motile sperm, and percentage of morphologically normal sperm.
  • Have you ever had any treatment for, or problems with, your lungs, heart, blood and blood vessels, breasts, digestive system, genito-urinary system, thyroid disease, diabetes, or neurological disorder? (female partner only)
  • For each X-ray of your uterus and Fallopian tubes (hysterosalpingogram), laparoscopy, hysteroscopy, or laparotomy, please give the procedure date (day, month, and year) and the findings.
  • If available, for each FSH, LH, estradiol (estrogen, E2), and AMH (Anti-Mullerian Hormone) test you have had, please give the date of the test (day, month, and year) and the result.
  • Have you done any intrauterine inseminations (IUI)? If yes, how many?
  • Have you had ovarian stimulation with injectable medications?
  • For each IVF treatment you have had, please provide the following information if available: Date (month and year), the dose of medications to stimulate your ovaries, your highest estrogen level, number of ovarian follicles that developed, number of eggs retrieved, whether ICSI was done, number of embryos available, number of embryos transferred, number of embryos frozen, and the treatment outcome.
  • Have you ever smoked cigarettes? If yes, how many cigarettes a day during the last three months? (Please remember that you must not smoke during your treatment.)

This is Erica

She will be providing you with exceptional support throughout your treatment journey at Bay IVF.

Listen to a typical conversation between Erica and a new patient.
  • Your name
  • Your date of birth
  • Your height
  • Your weight
  • Do you know which treatment you plan to have?
  • How many times have you been pregnant?
  • For each of your pregnancies, what was the conception date? (month and year)
  • What was the outcome?
  • Were the pregnancies with your current partner?
  • If known, what is the cause of your infertility?
  • What is your average cycle length? (number of days between onsets of your periods)
  • Are you currently taking any medications? If yes, which ones?
  • Are you allergic to any medications? If yes, which ones?
  • Your partner’s name (if applicable)
  • Your partner’s date of birth (if applicable)
  • What is the length of your relationship with your current partner? (years and months)
  • When was the last time either of you used any contraception?
  • Is the male partner currently taking any medications? If yes, which ones?
  • Is the male partner allergic to any medications? If yes, which ones?
  • What is the total number of pregnancies the male partner has ever caused?
  • Has the male partner ever caused a pregnancy without the ICSI (Intracytoplasmic Sperm Injection) procedure?
  • Has the male partner had a vasectomy or vasectomy reversal?
  • If available, for each Semen Analysis, please give the date (day, month, and year), volume, concentration (sperm count), percentage of motile sperm, and percentage of morphologically normal sperm.
  • Have you ever had any treatment for, or problems with, your lungs, heart, blood and blood vessels, breasts, digestive system, genito-urinary system, thyroid disease, diabetes, or neurological disorder? (female partner only)
  • For each X-ray of your uterus and Fallopian tubes (hysterosalpingogram), laparoscopy, hysteroscopy, or laparotomy, please give the procedure date (day, month, and year) and the findings.
  • If available, for each FSH, LH, estradiol (estrogen, E2), and AMH (Anti-Mullerian Hormone) test you have had, please give the date of the test (day, month, and year) and the result.
  • Have you done any intrauterine inseminations (IUI)? If yes, how many?
  • Have you had ovarian stimulation with injectable medications?
  • For each IVF treatment you have had, please provide the following information if available: Date (month and year), the dose of medications to stimulate your ovaries, your highest estrogen level, number of ovarian follicles that developed, number of eggs retrieved, whether ICSI was done, number of embryos available, number of embryos transferred, number of embryos frozen, and the treatment outcome.
  • Have you ever smoked cigarettes? If yes, how many cigarettes a day during the last three months? (Please remember that you must not smoke during your treatment.)

This is Nisha

Your invaluable resource for effortlessly managing your appointments at Bay IVF.

Listen to a typical conversation between Nisha and a new patient.

Your Initial Visit at Bay IVF

Attending a new patient appointment at a fertility clinic can be stressful. Our primary objective is to ensure that your initial visit is friendly and relaxing. We encourage you to ask questions at every step of the process.

1 — When You Arrive

You will be welcomed by one of the clinic receptionists. One of our nurses will measure your height and weight and take your blood pressure

2 — Meet Your Doctor

Dr. Polansky will ask you a series of clarifying questions and then provide you with a summary of the factors contributing to your infertility

4 — Exam Room

One of the nurses will escort you to an examination room. Your examination will begin with listening to your lungs and heart

3 — Ask Your Questions

You will then have a discussion with him about the most suitable reproductive treatment(s) for you. During this time, you will have the opportunity to ask any questions you may have

5 — Ultrasound of the Ovaries

The next step is a pelvic ultrasound to examine the uterus and ovaries. This ultrasound will help determine the number of antral follicles present within the ovaries

6 — Financial Part

Following that, you will have a discussion with one of the financial advisors regarding the financial aspects of your treatment, including potential treatment financing options

8 — Support 24/7

If you have any questions after leaving the clinic, please feel free to reach out to us via phone call, text, or email. Open and discreet communication is an integral part of the care we provide at Bay IVF

7 — What About Time?

Your entire visit is expected to last approximately one hour

Schedule Your Initial Consultation With Dr. Polansky

Online (free) or In-Person

Call or Text Us: 650-322-0500

You can also complete the form below to request your initial consultation

    Next Step: One of our coordinators will call you for information about your reproductive history and to schedule your appointment.

    We look forward to meeting you at Bay IVF and, when your treatment is successful, celebrating your new pregnancy!