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IVF

A process of embryo development in a laboratory that can help many different types of families achieve fertility success.

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What is In Vitro Fertilization (IVF)

In Vitro Fertilization (IVF) is a treatment that involves retrieving eggs from the ovaries, fertilizing them in a lab with sperm from either a partner or donor, and then growing the embryos for up to 7 days.

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How IVF works

IVF is a multi-step process that is tailored at every turn to your unique needs. You’ll be supported by a team of doctors, nurses, and embryologists from start to finish. Los Angeles Reproductive Center specializes in working with each patient’s natural menstrual cycle throughout the IVF process.

You will be given hormonal medications for 10 to 14 days to stimulate ovaries to mature multiple eggs (instead of just one in a normal menstrual cycle) before eggs are retrieved. You’ll be monitored closely during this time with ultrasounds and blood tests to determine when your eggs are ready for egg retrieval.

This is a simple procedure performed by our expert doctors that involves inserting a thin ultrasound-guided needle into your ovaries to retrieve eggs. You will be under anesthesia for the whole process which takes about 20-30 minutes. Typically the only side effect afterwards are cramping, bloating, abdominal distention, and constipation. Most women need 1-2 days to recover after the egg retrieval.

You and your doctor will discuss whether you’ll be using fresh or frozen sperm. That sperm will then be “washed,” meaning the best-quality sperm will be isolated for fertilization.

The egg is fertilized with sperm in our lab. Sperm can be placed around each egg or a single sperm can be injected into each egg, a process called Intracytoplasmic Sperm Injection, or ICSI.  

The developing embryos are monitored for 5-7 days. Los Angeles Reproductive Center physicians will often recommend all viable embryos be cryopreserved and kept safely in our lab until you are ready for a frozen embryo transfer, which can take place soon after IVF is complete. Many patients opt to do genetic testing at this time.

Before your embryo transfer, your provider will decide the best way to prepare your uterus for implantation. Through careful monitoring, your doctor will determine when to transfer an embryo for the highest chance of success.

This procedure is delicate and focused. Your chosen embryo is placed into the uterus with a tube that is inserted into the vaginal canal and through the cervix. Your provider may ask you to fill your bladder to help us use ultrasound on your abdomen to carefully guide the placement of the embryo. While you may experience minor discomfort, this procedure usually doesn’t require any anesthesia.

9 to 10 days after the transfer you will take a pregnancy test. If you are pregnant we will schedule a follow-up appointment. If you are pregnant, we’ll monitor you closely to ensure the pregnancy is progressing appropriately. We understand that it can be emotionally challenging to go through IVF treatment and not become pregnant. We are committed to supporting you through every avenue available for achieving your goals.

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"There have been ups and downs and joys and disappointments over the last few years with me trying to conceive, and Dr. Kalan has been with me every step of the way."

IVF Patient

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Is IVF right for me?

IVF can be a great option for many different types of patients, whether you’re experiencing fertility issues, part of an LGBTQ+ couple, or an individual seeking parenthood on your own.


IVF might be right if you’re experiencing or have been diagnosed with:


  • Tubal issues (including tube removal or sterilization)
  • Male infertility
  • Uterine fibroids or other uterine anomalies
  • Genetic disorders
  • Unexplained infertility 
  • Some ovulation issues
  • Patients interested in gender selection or fertility preservation

"Dr. Winkler put any worries or doubts about my fertility at ease. She was thourough in explaining exactly what to expect."

IVF Patient

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Paying for IVF

Though coverage for fertility care varies widely by insurance plan, the good news is that you have options. We are committed to guiding you through your insurance benefits, out-of-pocket expenses, and other financing options every step of the way. With Los Angeles Reproductive Center you will never be in the dark about cost.

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You’ve got questions, we’ve got answers.

The first procedure involved in IVF is the egg retrieval. Because it is performed under anesthesia, the retrieval itself should be painless. After the retrieval you may experience a couple days of cramping, bloating, and abdominal distension. The second procedure is the transfer, which does not require anesthesia. The sensation is similar to a pap smear. You may experience some slight discomfort or cramping, but most patients consider it pain-free. Both are quick procedures. 


Please also note that IVF medications are taken via injection with a thin needle. You can talk to your doctor or coordinator if you have any concerns.

Yes! During IVF your eggs are retrieved directly from your ovaries, so it is a good option for anyone with damaged, absent, or tied tubes.

The lifestyle changes we recommend while undergoing IVF are similar to what’s recommended for pregnancy. It’s important to keep to a nourishing diet and abstain from alcohol, nicotine, drugs, and marijuana. Abstaining from exercise and getting plenty of sleep also supports your health during this process. If you’re taking any medications or supplements, be sure to discuss them with your doctor.