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Tubal Reversal Surgery / Bilateral Tubal Reanastomosis (BTA)

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A woman who has had a previous tubal ligation by clips, rings, or fulguration may be a candidate for a tubal reanastomosis. In this procedure an incision is made into the abdomen to gain access to the fallopian tubes. The ends of the fallopian tubes are then incised to expose the lumen, or opening of the tube. The two lumens of the tube are then carefully reattached under the microscope. Once the tubes themselves are reattached, the outer covering, or serosa, of the tubes are brought together over the top of the inner portion of the tube. Colored dye is then used to test the repair and patency of the fallopian tube.

Pregnancy rates with reanastomosis procedures depend on several factors. The fallopian tubes must remain open, or patent. The next factor is based on a woman’s age and other factors that may affect overall fertility. More than 75% of women will be able to conceive following a successful reanastomosis. This number may be higher or lower depending on your individual circumstances. Peak pregnancy rates occur within several months following tubal reversal procedures. An HSG may be used 6 months or more after a reanastomosis to test the tubes to be sure they are still open.

The procedure usually involves an overnight stay. If the admission is below 24 hours, the stay can be called a 23 hour observation and usually represents a significant cost savings. Dr. Zeringue has extensive experience performing tubal reversals. Since 1995, he has been helping women get pregnant through microsurgery. While serving in the Air Force, Dr. Zeringue performed tubal reversals on women from across the United States and even overseas. His perfected technique results in a very high success rate for both completion of surgery and subsequent pregnancy rates. This success combined with minimal discomfort makes tubal reversal an excellent alternative to IVF for many women.

For more information visit: http://californiaivf.com/tubal-reversal.htm

Donor Oocytes (eggs)

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This post is intended for egg recipients

Getting Started: If you elect to participate in the anonymous oocyte recipient program this information will be held in confidence. At the completion of your cycle your donor will not be informed of the outcome of the cycle. It will be up to you and your partner to decide with whom to share this information, including your obstetrician, should you conceive. We recommend that you consider who you will inform and the potential consequences of this decision prior to beginning a cycle of receiving anonymous oocytes. The oocyte donor’s identity is also protected and you will not be given any information about her. We will discuss our screening and matching procedures with you and make an attempt to incorporate any special requests that you may have in the selection of your donor. If you should use a known donor, she must meet the same screening criteria as our anonymous donors. Charges for the cycle with either anonymous or known donors is the same with the possible exception of donor compensation. It is your decision to choose whether or not you want to compensate a known donor.

A medical and genetic history form needs to be completed by you and your partner. This information will need to be returned to us before we can begin the matching process. In this form you are asked to provide physical characteristics (height, weight, hair and eye color, and blood type) and genetic/medical history of both partners. Donors are matched with these characteristics as closely as possible. We also require that both partners have screening lab work obtained prior to beginning a cycle. The evaluation will also include an assessment of the uterine lining as well as other general health information. If your partner’s sperm is being used, a semen analysis will also need to be performed.

For more information visit: http://californiaivf.com/donor-eggs.htm

Becoming an Egg Donor

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Getting Started
Thank you for your interest in becoming an Oocyte (egg) donor at California IVF. The goal of our program is to provide eggs anonymously to women with unable to produce quality eggs on their own. Ovarian failure is one of the leading causes of infertility and may occur for many reasons. Delayed child-bearing, radiation or chemotherapy therapy for cancer, autoimmune diseases and surgical removal of the ovaries are a few of the causes of ovarian failure. Women of advanced age are also candidates for donor oocytes. Donor oocytes provide couples with little or no chance of achieving a pregnancy a > 65% chance of conceiving each cycle.

Donating eggs is not an easy process and will require a commitment of time and energy. Couples with whom you may be matched will be investing a large amount of money for each cycle. In addition to their financial investment, people become emotionally committed to their treatments. It is extremely important that you are willing to complete the process once begun. Please let us know if at any time you decide that you are unwilling to participate in this program and your profile can be removed from the registry.

Once you are given an introduction to the screening and treatment process, you will be given the opportunity to proceed. The screening process will involve blood work, an ultrasound, and a psychological evaluation. For the psychological evaluation, you will meet with a psychologist who will talk with you about why you want to be a donor, and her staff will administer a psychological test called the MMPI. The interview and test are not difficult or threatening. Additional tests may be required in certain circumstances. You will not have to pay for any of the testing or screening procedures. We do however, encourage you to use your current health benefits to receive your annual Pap smear screening and routine gynecological exam. Copies of this information should be requested and brought with you to your initial appointment.

For more information visit: http://californiaivf.com/Egg-Donor.htm

Adoption Resources

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Many people will find great joy and satisfaction through growing their family with adoption. There are many resources and types of adoption that may be available to couples. It is unfortunate that many adoption agencies make the adoption process very difficult, expensive, and time consuming. Everyone understand the need to ensure the safety and well being of the children, but many people find the process extremely difficult. Better understanding the various options for adoption will help avoid some of this frustration.

Private adoptions can happen when a mother desires to relinquish rights to the baby before the state or other adoption agencies are involved. These types of adoption are usually less cumbersome but are also more difficult to find. There are mailing lists and agencies that will work with you to increase your visibility to mothers that may wish to give their baby up for adoption.

Adoption agencies are regulated by the state and have to adhere to strict guidelines. The various agencies will have their own requirements including visits with a psychologist, a home study program (inspection), and often age restrictions. There are programs that make the process much easier than other agencies. Overseas adoptions offer many hopeful parents the chance to grow their family. The number of overseas programs are growing and there is a wider range of options than ever before. Adoptive parents are encouraged to thoroughly investigate the different agencies and programs.

For more information visit: http://californiaivf.com/adoption.htm

In Vitro Fertilization (IVF)

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IVF is a procedure involving the stimulation of multiple ovarian follicles using gonadotropins. These follicles are then retrieved at the appropriate time. After fertilization in the lab, the subsequent embryos are transferred into the uterus where implantation can occur. This process bypasses the fallopian tubes and increases fertilization rates when there are problems with low sperm counts.

 

Candidates
In vitro provides many people with the opportunity to attempt pregnancy in the face of one or more factors that may otherwise decrease their chances. There are several reasons why you may be better off with IVF. Reasons for undergoing IVF include:

  • Significant adhesions (scar tissue)
  • A history of damage to the fallopian tubes
  • Endometriosis
  • Unsuccessful attempts with other types of infertility treatment
  • Low or abnormal semen assays Intra Cytoplasmic Sperm Injection
  • Reduced risk of pregnancies greater than twins 

Our facility does not select out patients or decline patients that may not be likely to conceive. There are no attempts to turn away couples in hopes of maintaining good statistics. With this said, however, realistic expectations need to be established. Your physician will need discuss your individual situation with you.

Prior to becoming eligible for treatment in an IVF cycle you will need to complete the tests recommended for you by your physician, have to have current infectious disease testing (good for 1 year), and your consent forms must be signed and returned before starting each cycle.

For more information visit: http://californiaivf.com/ivf.htm

Infertility Affects Millions of Women. Help is Available.

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California IVF: Davis Fertility Center, Inc. offers a full range of infertility services that are tailored to fit your individual needs. The information presented here is intended to help you make informed decisions about your care but should not serve as a substitute for discussing your individual situation with a physician.

The exact evaluation and treatment will vary among individuals and is also influenced by any previous evaluations and treatments you may have had. Infertility programs have different approaches to the way testing and treatment is done. There is no “one best way” to treat infertility patients. Being informed about your treatment is extremely important in helping to determine what is the right choice for your care. Our goal at California IVF is to provide you with diagnostic and therapeutic options tailored to you. By selecting the most appropriate treatment, we will be able to maximize your potential for conceiving.

For more information visit: http://californiaivf.com/infertility.htm

CIVF – Helping people grow families!

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Achieving positive results by providing patients cutting edge services in a patient-friendly and relaxed atmosphere. Your satisfaction is our top priority. We strive to make the process of fertility investigation and treatment a positive experience. We are proud of our family-like atmosphere and strong committment to patient education. Combining the latest technology with compassion and individualized care, will ensure that our family can help you grow your family.

You may reach us by any of the following convienient methods.

  • Telephone……….530-771-0177
  • Facsimile…………530-771-0135
  • Email………………info@californiaivf.com

You should also feel welcome to stop by and request information. For your convenience we offer free information sessions that will serve as an introduction to our clinic and services. These free sessions are very useful for helping you understand the journey that lies ahead of you.

Location
We are located on the south side of Davis, California next to Kaiser Davis. Davis is near Sacramento and is convenient to Woodland, Dixon, Vacaville, Fairfield, Suisun, Napa, Vallejo, and Lodi. We also extend our welcome to patients from out of state as well as our neighbors in Redding and Fresno.