Fertility Treatments

In Vitro Fertilization (IVF)

In vitro fertilization (IVF) is one of the most trusted and effective fertility treatments available. Essentially, the process involves removing eggs from a woman’s ovary, and fertilizing them outside of the body. After fertilization has taken place, the embryo is placed back into the uterus, and the pregnancy begins.

IVF is often the right route to take when a couple is dealing with:

Tubal disease
Ovulation disorders
Endometriosis
Male factor infertility
Unexplained infertility

The Steps of IVF

While the concept of IVF is simple enough, the procedure itself requires high levels of expertise in all of its many stages. Led by Dr. Fisch, Green Valley Fertility serves Las Vegas and Henderson with the highest level of in vitro fertilization care.

1. Ovulation Stimulation

The woman is first stimulated with medication so that several eggs grow within the ovary. The medication comes via daily injection for about 10 days.

2. Oocyte Retrieval

The woman is then sedated and a sonogram-guided needle is used to collect the eggs through the vagina. Typically about 15 eggs are collected.

3. Fertilization

The eggs are then mixed or injected with the partner’s sperm. This fertilization must take place under very specific conditions. Technical instruments, incubators, airflow machines and air filters are all used to create this special environment. Most of the eggs retrieved will become fertilized. Incubation lasts for 3 to 5 days.

4. Embryo Evaluation

The embryos are evaluated based on their development and any flaws the embryologist may see. Both patients and doctor will decide how many embryos to transfer to the uterus. More embryos may mean a higher probability of success, but also the higher probability of twins. Usually one to three will be transferred.

5. Transfer of the Embryo

Using ultrasound guidance, the embryos are transferred through the cervix into the uterus. The procedure is not painful. Spare embryos can be saved with what is called cryopreservation, for the possibility of future treatments.

6. Monitor for Implantation

A transferred embryo, if the procedure is successful, will implant itself, and produce a hormone that can be monitored in the blood stream. This detection marks the beginning of gestation.

Frequently Asked Questions

How much does IVF cost?

In vitro fertilization treatment must be customized according to the couple, therefore the costs vary. Furthermore, some people require more than one cycle, which can increase the costs as well. Consult with our medical team to learn more about the costs of your particular treatment, if it is needed.
Learn about IVF financing options

Why would I do a second cycle if the one didn't work?

Our fertility specialists will monitor the quality of the embryos that are developing and the receptivity of your uterus to be able to determine if another round of IVF is the right thing to do after one failed implantation.

Are there risks with IVF?

Side effects and complications are rare. In few cases, infection can occur. Pain and nausea may need to be treated with medication during the procedure. Another risk is that with IVF, the chance that you have twins is much higher.

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To schedule your consultation, call our offices at (702) 722-2229

Preparing for your infertility consultation

It’s our pleasure to welcome you to Green Valley Fertility Partners. We are here to help you through the process of diagnosis and treatment, starting with your initial consultation with your physician and patient coordinator here at our clinic. The goal of this first visit is to thoroughly evaluate your medical history, outline a diagnostic plan to determine the specific needs of your case, and to design a treatment plan that is customized to your individual situation. Your physician and patient coordinator will be spending one-on-one time with you during this initial visit, making sure you are an informed and knowledgeable participant in your treatment.

To assist you in preparing for your consultation, we have outlined some commonly asked questions regarding what to expect during and after your consultation, materials and information to bring with you, and important pre-consultation reminders.

To ensure we provide you with the best care possible, we kindly ask all new patients to download and complete our questionnaire.

Simply click the link below to access the questionnaire. Once filled out, please email the completed form to Ivy at ivy@gvflv.com

Download Questionnaire: New Patient Form

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How should I prepare for the initial consultation?

Please bring your driver’s license and insurance cards to your appointment. After your consultation, our billing department will call your insurance and find out what coverage, if any, you may have for fertility diagnosis or treatment. Prepare to bring with you a copy of your medical records from your OB/GYN, primary care physician, or any other fertility programs that add to your medical history. This copy will be for the office to keep on file as a part of your medical record, so make sure that you have your own personal copy as well. Your doctor can also fax these records to us directly, but arranging this will be your responsibility.

Should my partner come with me for this visit?

Because this is a time for asking clarifying questions, we invite and encourage your partner to accompany you to your initial consultation both to learn with you, and to support you. However this is ultimately your decision, your partner’s presence is not necessary during this visit.

Can I meet with a financial counselor to discuss payment options?

After the initial consultation, there is also an opportunity to discuss the financial package options available to you. Our on-staff financial counselor will assist in explaining a price breakdown of the services provided by Green Valley Fertility Partners so that you can have a clear idea of the costs and timeline of payments with respect to your treatment plan.

Do you take insurance?

Our doctors do hold contracts with a number of PPO plans and some HMO plans as well. When planning for financing your treatment, it will be your responsibility to contact your insurance provider and check your coverage options for fertility. Once you have visited our office and become an established patient, our staff will also be checking with your insurance company to ensure that you receive all of the coverage that your plan provides. This screening process typically takes 2-3 working days to confirm. Someone from our office will contact you and inform you of what your insurance benefits tells us what is covered or not covered.

What forms do I need to complete before my initial consultation?

Please visit https://greenvalleyfertility.com/patient-info/new-patient-forms/ to download the New Patient Package. This form gives the doctor details of your medical background, and should be completed prior to your initial consultation for the doctor’s reviewing purposes. You can download these forms from our website, and they will also be sent to you directly before your scheduled appointment time (either via email, fax, or post).

How soon can I schedule my initial consultation?

Typically we will be able to schedule your appointment within 1-3 days after your call to the front desk, sometimes sooner.

How long does it take to determine the diagnosis and construct a treatment plan?

Because diagnoses vary significantly from patient to patient, consultation with your physician will establish the details and time frame of your treatment plan.

How long will my first visit take?

From arrival to checking out, expect to be in the office anywhere between 60 to 90 minutes. Please arrive 10 minutes before your appointment.

Do you treat patients outside of Southern Nevada?

We treat patients from anywhere within the United States and abroad. If necessary, patients can coordinate between their doctors at home and an GVFP fertility specialist to create a cycle calendar that works with their schedules. Phone consultations are also available for patients from out of town.

What will be the total cost of my treatment and what are my options for payment?

Once your treatment plan is outlined and a schedule is created, our financial counselor will be able to give you an itemized list of costs and fees for all necessary services.

What tests are administered at my initial visit?

We do not typically do any testing as part of your initial consultation. However, at your second appointment with Dr. Fisch he will most likely want to do an ultrasound to assess your ovaries, and may also include a few standard blood tests, typically including the following:

FSH (follicle stimulating hormone)
LH (luteinizing hormone)
Estradiol
TSH (thyroid stimulating hormone)
PRL (Prolactin)

Note: Your doctor may recommend more testing, based on your medical history and assessment. You can choose to have testing done at any time before beginning treatment.

After our diagnosis on the first visit, how long will it be until we can start treatment?

Treatment may begin as soon as the information is sufficient to work up a recommendation. Treatment can often start within one cycle, approximately one month.

How long should I expect to undergo treatment?

Because every patient’s unique case is contingent on so many different factors, the duration of your individual treatment can only be determined by your doctor.

What are your success rates?

After reviewing your individual clinical situation, your doctor will be able to give you a more accurate idea of what to expect from your treatments.

How many times will I have to attempt IVF before becoming pregnant?

It is our hope that you will become pregnant after your first attempt. There is no policy at GVFP regarding the number of recommended cycles to achieve pregnancy. The average number of IVF cycles to achieve a successful live birth depends on embryo quality, age of the woman and quality of the sperm.

What is the rate of success at your clinic for IVF per embryo transfer? What is the number of embryos generally transferred each time?

At GVFP, we hope to achieve a pregnancy resulting in a single healthy baby. For this reason, we do not usually encourage transferring multiple embryos.

What is the monitoring process for my treatment, and how frequent will it be?

The standard process for monitoring during treatment involves ultrasound and blood work every several days during an IVF cycle. This typically lasts 10-14 days. An IUI cycle typically involves ultrasounds and using an ovulation predictor kit at home.

Is it always my doctor who performs monitoring during my treatment, or will other physicians or nurses be monitoring me as well?

Yes, At GVFP , Dr. Fisch performs all ultrasounds and procedures in the office.

We understand that these are only the first few questions you may have in preparing for your first visit. Remember that you can contact us any day of the week with further questions or clarifications. Our staff is also available after hours to answer any clinical question that arises during your cycle, and provide support so that you always feel informed and empowered as you go along. To schedule your initial consultation, you may call our offices at (702) 722-2229 or visit our website at www.GreenValleyFertility.com

We hope to see you soon!

Let's Talk

Green Valley Fertility Partners proudly offers Concierge-IVF and advanced fertility treatments using leading-edge technology.

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Address

2950 W Horizon Ridge Parkway, Henderson, NV 89052

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Email

info@greenvalleyfertility.com

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Phone

(702) 722-2229