As managers and coordinators of your fertility treatments, our role is to facilitate all aspects of your reproductive services inclusive of in vitro fertilization (IVF), pre-implantation genetic tests (PGD or PGS), egg donation, surrogacy, and egg banking. From your initial consultation to your final appointment, we are here to help.
We specialize in coordinating the in vitro fertilization (IVF) cycles. An IVF cycle is part of the egg donation, surrogacy, and egg banking processes. It involves the stimulation of the ovaries through hormonal medication to develop more eggs during a particular month and the subsequent retrieval of these eggs for fertilization. In the IVF laboratory, these eggs are fertilized with the sperm and then placed in incubation until they become embryos. Not all eggs will be normal and not all embryos will be normal. Typically, the more advanced the maternal age of our patients, the greater the risk for eggs and embryos that are less viable and healthy for successful pregnancies. This may lead to challenges with pregnancy as the treatment process continues.
Traditionally, the embryos that pass the evaluations for viability are implanted into the female’s uterus within the same month that the ovaries are stimulated for increased egg production. Recently however, it has been found that Frozen Embryo Transfer (FET) done on a different month from the stimulation month increases the pregnancy success dramatically because the uterus is in its un-stimulated state, thereby providing a more conducive environment for receiving the implantation of the embryo. Combined with genetic testing of embryos, the fertility field has observed the highest normal pregnancy rates in waiting out the month or so before embryo implantation.
more advanced the maternal age of our patients, the greater the risk for eggs and embryos that are less viable and healthy for successful pregnancies. This may lead to challenges with pregnancy as the treatment process continues.
Pre-implantation genetic testing refers to genetic testing of embryos not yet transferred into the uterus for implantation. There are a variety of genetic tests that can be performed on embryos to check for abnormalities and genetic disorders. The fertility specialist determines which tests to use based on the history, health and/or any pre-existing conditions known to the intended parents. The purpose of these tests is to determine which embryos fall within a normal range and assists in deciding which ones to transfer. By transferring only embryos within the normal test range, miscarriage rates are decreased and pregnancy rates are increased. Although genetic testing of embryos is an extremely useful tool for fertility specialists, they are not 100% accurate. A phenomenon called Mosaicism, which exists when cells within an embryo are not all the same, may lead to inaccurate genetic testing. The cell that is removed from the embryo for testing, may not be the same as the rest of the cells from that same embryo, which may reflect an inaccurate determination of the health of the embryo being analyzed.
Whether you are an egg donor or a donor egg recipient, our team is here to work closely with you. Our egg donors are able to apply online with ease and meet with a fertility medical professional for evaluation and/or to answer any questions prior to their cycle. Staff coordinators will work with your schedule to make the donation process as smooth and as convenient for you as possible. We coordinate interviews, screening appointments, psychologist appointments, legal processes and clearance paperwork for egg donation cycles. In addition, OIC proudly extends several incentive programs and benefits for our egg donors including our limited time egg freezing reward program. We recognize that our egg donors give time, commitment and a part of themselves so that couples may experience both the joy of pregnancy and parenthood and we welcome the opportunity to give back in rewards for the selfless gesture. Egg recipients receive the comfort in knowing that the work to select the best candidates for them to choose from is done with the utmost in integrity, anonymity and discretion. OIC coordinators diligently perform the capacities to ensure that all parties involved are cared for emotionally, physically and psychologically.
Surrogacy is when a woman with a history of healthy pregnancies and deliveries is selected to carry a pregnancy for another woman. The surrogate is a gestational carrier and has no biological link to the child she carries. There are many requirements for a surrogate as well as the intended parents using a surrogate. The Food and Drug Administration (FDA) oversees the federal laws applicable by medical clinics and they are designed to protect the health and well-being of the embryos be they from the intended parents, donor or surrogate eggs, and/or sperm. Preventing the spread of infectious diseases is vital to the success of infertility treatments that utilize donor eggs, donor sperm, and surrogacy.
Another type of surrogacy, known as “traditional surrogacy”, occurs when the surrogate is inseminated with an intended father’s sperm and thus she is both the carrier and the biological mother of the child. Due to the ambiguity in the reproductive laws that govern such arrangements, we do not encourage our clients to pursue traditional surrogacy and we do not manage these cases.
Our Concierge Service Program (CSP) is available to our clients. This program is designed to provide the option and opportunity to broaden our clients’ selection of surrogate candidates. We have developed the program to help reduce the wait time for a surrogate candidate, to increase surrogate options for our clients, and to ensure that our clients can move forward with the surrogacy process in a shorter amount of time. We have partnered with other surrogacy agencies to bring you an opportunity to screen, meet, and reserve their surrogates. Our ultimate goal is to assist you with completing your family and begin your journey into the wonderful experience that parenting provides. This program is not mandatory, but an option available to our clients.
How the program will work if you choose to participate: Participants will be presented with a selection of available surrogates. If they find a surrogate candidate who meets their criteria, program participants can reserve the surrogate by paying that surrogate’s agency deposit, which will vary by agency. We will coordinate the matching and pre-screening process for that surrogate candidate, which includes review of her medical records and ultrasound by a fertility center. After the match has been confirmed, the surrogate’s agency will take over and manage the surrogacy process for you.
CSP offers additional options that may be purchased by the participants to complement their surrogacy process, such as interpreting and translating services conducted by our staff.
Egg freezing has become a more common process and choice for women that would like to delay their child-bearing years. It involves the selection to preserve their unfertilized eggs for use when they are ready to begin creating an extension to their family. One drawback with egg freezing is that eggs cannot be genetically tested because genetic material may not be removed from an egg without it compromising the integrity of the egg. It must be clearly understood by women that choose to go this route – that while they are preserving potentially viable eggs, freezing eggs does not guarantee a healthy child in the future. Whenever possible, embryo (eggs that have been fertilized with sperm and incubated) freezing should be considered as an alternative because embryos can be genetically tested and they can be frozen for a much longer period of time than eggs.