FERTILITY PROCEDURES

Call the Las Vegas Fertility Institute Toll Free: (800) 222-2802   

Professional Services

All services at the Fertility Institutes are offered on a seven day a week basis. The Fertility Institutes are registered with the American Society of Reproductive Medicine (the American Fertility Society). We maintain an active SART membership, and report all treatment outcome statistics to the Society. We were responsible for the first ICSI assisted birth in the Western United States and have continued to maintain state of the art treatment options for our patients at costs that remain highly affordable. Financing for many of our programs is available in many instances.

SERVICES OFFERED:

Surrogate Parenting with affordable Surrogates available IMMEDIATELY! We urge you to compare our complete Surrogacy prices (less than $38,000.00) with other programs costing over $ 78,000.00. Our program prices include ALL charges.   <Click Here for a Link Referral to Surrogate Resources for a price comparison example. --- Click the "BACK" button or Left arrow key to Return to Us>.  Do not be misled by programs offering surrogates with no such surrogates available. Our patients requiring the assistance of a gestational surrogate can be matched with well qualified, highly screened and selected surrogates within a week or two of joining our program. TOTAL program costs, including all medical and legal fees and arrangements by a surrogate attorney specialist average 1/2 the cost of similar programs. Our surrogacy program is not of the "OPEN" variety. That is, unlike many other programs, we seek surrogates who have no objection to a parting of ways with you after your child is delivered on your behalf by the surrogate. We do not accept surrogates who demand a post-delivery relationship with the couple, and contractually require that the surrogate not attempt to contact the couple after delivery unless the couple so desires. Surrogates are commonly used for women with recurrent miscarriages, untreatable problems of the uterus (womb) such as recurrent fibroids, uterine or endometrial scarring (Asherman's syndrome), prior hysterectomy or conditions where carrying the pregnancy would be a threat to the health of the mother to be. CLICK HERE FOR A LINK TO OUR EXPANDED SURROGACY INFORMATION PAGES

The most frequent question received about our surrogacy program is: "Why are you half the cost of other programs?". We have even had new patients report to us that they were concerned about coming to a program that seems to be far less costly than most other programs. Once they visit us as new patients however, our couples are pleasantly surprised. Our costs are kept low by a combination of providing our patients the option of referral to experienced surrogacy attorneys (one of our attorney referral sources successfully argued and prevailed in the California Supreme Court case establishing the indisputable parental rights of couples over the gestational surrogate), by applying time tested successful protocols for the achievment of pregnancy, by constantly carrying out a high volume of surrogacy cycles, and by eliminating the "middle man" price mark-ups seen in many programs and often disguised as "facility fees", "Center fees" or other nondescript fee mark-ups. We do not add foreign visitor surcharge fees. The decision to seek the assistance of a surrogate is not easy. We strive to ease the stress of these decisions by maintaining and making available to you one of the most experienced surrogacy medical programs available in a State whose judicial system has been wholeheartedly supportive of parents in their quest to obtain a viable pregnancy.Artificial Insemination: Intracervical, intrauterine, intraperitoneal. These procedures are utilized to treat a variety of fertility conditions that may include poor cervical mucus production resulting from previous cervical surgery (freezing, cone biopsy, LEEP), cervical antibodies being produced against sperm, diminished sperm motility and donor sperm placement. Intraperitoneal insemination (IPI) has shown high pregnancy rates in some women who have failed to concieve with other forms of insemination and is always considered by us prior to moving on to more costly and invasive procedures. With IPI, treated sperm are injected by way of the vagina, directly into the pelvic cavity where eggs are released. A very small catheter is used to avoid discomfort.

Gradient Sperm Washing, Filtration and Improvement. Highly effective, inert density solutions are commonly used to prepare sperm for In Vitro Fertilization and related procedures with excellent success. Though more costly and time consuming than other methods for preparing sperm for artificial insemination, it is the method utilized in nearly all of our standard sperm preparations for artificial insemination. This method produces a purer sperm sample with increased motility and fertilizing capacity.

Donor Sperm Bank.  For patients requiring donor sperm samples, we offer the selection of specimens from the nation's leading registered sperm banks. This selection includes samples from "designer" sperm banks specializing in specimens from men with specific backgrounds and physical and intellectual traits desired by some patients.

Vasectomy Reversal.  Our Centers are staffed by Board Certified Urologists that specialize in male infertilty. We provide classic microsurgical vasectomy reversal procedures, along with techniques such as MESA, TESA and PESA (see below) which include simple, through the anesthetised skin, needle aspiration of sperm, and methods to overcome failed vasectomy reversals. Cost for vasectomy reversal is app. $ 6,400.00.

Tubal Ligation Reversal.  We perform both laparoscopic and "open" microsurgical tubal reanastamosis. Success rates in selected cased approach 85%. These procedures are also offered  by our U.S. based physicians in our facilities in Mexico at substantially lower hospital prices ($7,200 total cost), with no compromise in success. 

In Vitro Fertilization (IVF), GIFT, ZIFT, TET.  We maintain our own outstanding IVF laboratories in Las Vegas and Los Angeles, as well as utilizing, in selected cases, additional leading specialty laboratories in Southern California and Nevada. We operate an IVF laboratory in Guadalajara, Mexico that has become famous in South America. Our combined success rates have remained in the top 20% of programs nationwide ever since our first case in 1981. You are urged to compare our price per cycle and for multi-cycle packages. We have always guaranteed to meet or beat any documented and substantiated price quote from any SART registered program in the country.

Testicular sperm aspiration (extraction) MESA, PESA, TESA, including for failed vasectomy reversal.   Our urologists, together with our Reproductive Endocrinologists are able to successfully aspirate or extract sperm directly from different areas of the testicle, and use this sperm to microinject (ICSI) a single sperm directly into the harvested eggs of the female. Using these methods, pregnancies and births are now possible with sperm from men who have had vasectomies, have had unsuccessful or failed vasectomy reversals, and in those men with an absence of the vas deferens, and those with extremely low sperm counts (less than 1 million), very poor motility (less than 2%) or, in some cases, even men with no sperm motility or no sperm seen in the ejaculate. Rather than performing a "blind" sperm extraction procedure (a common method in Las Vegas), our urologist can perform "testicular mapping", allowing an extraction to be safely and successfully carried out with the very first attempt. We are the only local facility offering this advanced technique. We offer comprehensive descriptions of these procedures over the phone, and you are invited to call for more details. We also provide electroejaculation procedures for men with ejaculatory dysfunction resulting from a variety of causes including spinal cord injuries. All of our facilities provide full access for the disabled. The ONLY board certified male fertility specialist with post-graduate fellowship training in these sperm extractin procedures is a staff member at the Las Vegas Fertility Institute. With the first attempt at sperm extraction the most important, why trust this delicate procedure to anyone but the best? MORE ON MESA, TESA, TESE, PESA 

Controlled multiovulation (fertility drugs), including the GnRH infusion pump for "single egg" production.   We are one of the largest users of native (natural), pulsatile infusion GnRH for the production of single healthy eggs in women with hypothalamic amenorrhea who do not ovulate regularly. By employing very small, portable automated infusion pumps, very tiny doses of fertility medication can be administered in small pulses around the clock. This method more accurately simulates what occurs in a "natural" cycle, and largely avoids the chance of a multiple pregnancy resulting.

Sex (gender) selection.   Each of our Centers carry out a very active and successful gender selection program. In most instances, a significant improvement in the chance of obtaining a desired gender pregnancy can be offered. This procedure is carried out in conjunction with a Board Certified cytogenetecist, to assure the highest levels of  sex ratio accuracy and separations. For more information, click here--

Surrogate Parenting with affordable Surrogates available IMMEDIATELY! We urge you to compare our complete Surrogacy prices (less than $48,000.00) with other programs costing nearly $ 78,000.00. Our program prices include ALL charges.   <Click Here for a Link Referral to Surrogate Resources for a price comparison example. --- Click the "BACK" button or Left arrow key to Return to Us>.  Do not be misled by programs offering surrogates with no such surrogates available. Our patients requiring the assistance of a gestational surrogate can be matched with well qualified, highly screened and selected surrogates within a week or two of joining our program. TOTAL program costs, including all medical and legal fees and arrangements by a surrogate attorney specialist average 1/2 the cost of similar programs. Our surrogacy program is not of the "OPEN" variety. That is, unlike many other programs, we seek surrogates who have no objection to a parting of ways with you after your child is delivered on your behalf by the surrogate. We do not accept surrogates who demand a post-delivery relationship with the couple, and contractually require that the surrogate not attempt to contact the couple after delivery unless the couple so desires. Surrogates are commonly used for women with recurrent miscarriages, untreatable problems of the uterus (womb) such as recurrent fibroids, uterine or endometrial scarring (Asherman's syndrome), prior hysterectomy or conditions where carrying the pregnancy would be a threat to the health of the mother to be.

The most frequent question received about our surrogacy program is: "Why are you half the cost of other programs?". We have even had new patients report to us that they were concerned about coming to a program that seems to be far less costly than most other programs. Once they visit us as new patients however, our couples are pleasantly surprised. Our costs are kept low by a combination of providing our patients the option of referral to experienced surrogacy attorneys (one of our attorney referral sources successfully argued and prevailed in the California Supreme Court case establishing the indisputable parental rights of couples over the gestational surrogate), by applying time tested successful protocols for the achievment of pregnancy, by constantly carrying out a high volume of surrogacy cycles, and by eliminating the "middle man" price mark-ups seen in many programs and often disguised as "facility fees", "Center fees" or other nondescript fee mark-ups. We do not add foreign visitor surcharge fees. The decision to seek the assistance of a surrogate is not easy. We strive to ease the stress of these decisions by maintaining and making available to you one of the most experienced surrogacy medical programs available in a State whose judicial system has been wholeheartedly supportive of parents in their quest to obtain a viable pregnancy.

Donor oocytes (eggs).  The Fertility Institutes maintain a very active oocyte (egg) donor program. We have over thirty egg donors, including most races, available for patient consideration. Our donors are extensively screened and are all college or graduate students. Unlike many other programs, we do not utilize egg donors over the age of  27 years, thus assuring our recipients very high pregnancy rates at very affordable prices. We have no age restrictions for healthy potential recipients interested in utilizing our donors. All donations in our program are anonymous. We do not offer "meet the donor" or "donor meets the parents" options, though we do provide extensive background and genetic history information on the donors to potential recipients.

Immature oocyte harvest.  The harvest and culture of immature oocytes is under active development by our program. We have yet to see significant encouraging results from programs carrying out this procedure. Our initial investigational efforts have shown promise but we will wait until further safety and outcome data become available prior to undertaking this procedure clinically. We update our Web site frequently and will report to you developments in the field. (Updated 4/98).

Secure embryo cryopreservation (freezing & storage).   Our entire fertility laboratory is licensed by all appropriate agencies. We hold a valid California Tissue Bank License assuring ongoing compliance with all safety, security and methodology requirements for the handling and cryopreservation of patient specimens. All Nevada State requirements have been met as well.

Oocyte micromanipulation: ICSI, Assisted Hatching, preimplantation genetic diagnosis.   The Fertility Institutes perform highly successful micromanipulation procedures. We achieved the first successful ICSI derived pregnancy in the Western United States as well as the first multiple pregnancy from purely ICSI derived embryos. Our ICSI success has been extended to men with sperm counts far less than 1 million and to patients who had previously failed multiple earlier IVF attempts at other programs.

LATEST INFORMATION ON CYTOPLASMIC TRANSFER YIELDS SURPRISING FINDINGS:

Information recently published concerning work involving cytoplasmic transfer from young, donor eggs to older eggs in order to improve the quality of the older eggs has provided surprising results. With infants now being born, it has been shown that some and perhaps all of these babies carry DNA from both the mother's egg and the donor's egg, as well as from the father. Clearly, cytoplasmic transfer will yield even further informataion as we continue to study the results of work in this area. Recent information has also demonstrated that there have been two pregnancies produced with cytoplasmic transfer that have resulted in a genetic abnormaility known as Turner's syndrome. This disorder is characterized by the absence of one of the two "X" chromosomes in female offspring. One of these pregnancies resulted in a miscarriage and the other was terminted early after the discovery of the disorder on amniocentesis. All efforts in the United States, including our own involving cytoplasmic transfer has been halted. Additional studies are underway with animals further investigating this treatment modality.

Immunology, Antibodies and Miscarriage Prevention.  We offer complete couple tissue type compatability testing through our association with a leading immunology laboratory. We work closely with the country's leading immunology experts, and offer full laboratory testing that includes preparation for and administration of paternal leukocyte immmunization, aspirin/heparin/prednisone protocols as well as a variety of cutting edge methods to both improve pregnancy outcome associated with advanced fertility procedures, as well as to prevent pregnancy loss from occuring.

* Although these interventions are not necessarily used, they are more likely than in non-IVF pregnancies.

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