Programs and Services
Our Fertility and Reproductive Health experts offer a comprehensive array of services, including:
Preimplantation Genetic Diagnosis (PGD)
When a parent or parents carry a mutation that puts them at risk for having a child with a hereditary disorder, preimplantation testing of embryos can diagnose an embryo as affected or unaffected and embryos which do not carry the affected gene can be selected for transfer. This process is called PGD. It can significantly reduce the chances of having an affected child. It is typically done on patients who have no difficulty conceiving. Many couples know that they are at risk due to a family member with the disease, but some patients may be silent carriers. Preconception carrier screening can help identify patients and couples at risk for having a baby with a common genetic syndrome.
Preimplantation Genetic Screening (PGS or CCS)
Preimplantation genetic screening is different from PGD because it is done on patients who do not carry a known disease-causing mutation, but wish to reduce their chances of chromosomal imbalance which could lead to miscarriage or a baby with an extra or missing chromosome, such as Down’s syndrome. As women age, their eggs are at higher risk of carrying a missing or extra chromosome. Preimplantation genetic screening of embryos can include all 24 chromosomes and is, therefore, sometimes referred to as comprehensive chromosome screening (CCS). PGS can be performed in conjunction with a standard IVF cycle in any couple, but is typically considered in patients where the female partner is over 35 years of age. An additional benefit of PGS is that in improves our ability to choose the healthier embryos in a cohort, achieving a high success rate with a single embryo transfer and reducing the risks of twin pregnancies.
Reproductive Endocrinology and Infertility (REI) Laboratory
Our REI lab provides comprehensive services for women and men. It is accredited by the State of California and holds a tissue bank license. Our experienced laboratory staff of California licensed technologists and phlebotomists are all highly specialized in the field of reproductive technology. The laboratory staff interacts with the clinical staff to achieve the very best in patient care.
Our endocrine laboratory uses the state-of-the-art AIA 2000 to offer a full panel of reproductive hormone analysis. Test results are usually returned the same day, when samples are received by 10 AM.
Our andrology laboratory uses a CASA system (Computer Assisted Semen Analyzer), CEROS Sperm Analyzer, for semen analysis and sperm washes. A strict Kruger morphology may also be requested by your physician. Sperm cryopreservation is offered, but long-term storage arrangements must be made with a cryobank.
Third Party Reproduction (IVF)
Third Party Reproduction involves the use of another person either known or anonymous to assist a person or couple in achieving pregnancy.
Stanford Medicine Fertility and Reproductive Health is one of the largest programs in the Bay Area. We offer egg donation and InVitro fertilization (IVF) with a gestational carrier as ways to achieve pregnancy. Our team of experts will work with donor agencies to help you identify the anonymous donor who will best suit your needs and/or with a donor who is known to you prior to starting your treatment (e.g. sister, cousin or friend). The same is true of our Gestational Carrier program.