Southern California Fertility Center

Products And Services

• Family Genetic Services

  Carrier screening is a type of genetic testing used to assess genetic risks to a patient or couple’s offspring that might not be evident from personal or family history alone. Genes are the instructions within our cells responsible for making our bodies function properly. Humans have two copies of each gene – one inherited from each biological parent. If a gene is no longer functioning correctly due to harmful changes, a genetic condition may result. At Southern California Fertility Center in La Jolla, under the leadership of Dr. Nastaran Foyouzi, one of the world’s leading experts in reprodcutvie genetics, we offer comprehensive carrier screening services. Dr. Foyouzi’s experienced genetics team, comprised of top embryologists and genetic counselors, ensures that each test is conducted with precision and care.

• Gender Selection

  Complete Genetic Embryo Testing for Greater Success Preimplantation genetic testing (PGT) involves the genetic testing of embryos before they are placed in the uterus. PGT-A, commonly used as preimplantation genetic testing for aneuploidy (formerly known as PGS), identifies abnormalities in the chromosome count of cells, such as missing or additional chromosomes, which can lead to implantation failure or miscarriages. PGT-M, though less common, is crucial for eliminating inherited diseases from a family tree. This form of testing, formerly known as PGD, screens for specific genetic disorders like inborn errors of metabolism or single-gene defects. Both PGT-A and PGT-M can be performed on the same biopsy sample using advanced nucleotide sequencing platforms managed with artificial intelligence, revolutionizing the field of IVF. PGT-SR is a technology that can be used in couples who carry a balanced translocation and are at higher risk for recurrent pregnancy loss due to chromosomal imbalances. This technology looks at the breakpoints of the chromosome/s more precisely and closely to detect any small imbalances that could be missed in PGT-A.

• Holistic Fertility

  Mental health plays a pivotal role in fertility, as emotional well-being and physiological health are intricately connected. Stress, anxiety, and depression can influence hormonal balance, potentially impacting ovulation, sperm production, and overall reproductive health. Conversely, fertility challenges can take a significant emotional toll, creating a cycle of distress that may further affect treatment outcomes. At Southern California Fertility Center, we understand that addressing mental health is as crucial as providing cutting-edge medical solutions. By offering compassionate care, counseling, and a supportive environment, we aim to empower individuals and couples on their fertility journey, nurturing both body and mind for optimal outcomes. Acupuncture has emerged as a supportive therapy for women trying to conceive, offering both physical and emotional benefits. By stimulating specific points on the body, acupuncture promotes blood flow to the reproductive organs, helping to improve ovarian function and endometrial receptivity, essential for successful implantation. It is also known to reduce stress, which can interfere with hormonal balance critical for ovulation and conception. Recent studies have shown encouraging results, suggesting that acupuncture may enhance the success rates of assisted reproductive technologies like IVF when used as a complementary treatment. These findings underscore acupuncture’s potential to create a more favorable environment for conception by addressing both physiological and emotional factors. Ask Dr. Foyouzi about the exciting acupuncture options available under her supervision.

• Intrauterine Insemination (IUI)

  Intrauterine insemination (IUI), also known as artificial insemination, is a relatively simple, non-surgical procedure that only takes a few minutes to perform. IUI is often considered a primary approach for couples experiencing difficulty conceiving. During this procedure, a trained fertility specialist places sperm directly into a woman’s uterus while she is ovulating. IUI may be an excellent first step in getting pregnant with the help of your team at Southern California Fertility Center in La Jolla.

• IVF Treatment

  The physicians at Southern California Fertility Center (SCFC) in La Jolla, led by Dr. Nastaran Foyouzi, bring over 25 years of experience in IVF treatment with acclaimed success, helping patients from across the United States and internationally. Dr. Foyouzi and her team are actively involved in the evolution of IVF and Assisted Reproductive Technology (ART). They possess a deep understanding of why treatments work, when they are most beneficial, and realistic alternatives. Additionally, they know what doesn’t work and will listen to your needs, ensuring you are given the best options and alternatives for your family-building success. During your treatment cycle, many team members, in addition to your individual physician, will participate in your care. Advanced fertility procedures require time and energy, as well as emotional and financial commitment. The entire staff at SCFC makes every effort to provide you with personal and compassionate care to make this process as comfortable and manageable as possible.

• Medicated Timed Intercourse

  Medicated timed intercourse is a fertility treatment method designed to enhance a woman’s chances of conceiving by using medications to stimulate ovulation and then timing intercourse to coincide with the peak fertility period. This approach is often recommended for women who have irregular ovulation cycles or have PCOS. By stimulating ovulation with medication, the likelihood of releasing a mature egg increases, and by timing intercourse precisely, the chances of sperm meeting the egg are optimized. Dr. Nastaran Foyouzi, a leading expert in genetics and reproductive endocrinology at Southern California Fertility Center, is crucial in guiding patients through this process and ensuring personalized and effective treatment plans.

• MicroSort Gender Selection

  MicroSort® is a scientifically validated preconception technique designed to increase the likelihood of conceiving a child of the desired gender by sorting male and female sperm. This method, currently the only proven technique for sex selection, allows control over which sperm fertilizes the egg. Typically, semen contains an equal split—50% Y-chromosome sperm for boys and 50% X-chromosome sperm for girls. Through the MicroSort® process, sperm carrying the X or Y chromosome can be separated, allowing families to select a sample with only the desired type of sperm. This enables couples to make informed choices for family balancing, using a sample tailored to their preferences for a healthy boy or girl. The MicroSort method is so precise that it measures the amount of genetic material in each sperm. The X chromosome sperm carries 2.8% more DNA than the Y chromosome, the MicroSort method can then mark each sperm differently if its an X chromosome or a Y chromosome.

• Ovarian Rejuvenation

  Ovarian rejuvenation is an innovative fertility treatment designed to restore ovarian function and enhance fertility potential in women who are experiencing diminished ovarian reserve or premature ovarian failure. This cutting-edge procedure involves the injection of platelet-rich plasma (PRP) or autologous stem cells directly into the ovaries, aiming to stimulate the regeneration of ovarian tissue and improve the quality and quantity of eggs produced. For women struggling with infertility due to age-related decline or other factors, ovarian rejuvenation is a research-based procedure with uncertainty on the result, however, is an option for people who want to turn all the stones.

• Reproductive Geneticist

  Specialty: Focuses specifically on genetics related to reproduction and fertility. Mostly works to prevent genetic disease from happening Role: Works with couples and individuals who are planning to conceive or who are undergoing fertility treatments. They often perform genetic testing on Couples to determine their risk of having an affected child or embryos during IVF (in vitro fertilization) to ensure they are free from certain genetic conditions. Reproductive genetic specialists also can help couples with recurrent pregnancy loss who do not have any fertility problems, however, have a challenging path to a live birth. Additionally, Reproductive geneticist subspecialists help people with hereditary cancer genetics or a family history of hereditary genetic problems to have a healthy future family. Scope of Practice: Includes pre-implantation genetic diagnosis (PGD) and screening (PGS), carrier screening for genetic conditions that can affect offspring, and advising on genetic risks related to reproductive health. Also able to diagnose genes that caused familial genetic disease to counsel the couple properly on their reproduction path to having a healthy family. Example Situations: Helping a couple with a history of genetic disorders ensure their embryos are healthy before implantation, screening for genetic conditions like cystic fibrosis or Tay-Sachs disease.

• Medical Geneticist

  Specialty: Focuses on the diagnosis and management of genetic disorders across all stages of life, not just related to reproduction. Mostly deal with after birth with treatment and resources of an affected child or adult. Role: Works with patients of all ages who may have genetic disorders or are at risk of genetic diseases. They diagnose conditions, provide management plans, and offer genetic counseling. Scope of Practice: Includes a wide range of genetic testing and counseling services, from prenatal genetic testing to managing inherited diseases such as muscular dystrophy, sickle cell anemia, or cancer predispositions. Example Situations: Diagnosing a child with a suspected genetic syndrome, providing genetic counseling for a family with a history of Huntington’s disease, or helping manage a patient with a known genetic disorder.

• Tubal Reversal Surgery

  Tubal reversal surgery, also known as tubal ligation reversal, is a procedure for women who wish to restore their fertility after having previously undergone tubal ligation (tubes tied). This surgery reconnects the fallopian tubes, allowing eggs to travel from the ovaries to the uterus, where fertilization can naturally occur. Tubal reversals may be necessary for women who have had a change in their reproductive goals, such as a new relationship or the desire to expand their family. It can be an alternative to in vitro fertilization (IVF) for those looking for a natural conception method however, with a lower success rate.

• Egg Donation

  At Southern California Fertility Center in La Jolla, our goal is to guide you through every step of the egg donation process, ensuring that your journey is as smooth and supportive as possible. Egg donation is often considered when other reproductive options have been exhausted or are not available. With Dr. Nastaran Foyouzi, a leading expert in reproductive endocrinology and genetics, at your side you’ll receive personalized care and expert guidance in selecting the right egg donor for your family. Whether you choose an anonymous or known donor, Dr. Foyouzi and her experienced team will provide you with the resources and support you need to make informed decisions and feel confident throughout the process.

• Helping the LGBTQ Community Grow Families

  At Southern California Fertility Center, we are committed to helping LGBTQ couples realize their dreams of becoming parents. For same-sex couples, the journey often involves using a combination of surrogacy and donor eggs or sperm donation or using their genetic material to create embryos. Our team works closely with LGBTQ couples to navigate the complexities of these options, ensuring that the process is as smooth and personalized as possible. With Dr. Nastaran Foyouzi’s extensive expertise in reproductive medicine, including her specialization in genetic testing and embryo selection, we help LGBTQ couples make informed decisions and achieve their goal of having a healthy baby.

• Surrogacy & Gestational Carriers

  Surrogacy is a complex process involving medical and legal considerations and emotional and ethical dimensions. For many intended parents, particularly those in the LGBTQ community or those facing infertility, surrogacy offers a path to parenthood that might otherwise be unavailable. However, the journey is often intricate, requiring careful coordination between intended parents, surrogates, fertility specialists, and legal professionals. The medical process involves creating embryos through in vitro fertilization (IVF), which are then implanted into the surrogate’s uterus. Legal aspects ensure that the intended parents have full parental rights once the child is born. This multifaceted process requires expertise and compassionate guidance to address the emotional challenges that can arise. Gestational carriers, also known as surrogates, play a crucial role in helping individuals and couples, especially those who are unable to carry a pregnancy themselves, realize their dream of becoming parents. In this arrangement, the gestational carrier carries a pregnancy for the intended parents using an embryo created through in vitro fertilization (IVF). This process allows the child to be biologically related to one or both of the intended parents, even though the carrier does not contribute any genetic material. However, the early embryo environment contributes to epigenetic changes and function of the genome therefore Dr. Foyouzi with the genetic background can help to choose the best surrogate. The decision to use a gestational carrier is often complex and emotional, requiring careful consideration of medical, legal, and ethical factors.

• AMH / Cycle Day 2-4 FSH / E2 Testing

  Anti-Müllerian Hormone (AMH) and Cycle Day 2-4 Follicle-Stimulating Hormone (FSH) and Estradiol (E2) testing are critical assessments in evaluating a woman’s ovarian reserve and reproductive potential. AMH levels provide an estimate of the remaining egg supply, helping to predict how the ovaries might respond to fertility treatments like IVF. Testing FSH and estradiol levels on cycle days 2-4 gives insight into the function of the ovaries and the hypothalamic-pituitary-ovarian axis. Elevated FSH levels can indicate reduced ovarian reserve or potential fertility issues, while estradiol levels help in interpreting the FSH results, providing a more comprehensive picture of reproductive health. These tests are essential for tailoring fertility treatment plans to maximize the chances of a successful pregnancy

• Ultrasound Follicle Count Testing

  Ultrasound follicle count testing, also known as an antral follicle count (AFC), is a key part of fertility evaluation. During this test, a doctor uses an ultrasound to count the small fluid-filled sacs, called follicles, in a woman’s ovaries. Each follicle contains an immature egg, and the number of follicles helps assess a woman’s ovarian reserve—essentially, how many eggs she has left. A higher follicle count usually indicates a better chance of success with fertility treatments like IVF, while a lower count may suggest a reduced ovarian reserve. This test provides important information for creating a personalized fertility treatment plan.

• HSG Test

  Hysterosalpingography (HSG) is a specialized X-ray test used to evaluate the health of a woman’s fallopian tubes and uterus (less sensitive with regards to uterine evaluation), which are critical for natural conception. During the test, a special dye (iodine-based) is gently injected into the uterus through the cervix, and X-rays are taken to see if the dye flows freely through the fallopian tubes. This helps doctors identify blockages, scarring, or other abnormalities that could be preventing pregnancy. Dr. Nastaran Foyouzi’s extensive experience in reproductive medicine allows her to expertly interpret the results of an HSG test, understanding how any detected issues might interact with other fertility factors. Her background in reproductive genetics also means she can look at the big picture, integrating HSG findings with genetic considerations to create a well-rounded and effective fertility treatment plan.

• Saline Sonogram

  A saline sonogram, also known as a saline infusion sonohysterography (SIS), is a special ultrasound test used to check the inside of the uterus for any abnormalities, such as polyps, fibroids, or scar tissue. During the procedure, a small amount of sterile saline (salt water) is gently injected into the uterus through a thin tube. The saline expands the uterus slightly, making it easier for the doctor to see its lining and detect any issues on the ultrasound. When a tubal patency evaluation is added, the test also checks whether the fallopian tubes are open or blocked. In this case, a special contrast fluid (Mixed normal saline with a bubble of air) is used instead of just saline, which helps the doctor see the flow the bubble of air through the fallopian tubes on the ultrasound. If the fluid passes through the tubes, it means they are open, which is important for natural conception. This procedure is quick, usually done in the office, and helps provide valuable information for diagnosing and treating fertility problems. It is more favored by many patients since it does not cause as much pain as an HSG.

• Semen Analysis

  A semen analysis is a key test for evaluating male fertility, helping to identify potential issues that might affect a man’s ability to father a child. During this test, a sample of semen, which contains sperm, is collected, usually through masturbation, at a clinic, or sometimes at home. We usually recommend 1-3 days of abstinence before semen analysis. Since longer abstinence may result in a false result (Low motility). The sample is then examined under a microscope in a laboratory to assess several important factors: the number of sperm (sperm count), their movement (motility), their shape (morphology), and the volume and consistency of the semen itself. These parameters are crucial for understanding a man’s reproductive health. For example, a low sperm count, or poor motility could make it harder to achieve pregnancy naturally, while abnormalities in sperm shape might impact the ability to fertilize an egg. The results from a semen analysis guide doctors in diagnosing male infertility and determining the best course of treatment.

• Sperm DNA Fragmentation Testing

  Sperm DNA fragmentation testing is a specialized test that checks the quality of sperm by analyzing the DNA inside each sperm cell. Even if a man’s sperm looks normal in terms of count, movement, and shape, the DNA inside can sometimes be damaged or “fragmented,” which can make it harder for the sperm to successfully fertilize an egg or can cause issues with embryo development, potentially leading to infertility or miscarriage. This test helps identify those hidden issues and guides doctors in choosing the best fertility treatment. Sperm DNA fragmentation testing is not indicated for every male fertility evaluation. Dr. Nastaran Foyouzi’s expertise as a reproductive geneticist is crucial in this context. Her deep understanding of genetics allows her to interpret these complex results more accurately and tailor treatments to the specific needs of each patient. Her knowledge ensures that the most effective strategies are used to address any genetic concerns, improving the chances of a successful pregnancy.

• Diagnostic Hysteroscopy (Endosee)

  Diagnostic hysteroscopy is a procedure that allows doctors to take a close look inside the uterus using a thin, lighted tube called a hysteroscope. This tube is gently inserted through the cervix into the uterus, giving the doctor a clear view of the uterine lining and the opening of the fallopian tubes. This procedure is very useful for diagnosing infertility, failure of implantation and uterine causes of recurrent pregnancy loss because it can detect abnormalities that might be missed with other tests, such as scar tissue that covers the uterine wall and con not be detected by saline sonogram, or other issues that could prevent pregnancy or cause miscarriages or even uterine thin lining. By identifying and sometimes even treating these problems during the same procedure, diagnostic hysteroscopy plays a vital role in helping doctors develop an effective fertility treatment plan. This procedure could be done safely and comfortably in the office and is considered a gold standard for diagnosing any uterine abnormalities.

• Diagnostic Hysteroscopy (Endosee)

  Diagnostic hysteroscopy is a procedure that allows doctors to take a close look inside the uterus using a thin, lighted tube called a hysteroscope. This tube is gently inserted through the cervix into the uterus, giving the doctor a clear view of the uterine lining and the opening of the fallopian tubes. This procedure is very useful for diagnosing infertility, failure of implantation and uterine causes of recurrent pregnancy loss because it can detect abnormalities that might be missed with other tests, such as scar tissue that covers the uterine wall and con not be detected by saline sonogram, or other issues that could prevent pregnancy or cause miscarriages or even uterine thin lining. By identifying and sometimes even treating these problems during the same procedure, diagnostic hysteroscopy plays a vital role in helping doctors develop an effective fertility treatment plan. This procedure could be done safely and comfortably in the office and is considered a gold standard for diagnosing any uterine abnormalities.

• Embryo Test Transfer before FET

  An Embryo Test Transfer is a practice run before the actual Frozen Embryo Transfer (FET) procedure. Test transfer will map the route from the cervix to the uterine cavity so that on the day of actual embryo transfer there are no surprises. During this test, Dr. Foyouzi uses a thin, flexible tube, called a catheter, to gently guide it through the cervix and into the uterus, just as she would during the actual embryo transfer. This helps Dr. Foyouzi map out the best path and determine the right placement for the embryos when the real transfer takes place. By doing this test transfer beforehand, the doctor can ensure that everything goes smoothly during the actual FET, increasing the chances of a successful pregnancy.

• Male & Female Hormonal Testing

  Male and female hormonal testing is an essential part of diagnosing and treating infertility. For women, it involves checking levels of hormones like estrogen, progesterone, FSH, LH, and AMH to understand how well the ovaries are functioning, how eggs are maturing, and whether ovulation is happening regularly. For men, hormone tests usually focus on testosterone and other related hormones that influence sperm production. These tests help identify any hormonal imbalances that could be affecting fertility. For men, Hormonal testing usually will be ordered when semen analysis is abnormal or suboptimal. Dr. Foyouzi’s advanced training in reproductive genetics is particularly valuable here because she can connect these hormone levels with underlying genetic factors that might be impacting fertility. Her expertise allows her to tailor treatments more precisely, addressing both hormonal and genetic aspects to improve the chances of a successful pregnancy.

• Egg Calculator

  Freezing your eggs can offer empowering options and help optimize your chance of having a healthy baby in the future. However, while egg freezing is often beneficial, it does not guarantee success. At Southern California Fertility Center, we created the Egg Freezing Calculator to help you set realistic expectations. It gives you a personalized estimate of your chance of having a healthy baby with your frozen eggs. The greatest factors influencing your egg-freezing success include your age at the time of freezing, the number of eggs collected, and—importantly—the expertise of your medical and lab team. Led by Dr. Nastaran Foyouzi, a reproductive endocrinologist and OB/GYN with extensive experience in fertility genetics and over 10,000 successful births, our clinic brings you unparalleled knowledge in reproductive health and genetic advancements. Dr. Foyouzi’s dedication to pre-implantation genetic testing and precision in fertility treatments means your care is guided by a world-class leader committed to helping you preserve the family-building options you deserve.

• Egg Freezing

  Egg freezing, also known as oocyte cryopreservation, is a process where a woman’s eggs are collected, frozen, and stored for future use. This option is increasingly popular among women who want to preserve their fertility for personal or medical reasons. Whether due to career planning, health concerns, or simply wanting to delay motherhood, egg freezing provides women with more control over their reproductive timelines. By freezing eggs at a younger age, when they are generally healthier and more viable, women can increase their chances of a successful pregnancy later in life.

• Oncofertility

  Cancer and Fertility Preservation Oncofertility is a specialized field that bridges cancer treatment with fertility preservation, helping individuals facing cancer protect their ability to have children in the future. When someone is diagnosed with cancer, treatments like chemotherapy, radiation, or surgery can harm reproductive organs and reduce fertility. Oncofertility offers options such as egg, sperm, or embryo freezing before these treatments begin, giving patients the chance to start a family once they’ve overcome cancer. This field is incredibly important because it gives hope to cancer patients who want to maintain the possibility of having children after their recovery.

• Sperm Freezing

  Sperm freezing, or sperm cryopreservation, is a process where a man’s sperm is collected, frozen, and stored for future use in fertility treatments like IVF (in vitro fertilization). This technique is essential because it allows men to preserve their fertility, whether they are undergoing medical treatments that might affect their sperm production, such as chemotherapy, before Vasectomy, or simply want to delay fatherhood until later in life. By freezing sperm, men can ensure that they have healthy sperm available when they are ready to start a family, regardless of changes in their fertility status over time.

• Emotional Support

  Mental & Physical Health Ensure Greater Success Dr. Foyouzi understands how important it is to incorporate mental health into the IVF treatment process for even greater success, she has brought into her practice Dr. Emily Brucia. Dr. Brucia understands exactly what you are feeling and how your mental health plays a crucial role in your quest to become pregnant. Her lived experiences and her passion for reproductive mental health have led her to teach her evidence-based approach to hundreds of therapists nationwide. This in-house collaboration between two of the nation’s foremost experts in Reproductive Medicine and Reproductive Mental Health assures you the greatest chance of conceiving successfully.