In Vitro Fertilization (IVF)

In Vitro Fertilization (IVF) is one of the most effective and widely used fertility treatments. IVF has helped millions of individuals and couples overcome infertility and grow their families. At California IVF, we guide patients through every step of the IVF journey with advanced medical care, compassionate support, and transparent information about treatment options and costs.

What is IVF?

In Vitro Fertilization (IVF) is an assisted reproductive procedure in which mature eggs are retrieved from the ovaries, fertilized with sperm in a laboratory, and the resulting embryos are transferred to the uterus to establish pregnancy.

How IVF Works

IVF is a multi-step fertility treatment. It starts with ovarian stimulation using medications called gonadotropins, which mimic the body’s natural follicle-stimulating hormone (FSH) to help multiple eggs mature. The developing follicles are monitored with ultrasound, and when ready, the eggs are retrieved in a minimally invasive outpatient procedure.

After retrieval, the eggs are fertilized with sperm either through conventional insemination or by directly injecting a single sperm into the egg using ICSI (intracytoplasmic sperm injection). The resulting embryos are then cultured in the lab for 5–6 days. Embryos may be transferred fresh or frozen for future use through a Frozen Embryo Transfer (FET). Freezing embryos before transfer can improve pregnancy chances by allowing the uterine lining to recover and be more receptive.

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The IVF Process: What to Expect

IVF (in vitro fertilization) is a multi-step fertility treatment designed to help individuals and couples grow their families. While every journey is unique, here’s a general overview of what the process typically looks like.

Consultation, Testing, Education, & Prep

Meet with our fertility specialist to review your medical history and fertility goals.
Complete any recommended blood tests or imaging studies.
Attend an IVF information session to learn about the process, medications, and potential risks.
Learn how to self-administer fertility medications, understand their purpose, and review possible side effects.
Receive an individualized medication calendar to guide your cycle.
Receive embryology training to understand how eggs are fertilized, cultured, and prepared for transfer.

Ovarian Stimulation

Before starting medications, a transvaginal ultrasound is performed to check the ovaries and rule out cysts or other abnormalities that could affect the cycle. Think of it as a “starting point” for monitoring your progress.
Begin fertility medications to stimulate egg growth. Protocols may include two different medications, one to prevent ovulation and one to stimulate the ovaries.
Monitor progress with 2–3 visits to our clinic for transvaginal ultrasounds to check follicle growth and uterine lining.
Target follicle size: ~18–20 mm for the lead follicle, >14–15 mm for the others; uterine lining ideally ≥8 mm.

Egg Retrieval

A semen specimen is collected for fertilization of the eggs, in a private collection room.
Eggs are collected in a minimally invasive procedure under sedation
The egg retrieval procedure takes 10–15 minutes, followed by a 30-minute recovery.
You’ll need a support person to take you home. Mild cramping and bloating are common afterward.
Patients planning to freeze eggs for fertility preservation will have the eggs frozen on the same day as the egg retrieval.

Fertilization

Embryo Development

Embryo Transfer or Freezing

Most patients now freeze embryos first without a transfer. This lets the uterus recover and can boost pregnancy rates by 15-20%.
Frozen embryos may be transferred later in a process called a Frozen Embryo Transfer (FET), or saved for fertility preservation.
When ready for transfer the embryo(s) are placed in the uterus using a thin catheter in a quick, usually painless outpatient procedure.
Patients may rest briefly afterward, but most can resume normal activities the same day.

Pregnancy Test

Candidates For IVF

As IVF success rates continue to improve, it is increasingly used as a primary infertility treatment. Common reasons patients choose IVF include:

Scar tissue in the abdomen or around the fallopian tubes
Previous damage or surgery to the fallopian tubes
Endometriosis
Low or abnormal sperm counts (often treated with ICSI)
Unsuccessful attempts with other fertility treatments
Desire to reduce the risk of high-order multiples compared with other stimulation cycles
Fertility preservation for future family planning
Genetic screening or gender selection of embryos
Preference for the most effective fertility treatment without using donor eggs

Every patient begins with a consultation, followed by customized diagnostics. Our goal is to offer IVF across a broad spectrum—even for patients with lower-than-average chances—ensuring that realistic expectations are set while pursuing the most effective treatment plan.

Improving IVF Outcomes with ICSI and Assisted Hatching

ICSI (Intracytoplasmic Sperm Injection)

ICSI is a specialized IVF procedure used to help sperm fertilize an egg. It is used in most IVF cycles, often when sperm quality is low or previous fertilization attempts were unsuccessful. During the procedure, a single sperm is carefully injected directly into each egg, helping bypass natural barriers to fertilization. Studies show no increase in birth defects, though male-factor infertility can occasionally be passed to male children.

Assisted Hatching

Assisted Hatching is a laboratory technique used to help an embryo implant in the uterus. In certain cases with older embryos, or those of lower quality, a small opening is gently made in the embryo’s outer layer to improve the chances of implantation. This procedure is carefully considered and performed in consultation with your provider and embryologist.

Cryopreservation & Frozen Embryo Transfer (FET)

All viable embryos can be cryopreserved for future use, allowing transfer in hormonally optimized cycles without the expense or physical burden of repeated IVF stimulations. This is particularly beneficial for fertility preservation or cumulative transfer strategies, avoiding repeat full IVF cycles. Plans are individualized in discussion with your physician.

Understanding IVF Costs

We believe in complete transparency when it comes to fertility treatment costs. No hidden fees, no surprise bills. Just honest, upfront pricing that helps you plan for your family’s future.

Every treatment package includes all necessary procedures and monitoring with no hidden costs.

Single Cycle Package

$18,000

Regional Average: $24,500

Ideal for patients starting their IVF journey and wanting a complete first attempt. This plan includes one egg retrieval, one frozen embryo transfer, and embryo storage, giving patients a full treatment cycle with everything needed to try for pregnancy.

1 Egg Retrieval Cycle
1 Frozen Embryo Transfer (FET) Cycle
Monitoring Services
Anesthesia Services
Embryology Services
Embryo Storage for First Year

2 Cycle / High AMH

$25,000

Regional Average: $32,000

Designed for patients with a strong ovarian reserve or those who want the added security of banking more embryos. Depending on individual goals, this plan may involve one retrieval with multiple frozen embryo transfers or two retrievals to build a larger embryo pool.

1 Egg Retrieval Cycle
Option to Choose: • 2nd Egg Retrieval + 1 FET Cycle • 3 FET Cycles
Monitoring Services
Anesthesia Services
Embryology Services
Embryo Storage for First Year

3 Cycle Plan

$29,000

Regional Average: $60,000

Tailored for patients with lower ovarian reserve or those who want to maximize their chances by completing multiple retrievals. This plan provides three retrievals plus a transfer, helping build a larger pool of embryos while keeping costs predictable.

3 Egg Retrieval Cycles
1 Frozen Embryo Transfer (FET) cycle
Monitoring Services
Anesthesia Services
Embryology Services
Embryo Storage for First Year

Medication costs vary by patient and are not included in the pricing above.

*All information presented here is meant for informational purposes. Pricing and packages are subject to change without update to this page.
California IVF provides this information only as an estimate.
National averages are based on the most current pricing and cost savings data.

Insurance Coverage

We accept most major insurance plans and work directly with your provider to maximize your benefits. Our insurance specialists can help you understand your benefits.

Military & Veteran Discounts

California IVF Fertility Center proudly supports military families and veterans. We work with Tricare to help active-duty members, retirees, and dependents maximize their coverage, and provide exclusive military discounts. As a contracted provider with the Veterans Affairs (VA), we can also assist eligible veterans with coverage for IVF.

Flexible Financing Options

IVF shouldn’t have to wait. We work with specialized fertility lenders so you can start your journey now and pay over time.

Starting as low as

$250.00

Per Month

$250/month is an estimated example only. Monthly payments will vary based on loan amount, interest rate, creditworthiness, and repayment term. Not all applicants will qualify. Contact us to learn which financing options may be right for you.

Why Choose California IVF?

High Success Rates – Over 75% clinical pregnancy rate in patients under 40 using a single embryo that passed genetic testing.

Comprehensive Fertility Care – From initial testing and surgery to IVF, ICSI, PGT genetic screening, and donor egg/sperm programs, all under one roof.

Cost-Effective Multi-Cycle Packages – Specially designed packages that save you money per cycle while providing flexibility and ongoing support throughout your journey.

Scientific Expertise & Compassionate Care – Board-certified reproductive endocrinologists, supported by experienced nurse practitioners and embryologists, provide care in a welcoming environment.

Support You Can Trust

Our clinic is a close-knit team of dedicated professionals, creating a warm and supportive environment for every patient. We value open communication and are here to guide you through every step of your journey. While we know not every path leads to pregnancy, our team is committed to making your experience as positive and caring as possible, supporting you every step of the way.

Ernest Zeringue MD

Medical Director

Gary Gross

Linda Zeringue

FNP-BC

Ashley Cook

FNP-C

Lindsey DeBruler

DNP | FNP-BC

We are proud to announce our selection in the top 50 clinics selected by Newsweek for inclusion in the list of America’s Best Fertility Clinics. Modern medicine is what makes us great, but our staff is what really set us apart. We are currently ranked 36th in the nation!

California IVF and Insurance

California IVF provides fertility care for patients enrolled in the major insurance networks throughout Northern California. In addition to a collaborative arrangement with UC Davis, we are also contracted with Sutter Health, Dignity Health/Mercy, NorthBay Healthcare, Tricare, the VA, and most private insurance plans. Many Kaiser patients come to us when infertility and IVF services aren’t covered.

UC Davis Health System

Our collaboration with UC Davis began in July 2011. Our physicians hold university appointments, are actively involved in resident and medical student education, and have access to patient records within the UC Davis system, ensuring seamless, coordinated care.

Research and Development

We are actively involved in fertility research with several UC Davis projects focused on reproductive genetics. We are also advancing technologies that improve genetic testing of embryos and measure cellular products beyond current capabilities, helping to develop the next generation of fertility innovations.

Insurance Benefits

We partner with most major insurance networks to help patients maximize their fertility benefits. Our dedicated insurance coordinators guide patients every step of the way, ensuring they understand and make the most of their coverage.

What Our Happy Parents Say

⭐⭐⭐⭐⭐

Couldn’t be more thankful for Cal IVF & Dr. Zeringue! The staff & nurses were really amazing & were always there to reassure me whenever I needed it. Got pregnant in our first IVF cycle! Will forever be so grateful for this team 🤍

Katie M.

⭐⭐⭐⭐⭐

We had an overall great experience with this clinic. Dr. Zeringue and his team were very professional and helpful. We had a very successful outcome.

Dana L.

⭐⭐⭐⭐⭐

Absolutely incredible staff, the kindness and thoughtfulness of each and every individual person was so sincere. After trying for years, two miscarriages and one ectopic pregnancy, my dreams of having a child was gone. Dr. Zeringue is the best Doctor for the job. My first time doing IVF and I am pregnant. It's all thanks to the wonderful team at California IVF. The entire process was smooth and stress-free. I 100% recommend Dr. Zeringue and his team for your IVF experience.

Rosina S.

⭐⭐⭐⭐⭐

They help make dreams come true.. Thank you ALL!!

Denea S.

⭐⭐⭐⭐⭐

I absolutely love the staff at California IVF!!! Over 3 years ago we started facing our battle with fertility and received help from California IVF. Dr. Z and his staff were so supportive and helpful. Our first transfer was not successful,but we tried again and we had our daughter. Now 3 years later we are back at it again with our 2 remaining embryos. The staff remembered us right away and have been most helpful is starting up this process again.

Krisha P.

⭐⭐⭐⭐⭐

Had the best experience with dr. Zeringue and his staff. After a year of trying other options with other clinics, We were successful on our first ivf cycle here at California IVF, and couldn’t be happier we are now expecting twins.

Albert A.

Questions You Might Have

Who is a good candidate for IVF?

IVF may be recommended for women with blocked fallopian tubes, endometriosis, ovulation disorders, or unexplained infertility. It’s also an option for couples dealing with male factor infertility, those who have had failed fertility treatments, women over 35, and LGBTQ+ individuals or couples building families. During your consultation, our specialists will review your medical history and recommend the best treatment approach for your situation.

How successful is IVF?

Success rates vary based on factors like age, diagnosis, and individual circumstances, with California IVF achieving over 75% clinical pregnancy rates with donor eggs. For patients using their own eggs, success rates typically range from 40-60% for women under 35, decreasing with age. Our specialists will discuss realistic expectations based on your specific situation during your consultation.

How long does the IVF process take?

A complete IVF cycle typically takes 4-6 weeks from the start of ovarian stimulation to pregnancy test. The ovarian stimulation phase lasts about 10-14 days, followed by egg retrieval, fertilization, and embryo transfer. If genetic testing is included, the process may extend to 6-8 weeks as embryos are frozen while awaiting test results.

Is IVF painful?

Most patients report minimal discomfort during IVF treatment. Daily hormone injections may cause mild bruising or soreness at injection sites. The egg retrieval procedure is performed under sedation, so you won’t feel pain during the procedure, though some cramping afterward is normal. The embryo transfer is typically painless, similar to a routine pap smear.

What medications are involved with IVF?

IVF medications include hormones to stimulate egg production (gonadotropins), prevent premature ovulation (GnRH antagonists or agonists), and prepare the uterine lining for implantation (progesterone). Most medications are injected, though some are taken orally. Our nurses provide comprehensive training on all medications and injection techniques.

How many embryos should I transfer?

Current best practice strongly supports single embryo transfer to avoid multiple gestation and decrease the risk of premature birth. Single embryo transfer significantly reduces the risk of twins or triplets while maintaining high pregnancy rates when high-quality embryos are available. Your doctor will discuss the optimal number based on embryo quality, your age, and medical history.

Can IVF cycles be canceled?

Yes, occasionally cycles must be canceled, most often due to poor ovarian response. Other reasons include ovarian hyperstimulation or rare premature ovulation. If a cycle is canceled, your physician may recommend alternative strategies, like IUI or timed intercourse, which can still lead to pregnancy. All decisions are discussed openly with your doctor.

How safe is IVF?

IVF is generally safe, and serious complications are rare. Most patients tolerate the procedure very well.

What are the potential risks?

Anesthesia during egg retrieval: Risk of requiring a breathing tube is <1 in 10,000
Bleeding needing transfusion: <1 in 5,000
Infection (ovary or abdomen): <3 in 1,000
Severe post-procedure pain: <2%

Are there other considerations?

Ovarian Hyperstimulation Syndrome (OHSS): Rare with modern protocols
Multiple pregnancy: ICSI and stimulation can increase twin rates. Identical twinning occurs in ~3%; transferring two embryos results in ~50% twins and ~3% triplets. Single-embryo transfer reduces risks
Ectopic pregnancy: ~1–2% risk
Ovarian torsion: Rare (<1%), may require surgery if it occurs
Long-term cancer risk: Extremely low (<1 in 10,000); factors like pregnancy, breastfeeding, and birth control are protective
Organ injury or infection during retrieval: Very rare; small needles are used, and most punctures heal quickly

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