Archive for the ‘Uncategorized’ Category

Twin Girls Welcomed in a Household Full of Boys

Friday, June 17th, 2011

An ultrasound confirmed that our patient, Ana , is pregnant with twin girls. This is such exciting news because Ana and her husband already have 3 boys at home. They desperately wanted girls to “balance out” the family.

Joan (Registered Nurse Practitioner) and Ana holding ultrasound of twin girls

Due to an accident years back, Ana and her husband were not able to get pregnant naturally. They sought help from Dr. David Diaz at West Coast Fertility Centers and through IVF, they had twin boys. Spontaneously, Ana was pregnant with another boy and thought her fate was mothering a brood of only boys.

As time elapsed and the boys are a little older, Ana and her husband visited Dr. Diaz again because they wanted to have a daughter. Through the process of Gender Selection performed at West Coast Fertility’s accredited laboratories, an embryo biopsy technique called PGD can determine the “XX” (female) or “XY” (male) gender of any embryo with 99% certainty.

PGD (Preimplantation Genetic Diagnosis) is also very useful for diagnosing embryos that carry chromosomal abnormalities such as Down Syndrome or sex-linked genetic diseases.

Congratulations to Ana and her family! We all look forward to meeting your twin girls.

Introducing Our NEW Spanish and Vietnamese Infertility Website at West Coast Fertility Centers

Thursday, May 5th, 2011

Happy Cinco de Mayo! Being located in such a diverse community in Southern California, West Coast Fertility Centers felt the importance of bringing forth the explanations and facts of infertility treatments to our valued Spanish and Vietnamese patients in their own languages.

Unlike the automatic language translation services available, we never felt comfortable with the ability and correctness of their translation and, therefore, we wrote our own content for the satisfaction of our patients.

We have treated patients from around the globe and the dignity of every person who seeks our help is respected regardless of background or partnership status. Dr. David Diaz is fluent in English, Spanish and French and our Embryologist is also fluent in Vietnamese.

www.ivfbaby/SPANISH

En West Coast Fertility Centers estamos enfocados a encontrar con precisión el diagnostico de infertilidad en nuestros pacientes, y brindarles el tratamiento mas indicado a sus necesidades. Nuestra meta es de ayudar a cada paciente realizar su sueño de ser padres.

ivf infertility spanish orange county, california
Fundado en 1988 por el Doctor David Diaz, el Centro de Fertilidad se ha dirigido a realizar el sueño de futuros padres con el más alto nivel de confiabilidad y la experiencia de un grupo dedicado única y exclusivamente a la fertilidad.

www.ivfbaby/VIETNAMESE

Vô sinh được chia làm 2 loại là vô sinh nguyên phát (khi chưa có thai lần nào) và vô sinh thứ phát (đã có thai nhưng sau hơn một năm vẫn không có thai lại). Tuy vậy, tiêu chuẩn trên không nhằm để giới hạn bệnh nhân và trên thực tế mọi người mong con đều có quyền được khám. Bác sĩ sẽ là người chỉ dẫn và chọn lựa những biện pháp hỗ trợ khi cần nhằm đạt hiệu quả tốt nhất cho bệnh nhân.

ivf infertility vietnamese orange county, california
Thành lập từ 1988, trung tâm chúng tôi đã có trên 22 năm kinh nghiệm điều trị hiếm muộn.

Tips on Dealing with Fertility Related Stress

Friday, March 18th, 2011

Here are some tips from Rosa Santoyo, MS, LMFT, our licensed therapist, with over 20 years experience, who can help you cope with the anxiety and mixed emotions whirling around patients struggling with infertility.  Below are her thoughts and suggestions on managing your infertility related stress.

dearling with infertility stress

Why me? A commonly felt emotion is the shock and disbelief that anyone could be experiencing infertility. It is most difficult to accept it can happen to you. Usually, people plan their lives and establish dreams towards the future which may include having children. The thought of dealing with infertility doesn’t enter into the scheme of life’s goals and can therefore be quite challenging. Although the focus of attention centers on the medical or physical aspects of dealing with infertility, the emotional impact sometimes plays a secondary role. However, having a realistic attitude and expectation when dealing with any difficulty or challenge is vitally important and can affect the ultimate outcome.

What’s next?
When dealing with any difficult situation or crisis, we cope in a variety of ways. It is important that you acknowledge thoughts and feelings and not deny the anger you may feel with yourself, your partner, the medical profession, and your religious beliefs. DON’T PANIC!! There are numerous coping strategies in dealing with your infertility issues. It is a natural for you to have feelings of sadness or depression that your dream may not come true.

Knowledge is power!
We can begin to feel empowered by obtaining information. Visiting your physician and getting an appropriate referral to a fertility specialist like Dr. David Diaz is the first step in moving forward toward resolving your infertility. Realize that all your questions are important and deserve a response. Discussing your medical options will help you make the ultimate decision less stressful and more realistic. An appropriate fertility evaluation and diagnosis can point you in the right direction.

Treatment Plans and Support Systems

Dealing with infertility has often been described as “riding an emotional rollercoaster” referring to the elation often mixed with disappointment. Communicating with your physician and medical staff and surrounding yourself with a strong support system are vital. Maintain a positive outlook and recall that the majority of patients eventually reach their goal of parenthood.

Remember that You are Not Alone

Many resources are available including individual counseling and support groups like RESOLVE, These strategies can assist you in moving forward in achieving your life’s goal of having a child.

Ms. Santoyo is available for counseling sessions with individuals and couples. You may schedule your day or evening appointments by calling 714-513-1399 or submitting our online contact form to request more information.

Alternative Methods for Managing Stress


In addition to counseling, some patients may find it useful to use alternative methods to manage stress. These include Acupuncture, Guided Imagery, Meditation and The Mind Body Program. We encourage our patients to inquire about these techniques and discover which combination works best for them. We are affiliated with a variety of experienced practitioners in all the above disciplines.

Meet David Diaz, MD, FACOG

How Can West Coast Fertility Help You?

A Valentine Story: “Love and Hope Triumph Over a Genetic Time Bomb”

Thursday, February 17th, 2011

When it comes to love, no one can know where the heart will lead. In the case of Brian, destiny transported him to the Far East, where he was fated to meet the unexpected love of his life.

Brian was young and full of hope in his career as an English teacher overseas. “I was only going to go to South Korea for a year. That was the plan, at least.” Brian’s journey towards parenthood began with a mysterious blind date in a far away land just before Christmas when thoughts turn to home and family. A lovely young English teacher whom Brian nicknamed “HK” was to be his future bride. It was Brian’s first Christmas away from his family, but “HK was able to put me at ease and we had a wonderful time.” The two young teachers were so taken that their second date was just two days later on Christmas Day.

The young couple looked forward to their careers, Brian as college professor teaching English at a private university and HK teaching English to young students. Love was in the air and a year and a half later they were married. In Brian and HK’s families and in their dreams, having children was a high priority. As Brian and HK explained, “We both wanted children in order to complete our family and every decision we made after was designed to have children.”

Shortly afterwards, HK announced the news that she was pregnant. But then, a strange turn of events unfolded. HK’s pregnancy became complicated and a diagnosis of a genetic illness was diagnosed by doctors and their baby died. Tests were performed and a rare condition known as Sly Syndrome was determined to be the cause. Brian and HK were advised to undergo tests on themselves and then the shocking news came. Each of them was the carrier of an extremely rare genetic disorder which is found in only 1/100,000 human beings. The destiny that brought them together had cruel surprise in store for them.

The transmission of Sly Syndrome is such that a certain percentage of the offspring may be healthy while others may carry the devastating disease. The couple took time to consider their fate and decided to conceive again. Incredibly, four subsequent pregnancies ended in the death of their children, all carrying the fatal disease.

But their devotion and love for each other sustained them in their quest to find an answer to this reproductive nightmare. During a trip to the United States, they met with an OB/GYN doctor who listened carefully to their unfortunate pregnancy outcome. She advised them of her colleague who specialized in helping couples with recurrent pregnancy loss.

Their journey brought them to the reproductive endocrinology specialists at West Coast Fertility Center. The couple met with Dr. David Diaz, the Center’s medical director and fertility specialist with 22 years of experience. Specials tests were performed at the Center’s laboratories to determine that HK could carry a pregnancy. The results were reassuring and attention was focused on the genetic basis of their future.

Advanced studies were performed for the couple and 6 weeks later the results were given. The exact gene sequence responsible for the killer disease had been identified in their DNA. Working closely with collaborators at Genesis Laboratory, plans were made to construct molecular probes that would identify embryos that carried the Sly Syndrome gene.

Dr. Diaz and his team prepared to perform in-vitro fertilization (IVF) for the couple, harvesting HK’s eggs, fertilizing them in the Center’s embryology lab and performing Pre-Implantation Genetic Diagnosis (PGD) on their embryos. Five days later, two embryos were replaced in HK’s uterus and she returned to Korea.

Two long weeks passed until the pregnancy test was positive!  An OB ultrasound confirmed that one embryo had implanted. The pregnancy continued normally and at long last a long awaited beautiful baby girl named Ella was born in South Korea. She was normal in all respects and the couple’s joy was at last complete. The news arrived at West Coast Fertility by email and the WCFC staff was elated by the news.

Update on Brian, HK and Baby Ella
Because of the special circumstances, the planning for a sibling for their baby began about one year ago. Travel plans and work schedules needed to be well coordinated for their next visit to California. Fortunately, the scientists at WCFC had remaining frozen embryos created during their initial IVF.

The couple is currently in Orange County and anticipating their next embryo transfer with a mixture of cautious optimism. Brian states, “Through their help, we were able to have children. I can’t think of a better Valentine’s present than that. So thank you, West Coast Fertility.”

As explained by Dr. Diaz, “There is nothing more gratifying to my staff and I than to play a role in the creation of these special families. Happy Valentine’s Day to Brian and HK and baby Ella!”

About David G. Diaz, MD, FACOG

More info on Pre-Implantation Genetic Screening (PGD)

Read full Press Release: Genetic Time Bomb is Defused: Healthy Baby Girl is Born

Infertility Myth #2: Women Have Lots of Time to Get Pregnant

Thursday, November 18th, 2010

While it may seem unfair, women are born with a fixed, pre-determined number of oocytes (eggs). It is estimated that most, but not all women will enter reproductive life in their teens with about 100,000 eggs stored in their ovaries, each with their own potential for development. With time, egg quantity and quality is diminished. The occurrence of pelvic infections, endometriosis, cysts and adhesions can compound the problem of egg quality.

Recommendation: At West Coast Fertility Centers, we recommend that women between the ages of 30 to 35 years have a simple hormonal blood test that provides information about a woman's ovarian reserve and a time frame for a woman to attempt pregnancy.

Infertility FAQs

www.ivfbaby.com

Exploring Infertility Myths: Infertility Only Affects Women

Thursday, November 11th, 2010

It is more accurate to state infertility is a condition that affects couples. Nationally 15% to 20% of couples trying to conceive will have difficulty. Female causes are found in 40% of couples while male factors are detected in 30% to 40% of men. In the remaining 20 % to 25%, we diagnose a combination of different factors. At West Coast Fertility Centers (WCFC), we offer three simple tests for the man and woman to determine the factors contributing to infertility.

The belief that men do not contribute to a couple's infertility problems is one of "mythical" proportions. Sperm production is a complex function occurring under special hormonal and environmental conditions. Problems may be threefold: (1) sperm production; (2) the transport process; and, (3) the motility percentage. While just one sperm reaches the egg, millions are needed so that only a few can approach the target egg cell.

The diagnosis of male factor starts with a well-timed semen panel to evaluate at least ten parameters. The test results are best reviewed by a fertility specialist along with an Andrologist. Male patients often believe that vitamins or supplements can improve fertility, but special diets, vitamins and supplements play a minimal role. Avoiding smoking and excessive drinking may be a more useful lifestyle choice. We also advise avoiding prolonged exposure to high temperatures to the genital organs. If severe male factor is diagnosed, a laboratory procedure called ICSI is recommended where a single healthy sperm is injected into the egg.

 

Recommendation: It is counterproductive for couples to assign blame to one another. A suggested plan is to have basic testing with a fertility specialist following one year of unprotected intercourse.

Level One Testing consists of the following tests for both male & female…

1. OVARIES & EGGS: Female hormone testing of FSH, LH, E2, TSH between cycle day 3-5

2. UTERUS & TUBES: HSG (Hysterosalpingogram) on cycle day 7-14. A tubal patency test is used to determine if the fallopian tubes are open. An x-ray dye test provides documentation of the uterine anatomy and the status of the fallopian tubes.

3. SEMEN & SPERM: Sperm analysis after 3-4 day of abstinence. Male testing for Amount, Count, Motility, Speed and Shape

“Thank you very much for giving us the hope we needed”

Wednesday, September 29th, 2010

“My whole experience with Dr. Diaz and staff was so amazing! Dealing with infertility is tough enough, but they made the whole process so easy for my husband and I. Thank you again for everything.”

Myla Cawa

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“I want to thank the staff, Dr. Diaz, and Joan for all of their help in accomplishing my second pregnancy with F.E.T. I’m also thankful for their original help with my wonderful daughter in 2009 who was born a healthy and beautiful 7lbs, 3 oz. The appointments were always kept in time. Everyone was so understanding and helpful. May God bless you all.”

Yadira Rodriguez

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“Mi comentaria es que el trato es inconparable por que yo ya abia tratado en diferentes lagares pero aqui te asen center en confiaza y te esplicoan paso gracias a toda el personal.”

Lilia Castaneda

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“Primeramente le agrodezco al Doctor Diaz y a todo su staff por estar al pendiente de cada paso y cuidado para que todo se lograra a la perfeccion . Y muchas gracias por hacer nuestros suenos realidad. Que sigan adelante y sobre todo que Dios les de los entendimientos para entender todo lo que nosotros nunca prodemos enterder. Gracias!”

Mariana M.

Genetic Time Bomb is Defused with Preimplantation Genetic Diagnoses (Embryo Screening): Healthy Baby “Ella” is Born

Wednesday, September 15th, 2010

Brian and HK are like many other young couples–bright, energetic people who wished to fulfill their lives by starting their family. The couple achieved pregnancy but sadly, five devastating pregnancies were lost, dashing the couple’s goal of having children. The couple sought help from their OB/GYN doctor who referred them to West Coast Fertility Centers in Orange County, California. View Full Press Release

At West Coast Fertility Centers, Brian and HK met with Dr. David Diaz who directs the Center’s Assisted Reproductive Technology program. Dr. Diaz carefully reviewed their medical records and discovered that both Brian and HK were carriers of an extremely rare and deadly genetic condition called Sly Syndrome with an incidence rate of 1:250,000. The most severe form of the syndrome results in deformities of the bones and heart, mental and visual problems and premature death.

In Sly Syndrome, the defective genetic code is carried in the chromosomes, tiny fragments of DNA which are passed from parents to their children. Genes carry the codes for eye color, height, intelligence and the overall health of each person. Sly Syndrome is transmitted as an Autosomal Recessive disease meaning that when each parent is a carrier, the disease is dormant. However, when two autosomal recessive genes combine, the result is a variety of offspring that may also be carriers or they may manifest the deadliest full expression of the disease.

Dr. Diaz determined that by using Preimplantation Genetic Diagnosis (PGD), he might help the parents using their DNA to create embryos with In-Vitro Fertilization (IVF) and screen them in his laboratory. Collaborating with a specialized Genetic Center, special molecular probes were custom designed to identify the deadly gene sequence. By hybridizing the probes to the genes in the embryos, the Center identified the abnormal embryos from the healthy ones. After two embryos were placed in her uterus, HK and Brian departed to their home overseas, to begin their work as teachers.

Embryonic Cell Removal for DNA Analysis

“We are fortunate to have an awesome team of scientists, nurses and staff at West Coast Fertility,” says Dr. Diaz. The fertility team has used PGD to help many couples select for healthy embryos when conventional methods are not sufficiently precise.

The center has an “in-house” PGD laboratory where strict quality control can be maintained by the Center’s scientists. The tissue samples are examined on site avoiding risky transport of the delicate material. This in-house capability enables a rapid 24 hour turnaround time to obtain the PGD results promptly and efficiently. The results are reviewed individually with the parents who are counseled and are given precise follow-up instructions.

Optimism began building two weeks later when the pregnancy test was positive! However, caution prevailed until an amniocentesis was performed by removing fluid surrounding the baby at 4 months into the pregnancy. To the couple’s delight, they were blessed with a healthy baby girl, free of the deadly disease. Overjoyed, the proud father contacted the West Coast Fertility team to share the couple’s joy and share their happiness.

“Dear Dr. Diaz and Staff. Here is a picture of our family. You can add it to the “wall of fame.” Seriously, we are very happy and thankful for your help. We look forward to working with you again, perhaps in February.” Sincerely, Brian HK and Ella

The Happy Parents Brian and HK with their Healthy Baby Ella

Who May Benefit from PGD? Embryos that carry certain chromosomal or genetic conditions may fail to initiate implantation to the uterine lining. Other outcomes may be a pregnancy loss or the birth of a child with physical, mental, and learning disabilities. PGD is useful for patients who have other types of reproductive medical problems.

These are some examples of when PGD is recommended to patients:

– Recurrent miscarriages (usually more than 2)

– Women 35 and older who produce 6 or more embryos with IVF

– Family history of chromosomal conditions or history of X-linked disease

– Unexplained infertility

– 2 or more unsuccessful cycles

It is well known that fertility in general decreases with maternal age. Research has confirmed that genetic abnormalities also increase with advancing maternal age. A major cause of low implantation is that many embryos are chromosomally abnormal and they seldom implant or get to deliver. PGD allows for the selection of the best quality embryos which are then transferred during IVF, therefore reducing the incidence of a chromosomally abnormal offspring.

View Press Release

Egg Freezing Liberates Women from the Biologic Clock—Learn How with Upcoming Seminar & Webinar

Thursday, August 12th, 2010

On September 1st, 2010, West Coast Fertility Centers will sponsor a unique educational seminar to educate and empower women on the topic of preserving their fertility. Whether for medical reasons or personal choice, women can learn how to liberate themselves from the biologic clock.

 

Seating is limited and reservations are strongly recommended. To secure your place at this life changing event on Wednesday, September 1st, 2010 from 6-8 PM at our West Coast Fertility location in Fountain Valley, please contact us directly at 714-513-1399.

 

Dr. David Diaz will also host an informative webinar on Egg Freezing on Wednesday, August 25th, 2010 at 5 PM (PST). Please register for the webinar directly online by clicking here.

 

 

Fertility preservation by egg freezing is the latest frontier that has been overcome by the fertility experts at West Coast Fertility Centers (WCFC) in Orange County, California. The prospect of halting the Biologic Clock for women is now a reality by preserving their healthy, viable eggs during the best reproductive years. The effect of physiologic aging had long been the enemy of fertility due to the limited supply of eggs formed at the time a woman is born. As age advances, the decline in the number and quality of eggs, also known as oocytes, continues to accelerate with little or no warning.

 

To help women preserve their eggs when they are healthy and robust, the laboratories of West Coast Fertility Centers (WCFC) have refined the technique of shielding the eggs from the effects of freezing. A unique set of freezing fluids, known as the Landa Freezing Technology, was developed over the past ten years, giving women the option of harvesting and storing their eggs indefinitely.

 

David Diaz, MD, FACOG, a fertility expert with 22 years experience, will explain how to determine who is a candidate for egg freezing; how patients are selected and a brief overview of the egg freezing technique at WCFC. Dr. Diaz and the members of his team will lead the discussion with visual presentations and the opportunity to meet a patient who had a healthy baby after egg freezing. A private tour of the surgical suite and accredited laboratories at WCFC will also be given.

 

Those who may benefit from egg freezing include:

  • young, single women diagnosed with cancer that can preserve their eggs from chemotherapy and radiation
  • young women who wish to preserve their fertile eggs until they are ready to start their family
  • women undergoing IVF who prefer to freeze unfertilized eggs versus embryos for ethical reasons
  • women whose only option for pregnancy is with young healthy donor eggs stored at the Frozen Egg Bank

 

The Egg Freezing Program at WCFC has resulted in the births of 54 healthy babies, more than any program in the Western United States. Eight additional pregnancies are also on-going as of August 2010.

 

David Diaz, MD, FACOG is Medical Director of West Coast Fertility Centers, one of the most successful and innovative fertility centers in the country, with 22 years experience in providing state-of-the-art reproductive fertility treatments to people wishing to have children. West Coast Fertility Centers is a proud affiliate of Extend Fertility.

 

We look forward to seeing you at our events!

 

Direct link to our press release

 

Direct link to our Egg Freezing YouTube video

 

www.EggFreezing.com