Frequently asked questions.
If your question isn't here, please reach out — we're happy to answer it directly.
02
Getting Started
General guidance is to consider a specialist consultation after 12 months of trying if you are under 35, after 6 months if you are 35–39, and sooner if you are 40+ or have a known risk factor. Come sooner if something worries you — that is what a consultation is for.
Your first appointment focuses on understanding your history, goals, and questions. Depending on the visit, initial testing may be scheduled. There is no expectation to start treatment at the first visit.
Reach out to the office. If your situation is time-sensitive, please note that in your inquiry so the team can prioritize scheduling appropriately.
No. If you are having a medical emergency, call 911 or your local emergency number. The contact form is for non-urgent inquiries only.
03
IVF
A typical IVF cycle, from the start of stimulation to embryo transfer, spans roughly four to six weeks. Individual timelines depend on your plan, protocol, and whether embryos are transferred fresh or frozen.
No fertility treatment guarantees pregnancy. Outcomes depend on many factors — age, ovarian reserve, sperm parameters, uterine anatomy, embryo quality, and general health. Your physician will discuss what is realistic for your specific situation.
Preimplantation genetic testing (PGT) is a laboratory test performed on embryos to look for chromosomal changes or specific inherited conditions. Whether PGT is appropriate for you depends on age, history, and goals — your physician will discuss it during planning.
04
Egg Freezing
There is no single right age. Egg quality and quantity change with age, and freezing earlier generally yields more usable eggs per cycle. Your physician will review your ovarian reserve testing and discuss what is realistic for you.
No. Frozen eggs preserve options but do not guarantee a pregnancy. Success depends on the number and quality of eggs banked, your age at future use, and other factors your physician will review with you.
05
Fertility Preservation
Egg freezing preserves unfertilized eggs. Embryo freezing preserves eggs that have already been fertilized with sperm in the lab. Embryo creation involves decisions (partner or donor sperm, PGT) that would otherwise happen later.
Oncofertility refers to fertility preservation care coordinated for people preparing to undergo cancer treatment that may affect future fertility. It typically involves close coordination with your oncology team.
06
LGBTQ+
Yes. LGBTQ+ family-building — including reciprocal IVF, IVF with donor eggs and a gestational carrier, IUI or IVF with donor sperm, and fertility preservation before gender-affirming care — is part of the practice. Care starts with your family, not with an assumption.
Fertility preservation before gender-affirming hormones or surgery is available. Timing and options depend on your specific plan and are discussed alongside your broader gender-affirming care team when helpful.
07
Travel
Yes. Out-of-town and international patients can be supported with telehealth consultations, coordinated local baseline monitoring where feasible, and condensed visit schedules. Reach out early so timelines and costs can be estimated before travel is booked.
08
Costs
Insurance participation varies. Please reach out to the office to confirm current insurance participation for your situation before scheduling.
IVF costs depend on your specific plan, including medications, laboratory testing, and any additional procedures such as PGT or ICSI. The office team provides transparent written estimates before treatment begins.
Financing options and third-party programs are discussed with the office team so estimates and available options can be reviewed for your specific plan.
09
Second Opinions
Yes. A second opinion is a normal part of fertility care. Bring your records and any prior cycle summaries so the review can be as useful as possible.
10
Surrogacy
A gestational carrier is a person who carries a pregnancy created from embryos of intended parents (with or without donor gametes). The gestational carrier is not genetically related to the child.
Yes. Independent legal counsel for intended parents and for the gestational carrier or donor is essential. Contracts govern medical decision-making, compensation, insurance, and parentage. Laws vary by state — do not rely on general information for legal decisions.
11
Male Fertility
A semen analysis is a laboratory test that evaluates sperm count, motility, and morphology. It is typically the first step in a male fertility evaluation.
Still have questions?
A short call answers most of them.
If your question isn't covered here — or you'd like a plan built around your specific situation — Dr. Ghadir welcomes a direct conversation.
Your next step can begin with a conversation.
Every plan starts with a private consultation with Dr. Ghadir. Telehealth and travel-patient consults are available.