Gender
Selection
Gender Prediction Gender
Disappointment
Forums
& Blogs
FAQ

Dr. Potter, Huntington Reproductive Center

Dr. Daniel A. Potter, MD, FACOG, is a Reproductive Endocrinologist at Huntington Reproductive Center in Laguna Hills, California. HRC offers gender selection with MicroSort and PGD, and is a world-renowned infertility research center.

PGD and IVF success rates

I am pleased to answer any questions that users might have regarding MicroSort and/or IVF for gender selection, so go ahead and send them.... I am back from 'Ski Week' which is a mid-winter week off for kids in my area.  We went skiing in Deer Valley, Utah with several other families.  What a beautiful place and boy did we get some snow.  My 5 year old was completely fearless going banzai down the blue runs.  I finally got her to slow down and start doing some turns.  People are always interested in what I do and I met a number of people in Deer Valley that were interested in gender selection.  It is always amazing to me that highly educated people have no idea what so ever that gender selection techniques that work are actually available.  Increasing awareness is the key to increasing acceptance.  I will start by answering the most common question posed to me by patients interested in gender selection:  Does PGD decrease IVF success rates?  The short answer is ' no'.  The truth is that PGD does not seem to lower pregnancy rates in experienced hands.  Nor does it improve pregnancy rates.  In my experience, IVF/PGD pregnancy rates are the same as IVF only pregnancy rates for patients of a given age and peak FSH level and even higher in gender selection patients than in the general fertility population.  Of the 300+ PGD cycles done at HRC in 2006, more than half were done solely for gender selection in patients with no fertility problems.  Pregnancy rates are obviously going to be better in a fertile population like gender selection patients than the general fertility population.  The way pregnancy rates are reported is misleading so beware.  The whole idea of giving patients access to pregnancy rates is so that they can predict the probability that they will be successful in their own cycle.  The problem is that very few patients will have the actual pregnancy rate listed for their age group.  That is because the data as reported by SART includes all patients in a given age group regardless of their prognosis, peak FSH, number of embryos transferred or indication for IVF.   For example:  if pregnancy rate for a clinic in <35 year olds is 42%, what does this mean to you?  Answer:  nothing.  YOUR pregnancy chances can only be determined with a complete assessment of your ovarian reserve (Clomid challenge test for example), your age and indication for IVF.  The pregnancy rate for <35 yo patient with a normal Clomid challenge test (CCT) is twice that of patients with abnormal CCT results.  Which group are you in?  Pregnancy rates for <35 yo with normal CCT and no fertility problems (i.e. gender selection) is 10% higher than the rate for <35 yo with normal CCT that have never been pregnant.  Yet all of these categories are lumped together by SART so the "pregnancy rate" is really an average of the good and bad prognosis patients and represents a number between these two realities.  Send questions and comments.  Talk to you soon. Dr. Potter

 

Comments

 

minime said:

Hi Dr. Potter! It is great to see you posting and providing this support.  Sounds like skiing was a blast.  I am waiting for my second beta after IVF/MS.  I transferred 3 embies and I had a 95% sort.  Do you think a beta of 379 is indicative of twins?  Minime

February 27, 2007 12:00 AM
 

Maureen said:

Thanks for the great post, Dr. P!  I always love to talk about statistics.  A couple of questions for you:

1) Do you report the pregnancy outcome of sex selection cycles to SART?  Are these separated out in any way?  Just curious, I always wondered about this.

2) Have you ever looked at the sex ratio of "regular" IUI and IVF babies (i.e. NOT sex selection)?  In his book Dr. Shettles claimes that the sex ratio of babies conceived with IUI/IVF is skewed and cites this as support for his theories.

3) Is it possible to just call up an IVF clinic and ask for an ovarian reserve assessment in order to evaluate my chances for IVF success, rather than as part of preparing for an IVF cycle itself?

March 1, 2007 7:32 AM
 

Tracy said:

Hi Dr.Potter,

Thanks for the great information! My husband and I have 5 boys, so we decided to do PGD/IVF to try and have a baby girl. We ended up with 3 healthy male embryos. We are in the process of doing PGD/IVF again, but i'm scared of having the same results. I know that you say that it should be 50/50 but i'm not totally convinced of this. Do you see this happening in your clinic often?

March 1, 2007 11:03 AM
 

jani3boys said:

Hi Dr. Potter

thanks for doing this blog.

I have 3 boys all conceived naturally in the first or second month of trying.

My resources are limited and my first worry is how long it would take to conceive the ivf pgd way. I would imagine that since the embryo is allready formed when it is put back, the chance for a normally fertile woman to go on to conceive would be more than if things are happening naturally? I am just trying to figure out my odds before taking things further!! Are medications given to increase the odds of conception taking place?

March 5, 2007 8:36 AM
 

Dr. Potter said:

Hi Minime,

I am please to hear of your positive beta.  379 is borderline for twins.  Usually going to be one but you can NEVER tell for sure.  Keep us posted.

Dr. P

March 9, 2007 10:25 AM
 

Dr. Potter said:

Hi Maureen,

In response to your questions:

1.  Gender selection cycles are reported to SART and not they are not separated out which is too bad.  It would help consumers to have the most precise data possible regarding their case.

2.  No we have not seen any evidence of gender ratios being altered by fertility treatment alone compared with spontaneous conceptions.  A recent publication also supports our observations.  The reference is:  Reprod Biomed Online. 2006 Apr;12(4):460-5.

3.  It should be possible to ask even your gynecologist to perform a clomid challenge test to assess your fertility potential.  

Thanks for the questions.

Dr. P

March 9, 2007 10:40 AM
 

Dr. Potter said:

Hi Tracy,

I am sorry to hear of your cycle.  Believe it or not, we do see a 50:50 ratio of boy to girl.  We do see cases where all of the normal embryos are of the opposite gender.  MicroSort can be helpful in your case in that the gender ratio of the embryos created would then be 90:10.

Dr. P

March 9, 2007 11:07 AM
 

Dr. Potter said:

Hi Jani3Boys,

You are correct regarding success rates.  The chances for success with IVF/PGD are going to be related to your age, your ovarian reserve, your health and your past history.  Fertile women have a much higher pregnancy rate with IVF/PGD than infertile women.  It is difficult to estimate your individual chances without the above mentioned information.  In general, fertile women under 35 with normal ovarian reserve have a 65%+ chance for pregnancy with one IVF cycle.

Dr. P

March 9, 2007 11:13 AM
 

WantWarriorPrincess said:

All of these data are very interesting, Dr. P. I know you're an IVF specialist, but would you say similar things about IUIs in "fertile women under 35 with normal ovarian reserve"? I guess it seems weird to see a percentage as high as you quoted because we have much more information about these procedures in women who are having difficulty conceiving rather doctors dealing with a woman who had a tubal ligation or is trying for a particular gender.

WWP

March 11, 2007 2:36 PM
 

clueless said:

Hi Dr Potter,

I am from Ireland and have started looking into PGD. I do not know where else to look!

We laready have 2 boys conceived with clomid and the injections to trigger ovulation.

Both of us have no fertility issues so we were unexplained infertility until we sought help. in fact, my husbabd has been told that he has excellent sperm (count, mobility etc).

I am 37yrs and he is 34yrs.

I am desperate for a little girl.

Can you tell me what my chances would be doing PGD and what would be involved (ie cost and length of stay)?

Is it true that if my husband's sperm is so good , then this favours boys??

Thanks for reading!

really looking forward to hearing from you!

Clueless from Ireland

December 29, 2010 5:37 PM

About Dr. Potter

Hi and thank you for your interest. I am Dr. Daniel Potter. I am a board certified in both Reproductive Endocrinology/Infertility and Obstetrics and Gynecology. I am currently the Medical Director and a principal at the Huntington Reproductive Center (HRC). HRC is one the larger fertility programs in the USA and has 6 offices in southern California. I perform all of my clinical work in the Fullerton and Laguna Hills offices. I am also the Medical Director of MicroSort West. The MicroSort West facility is located at my Laguna Hills office and is one of only two MicroSort facilities in the world. My third and final job is Laboratory Director of the Gene Security Network (www.genesecurity.net), a company looking to revolutionize PGD. As some of you know, I have written a book for infertile couples. Here is the link if anyone would like to see it: ; One of my passions in life is to help couples achieve the dream of parenthood that they have, including those that dream of a balanced family. Gender selection through fresh MicroSort and/or PGD has always played a huge role in my practice. It would be my pleasure to be your personal physician for this issue. To obtain a rapid appointment, please contact Cindy Anderson directly (cynthiaa@havingbabies.com) and state that you are from in-gender. Outside of medicine and science, live with my wife and two daughters (born through IVF) in Laguna Beach, California. I am currently trying to improve at beach volleyball, tennis and surfing. I enjoy coaching my girls teams, music, traveling and wine.
Login     Register