Lane Fertility Institute offers a range of services tailored to the individual needs of each patient.

Basic Fertility Services Q&A


Why is Lane Fertility Institute different from other agencies?

Lane Fertility Institute is led by an internationally renowned, board-certified fertility expert who has been delivering on the promise of family to intended parents worldwide for over twenty years. Her team of highly experienced and caring medical professionals provides an easy, comfortable, and empathic pathway to pregnancy. One of the few fertility clinics in the country to boast of our own in-house egg bank, Lane Fertility provides all the components needed to start a family and has some of the highest outcomes and fertility rates available to patients. With a seamless and efficient process guided by a compassionate and loving staff, future parents and their surrogate and donor partners receive individualized journeys that lead to life-changing experiences.


What is a Gestational Surrogate?

A gestational surrogate (also known as a gestational carrier) is a woman who carries a baby for another couple. A surrogate may be needed by women who have been diagnosed with cancer or have medical contraindications to pregnancy. Gay couples will need a surrogate and donor eggs. Surrogates are sometimes friends or family members, but often, people work with a surrogacy agency such as ours.


How Does Egg Donation Work?

Egg donation may be required to create a healthy pregnancy. Egg donors are thoroughly screened and tested as the FDA and ASR recommended. Egg donors typically apply independently to donate eggs, and if they pass the screening, they are included in a database held by the organization with which they register. When a couple needs donor eggs to achieve pregnancy, they review the available donors and select a woman to provide eggs. When a woman is chosen to be a donor, she will take follicle-stimulating hormones to increase egg production for a successful harvest. Harvested eggs are then joined with sperm from either the male in a couple or from donor sperm. The blastocyst is then injected into the uterus of the woman who will be carrying the baby.


How to Find a Sperm Donor?

Sperm donor banks have FDA-tested sperm available. Single women, lesbian couples, or hetero couples with severe male factors impeding their fertility may use donor sperm. We can help you find a donor.


Can These Techniques Be Combined With Other Procedures?

Sometimes, donor sperm is used in conjunction with IUI or in-vitro procedures. Some lesbian couples may designate one partner as the egg donor and the other as the gestational surrogate, playing integral roles in creating a baby.


What is an intended parent?

Intended parents hope to have a child and start a family. They can be single men, single women who cannot carry a child themselves, same-sex couples who are unable to conceive without third-party support, or heterosexual couples who cannot conceive or carry on their own.


How long does it take for intended parents to have a baby through surrogacy?

The length of the process depends on several factors. We typically tell intended parents that they should plan on a year and a half from the time they sign on with our agency until they have a child, although it can be quicker or take longer, depending on the legal requirements and the course of the IVF treatment.


How long does it take to complete an ovum donation cycle once I’ve chosen an egg donor?

Once you’ve chosen an egg donor who’s been confirmed by Lane Fertility, the process takes about three months. The egg donation screening process requires extensive screening, reporting, and interviews so you can feel confident that your egg donor is thoroughly qualified.


Why does your program require a consultation for potential intended parents?

The decision to use donor eggs and a surrogate is a personal one, and this time allows our Program Director to explain to you how the program, surrogacy, and egg donor selection process works, the legal aspects involved, and answer any questions you might have. We can also get non-identifiable information from you, such as your life, family, upbringing, and perspective on parenting, to share with the egg donor or surrogate. This consultation also helps to clarify costs. We are happy to accommodate you for your consultation via phone or in person, depending on your geographical location and time constraints.


How long does it take to match with a surrogate?

The matching process takes an average of ten months, but Lane Fertility will try to speed it up as much as possible. Because of the limited nature of surrogates and high demand in some geographical regions, your matching process may be quicker or shorter depending on your desired criteria. Understand that the matching process requires time and thoughtful consideration, and the best way to speed up the matching process is by trusting your coordinators. We take our time with matches and want to get it right the first time. We measure our success by time to pregnancy, not time to match. 


How much does surrogacy cost?

Surrogates are giving the most valuable gift of all—your child—and monetary compensation is the most basic way to thank these women for their contributions. The surrogate’s compensation is just one aspect of the overall cost of surrogacy. The average cost of surrogacy can range from $90,000 to over $200,000, depending on geography, your surrogate’s personal experience, IVF costs, egg donor needs, and other variable factors that come up throughout this journey.

At Lane Fertility Institute, we offer fixed fee packages through our Peace of Mind Program. Learn more here.


I am not from San Francisco. Can Lane Fertility refer me to a Reproductive Endocrinologist?

Indeed, we pride ourselves on working with only the finest reproductive-specialty physicians, who have earned our trust through several procedures. Please contact us through the form below, and we’ll provide you with a list of our current preferred physicians. There are several to choose from in California and throughout the U.S.


How much does egg donation cost?

On average, an egg donation can cost $40,000 or more once you include all costs, including the donor fee and IVF, to retrieve the eggs. At Lane Fertility, we carefully supervise the egg donation cycle and ensure our donors are cared for. Lane Fertility egg donors are specially qualified and receive competitive compensation for their cycles, and returning proven egg donors receive higher fees.


How much contact will I have with my donor?

The amount of contact available to you varies depending on your egg donor. Many of our egg donors choose to remain anonymous throughout the donation process. However, if your egg donor is amenable and you desire, we can arrange a facilitated face-to-face confidential video meeting after your egg donor is confirmed for your cycle. We also encourage using letters to introduce yourself to the egg donor and thank her for sharing her gift with you.


Our fertility specialist has advised us that we would increase our chances of achieving pregnancy with a surrogate. Can Lane Fertility help?

Yes. Lane Fertility can assist you in your search for a surrogate. One of our roles is to coordinate egg donor cycles for eventual embryo transfer to a surrogate. Please call our offices at 415 432 7272, and we would be delighted to provide you with more information on the surrogacy process and the exceptional group of women who become surrogates.


Are all of the egg donors in your database available to donate?

Yes. Egg donors visible to you in our database are available to donate. Once an egg donor is confirmed for a cycle, her profile is “hidden” from view within three days until she is available to donate again. We do not place donors on hold, and please bear in mind that multiple intended parents could be interested in the same available donor. The rare exception may occur when an egg donor is matched with another intended parent before you can secure them. 


Can I be a parent if I am HIV positive?

Yes! Intended parents who are HIV+ can grow their families through surrogacy. Through sperm washing and HIV testing, men testing positive for HIV+ can safely father a biological child with no health risks to the baby or surrogate. We can discuss this in detail.


How much contact will I have with my surrogate?

At Lane Fertility Institute, we encourage frequent, open, and honest communication with your surrogate. Your surrogate is giving you an amazing gift, and a positive relationship during the surrogacy process can add depth to your journey. We hope that you form a wonderful connection with your surrogate that may continue past the surrogacy and that you communicate often during the surrogate’s pregnancy so you can get to know her and her family.


How long should I wait to seek fertility treatment?

On average, a woman becomes pregnant within a year of having unprotected intercourse, so the recommended period of time to try is 12 months. If you are older or at risk of other complications, you should seek assistance after approximately six months.


What kind of procedures are considered basic fertility treatment?

There are three services considered to be fundamental in fertility treatment. Natural Cycle Monitoring helps couples to identify their most fertile time during a cycle. This helps many patients who have difficulties relating to ovulation timing. Monitoring of natural cycles helps to determine when ovulation occurs, allowing couples to optimize the timing of their intercourse or intrauterine procedure. Monitoring also helps to identify if there are any irregularities that may require further testing. Another non-invasive procedure commonly employed to assist with fertilization is Ovulation Induction. This is one of the most common treatments used to stimulate a woman’s ovaries with induction medications or fertility drugs. The drugs are administered in pill or injection form. Ovulation induction is frequently used in conjunction with Intrauterine Insemination. This process involves placing washed sperm directly into the uterus. A catheter is passed through the cervix into the uterus and sperm is injected directly into the uterine cavity, giving it a greater chance of reaching and fertilizing an ovum. This process is helpful in treating mild to moderate male factor issues.


Are there other options if the most basic fertility treatments are not successful?

If these non-invasive procedures are not successful or if the monitoring shows that further testing and treatment are necessary, Lane Fertility Institute may employ minimally invasive surgical procedures like laparoscopy or hysteroscopy to further diagnose and treat fertility issues. Laparoscopy is a surgical procedure used where a thin, lighted tube is inserted through an incision in the abdomen to examine the abdominal wall and female pelvic organs. It is used to diagnose problems such as cysts, adhesions, fibroids, or infection. It can confirm endometriosis, a condition where cells that look and act like uterine lining are found in other parts of the abdominal cavity. A hysteroscopy allows a physician to inspect the inside of the uterus for fibroids, polyps, scarring, or abnormal shape. This procedure involves a thin hysteroscopy being inserted through the cervix into the uterus.