Pacific Fertility Center Los Angeles

The Future of IVF

Emerging technologies, cross-border reproduction, and international law.

Catherine Marin DeUgarte, MD

Reproductive Endocrinologist & Infertility Specialist

The Problem

Demand for care is outrunning the way we deliver it.

More people are building families later, alone, or across borders — while the IVF lab, the legal framework, and access itself were all designed for a narrower world.

The IVF Process

From consultation to embryo transfer — in one cycle.

1
Ovarian Stimulation
8–14 days of injections
2
Egg Retrieval
Ultrasound-guided
3
Fertilization
ICSI or conventional
4
Embryo Culture
Day 3 or Day 5
5
PGT Testing
Optional genetic screen
6
Embryo Transfer
Fresh or frozen

A typical cycle spans 4–6 weeks from the start of medication to the pregnancy test. Frozen embryo transfers can extend the timeline but often improve outcomes.

Who's Building Families Now

The patient has changed.

Single women by choice

Electing motherhood on their own timeline, with donor sperm and their own or donor eggs.

Single men & same-sex couples

Building families through egg donation and gestational surrogacy.

Egg & embryo donation

Third-party reproduction is now a mainstream path, not an exception.

Cross-border patients

Traveling for access, cost, or legality unavailable at home.

01 — Artificial Intelligence

AI is learning to pick the embryo the eye can't.

Computer-vision models score embryo morphology and predict viability from time-lapse imaging — standardizing a judgment that has long varied embryologist to embryologist.

Time-lapse embryo development in IVF

Time-lapse imaging tracks embryo development cell by cell

EmbryoScope — Embryo Development

Watch an embryo grow from fertilization to blastocyst.

The EmbryoScope is a time-lapse incubator with a built-in microscope camera that photographs embryos every 10–20 minutes — allowing embryologists to observe development without removing embryos from the stable incubator environment.

Watch EmbryoScope Video ↗
EmbryoScope embryo development video thumbnail

Click to watch on YouTube — EmbryoScope Blastocyst Development

02 — Automated IVF Lab

The embryology lab, automated.

Robotics and microfluidics are automating the most delicate steps — ICSI injection, culture, cryopreservation — to cut human variability, improve consistency, and let a single lab safely handle far more cycles.

Conceivable Life Sciences automated IVF robot

Conceivable Life Sciences — robotic IVF automation platform

03 — IVF In A Box

Shrinking the entire IVF lab into a single device.

Miniaturized, self-contained culture systems integrate ovarian stimulation monitoring, egg handling, fertilization, and embryo incubation into one portable unit. The goal: bring IVF-quality embryology to clinics in regions that could never fund a full traditional lab.

90% cost reduction
Targeted vs. traditional IVF lab build-out
🌍
Reach underserved markets
Low-resource clinics in Latin America, Africa, Southeast Asia
Fewer specialists required
AI-guided protocols reduce dependence on senior embryologists
IVF lab automation session

"The vision is a plug-and-play fertility unit that a regional hospital can install the way it installs an MRI — not a specialty lab that requires a $2M build-out and a team of embryologists."

— IVF automation industry consensus, 2025

04 — Third-Party Reproduction

Surrogates and donors expand who can become a parent.

Gestational surrogacy

Enables parenthood for those who cannot carry — single men, same-sex couples, and patients with medical contraindications.

Egg & sperm donation

Screened, matched, and increasingly standardized — the backbone of single-parent and cross-border family building.

Global Surrogacy Law

Where surrogacy is legal — and where it isn't.

Surrogacy laws by country world map
Permitted (US, Canada, Australia, select states)
Regulated / restricted
Banned or unregulated
✅ Permitted & friendly

USA (most states), Canada (altruistic only), UK (altruistic), Australia, Georgia, Ukraine, Greece

⚠️ Restricted or uncertain

Russia (foreigners banned since 2023), Thailand (citizens only), Cambodia (recent ban)

🚫 Banned

France, Germany, Italy, Spain, Japan, China (commercial) — parentage disputes common for citizens born abroad

The Legal Gap

The technology is global. The law is not.

Surrogacy, donation, and single-parent access are legal in some countries, restricted in others, and banned in many — so patients cross borders, and children are born into a patchwork of citizenship, parentage, and legal-recognition disputes that international law has yet to resolve.

Why It Matters Here

PFCLA sits at the intersection.

A Los Angeles practice serving single parents by choice, LGBTQ+ families, and international patients — already delivering donor, surrogacy, and cross-border care, and positioned to adopt AI and lab automation as they mature. The future of IVF isn't abstract here; it's the daily caseload.

The Takeaways

Three things to hold onto.

Better labs

AI and automation are raising success rates and lowering variability — from AI embryo scoring to fully robotic ICSI.

Wider access

Portable IVF-in-a-Box systems and third-party reproduction open parenthood to more people in more places.

Law must catch up

Cross-border care demands international legal frameworks for parentage and citizenship that don't yet exist.

Thank You

Questions?

Catherine Marin DeUgarte, MD

Pacific Fertility Center Los Angeles

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