BLOCKED FALLOPIAN TUBES AND IVF: WHY THE TWO OFTEN GO TOGETHER

Dr. Eliran Mor And The IVF Journey: What Patients Should Know

Fertility care is about more than medication. There are two-week waits and constant appointments, and you have to trust a Doctor with something deeply personal.




Dr. Eliran Mor is a reproductive endocrinologist in Southern California, and he has spent more than twenty years treating fertility patients, including with in vitro fertilization (IVF).

Meet Dr. Mor

His training path crosses two continents. Dr. Mor earned his medical degree in 1997 at the Sackler School of Medicine at Tel Aviv University, then moved to Brooklyn for a four-year obstetrics and gynecology residency at New York Methodist Hospital. In 2001 he came to Los Angeles for a three-year fellowship in reproductive endocrinology and infertility at the University of Southern California, finishing in 2004.

He is board certified in two fields: reproductive endocrinology and infertility, and obstetrics and gynecology. The second credential is easy to overlook, but it means he’s trained on the surgical and obstetric side of things too, which comes in handy when a fertility problem turns out to involve something structural, like fibroids or an unusually shaped uterus.

He belongs to the American Society for Reproductive Medicine, the Pacific Coast Reproductive Society, the Society of Laparoendoscopic Surgeons, and the American College of Obstetricians and Gynecologists. He is still a clinical instructor at USC, so he teaches while he treats patients. His command of English, Hebrew, French, and Spanish is useful in a city as linguistically diverse as Los Angeles.

He has researched topics such as polycystic ovary syndrome (PCOS), male factor infertility, blocked or damaged fallopian tubes, IVF stimulation protocols, congenital uterine differences, and pregnancy at advanced reproductive age. People are starting families later than they used to, and patients in that group benefit from a Doctor who knows what the research actually says about age.

Age and IVF: What the Research SaysAge and IVF: What the Research Says

How IVF Works, Without The Jargon

In a typical menstrual cycle, the body usually produces one mature egg. IVF aims to collect several eggs, since more eggs give more chances at healthy embryos. The first phase is ovarian stimulation, which involves a week or two of hormone injections along with frequent ultrasounds and blood tests that track how the follicles are developing. The care team often adjusts doses as treatment goes on.

When the follicles are ready, a final “trigger” shot prepares the eggs for release. Roughly thirty-six hours after that, a short outpatient procedure under sedation retrieves the eggs. Most people are home the same day.

After retrieval, the work moves to the laboratory. The lab combines eggs and sperm, either by letting them meet in a dish or by using intracytoplasmic sperm injection (ICSI), in which an embryologist places a single sperm directly into an egg. ICSI is common when sperm count or movement is a concern. During the next several days, the fertilized eggs grow into embryos.

The next step is the embryo transfer. In some cycles a fresh embryo is transferred right away, and in others the embryos are frozen and one is transferred later in a frozen embryo transfer (FET). The transfer itself is quick, often taking only minutes and usually done without anesthesia. After that, you wait roughly two weeks for a pregnancy test. Many people describe that wait as the most stressful part of the whole process.

The specifics differ from person to person: which medication protocol to use, how many embryos to transfer, whether to freeze first, and whether genetic testing makes sense. Those are the decisions where an experienced physician matters most.

Continuity Of Care

Dr. Mor’s own description of his practice puts continuity front and center. According to him, he personally handles the major steps of a patient’s care, from consultations and after-hours questions to pelvic exams, ultrasounds, egg retrievals, embryo transfers, and any surgery that is needed.

Many fertility clinics run on a rotating team, and a patient might see a different physician at nearly every visit. Explaining your history for the fourth time to someone new can feel exhausting when you are stressed and short on sleep. One Doctor who already knows your history and your last cycle can notice patterns that a changing group of providers might overlook.

Reviews from patients on his Healthgrades profile point the same way. Reviewers call him warm and honest and say he answers every question without rushing them. A few also praise his staff as helpful and easy to reach. Online reviews are personal stories rather than guarantees, and fertility outcomes depend on many factors that no Doctor controls.

Evidence Before Novelty

The fertility industry loves add-ons. New lab techniques and add-on procedures are marketed constantly, and a few of them have real evidence behind them. Plenty don’t. If you’re a patient, it’s hard to tell the difference, especially when you’re paying out of pocket and hoping for any edge.

Dr. Mor says he takes a conservative line. He adopts new interventions only after they have held up in multiple good studies. To keep up with the field, he takes part in monthly journal club sessions and educational seminars, and he attends at least two major reproductive medicine conferences each year.

A conservative approach doesn’t guarantee a better outcome, but it can make it less likely that a patient pays for something expensive that lacks solid evidence.

Genetic Testing And Other Reasons For IVF

Not everyone who uses IVF has trouble conceiving. Some patients choose it to lower the risk of passing on an inherited condition through preimplantation genetic testing, which is often still called PGD. Before transfer, a few cells are taken from each embryo and analyzed, which allows embryos without a specific genetic variant to be selected.

Dr. Mor’s listed procedures include PGD, and one patient on his profile describes coming to him for exactly that reason: they carried a hereditary gene mutation and wanted to keep it from their children. Another review comes from a patient who says they froze eggs at age 34 and later used them in an IVF cycle with a partner.

His profile also lists a range of other procedures, including assisted hatching, intrauterine insemination, ovulation induction, hysteroscopy, and robotic-assisted surgery, which shows how broad fertility care can be. IVF is not necessary for everyone. Plenty of people start with simpler steps, and a good specialist should tell you honestly which path fits, even when the answer is a less intensive one.

Who Usually Ends Up Needing IVF?

Blocked fallopian tubes are the classic case, since the egg and sperm can’t meet inside the body. Many people also turn to IVF because of endometriosis, PCOS that does not respond to milder treatment, or low ovarian reserve. So does male factor infertility. Others get a diagnosis of unexplained infertility, in which every test comes back normal and there is still no pregnancy.

Age plays a large role. Egg quantity and quality decline over time, and the decline picks up in the late thirties. Waiting isn’t always a mistake, but an early evaluation shows you what your options are.

Same-sex couples and single parents by choice also rely on IVF, often with donor eggs, donor sperm, or a gestational carrier.

Paying For IVF And Choosing A Clinic

In the United States, one IVF cycle often costs well into five figures once medications and monitoring are included, and many patients need more than one cycle. Coverage varies enormously by state, employer, and plan. California has been widening its fertility coverage requirements, but what applies to you depends on the kind of plan you have, so call your insurer with specific questions before you start.

Dr. Mor’s public profile lists several major carriers, including Aetna, Anthem Blue Cross, Blue Cross Blue Shield, Cigna, and UnitedHealthcare. Provider networks change, and fertility benefits are often handled separately from regular medical coverage, so treat any online list as a starting point and confirm with both the office and your insurer.

Whichever specialist you consider, these questions are worth asking:

  • Does the physician hold board certification in reproductive endocrinology and infertility?
  • Will one Doctor handle my care from start to finish, or will I see a rotating team?
  • How does the clinic decide which add-ons to recommend?
  • Will the costs be laid out clearly before I commit?
  • Who can I contact if I have an urgent question at 10 p.m.?

It’s also reasonable to check a Doctor’s background. Dr. Mor’s Healthgrades listing shows no malpractice claims, sanctions, or board actions.

The Emotional Toll Of IVF

IVF is hard on the body, and the emotional load can be just as heavy. Injections, appointments, bills, and uncertainty pile up, and together they can strain even solid relationships. Needing more than one attempt is common and normal, but that doesn’t make it easy.

Reviews of Dr. Mor often come back to how he and his staff treated patients. One couple describes a three-year journey with him that led to a second pregnancy. Another patient describes “graduating” from his office at eleven weeks of pregnancy, already expecting to miss the staff.

Finding The Right Fertility Doctor

Millions of people have become parents with the help of IVF. It is also expensive and emotionally demanding, and the process is complex enough that the choice of Doctor matters a great deal.

Dr. Mor is board certified in two specialties, trained at USC, still teaches there, and describes a practice built on personal involvement and evidence-based choices. If you’re considering IVF in the Los Angeles area, the questions listed above are a useful starting point for a consultation.

This article is meant for general information only and is not medical advice. Every person’s situation is different, so speak with a qualified healthcare provider about your own circumstances.