Fertility Road Issue 34
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INSIDE THIS ISSUE: EMMA CANNON • DONOR EGG IVF • FERTILITY JOURNEYS UPDATE<br />
<strong>Fertility</strong><strong>Road</strong><br />
BIG BOYS<br />
DON’T CRY<br />
WHAT 10 YEARS<br />
HAVE TAUGHT ME<br />
BEFORE YOU<br />
WERE HERE<br />
A COUPLES JOURNEY<br />
FROM A MANS<br />
PERSPECTIVE<br />
CREATING YOUR<br />
FERTILITY DIET<br />
PART 1 FORMING<br />
THE FOUNDATIONS<br />
LIVING A FERTILITY<br />
FRIENDLY LIFESTYLE<br />
KATHY PAYNE DISCUSSES<br />
PRECONCEPTION CARE<br />
ISSUE <strong>34</strong> SEPTEMBER-OCTOBER 2016<br />
PRINTED IN THE UK<br />
UK £3.95 ,US $10.99, CAN $10.99<br />
INTERNATIONAL SURROGACY: WHY MORE COUPLES ARE LOOKING ABROAD
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<strong>Fertility</strong><strong>Road</strong> ISSUE <strong>34</strong><br />
Contents<br />
MIND<br />
fertilityroad<br />
fertilityroadmag<br />
18 THE CARE(LESS) PROVIDER<br />
<strong>Fertility</strong> Coach A’ndrea Reiter<br />
explains why having the right care<br />
provider can drastically affect your<br />
chances of getting pregnant.<br />
20 LIVING A FERTILITY<br />
FRIENDLY LIFESTYLE<br />
Expert Kathy Payne discusses<br />
preconception care and taking<br />
control of your own care.<br />
ON THE COVER<br />
SCIENCE<br />
MEN ONLY<br />
24 EMMA CANNON<br />
Acupuncture doubles the<br />
chances of IVF being<br />
successful.<br />
35 FERTILITY<br />
JOURNEYS 2016<br />
The latest from our life<br />
changing...<br />
50 DONOR EGG IVF...<br />
CHOOSING FOR SUCCESS<br />
Craig Reisser offers expert<br />
advice for intended<br />
parents considering<br />
donor egg IVF.<br />
54 BIG BOYS<br />
DON’T CRY<br />
Expert Russell Davis<br />
looks back over 10 years of<br />
trying to emotional connect with<br />
his wife.<br />
BODY<br />
30 MENU TO FERTILITY<br />
What you and your spouse eat<br />
can play a vital role in your<br />
fertility health.<br />
<strong>34</strong> FERTILITY<br />
SUPERFOODS<br />
Nutritional Guru,<br />
Annabel Karmel<br />
shares a few of<br />
her own delicious<br />
recipes.<br />
44 WHY DO INTENDED PARENTS<br />
GO ABROAD FOR SURROGACY?<br />
Richard Westoby shares his personal<br />
and professional experience on<br />
going abroad to start his own family.<br />
50 DONOR EGG IVF…<br />
CHOOSING FOR SUCCESS<br />
Craig Reisser offers expert advice for<br />
intended parents considering donor<br />
egg IVF.<br />
56 SPERM MOT<br />
Male fertility expert Professor<br />
Sheena Lewis discusses men’s<br />
biological clocks.<br />
62 BEFORE YOU<br />
WERE HERE<br />
Father Martin<br />
Davis offers a<br />
helping hand to<br />
other men dealing<br />
with their own<br />
fertility struggle.<br />
FERTILITY LIFE<br />
60 LETTER FROM THE HEART<br />
Leyla and Richard open up about their struggle to start<br />
a family.<br />
04 | fertilityroad.com<br />
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fertilityroad.com | 05
Contributors<br />
The people who made this issue happen…<br />
Richard Westoby<br />
Richard is one of the fathers to a set<br />
of boy/girl twins born in September<br />
2012. Richard and his partner Steven<br />
undertook surrogacy in the US and<br />
learned a lot about the process.<br />
Since the twins were born, Richard<br />
has become an advocate helping<br />
prospective parents learn more about<br />
IVF and surrogacy in general.<br />
A’ndrea Reiter<br />
A’ndrea is an Intuitive <strong>Fertility</strong><br />
Coach and Reiki Master specialising<br />
in a mind-body approach to fertility.<br />
She uses a combination of reiki,<br />
intuition and mindset coaching<br />
to move her clients through the<br />
emotional and physical blocks that<br />
are impeding them from conceiving<br />
naturally. Though based in New York<br />
City, A’ndrea works with women all<br />
over the world to empower them to<br />
take charge of their fertility journeys<br />
and create the life they want.<br />
Emma Cannon<br />
Emma is a fertility, pregnancy and<br />
integrated women’s health expert,<br />
registered acupuncturist and author.<br />
She has a particular interest in the<br />
immune system and how it impacts<br />
fertility. From her base at The<br />
<strong>Fertility</strong> Rooms Clinic in London<br />
she offers a full range of fertility<br />
advice, tests and programmes,<br />
from optimising natural fertility to<br />
support through IVF.<br />
Russell Davis<br />
Russell is a cognitive hypnotherapist<br />
specialising in fertility at his Harley<br />
Street clinic. He is the National<br />
Council of Hypnotherapy’s fertility<br />
advisor and founder of The Fertile<br />
Mind a fertility hypnosis programme<br />
that utilises the scientifically proven<br />
mind-body link to help increase<br />
fertility and chances to get pregnant.<br />
Kathy Payne<br />
Kathy is a women’s natural health and<br />
fertility coach and complimentary<br />
therapist. She’s more wellbeing fairy<br />
godmother than health police and serves<br />
natural health and fertility guidance<br />
with smiles and virtual hugs using Skype<br />
to guide and heal women worldwide.<br />
Professor Sheena Lewis<br />
Prof Sheena Lewis is the founder and<br />
CEO of SpermComet - a test which<br />
detects the amount of DNA damage<br />
in individual sperm, providing men<br />
with more accurate information<br />
about their fertility and better<br />
directing their treatment options.<br />
Craig Reisser<br />
Craig is a father through donor egg<br />
surrogacy and IVF. Craig now works<br />
with Oregon Reproductive Medicine,<br />
the clinic that helped him become<br />
a father, and helps other intended<br />
parents building their families through<br />
IVF, egg donation and surrogacy.<br />
<strong>Fertility</strong><strong>Road</strong><br />
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In association with<br />
London Olympia 5 - 6 November 2016<br />
Manchester Central 25 - 26 March 2017<br />
The essential event for<br />
your fertility journey<br />
● 60 talks by top<br />
fertility experts<br />
● 100 exhibitors<br />
● <strong>Fertility</strong> clinics from<br />
the UK and abroad<br />
● Advice for single<br />
women and same<br />
sex couples<br />
● <strong>Fertility</strong> assessments<br />
and consultations<br />
● Medical and<br />
complementary<br />
alternatives<br />
London show tickets now on sale<br />
Find out more at fertilityshow.co.uk<br />
The <strong>Fertility</strong> Show is organised and presented by River Street Live<br />
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fertilityroad.com | 07
THE FERTILITY SHOW 2016<br />
Baby it’s back- The <strong>Fertility</strong> Show hits London… and Manchester<br />
ts ard to eliee aoter year as goe<br />
y ad te iggest fertility sow i uroe<br />
is a d wit a etesie semiar<br />
rogramme roidig aess to te est<br />
mids i fertility ad te iggest eer<br />
rage of eiitors its romisig to e<br />
te eet to atted to lear aout<br />
your fertility ourey<br />
iets are ow o sale olie as e<br />
ertility ow agai gets ready to tae<br />
oer its regular ome at lymia odo<br />
durig te weeed of oemer <br />
it i oules i te strugglig<br />
to eome arets a eet giig aess<br />
to uaralleled uiased iformatio<br />
o fertility as eer ee more toial<br />
or releat e of te iggest draws for<br />
isitors is te aed eert semiar<br />
sedule oer two days wit tals from<br />
some of te worlds leadig fertility<br />
seialists<br />
idig trustworty adie o fertility<br />
is ruial for oules ad eery year<br />
e ertility ow aims to roide a safe<br />
ad disreet eiromet were eole<br />
a get te iformatio ad adie<br />
tey eed all i oe lae it te<br />
uiue oortuity to ae oetooe<br />
oersatios i ofidee wit a rage<br />
of fertility eerts tose isitig te ow<br />
will leae feelig more ealed to mae<br />
iformed deisios aout teir fertility<br />
otios eres simly o oter sow<br />
lie it<br />
emiars tis year will oer a rage of<br />
toial issues ad roide udates o te<br />
latest resear iludig<br />
tress ad its imat o fertility<br />
Professor Jacky Boivin ardiff ertility<br />
tudies esear rou<br />
atural yle ad mild fertility<br />
treatmet witout te drugs Professor<br />
Geeta Nargund edial iretor of<br />
ertility<br />
ertility treatmet for older wome<br />
Dr. Tarek El-Toukhy osultat i<br />
erodutie ediie ad urgery at<br />
uys ad t omas osital<br />
tios for adotio Jan Fishwick <br />
of adotio arity arets ad ildre<br />
ogeter <br />
at me eed to ow aout teir fertility<br />
a outlie of te rolems ad ow to<br />
test oost ad treat fertility Professor<br />
llan Pacey iersity of effield<br />
| fertilityroadom<br />
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New for this year is the Q&A stage in<br />
association with <strong>Fertility</strong> Network UK<br />
which will host sessions with key fertility<br />
experts such as Haitham Hamoda, Prof<br />
Geeta Nargund and Prof Adam Balen.<br />
Visitors will be encouraged to take a seat,<br />
bring questions to put forward either<br />
openly or anonymously and either listen<br />
to or join in the expert discussion.<br />
And now, to help more people across<br />
the UK to experience the advice and<br />
support on offer at this unique event, The<br />
<strong>Fertility</strong> Show is pleased to announce its<br />
new two-day show in Manchester at the<br />
Exchange Hall at Manchester Central,<br />
which include dedicated seminar rooms<br />
from 25–26 March 2017.<br />
The <strong>Fertility</strong> Shows are backed by Britain’s<br />
leading fertility support charity, <strong>Fertility</strong><br />
Network UK. They are a dedicated and<br />
discreet non-profit charity and are ideally<br />
placed to help visitors at the exhibition<br />
to learn about their fertility, explore<br />
options with experienced and sympathetic<br />
professionals and find out how to get the<br />
best chance of conceiving. The London<br />
show takes place during National <strong>Fertility</strong><br />
Awareness Week (31st October-6th<br />
November 2016).<br />
WHAT’S NEW?<br />
Larger London show - Up to 60 seminars over the 2 days, featuring some of the world’s leading fertility experts,<br />
and more than 100 exhibitors ranging from doctors to clinicians and practitioners including UK & overseas clinics,<br />
advice groups, charities, acupuncturists, diet, nutritional & lifestyle advisors, plus yoga & massage therapists.<br />
The <strong>Fertility</strong> Show Q&A Stage - Key fertility experts including Haitham Hamoda, Professor Geeta Nargund<br />
and Professor Adam Balen answer some of the hot topics and most-asked questions on fertility.<br />
New Manchester Show - the Exchange Hall at Manchester Central, which includes 3 dedicated conference<br />
rooms from 25 – 26 March 2017.<br />
EXPERT TALKS<br />
Here are some of the 60 experts booked to talk at the event:<br />
Zita West<br />
Prof. Geeta Nargund<br />
Prof. Simon Fishel<br />
Kate Brian<br />
Dr. Marilyn Glenville PhD<br />
Russell Davis<br />
Andrew Loosely<br />
Emma Cannon<br />
Jessica Hepburn<br />
Natalie Gamble<br />
Prof. Allan Pacey<br />
Prof. Adam Balen<br />
The <strong>Fertility</strong> Show London, 5-6 November at Olympia London.<br />
The <strong>Fertility</strong> Show Manchester, 25-26 March at Exchange Hall, Central Manchester.<br />
Tickets and further show information can be found at fertilityshow.co.uk<br />
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fertilityroad.com | 09
FR News & Views<br />
NATIONAL FERTILITY<br />
AWARENESS WEEK 2016<br />
IT DOESN’T MATTER WHAT YOU DO, JUST DO SOMETHING!<br />
Plans are already underway to make<br />
this years NFAW even better than in<br />
previous years! The focus for this years<br />
campaign is to reveal the #HiddenFaces<br />
struggling with fertility problems.<br />
It's common for media attention to<br />
be focused on stereotypes of fertility<br />
struggles: the 30 – or 40 – something<br />
career woman who's left it too late; the<br />
against-the-odds IVF success story or<br />
the woman who's apparently easily come<br />
to terms with childlessness – but this is<br />
far from the real picture.<br />
urig atioal ertility wareess ee<br />
we aim to igligt te usee itimate<br />
ad daytoday reality of fertility issues to<br />
oertur ommolyeld misoetios<br />
aout fertility ad to sie a sotligt o<br />
utold fertility stories<br />
te i oules eeriee te<br />
ai fertility issues rig e if you dot<br />
ae diret eeriee you roaly ow<br />
someoe wo does a family memer<br />
fried or wor olleague e oe eole<br />
will oi i raise fuds ad el age<br />
eretios aout fertility issues<br />
e fie fous areas for tis years<br />
media amaig are igligted i te<br />
ifograi oosite<br />
o ow do we do tis uite simly<br />
as wit ay amaig it iges o<br />
iolemet ad artiiatio ad<br />
oiig our amaig is easy<br />
ertility etwor are te leadig<br />
atiet arity elig eole wit ay<br />
aset of fertility rolems ad we as<br />
tat eeryoe el to raise a little it more<br />
awareess durig ery artile i<br />
te media or te loal aer or a illage<br />
magaie eery time you sare our osts<br />
o your soial media sites or you use te<br />
iddeae ertilityi<br />
eery radio iteriew gie eery time you<br />
tal to someoe aout wat you are doig<br />
ad wy ireases te aes of<br />
romotig te imortae of fertility<br />
eduatio y ireasig youg eoles<br />
awareess of te fats aout fertility<br />
disellig myts ad euiig a ew<br />
geeratio wit iformatio wi a<br />
el tem mae iformed deisios<br />
aout teir futures<br />
elig someoe strugglig wit<br />
fertility issues feel less aloe ad<br />
isolated elig rig someoe ito a<br />
ommuity were oters uderstad<br />
ad a ematise ad sare<br />
elig someoe to uderstad wat<br />
teir fried arter family memer or<br />
wor olleague is goig troug<br />
f you are ale to el raise awareess for<br />
ad you rea ust oe erso wo<br />
eras didt ow te fats aout ow<br />
aiful ad deilitatig ifertility ad te<br />
logig for a ild a e te you ae<br />
eled someoe<br />
e idde fae amaig will use te<br />
followig witteraeoo astags<br />
iddeae ertilityi<br />
te mot leadig u to atioal<br />
ertility wareess ee we will e asig<br />
eeryoe wo a to oi us i our soial<br />
media amaig to sow te itimate<br />
ysial emotioal soial ad fiaial<br />
reality of wat its lie to lie wit fertility<br />
issues at is your daytoday eeriee<br />
weter tats strugglig to oeie ad<br />
arry a ay te daytoday reality of<br />
ildlessess or eerieig suess after<br />
| fertilityroadom<br />
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Sponsored by<br />
years of struggling. The idea is to tweet with<br />
the hashtag #<strong>Fertility</strong>in5 and say whatever<br />
you want. This could be 5 words focusing<br />
on how you feel: lonely, stressed, invaded,<br />
on hold. Or they could simply be that day’s<br />
reality; my worst five ever were: I’m sorry<br />
there’s no heartbeat.<br />
The aim of the twitter campaign is to be<br />
incredibly illuminating about both the<br />
emotions and the day-to-day actualities of<br />
struggling with fertility problems.<br />
At <strong>Fertility</strong> Network UK we have also put<br />
together a simple poster with some ideas on<br />
how to fundraise.<br />
We need your help to raise funds: in the month<br />
leading up to and during National <strong>Fertility</strong><br />
Awareness Week why not organize a <strong>Fertility</strong><br />
Friday fundraising event: cake bake, coffee<br />
morning, tea party, sponsored walk of hope, or<br />
a dress down at work day. Celebrating <strong>Fertility</strong><br />
Fridays (or any other day of the week!) with<br />
work colleagues, friends, family or members<br />
of support groups is a great way to highlight<br />
fertility issues and hopefully raise some money.<br />
If you are able to help raise awareness or<br />
raise funds then please get in touch and let<br />
us know what you are doing, contact Kara<br />
kara@fertilitynetworkuk.org I’d love to<br />
hear from you.<br />
THE AIM OF<br />
THE TWITTER<br />
CAMPAIGN IS TO<br />
BE INCREDIBLY<br />
ILLUMINATING<br />
ABOUT BOTH THE<br />
EMOTIONS AND<br />
THE DAY-TO-<br />
DAY ACTUALITIES<br />
OF STRUGGLING<br />
WITH FERTILITY<br />
PROBLEMS.<br />
For more information please go to<br />
the NFAW website NFAW.org.uk or<br />
follow <strong>Fertility</strong> Network UK on Twitter<br />
and Facebook.<br />
Kara Myhill, Campaign Manager,<br />
National <strong>Fertility</strong> Awareness Week,<br />
<strong>Fertility</strong> Network UK.<br />
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fertilityroad.com | 11
FR News & Views<br />
se <br />
POTENT<br />
NEW IVF<br />
TREATMENT<br />
WITH FEWER<br />
SIDE EFFECTS<br />
ON THE WAY<br />
IVF is the long established method<br />
to try for a baby for people with<br />
fertility problems.<br />
ut ow ustralia ad elgia medial<br />
sietists ae disoered ow to imroe<br />
a womas aes of eomig regat<br />
usig a less iasie ad eaer alteratie<br />
otet ew fertility treatmet said to<br />
e eaer ad less iasie ta as<br />
ee deeloed sietists laim<br />
e ioatio wi as already<br />
udergoe reliial testig uses<br />
growt fators to eae a eistig<br />
fertility treatmet ow as iitro<br />
maturatio <br />
e results sow imroed egg uality<br />
ad a irease i emryos wit te<br />
use of miimal drugs<br />
esearers said te adae as sigifiat<br />
imliatios for fertility treatmet ad<br />
fertility reseratio worldwide<br />
tadard iitro fertilisatio <br />
reuires wome to tae follile<br />
stimulatig ormoes to stimulate<br />
egg ell growt efore tey are remoed<br />
from te oary<br />
retriees eggs wile tey are still i<br />
te immature stage ad rigs tem to<br />
maturity i ell ulture i te la<br />
iteratioal resear team led<br />
y ssoiate rofessor oert<br />
ilrist as eaed te roess<br />
y addig a omiatio of a growt<br />
fator umuli ad modulators<br />
small sigallig moleules to te egg<br />
ells ssoiate rofessor ilrists team<br />
reetly disoered umuli ad is<br />
laoratory is oe of oly two worldwide<br />
tat mae it<br />
e researers are urretly odutig<br />
safety studies to esure tat alterig te<br />
oditios of egg maturatio usig tis<br />
eaed teiue does ot affet<br />
te logterm ealt of offsrig<br />
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More ways to enjoy your<br />
favourite fertility magazine<br />
fertilityroadsubscribe.co.uk<br />
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fertilityroadom |
FR News & Views<br />
‘WAITING FOR THE MIRACLE’<br />
With one in six couples in the UK<br />
- about 3.5 million people – who<br />
experience fertility problems discussing<br />
these difficulties is still a taboo.<br />
gata ymaowi is a family<br />
otograer wo wats to rea tis<br />
silee sired y er ow fouryear<br />
ourey to eome a moter se started<br />
aitig for te mirale a otograi<br />
roet wi aims to lift te stigma of<br />
ifertility ad suort tose strugglig to<br />
eome arets<br />
e otograed wome wit teir<br />
mirale aies ad olleted teir stories<br />
of ow tey maaged to oerome<br />
alleges ad eeriee moterood<br />
e my dream of aig a ay fially<br />
ame true felt a strog eed to rea out<br />
to tose still tryig wated to mae teir<br />
struggles a little easier ta mie ad<br />
ee wated to say ey you are ot<br />
aloe or differet or ursed it is ot your<br />
fault ad you ae otig to e asamed<br />
of ere are so may of us ad it is good<br />
to tal gata<br />
gata iitially adertised te roet<br />
o soial media ad te resose was<br />
oerwelmigly ositie wome of<br />
differig ages ad agrouds deided to<br />
ome to gatas studio i iggate to e<br />
otograed wit teir mirale ildre<br />
ad to sare teir ersoal stories<br />
ey were tales of rologed treatmet<br />
misarriages straied relatiosis ad<br />
sattered dreams ut also of iredile<br />
stregt determiatio ad ultimately<br />
oy ome ee maaged to fid tigs<br />
to laug at ou ti you ould eer<br />
e ealous of a regat at i<br />
agai a story is uiue oweer oe<br />
oerarig teme emerged loeliess<br />
ll te artiiats felt tat tere is<br />
a degree of same ad serey aroud<br />
ifertility ad tat te issue eeds mu<br />
more oe disussio ey deided to<br />
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share their experiences to support other<br />
women and to help make their journeys<br />
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journey had been. And to give them hope.<br />
“I found it so difficult to hear about ‘everyone’<br />
being pregnant around me at the time, and so<br />
I work really hard never to assume anything<br />
about other people on the baby front, and to<br />
be up front about my history with people who<br />
are struggling so that they feel that they have<br />
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when you open up to people, there is often a<br />
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The project will be launched in late October,<br />
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Photography-279403772138459/<br />
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fertilityroad.com | 15
FR News & Views<br />
Sponsored by<br />
MALE FERTILITY<br />
AMONG CZECH<br />
MEN ON THE UP<br />
Czech men's fertility is on a good<br />
level since this year's research has not<br />
confirmed earlier warnings of their<br />
falling fertility, Michal Pohanka,<br />
director of the Sexological Institute<br />
of the 1st Teaching Faculty and<br />
General Teaching Hospital, told<br />
journalists on Tuesday.<br />
“On the contrary, thanks to a healthy<br />
lifestyle and improvement in the<br />
environment, Czechs’ fertility is<br />
slightly improving,” Pohanka said.<br />
The WHO lower standard for<br />
male fertility is 15 million<br />
sperms in one milliliter of<br />
the ejaculate, while that<br />
of the Czech men who<br />
were examined this year<br />
amounted to 61 million.<br />
The average age of the<br />
examined men was <strong>34</strong>.7<br />
years. A research conducted<br />
in 1980 showed the average<br />
concentration of sperms of<br />
40 million and it was only 15<br />
million in the past 15 years.<br />
However, the results were examined<br />
according to different criteria, Pohanka said.<br />
“The dramatic fall in fertile men is but a<br />
myth,” he added.<br />
“Previously, the spermogramme check-ups<br />
lacked any standard and comparability, due<br />
to which the results could have suggested<br />
that male fertility was falling,” Pohanka said.<br />
“Our clinical experiences do not suggest<br />
any fall in the concentration of the sperms<br />
of young men examined over infertility,”<br />
sexologist Jaroslav Zverina said.<br />
“Our research, too, did not confirm<br />
the hypothesis of male infertility in the<br />
course of years,” Zverina said.<br />
Previously, men from infertile couples were<br />
only examined after it was confirmed that the<br />
women were unable to become pregnant.<br />
At present, men from infertile couples<br />
are examined as the first. Due to this, the<br />
examined groups include more men who<br />
do not suffer from any defect of fertility.<br />
These men are closer to the general<br />
population and their results yield better<br />
information about the real state of male<br />
fertility, Pohanka said.<br />
Pohanka recommended that all young<br />
men should have the spermogramme<br />
made for them.<br />
Less than ten percent men have bad<br />
results, but modern reproduction<br />
medicine has the techniques with which<br />
to help most men have some offspring,<br />
he added.<br />
The long-term research of Czech<br />
sexologists examined 5,000 men. This<br />
year, the research followed up its results.<br />
The examination was made for 200 men<br />
from Prague and Central Bohemia. Its<br />
results have confirmed the latest trend.<br />
16 | fertilityroad.com<br />
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MIND<br />
drea eiter<br />
THE CARE(LESS) PROVIDER<br />
<strong>Fertility</strong> Coach A’ndrea Reiter explains why having the right care<br />
provider can drastically affect your chances of getting pregnant<br />
eres te tig am ot ati dotor ti<br />
may elemets of wester mediie are<br />
awesome ad eessary ad ta god tey<br />
eist i a lot of ases<br />
edial siee as doe some truly<br />
amaig tigs<br />
ere my agu omes i is te<br />
seriously oerlooed midset omoet<br />
te orrelatio of your emotioalmetal<br />
state to te ysial oditiosfertility<br />
issues eres a reaso tat oly<br />
wors of te time d its ot<br />
eause you ad tat u of offee you<br />
souldt ae t as so mu to do wit<br />
te midset of te woma ad wat ses<br />
elieig or ommittig to<br />
as to te aw of syoysial<br />
esose for eery tougt te rai<br />
as te ody as a ysial or emial<br />
reatio o if were aig a stressful or<br />
aied tougt it registers i te ody<br />
as to te figt or fligt resose i<br />
te amygdalae of our rai we we are<br />
stressed out or triggered our oessetial<br />
ody systems slow dow or sut dow<br />
e rerodutie system is ot eessary<br />
for you to stay alie so tats oe of te<br />
first to e affeted<br />
ay tigs a trigger tis resose ut<br />
wat e foud i my olisti fertility<br />
ratie is tat wome are ofte luggig<br />
ito eliefs tat are sewed at tem from<br />
soiety family ad yes are roiders<br />
e way some dotors urses ad tes<br />
sea to wome a e aorret ad a<br />
atually eaerate te ifertility ese<br />
are tigs dotors ae atually said to<br />
my liets<br />
ow youre startig late ell tere are<br />
lots of older mums ow<br />
ets ust start rigt off wit te<br />
oter stuff doest really wor ayway<br />
se was omletely ealty wit a<br />
regular yle y te way<br />
roaly wot ee wor for you<br />
ut you a try if you wat<br />
dout you ae eoug eggs at tis<br />
oit so maye you sould loo ito<br />
oter otios<br />
mea we a do a rigt ow ut it<br />
roaly wot wor<br />
r omes i from oter eam room ad<br />
says ew te girl efore you ad <br />
folliles ut you aetats good<br />
ou dot wat to get your oes u ou<br />
are oer <br />
ile are roiders rarely mea to<br />
e isesitie teyre ofte ot aware<br />
tat wat tey say ad ow tey say it<br />
suosiously lats ito our elief<br />
systems ad saotages our elief i<br />
ourseles ad our odys aility to e<br />
ale to do te o wome ae doe<br />
for milleia<br />
e welless aset ad edside maer<br />
as ufortuately goe out te widow<br />
i may ases eter tats due to<br />
traiig or osital ostraits dot<br />
ow ut te fous is o te atology<br />
ot te erso ay ust loo at you as a<br />
uterus ad ot a uma<br />
gai ow some warm arig dotors<br />
ut almost all of my ifertility liets<br />
ae ad ufortuate eeriees wit<br />
isesitie are roiders d eause<br />
tese are roiders are autority figures<br />
tese wome uy ito te elief tat<br />
tey are ot aale tat its ot liely<br />
to wor tat tey are too old d<br />
aordig to te aw of ttratio lie<br />
eergy attrats lie eergy so if wee<br />
lugged ito te elief tat we are ot<br />
aale te ierse is aswerig wit<br />
situatios tat are a eergeti mat<br />
to tat tougt ee seeral rouds<br />
of tat dot wor uelaied<br />
ifertility ad it ust eer aes<br />
f ourse tese dotors oers ome<br />
from some asis ut ufortuately tey<br />
are traied to fous o te eetio ot<br />
te rule uroe its ot so uusual<br />
to oeie u to age art of tat is<br />
eatig less roessed ra ad art of it<br />
is ot eig made to feel iaale at age<br />
es its true tat your egg out goes<br />
dow uite a it after ad so from a<br />
sietifi ersetie te odds lesse ut<br />
tats ust it teyre odds d you eed<br />
egg ust oe<br />
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MIND<br />
When the mindset component is left out<br />
of fertility (the idea that by shifting your<br />
thoughts, you can shift your physical<br />
condition), it can be a bleak prognosis.<br />
Your mind is so powerful. I’ve seen<br />
amazing things in my practice from:<br />
• Cysts and fibroids disappearing<br />
• Scar tissue being released<br />
• Cycle returning after years of amenorrhea<br />
• Egg quality increasing<br />
• Endometriosis disappearing<br />
• Uterine lining doubling<br />
• Thyroid conditions disappearing<br />
• Stopping miscarriage<br />
It all happened when the woman was open<br />
to the idea that things could be different<br />
than the prognosis they were given, by<br />
doing the work, and by having a care<br />
provider that makes them feel safe.<br />
So many of my clients have stayed way<br />
to long with doctors who have made<br />
them feel uncomfortable, too old, less<br />
than, incapable, and a lost cause. It’s so<br />
subtle that you often don’t notice it, but<br />
it’s a huge factor in your progress. So if<br />
you don’t love your doctor and they’re<br />
not uber supportive of your journey and<br />
what’s right for you, consider:<br />
• A naturopath or midwife for well<br />
woman care.<br />
• If having a medical doctor makes you<br />
feel better, interview a few more and get<br />
someone you feel safe and comfortable with.<br />
Feeling comfortable and capable is essential<br />
in this journey. Don’t be afraid to change<br />
providers. If they’re not on Team You, they<br />
need to go.<br />
A’ndrea Reiter is a Reiki Master and<br />
Intuitive <strong>Fertility</strong> Coach specializing<br />
in a mind-body approach to fertility.<br />
She uses a combination of reiki,<br />
intuition and mindset coaching to<br />
move women through the emotional<br />
and physical blocks that are impeding<br />
them from conceiving naturally.<br />
A’ndrea is the author of Get Pregnant<br />
Naturally: A mind body guide to<br />
getting pregnant, even when you’ve<br />
tried everything available on Amazon.<br />
Visit Fusion<strong>Fertility</strong>.com for more<br />
information.<br />
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fertilityroad.com | 19
MIND<br />
EXPERT: Kathy Payne<br />
LIVING A FERTILITY<br />
FRIENDLY LIFESTYLE<br />
<strong>Fertility</strong> issues are on the rise. Sadly.<br />
Why is it so?<br />
How can we slow down or stop that increase?<br />
What if we’re having issues of our own?<br />
How can we boost OUR health and fertility?<br />
Natural Health and <strong>Fertility</strong> Coach –<br />
Kathy Payne – puts forward the case for<br />
preconception care and self-help.<br />
The challenge<br />
Around 1 in 6 couples in the UK today<br />
have trouble falling pregnant. That’s over<br />
3.5 million people.<br />
Statistics show sperm count is down.<br />
About 1 in 4 pregnancies results in miscarriage.<br />
<strong>Fertility</strong> treatments are up. Success rates<br />
are not high.<br />
Many couples are confused and frustrated<br />
by the label they have been given<br />
“unexplained infertility”<br />
<strong>Fertility</strong> issues are common.<br />
If you’re suffering, none of this is a<br />
comfort. I know. I really do know.<br />
Let’s not lose heart, though. Let’s stay<br />
positive. Let’s take back control.<br />
Easy to say, maybe?<br />
What nature teaches us<br />
about fertility<br />
Let’s start by going back to nature.<br />
Mother Nature wants us to thrive not just<br />
survive. All species to thrive. She wants us<br />
to have babies, healthy babies. So Mother<br />
Nature has a few tricks up her sleeve.<br />
Like trying to make sure babies are born<br />
when conditions are right …like no<br />
threats to safety (in modern life,<br />
that’s stress to you and me).<br />
And when there’s nutritious<br />
food to support conception,<br />
pregnancy, birth and strong<br />
babies. And there’s a<br />
healthy egg, vibrant sperm<br />
and a welcoming womb.<br />
Traditional cultures know<br />
this stuff. They save the best<br />
food – often fish, shellfish,<br />
eggs - for newlyweds to boost<br />
baby-making.<br />
People who breed and raise animals know<br />
this stuff. They choose the healthiest animals,<br />
they feed them the best food and provide a<br />
great environment to breed and rear as many<br />
strong and healthy babies as they can.<br />
They know it’s about conception, healthy<br />
pregnancy, safe birth AND a healthy offspring.<br />
Did you know:<br />
Around 1 in 6 couples<br />
in the UK today<br />
have trouble falling<br />
pregnant.<br />
What they teach and<br />
don’t teach in schools<br />
And I’m not implying that we don’t<br />
know this stuff, at all. Some people know<br />
it; some people know it because they’ve<br />
suffered fertility issues and had to find it<br />
out the hard way. Sadly.<br />
In schools, they teach how NOT to get pregnant<br />
and strike fear into us that just about<br />
looking at someone can make an unwanted<br />
baby. But we’re not really taught how to<br />
protect and boost fertility for when<br />
we’re ready to make a wanted baby.<br />
We’re not really taught self-care<br />
for fertility.<br />
Yeah but…<br />
Many of you may be<br />
thinking, yeah but we have a<br />
diagnosed condition, a known<br />
problem. That’s why we can’t get<br />
pregnant naturally.<br />
I hear you. There will some people who<br />
are better opting for a fertility treatment.<br />
Your doctor will advise you on that.<br />
Always maintain a good relationship<br />
with your doctor.<br />
If you’re having treatment using your<br />
own, sperm and/or womb, It’s still got to<br />
be a good idea to give yourself the best<br />
chances of success, right?<br />
20 | fertilityroad.com<br />
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MIND<br />
It’s a personal view, but I don’t think<br />
fertility treatment is an easy option. It’s<br />
a rollercoaster of tests, drugs, procedures<br />
and emotions, with no guarantee of a<br />
baby (actually nothing and no-one can<br />
guarantee a baby). It’s sometimes<br />
tough to get treatment for free<br />
and it’s expensive to buy. It’s<br />
a boom industry making<br />
billions worldwide. It’s<br />
filling a need.<br />
I do wonder if a few people<br />
go down this route a little<br />
too quickly? Maybe, it<br />
should be a last option, not<br />
the first option. Maybe we<br />
should do as much as we can for<br />
ourselves, first? Sometimes it does<br />
take longer to become parents than we’d<br />
like. And it’s not always a straight path.<br />
And even if you end up having fertility<br />
treatment, you’d be going into it in really<br />
good shape.<br />
Self care<br />
I’m a huge believer in self-care. Not just<br />
to protect and boost fertility. To protect<br />
and boost health, hormone health,<br />
happiness.<br />
Prevention is better than cure<br />
and all that.<br />
Now again, a few will say,<br />
“yeah but unhealthy people<br />
can have kids” and they tell<br />
me tales of some bloke down<br />
the pub who smokes like a<br />
chimney, drinks like a fish and<br />
survives on kebabs and he has<br />
5 kids.<br />
Yep, I see that too. Sure, that happens.<br />
But what do we know about the health of<br />
those kids?<br />
We don’t fully understand the impacts<br />
of OUR health and lifestyle choices on<br />
any kids we have. Except we know those<br />
choices do have an impact. New research is<br />
making links all the time.<br />
So self-care isn’t selfish – it’s a benefit to<br />
our future children too.<br />
Unexplained infertility<br />
I also feel the frustration of those handed<br />
the label “unexplained infertility”. Those<br />
who have had tests - even had procedures<br />
– and no-one can tell them why they still<br />
haven’t managed to fall pregnant. I get that<br />
you can feel helpless, confused and angry.<br />
Of course, it could be that no-one found<br />
the challenge yet.<br />
There must be cases with no ONE, BIG NO-<br />
BRAINER thing, but maybe a few less obvious,<br />
smaller issues adding up to a problem.<br />
Which could mean that it’s solvable.<br />
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fertilityroad.com | 21
MIND<br />
eig aware of your fertile sigs ad times<br />
owig we ad wo to as for el<br />
ad wat to as for<br />
eras tis doest soud lie roet<br />
siee ut tere is eidee tat tese stes<br />
a mae a differee e a differee<br />
te were lie our uli ealt<br />
serie reogises tis ere ust aret<br />
te resoures to tea eeryoe wo eeds<br />
it wat tey eed to ow detail<br />
was traied i reoetio are y<br />
oresigt a arity wi romotes<br />
reoetio are to oost ealt<br />
fertility ad imroe ildres ealt<br />
ut iformatio doest mea<br />
trasformatio oe of my matras<br />
aye easily aye ee uily o wy<br />
ot trow all you a at it ad see wat<br />
aes at do you ae to lose ou<br />
ae eerytig to gai<br />
ou eer ow wat tis te alae i<br />
your faour<br />
Why preconception care?<br />
aig a otrol meas iestig i<br />
your ow are<br />
ts also a it more ta ust taig oli<br />
id retty mu eeryoe ows te<br />
imortae of folate to a deeloig ay<br />
e ast maority of wome tae it efore<br />
tryig to get regat<br />
ts mu more ta tat eause i te<br />
moder world were figtig a uill attle<br />
ood is more letiful ut its full of<br />
asties addities reseraties salt sugar<br />
s emials lats a e srayed<br />
wit ug iller ad weediller e we eat<br />
food srayed wit stuff aimed to ill tigs<br />
imal roduts a e laed wit growt<br />
ormoes atiiotis ad oter drugs<br />
ould go o<br />
ore food less utritio<br />
ts a toi world were te air we reate<br />
te water we dri te soils we use to<br />
grow food are taited<br />
e slater o our sis a estimated<br />
emials ea day some of wi<br />
are ow ormoe armers e same<br />
ormoe armers lur i our leaig<br />
uoards ad oter orers of our omes<br />
offies garages gardes<br />
d dot get me started o te imat of<br />
moder day madess ad mayem te<br />
stress of life i te twety first etury<br />
ould go o ad o aout moder life<br />
madess ad ow it taes its toll o fertility<br />
ets ot lose eart toug ets stay<br />
ositie ets tae a otrol<br />
ets atually te selfare e<br />
reoetio are e gettig ay<br />
ready ettig ayfit<br />
m suer assioate aout tis stuff <br />
tea tis stuff ee if sools dot<br />
o wat do atually mea y reoetio<br />
are ts really a ertility riedly ifestyle<br />
What is preconception care?<br />
t meas giig yourself <br />
mots to get ealty<br />
t least mots eause tats ery<br />
rougly ow log it taes for a serm to<br />
deelo ad a egg to mature<br />
d te asis of a fertility friedly<br />
lifestyle are tese<br />
fertility friedly diet soig<br />
ooig ad storig food for maig fertility<br />
ertility friedly lifestyle oies<br />
eig out your geeral ealt i ase<br />
teres sometig else tat redues fertility<br />
ettig lety of rest ad relaatio to<br />
ust stress<br />
etoig your life of te ealt<br />
ormoe ad fertility armers<br />
Did you know:<br />
Many couples<br />
are confused and<br />
frustrated by the<br />
label they have been<br />
given “unexplained<br />
infertility”<br />
e ru is you ae to atually tem<br />
ou atually ae to tae otrol ad<br />
age your aits to more fertility<br />
friedly oes d ee u tose aits<br />
ooe is sayig its easy ats wy<br />
eole lie me are sreadig te word<br />
ad atiely el eole wor out wat<br />
tey a do to oost teir ealt ad <br />
terefore fertility<br />
m assioate aout reoetio are<br />
for eeryoe eter youe eed o<br />
a millio stis ad wet oer egatie<br />
regay tests or ust ae a wied<br />
twile i your eye ad ow you really<br />
eed to lea u your at<br />
ets ot lose eart ets stay ositie<br />
ets tae otrol<br />
e got tis<br />
oe aty <br />
aty aye is a almer of aywire<br />
ormoes ad oder ife ayem<br />
es a omes atural ealt ad<br />
ertility oa ad omlemetary<br />
eraist i orwi ad<br />
worldwide ia ye es more<br />
elleig airy odmoter ta<br />
ealt olie ad seres atural<br />
ealt ad fertility guidae wit<br />
smiles ad irtual ugs<br />
e as a free olie mii rogramme<br />
alled tes to oost ertility ig u<br />
at http://bit.ly/7stepstoboostfertility<br />
isit er wesite at<br />
kathypayne.co.uk<br />
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MIND<br />
Your favourite fertility<br />
magazine collection<br />
in one place<br />
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fertilityroadom |
MIND<br />
mma ao<br />
ACUPUNCTURE DOUBLES<br />
THE CHANCES OF IVF<br />
BEING SUCCESSFUL<br />
reet ritis trial usig auuture<br />
alogside as demostrated tat<br />
auuture more ta doules womes<br />
aes of aig a ay ere as ee<br />
a suggestio tat auuture sould e<br />
offered o te to suort yles<br />
would fully suort tis altoug my<br />
suggestio would e tat it is auuture<br />
admiistered y ratitioers wo ae<br />
udertae a full year traiig rater<br />
ta tose wo ae doe a miimal<br />
traiig i dry eedle teiue<br />
te reet trial wome reeied<br />
auuture ad of tese eame<br />
regat omared to of te i te <br />
oly grou f ourse ritis will say tere<br />
was o laeo ad te study was small ad<br />
terefore ot sigifiat ut tis will ot<br />
deter wome from seeig auuture<br />
s auuturists we ae ow tat<br />
auuture ireases te aes of<br />
ad otimiig atural fertility<br />
for a log time years ago te aulus<br />
study demostrated eellet<br />
results d oules ae ee floig<br />
to auuturists eer sie e aer<br />
ulised i ertility ad terility<br />
demostrated a regay rate i<br />
te auuture ad grou erses a<br />
suess rate i te grou<br />
uuture is oe of te oldest treatmets<br />
i eistee wit a log reorded istory<br />
of effiay f ourse trials are diffiult<br />
ad eesie to ru ad it is ot easy to<br />
fid a suitale laeo for auuture t<br />
is ot lie oig a ill esearers ae<br />
struggled to fid a laeo tat does ot<br />
reate a age i te ody i a similar<br />
way to auuture rials are eesie<br />
to ru ad ulie drugs omaies wo<br />
ae uge udgets ad mae a lot of rofit<br />
o oe stads to rofit tat mu from<br />
romotig auuture is is te oflit<br />
witi mediie ad it is oly te oules<br />
tat suffer if tey are ot offered effetie<br />
treatmets tat are easy to admiister do<br />
o arm ad are relatiely ieesie<br />
totally disagree wit eddlig treatmets<br />
tat do ot wor or gie atiets false oe<br />
am as agered as te rosietists aout<br />
wesites laimig tat tey ure eerytig<br />
from eadaes to reast aer<br />
e of my ersoal frustratios as<br />
ee tat to date all te resear as<br />
ee foused o efore ad after emryo<br />
trasfer toug tis reet study gae <br />
ot treatmet years later wy are<br />
we still asig te same uestio would<br />
loe to see te researers loo outside<br />
of tis tiy widow ad eted teir<br />
resear uestio f auuture a<br />
do tis durig te wat a it do<br />
outside of to otimie<br />
Emma Cannon Clinic –<br />
IVF SUPPORT<br />
my lii we fid we ae te est<br />
results we auuture is admiistered<br />
trougout te yle ur eeriee<br />
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MIND<br />
has demonstrated that this may improve<br />
the growth of the follicles, helping to<br />
balance growth on each ovary. Help to<br />
prepare the endometrium so that the<br />
correct thickness is achieved. Acupuncture<br />
can also reduce discomfort, constipation<br />
and bloating around egg collection;<br />
helping to prepare the body<br />
for transfer.<br />
An additional benefit<br />
is that patients report<br />
feeling calmer and<br />
more relaxed, releasing<br />
endorphins.<br />
We also use acupuncture as<br />
preparation for IVF, or in between<br />
failed IVF cycles. Men too can benefit from<br />
using acupuncture prior to and during IVF,<br />
particularly if there is male factor infertility<br />
or they have high stress levels. Many men<br />
enjoy being involved in the process and find<br />
acupuncture helps them relax.<br />
5 Other reasons to use<br />
acupuncture<br />
• To help support you in losing weight or<br />
stopping smoking<br />
• To support you in early pregnancy,<br />
particularly following IVF<br />
• To manage bloating, constipation and<br />
digestive issues<br />
• To help alleviate stress and calm the mind<br />
• For patients with unexplained infertility<br />
or immune issues<br />
We have a long way to go in order to<br />
design trials that can measure<br />
the efficacy of acupuncture.<br />
It is also important to<br />
remember that many<br />
procedures used in<br />
medicine, have also<br />
not been rigorously<br />
tested. Early pregnancy<br />
scanning is one of these.<br />
Acupuncture has the longest<br />
recorded record of safe and<br />
effective treatment than any other<br />
procedure. However, the evidence is<br />
growing and couples will vote with their<br />
feet. As one open minded IVF consultant<br />
said to me last week; “why wouldn’t you<br />
use acupuncture alongside IVF”.<br />
Emma Cannon has clinics in London<br />
SW3, W1 and at Lister <strong>Fertility</strong><br />
emmacannon.co.uk<br />
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• Refined starches: su as weat ad<br />
flour ased foods read asta oodles<br />
ad aed foods su as astries ad<br />
aes ese foods are o loger i teir<br />
atural state as grais ad are roessed<br />
ad refied ad ofte to large etremes<br />
ey are ow to ause lood sugar<br />
istaility muus rodutio weigt<br />
gai ad a ariety of oter issues wit<br />
te digestie ad immue systems<br />
Part 1 – Forming The<br />
Foundations<br />
aig te rigt dietary oies is diffiult<br />
we teres so mu iformatio to<br />
oose from<br />
afully tere are tried ad tested<br />
diets aailale ad te iese mediie<br />
fertility diet is ossily oe of te most<br />
eerieed aailale<br />
or oer years te iese ae<br />
suorted eaed ad trasformed<br />
fertility ealt wit te el of a<br />
strutured dietary system<br />
s wit all asets of iese mediie<br />
youll get te est results if a ratitioer<br />
resries a diet for you to meet your ow<br />
uiue reuiremets<br />
oweer tere is a foudatioal diet tat<br />
a e followed y eeryoe wi a e<br />
adusted for fier tuig ad deeer seifi<br />
results wit te el of a iese mediie<br />
fertility ratitioer if eeded<br />
drew oosely<br />
CREATING YOUR<br />
FERTILITY DIET<br />
Andrew Loosely sets out a simple healthy diet action plan that<br />
will keep you on track to lose weight and achieve your goals.<br />
The 2 Key Steps to Take<br />
ere are ey stes to otimisig your diet<br />
1. emoe te uealty food grous tat<br />
ause oor ealt ad try to aoid tem<br />
2. rease te ealty food grous<br />
tat regeerate ad eae your<br />
fertility ealt<br />
Step 1: Removing the<br />
unhealthy food groups<br />
y startig wit te foods to aoid you<br />
a uily imroe your fertility ealt<br />
ad egi to uild ew ealty ells<br />
ese ells ilude egg ad serm ells<br />
wi are easily damaged y uatural<br />
refied ad emially treated foods<br />
Food groups to avoid<br />
e followig food grous are ow to<br />
ause a ariety of issues to te uma ody<br />
ad ll elai a little more wit ea oe<br />
• Dairy: mil yogurt ad eese roduts<br />
is grou is reowed for ausig a<br />
irease i muus related oditios ad<br />
sould ot e osumed y eole wit<br />
eleated estroge leels ad wit ayoe<br />
eerieig te followig aria or<br />
terie ysts loed alloia ues<br />
dometriosis iroids ad as<br />
tese oditios are greatly aggraated y<br />
a irease i muus i te ody<br />
• Sugar: added sugar or ig leels of<br />
aturally sweet foods su as fruit e<br />
laels of ay readymade foods to see if<br />
sugar as ee added as you will usually<br />
fid it i tese roduts oo out for or<br />
syru too ugar auses a ustale lood<br />
sugar leel ausig a release i isuli to<br />
el stailise it reuet osumtio<br />
a ause issues wit isuli rodutio<br />
wi may lead to ye iaetes or<br />
isuli resistae ausig diseases su<br />
as t also auses a derease i your<br />
ells aility to asor itami wi is<br />
eeded for may ellular roesses<br />
• Caffeine: ea gree wite red urle<br />
ad la tea offee eergy dris<br />
ad may fiy dris too affeie is a<br />
stimulat e osumed it stimulates<br />
a adreal resose ausig adrealie<br />
to e released our ody is te i<br />
a stress mode ad to omat tis it<br />
as to release a steroid alled ortisol<br />
ortisol steals te uildig los for<br />
te rodutio of ital ormoes su<br />
as rogesteroe wi are eessary<br />
for imlatatio of a emryo ad te<br />
ealt of your regay<br />
• Alcohol: all tyes of alool e<br />
mai issue wit alool is its aility<br />
to damage ad ee ill ealty ells<br />
is ould also ilude egg ad serm<br />
ells ad liial trials ae sow<br />
tat serm ells are affeted y alool<br />
osumtio f you suffer wit ay of<br />
te aoe listed issues uder efied<br />
stares airy ugar or affeie te<br />
alool is also est aoided as it too as<br />
muus formig roerties<br />
• Processed foods: ready made meals<br />
ad saues sa ars ad ofte<br />
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pre-prepared ‘healthy meals’. Many of<br />
these products contain poor quality<br />
ingredients, along with high levels of<br />
contaminants. There are also added<br />
ingredients such as: flavour enhancers,<br />
folic acid (a synthetic ingredient),<br />
preservatives, sugars, colourants and<br />
texture enhancing ingredients too.<br />
Needless to say, the majority of these<br />
are chemically processed and cause a<br />
variety of health conditions.<br />
Step 2: The good food groups<br />
to enhance your fertility<br />
So now that the bad stuff is out of the<br />
way, we can start thinking about what to<br />
eat more of, and there’s lots!<br />
There are 4 foods groups that should be<br />
consumed daily to ensure a balanced<br />
intake of nutrients.<br />
1. Protein – best sourced from animal<br />
sources if you’re not vegetarian.<br />
• All types of Eggs – try to source good<br />
quality organic eggs from free range and<br />
grass fed birds.<br />
• All types of fish - try and eat wild coldwater,<br />
or fresh water, fish if possible. The<br />
southern seas are currently quite polluted<br />
and not a good source of seafood.<br />
• All types of meat (ideally organic and<br />
grass fed) such as: Beef, venison, chicken,<br />
lamb, duck, goat, game birds and pork. Try<br />
and vary the types of meat and eat at least<br />
50% of your meat as red meat. Your meat<br />
intake should ideally also include organ<br />
meats such as: liver, kidneys and heart.<br />
• A good lighter source of protein can be<br />
found in homemade bone stocks<br />
2. Starches – best sourced from root vegetables<br />
and a few of the healthier grains<br />
• All root vegetables – carrots, beetroot,<br />
parsnips, potato, sweet potato, turnips<br />
and celeriac<br />
• Pumpkin and squashes<br />
• Organic grains such as rice, barley,<br />
millet and quinoa<br />
• Organic beans, pulses, nuts and seeds<br />
3. Fibre – leafy green vegetables<br />
• Green cabbage, kale, savoy cabbage, cavalo<br />
nero, spinach, watercress, purple sprouting<br />
and green broccoli, Pakchoi and other<br />
green leafy vegetables. Have a mixture<br />
and don’t always eat the same type.<br />
• Fruit – most fruits have some fibre<br />
content. Eat fruits only when they’re<br />
in season and then ideally eat berries<br />
such as raspberries, blackcurrants and<br />
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blackberries as they nourish blood quality.<br />
Raw fruits are not suitable for everyone.<br />
4. Fats – best sourced from animal and fish<br />
fats and oils. Plant oils are also good daily.<br />
• E a t o r g a n i c g r a s s f e d a n i m a l f a t t h a t<br />
comes with the meat you are buying<br />
• U s e a n i m a l f a t s t o c o o k w i t h<br />
• Use some of the fat from roasted or<br />
poached meats and fish, as a base for a<br />
sauce to go with your meal<br />
• Oils – Use your own preference of organic<br />
Virgin Cold Pressed oils according to<br />
what is grown in your country. Examples<br />
are: Rapeseed oil (UK, Europe & US),<br />
Sunflower Seed oil (UK, Europe & US),<br />
Olive oil (Mediterranean locations) and<br />
Sesame seed oil (for Asia). These oils can<br />
be used safely for cooking such as frying,<br />
as well as for drizzling over vegetables<br />
• A healthy source of fats can also be<br />
found in homemade bone stocks<br />
• Nuts and seeds can also provide fats.<br />
Keep the consumption of these to a<br />
minimum, as they are difficult to digest.<br />
Germinate all nuts before eating: Soak<br />
overnight in cold water. Rinse in the<br />
morning and strain. Then eat.<br />
• Coconuts offer a great source of healthy fats.<br />
They should however only be consumed by<br />
people living in tropical or Mediterranean<br />
climates, where they naturally grow. Overconsumption<br />
can cause digestive issues and<br />
particularly for people in cooler northern<br />
climates where the cooling properties of the<br />
coconut are not required.<br />
Constructing a healthy<br />
balanced meal<br />
Now that we’ve looked at the foods that<br />
we can use, we need to know how to<br />
construct a healthy meal with them.<br />
Each food group should be consumed<br />
daily, and in fairly specific quantities.<br />
Too much of any one food group, for an<br />
extended time, is not healthy.<br />
To ensure that you receive the necessary<br />
nutrients each day, try to eat at least<br />
2 meals a day that contain the 4<br />
food groups listed above.<br />
To keep this simple,<br />
try to imagine a plate<br />
of food containing<br />
the following<br />
percentages of each<br />
food group:<br />
Protein: 20-30%<br />
(fats are used to cook<br />
with – around 2-3<br />
tablespoons per day)<br />
Starches: 30%<br />
Fibre: 40-50%<br />
Drinks<br />
Fibre<br />
The final aspect to consider in supporting<br />
your diet is your fluid intake.<br />
Here are a few points on fluid consumption:<br />
• Drink between 1.5-2 litres of liquid per<br />
day (this will vary on body size, and this<br />
Protein<br />
is for the average person). Make at least<br />
60% of that pure spring water if possible,<br />
and the rest can be in the form of herbal<br />
teas or naturally flavoured water.<br />
• Herbal teas: peppermint, chamomile,<br />
fennel, cinnamon, fresh ginger, nettle,<br />
rosehip and hibiscus and any other<br />
commonly consumed herbal tea. Make<br />
sure you vary the herbs so that you’re not<br />
drinking the same one repeatedly and<br />
if working with a herbalist please check<br />
these with them for your personal needs.<br />
Starch<br />
• All drinks should be room<br />
temperature or at least slightly<br />
warm. Avoid cold, iced drinks.<br />
Your Next Steps<br />
If you find it hard to<br />
make changes to your<br />
diet, then set yourself<br />
some easy to achieve<br />
goals and work<br />
through this change in<br />
a slow planned manner.<br />
I usually suggest starting<br />
with around 3 points to<br />
change over a timeframe of<br />
around 1-2 weeks. Once you’re<br />
used to the changes, then review<br />
everything again and make further<br />
changes if necessary, and so on.<br />
This will help you to create a diet that you are<br />
more likely to stick with in the long term.<br />
Andrew is a world-leading Chinese<br />
medicine fertility expert, author<br />
and public speaker, and works with<br />
clients around the world through<br />
his treatment programme, The Baby<br />
Creating Plan.<br />
To claim a FREE copy of Andrew’s<br />
book The Ultimate <strong>Fertility</strong> Guide, go to:<br />
Natural<strong>Fertility</strong>Expert.com<br />
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Need IVF but<br />
BODY<br />
can’t afford it?<br />
Do you need IVF? If so, you may be able to help yourself and<br />
another woman. By sharing your eggs, you could receive<br />
standard IVF treatment free at The Lister <strong>Fertility</strong> Clinic,<br />
one of London’s top fertility centres.<br />
If you’re 21-35, need IVF<br />
and are happy to share<br />
your eggs, please contact<br />
The Lister <strong>Fertility</strong> Clinic<br />
t: 020 7881 4036<br />
e: eggdonation@lfclinic.com<br />
w: www.needivf.co.uk<br />
Quote reference<br />
FERTILITY ROAD<br />
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MYNUTRICOUNTER’S<br />
MENU TO FERTILITY<br />
Finding the time, in today's busy<br />
schedule, to research and create recipes<br />
that will boost fertility can seem like<br />
a daunting task, so that's why we've<br />
created this recipe menu that<br />
will fuel your body with all the<br />
good stuff it needs to welcome<br />
a little one and replace stress<br />
with nutrition. Cooking to<br />
conceive has never been easier!<br />
reoetio diet is really imortat<br />
we gettig ready for regay at<br />
you ad your souse eat a lay a ital<br />
role i your fertility ad i te ealt of<br />
your ay durig regay<br />
ere ot ale to otrol<br />
eerytig i te oetio<br />
roess ut wat we a<br />
otrol is te food tat we<br />
eat is lays a imortat<br />
role so wy wouldt we<br />
wat to gie ourseles te est<br />
ossile ae of eomig<br />
a family<br />
ll utriets i te rigt uatities ae<br />
a ositie effet o te ody ut eres<br />
a soig list of some of te est to<br />
imroe te aes of oetio for you<br />
ad your arter<br />
Zinc (for both)<br />
i lays a imortat role i oostig<br />
fertility for wome it els teir eggs to<br />
mature ad regulates ormoes durig<br />
te mestrual yle ad for me it as<br />
sow to oost te uality ad futio<br />
of serm<br />
Foods include:<br />
asew uts etils ieas<br />
eef am esame eeds<br />
umi eeds saragus<br />
uioa la eeds<br />
Folic acid (for her)<br />
oli aid or folate is essetial i te<br />
deelomet of a ays eural tue<br />
wi forms te sie ad rai ts<br />
imortat to ae reseres of foli<br />
aid we you oeie so<br />
tats wy its a good idea to<br />
iororate it ito your diet<br />
at te earliest oortuity<br />
Foods include:<br />
saragus auliflower ia<br />
etils rooli itrus ruits uts <br />
eeds eas eas la eeds ieas<br />
Selenium (for both)<br />
eleium is a atioidat wi figts<br />
agaist free radials tat ould otetially<br />
ause romosome damage t also lays a<br />
ital role i te formatio of serm<br />
Foods include:<br />
rail uts ua urey ie ggs<br />
ole eat read la eeds ggs almo<br />
Vitamin E (for both)<br />
itami is a atioidat tat studies<br />
ae idiated a el female fertility<br />
ad eae serm ealt<br />
Foods include:<br />
uflower eeds ia saragus<br />
lmods rooli lmods lmod<br />
il atural ogurt oado weet<br />
otato lies<br />
Vitamin C (for both)<br />
esear as idiated tat ireased<br />
osumtio of itami i<br />
wome imroes ormoe<br />
leels ad ireases<br />
fertility as sow y<br />
a study ulised i<br />
ertility ad terility<br />
were te regay<br />
rate was iger<br />
after mots wit<br />
tose wo osumed<br />
itami i te study<br />
e results from studies<br />
aalysig te ireased<br />
osumtio of itami i me<br />
orrelated wit imroed serm uality<br />
ad olume<br />
Foods include:<br />
aaya eers rooli aserries<br />
trawerries ieale ale auliflower<br />
aage itrus ruits ia weet otato<br />
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Recipe Menu<br />
These recipes, which are taken from our<br />
blog: mynutricounter.com and our new<br />
e-book: A Happier, Healthier You, all<br />
include fertility-boosting ingredients<br />
that will help in your journey to<br />
motherhood/fatherhood.<br />
Breakfast<br />
Pear & Raspberry Smoothie<br />
This delicious pear and raspberry smoothie<br />
recipe is taken from our new e-book: A<br />
Happier, Healthier You. It is well balanced<br />
nutritionally making it a great start to the<br />
day and the perfect breakfast recipe for those<br />
trying to conceive.<br />
Serves 2<br />
Preparation time: 5 minutes<br />
Cooking time: 0 minutes<br />
Total time: 5 minutes<br />
Ingredients:<br />
1 pear<br />
125g raspberries, frozen<br />
60ml almond milk<br />
400g natural yoghurt<br />
Directions:<br />
1. Peel the pear and remove the seeds then,<br />
chop into small chunks.<br />
2. Add all the ingredients to a blender and<br />
blitz until smooth, creamy and delicious!<br />
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Lunch<br />
Salmon & Asparagus Tart<br />
eres o etter way of eatig yourself<br />
regat ta wit tis deliious salmo<br />
ad asaragus tart ts ig i folate i<br />
seleium itami ad itami maig<br />
it te erfet fertility oostig lu<br />
eres <br />
rearatio time miutes<br />
ooig time miutes<br />
otal time miutes<br />
Ingredients:<br />
or te ase<br />
g groud almods<br />
ts fla seed<br />
ts oout oil<br />
egg<br />
ts water<br />
ts olie oil<br />
or te fillig<br />
siless salmo fillets<br />
g asaragus<br />
g letils<br />
ml water<br />
red oio<br />
g sia<br />
g froe eas<br />
eggs<br />
egg wites<br />
g ree yogurt<br />
ml almod mil usweeteed<br />
ts fres dill<br />
ts io mustard<br />
ts utmeg<br />
ts la eer<br />
est from lemo<br />
ts olie oil<br />
Directions:<br />
reeat te oe to <br />
lae all of te astry igrediets<br />
eet for te olie oil ito a food<br />
roessor ad ulse util omied<br />
f te miture is too stiy add more<br />
groud almods<br />
rease your ie ti wit te olie oil<br />
ad lae te astry miture iside it<br />
ressig it alog te ottom ad u te<br />
sides util eerywere is oered<br />
ae i te oe for miutes<br />
eawile start maig te fillig<br />
lae te letils i a sauea ad oer<br />
wit ml water rig to te oil<br />
te simmer for miutes<br />
rea te tos from te asaragus sears<br />
dd te asaragus froe eas ad<br />
sia to a large a oer wit water<br />
rig to a simmer ad oo for miutes<br />
rai te set aside<br />
ut te salmo fillets ito us ad<br />
remoe te si dd te mil ad salmo<br />
to a large a ad rig to a getle simmer<br />
oo for miutes te drai<br />
eat te olie oil i a fryig a slie te<br />
oio ad getly fry util softeed<br />
is togeter te eggs egg wites<br />
ree yogurt utmeg ad la<br />
eer util omied te add i te<br />
oio eas mustard dill lemo est<br />
salmo sia ad letils<br />
e te astry is ready remoe<br />
from te oe ad our i te fillig<br />
miture te lae your asaragus<br />
ad fres dill o to<br />
lae a ito te oe ad ae for<br />
a furter miutes util te<br />
fillig as set ad te rust as started<br />
to row<br />
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Dinner<br />
Chickpea Buddha Bowl<br />
Another recipe from our new e-book:<br />
A Happier, Healthier You, this filling<br />
and nutritious meal is super easy to<br />
make and tastes delicious. Buddha<br />
bowls are also a great way of using up<br />
any left over veggies. The possibilities are<br />
endless, you can use whatever choice of<br />
vegetables and grains from the shopping<br />
list above to create a fantastic looking<br />
and tasting meal.<br />
Serves 3<br />
Preparation time: 5 minutes<br />
Cooking time: 25 minutes<br />
Total time: 30 minutes<br />
Ingredients:<br />
425g chickpeas, drained, rinsed and patted dry<br />
200g kale<br />
1 sweet potato, chopped into wedges<br />
1 red onion, sliced into wedges<br />
100g olives<br />
2 medium eggs<br />
4 sun-dried tomatoes, finely sliced<br />
1 tsp. ground cumin<br />
1 tsp. garlic powder<br />
1 tsp. oregano<br />
1 tsp. turmeric<br />
1 tsp. olive oil<br />
To make the dressing:<br />
55g tahini<br />
5 tbsp. hot water<br />
Juice from 1 lemon<br />
1 tbsp. maple syrup<br />
Directions:<br />
1. Preheat the oven to 200C.<br />
2. Place the sweet potato wedges on a<br />
baking tray with the olive oil, then<br />
bake for 10 minutes.<br />
3. Meanwhile, place the eggs in a pan of<br />
boiling water and leave for 10 minutes.<br />
4. Remove the sweet potato from the oven<br />
and place the red onion wedges on the<br />
tray. Return to the oven for 10 minutes.<br />
5. Take the eggs off the heat and rinse in cold<br />
water, then remove the shells and slice.<br />
6. Mix together the chickpeas with all the<br />
seasoning, then fry over a medium heat<br />
for 8 minutes.<br />
7. Place the kale in a separate frying pan and<br />
wilt until softened (approx. 3-4 minutes).<br />
8. Make the dressing by mixing together<br />
the tahini, maple syrup and lemon juice.<br />
Once everything is well combined, add<br />
in the water a tablespoon at a time to<br />
thin the dressing.<br />
9. When everything is ready, plate up and<br />
serve with the olives.<br />
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fertilityroad.com | 33
BODY<br />
FERTILITY<br />
SUPERFOODS<br />
Nutritional Guru, Annabel Karmel shares a few of her<br />
own delicious recipes which include known ‘fertility<br />
superfoods’, full of essential vitamins and minerals,<br />
boosting your chances of conceiving naturally.<br />
Salmon fillet with<br />
tomato salsa<br />
almo roides a rai uildig dose of<br />
omegaoils ut wat your itae wile<br />
regat megaoils are ery imortat<br />
ut its adised tat you dot ae more<br />
ta two ortios of oily fis a wee<br />
Ingredients:<br />
g iees salmo fillet<br />
eaed ts ream eese<br />
ts oed ies<br />
ts oed ies<br />
ts oed asil<br />
ts oed dill<br />
ts lemo uie<br />
g ts fie readrums<br />
g ts armesa grated<br />
Tomato Salsa<br />
tomatoes oed deseeded<br />
srig oios oed<br />
ts olie oil<br />
ts wite wie iegar<br />
ts oed asil<br />
alt ad eer<br />
Method:<br />
reeat te oe to a as<br />
or te toig mi te ream eese<br />
ies asil dill ad lemo uie togeter<br />
ad seaso<br />
read te miture oer te to of te<br />
fillets lae o a aig seet i<br />
te readrums armesa ad <br />
ts ies togeter rile oer te<br />
fillets ae for to miutes util<br />
te salmo is ooed troug ad te<br />
toig is golde row f te toig<br />
is a little ale you a row uder a<br />
ot grill to rise te to<br />
o mae te salsa mi te tomatoes<br />
srig oios olie oil iegar ad<br />
asil togeter easo ad sere wit<br />
te salmo<br />
aes ortios<br />
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BODY<br />
Brulee Style<br />
Strawberry Dessert<br />
Berries are a delicious source of vitamin C,<br />
this is a delicious quick to make dessert that<br />
gives you that sweet fix that is a bit more<br />
exciting than plain fruit.<br />
Ingredients:<br />
150g strawberries, sliced<br />
100g blueberries<br />
300ml Greek yogurt<br />
4 tbsp demerera sugar<br />
50g Amaretti biscuits, crushed<br />
Method:<br />
1. Put the strawberries and blueberries in<br />
the base of four wine glasses or ramekins.<br />
Spoon the yogurt on top.<br />
2. Sprinkle over the demerera sugar and top<br />
with the crushed Amaretti biscuits.<br />
3. Chill in the fridge for one hour.<br />
Quinoa Salad<br />
Makes 4 portions<br />
You could make this with or without<br />
avocado. If making without avocado, it<br />
will keep for 2 to 3 days. If you don’t add<br />
avocado its delicious if you add some<br />
raisins or other dried fruit or nuts.<br />
Ingredients:<br />
200g quinoa, rinsed<br />
500ml vegetable stock<br />
6 spring onions, thinly sliced<br />
100g unsalted cashew nuts<br />
3 tbsp olive oil<br />
1½ tbsp lemon juice<br />
1 large avocado or a<br />
good handful of raisins<br />
Method:<br />
1. Put the quinoa and stock in a saucepan.<br />
Bring to the boil, then reduce the heat<br />
and simmer until all the liquid has been<br />
absorbed (approx 20 minutes).<br />
2. Spread the quinoa out on a plate to cool,<br />
then transfer to a bowl. Stir in the onions,<br />
cashews, oil and lemon juice and season to<br />
taste. Stir in the raisins if using.<br />
3. Chill until needed. If using avocado, slice<br />
the avocado just before serving and lay<br />
over the top of the salad.<br />
Makes 2 portions<br />
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fertilityroad.com | 35
www.klinikkhausken.no<br />
TECHNOLOGY AND INDIVIDUAL CARE.<br />
We use the latest technology together with<br />
an approach that focus on individual care. This<br />
enables us to deliver great results also in the<br />
more “difficult” cases where every step in the<br />
treatment process must be individually tailored<br />
to your unique needs.<br />
EMBRYOSCOPE ® TIME-LAPSE TECHNOLOGY.<br />
We are a European pioneer in the use of Embryo-<br />
Scope ® . At no extra cost all our couples benefit<br />
from our in-house experience with de-selection<br />
parameters and kinetic behavior.<br />
36 | fertilityroad.com<br />
EMBRYOGLUE - AT NO EXTRA COST.<br />
All our couples at Klinikk Hausken benfit from the<br />
use of EmbryoGlue technology to enhance implantation<br />
of the most viable embryo. This service<br />
is without any additional cost.<br />
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FERTILITY<br />
JOURNEYS 2016<br />
Over the last eight months we have followed three couples who took<br />
the next step in their journey with one of our partner clinics.<br />
IVF Spain’s couple Em & Julie are due to start their treatment in October.<br />
We caught up with them after their initial visit in July.<br />
Klinikk Hausken couple Kieran and Terri are just over 15 weeks pregnant.<br />
And not forgetting Oregon Reproductive Medicine’s Chris and Anne<br />
who are nearing the end of the second trimester.<br />
It’s an exciting time for all of our couples and the next few months<br />
will certainly be filled with new joy.<br />
Turn over for an update on our other <strong>Fertility</strong> Journeys.<br />
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FERTILITY JOURNEYS 2016<br />
FERTILITY JOURNEYS:<br />
EGG DONATION... WITH IVF SPAIN<br />
We catch up with Em and Julie after their initial visit to IVF Spain in July.<br />
IVF Spain writes...<br />
In July we finally met our chosen couple<br />
Em & Julie as they like to be called who we<br />
selected for this year’s <strong>Fertility</strong> Journey.<br />
They came to IVF Spain with high hopes<br />
and smiles on their faces for their first visit<br />
with gynaecologist and fertility specialist<br />
Dr Alicia Álvarez.<br />
“Meeting Em & Julie was a wonderful<br />
experience, an adorable couple who had<br />
supported each other through a long<br />
journey to starting a family together. And<br />
that is obviously what the whole IVF Spain<br />
team will focus its efforts on.<br />
Being aware of their previous experiences,<br />
we covered every single aspect that might<br />
help them to fulfill their dream including<br />
several blood tests to study anything that<br />
could interfere with Em’s fertility (she<br />
will carry the pregnancy due to Julie’s<br />
previous medical issues). The whole team<br />
provided them with all the information<br />
they could possibly need to guide and<br />
support them through this wonderful<br />
journey” says Dr Álvarez.<br />
Em & Julie had several failed treatments<br />
in the past. Julie told us, that she even<br />
tried with a previous partner, but after 3<br />
failed IVF and IUI treatments – including<br />
one treatment with international donor<br />
eggs – emotions and finances brought<br />
serious strains on the relationship. Em, on<br />
the other hand, was single when she first<br />
decided to get pregnant, but unfortunately<br />
suffered a miscarriage.<br />
They are now fortunate to find themselves<br />
Below:<br />
Em, Julie & Inge<br />
in a situation where they face this<br />
challenge together with hope and are<br />
looking forward to fulfill their long lasting<br />
dream of becoming a family.<br />
“It is an honor to be here and to have been<br />
chosen for this. It feels like we’re living a<br />
dream we need to wake from. It feels too<br />
good to be true. We both have been trying<br />
for over 10 years on and off. However,<br />
Em had some health problems so we<br />
stopped. It’s been a very long journey and<br />
we both wanted to be mothers for as long<br />
as we can remember”<br />
Thanks to Spanish Law on Assisted<br />
Reproduction (which is one of the most<br />
advanced ones) Em & Julie will have the<br />
opportunity to undergo egg donation<br />
to conceive a healthy baby. Unlike in<br />
38 | fertilityroad.com<br />
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FERTILITY JOURNEYS 2016<br />
During the selection process and even<br />
before knowing they would become<br />
candidates for this year’s <strong>Fertility</strong> Journey,<br />
they went on and gathered information<br />
about the clinic. It was during this process<br />
that they became filled with hope and<br />
where they learned about the positive<br />
feedback of IVF Spain and its success rates;<br />
which are well above the Spanish average.<br />
IVF Spain shows a clinical pregnancy rate<br />
of 61%per transfer and a success rate up to<br />
81%per cycle on treatments with own eggs<br />
and Preimplantational Screening (PGS).<br />
On the other hand, egg donation fertility<br />
treatments show a clinical pregnancy of<br />
up to 67% and a success rate of up to 91%<br />
per cycle. These pregnancy rates have been<br />
certified by the German TÜV (Technical<br />
Inspection Association), one of the most<br />
strict certifying bodies word wide.<br />
“We did a lot of research and were<br />
impressed by the statistics and the<br />
feedback the people gave about the<br />
company was fabulous”.<br />
other European countries, Spanish Law<br />
safeguards the identity of both sperm and<br />
egg donors.<br />
Many families are concerned about the<br />
donor selection process, however Spanish<br />
law sets out that donor and recipient<br />
woman must share the highest<br />
phenotypic similarity possible,<br />
that is, they must share great<br />
physical resemblance.<br />
“We both had treatments<br />
using our own eggs in the<br />
UK, but if you want to use<br />
donor eggs don’t do it in<br />
the UK. For a lot of reasons<br />
the UK is the worst place to<br />
undergo treatment with donor<br />
eggs mainly because of the high cost<br />
of a treatment, typically 20 times more<br />
expensive than in other countries. Even at<br />
reduced prices it is very expensive and it is<br />
also a long process”<br />
IVF Spain has a bank of more than 500<br />
donors (European, Asian and Middle-<br />
East donors) that allows the clinic to<br />
meet all patients’ physical features.<br />
Spanish legislation regulates the study<br />
and acceptance of donors by setting all of<br />
Above:<br />
Dr Alvarez<br />
It is an honor<br />
to be here and to<br />
have been chosen for<br />
this. It feels like we’re<br />
living a dream we need<br />
to wake from.<br />
the required tests. Nevertheless, at IVF<br />
Spain we go even further by carrying out<br />
additional testing with the ultimate goal<br />
of using donor eggs and sperm with the<br />
highest safety assurances.<br />
Another deciding factor for Em &<br />
Julie was that at IVF Spain lesbian<br />
couples have the possibility to<br />
undergo assisted reproduction<br />
which is due to the modern<br />
Spanish Law on Assisted<br />
Reproduction.<br />
“I know that Spain is one<br />
of the best places in the<br />
world for lesbian couples<br />
to undergo IVF. Spain offers<br />
equal opportunities that you don’t<br />
get anywhere else and all the helpful<br />
information on the IVF Spain website<br />
which even has a whole section for lesbians<br />
which is unheard of in the UK. We haven’t<br />
found another clinic anywhere in the UK<br />
that directly helps lesbian couples. The<br />
information on the IVF Spain website and<br />
our discussions with Dr Alvarez was quite<br />
powerful to us. We both felt included as<br />
a couple, not just one of us and that felt<br />
really special” says Julie.<br />
At IVF Spain we take care of every single<br />
detail, and we are able to offer personalized<br />
treatments to all patients in their native<br />
tongue. Our medical team, led by the<br />
internationally renowned gynaecologist<br />
and fertility specialist Dr Jon Aizpurua,<br />
is able to communicate in 9 different<br />
languages. Em & Julie were greatly<br />
impressed by the IVF Spain staff and the<br />
support given to patients.<br />
“Dr Álvarez is amazing and I was really<br />
impressed with her. She gave us information<br />
I had never heard of before. The way that she<br />
described things was in a very professional<br />
and friendly manner. She came across as very<br />
open, honest and really trustworthy which<br />
was really important for me”.<br />
Science and new-gen technology applied<br />
to reproductive medicine is of key<br />
importance at the IVF Spain laboratory.<br />
This enables IVF Spain to keep at the<br />
forefront of research in the field of assisted<br />
reproduction, but also able to specialise<br />
in complex cases, such as implantation<br />
failure, immune and genetic problems<br />
for conceiving a baby, miscarriages and<br />
anonymous egg donation.<br />
In October 2016 Em & Julie will come back<br />
to IVF Spain for their embryo transfer and<br />
to be a step closer to fulfilling their dream<br />
of becoming mothers.<br />
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FERTILITY JOURNEYS 2016<br />
FERTILITY JOURNEYS:<br />
IVF TREATMENT... WITH KLINIKK HAUSKEN<br />
It’s time for our next catch up with our couple, Terri and Kieran with the latest news<br />
on their pregnancy.<br />
Terri writes…<br />
Since our last update it’s been a very exciting<br />
few weeks. We left our fertility journey<br />
update at the agonising 2 week wait to find<br />
out if the treatment had worked. After what<br />
felt like the longest time ever and a lot of<br />
worry, we are pleased to say it has worked<br />
and after around 10 pregnancy tests and<br />
the doctor confirming that I was pregnant<br />
we are over the moon to confirm that we<br />
are having a baby! This is so amazing for us<br />
both that we have got this far, we feel like<br />
it’s a dream that actually happened for us.<br />
It’s been really hard to believe but also so<br />
exciting at the same time.<br />
I had a scan at 6 weeks and also at 8 weeks just<br />
to confirm everything was ok and to try and<br />
put my mind at rest. Even though there was<br />
not much to see we could see a little heart beat<br />
which was just an amazing experience. I still<br />
couldn’t believe I was pregnant even after so<br />
many things confirming it. I have been very<br />
worried something may go wrong, so Kieran<br />
and I kept it to ourselves. We have only told<br />
our close friends and family who already<br />
knew about the treatment we recently had<br />
although we have been dying to tell everyone!<br />
I have had some funny situations, morning<br />
sickness, being tired all the time and trying<br />
to disguise the fact that I am pregnant from<br />
everyone that didn’t know. However after<br />
how long we have waited for this I do not care<br />
what’s thrown at me.<br />
lot more relaxed and are just enjoying<br />
everything that’s new to us. We are getting<br />
ideas together on the nursery, what<br />
pushchair we want to buy and looking at<br />
baby clothes etc. It’s a very exciting time<br />
for us and we both cannot thank Klinikk<br />
Hausken enough for what they have done<br />
for us. We would never have got through<br />
the last few weeks without the help and<br />
support of the clinic and we cannot thank<br />
them enough for the gift they have given<br />
us. We would not hesitate to recommend<br />
them to anyone in the future.<br />
Klinikk Hausken explains how treating<br />
couples abroad is a delicate balance of face<br />
to face, telephone and Skype support<br />
At Klinikk Hausken we believe that to<br />
achieve great results we need to invest<br />
our time and attention to couples seeking<br />
treatment at our clinic. And this is<br />
something that we uphold throughout the<br />
treatment process.<br />
Dedicated doctor and nurse<br />
It’s is very important to us that our couples<br />
feel supported at every stage of their<br />
treatment. This is why we assign a dedicated<br />
doctor and nurse to each couple. The doctor<br />
will take all the time needed to put together<br />
a treatment plan ensuring that this is the<br />
best way forward for the couple.<br />
The dedicated nurse is a large part of<br />
the couples life during the treatment<br />
process. Being able to talk to someone<br />
who can help ease the stress and worry<br />
they sometimes feel during treatment.<br />
We have seen that this kind of support is<br />
often a relief for our couples.<br />
International contact<br />
We provide a dedicated support person from<br />
our international contact team who will help<br />
with everything you need regarding your<br />
travel and accommodation. They will also be<br />
your first point of contact when you call the<br />
I am now 13 weeks pregnant and just had my<br />
12 week scan where the midwife has confirmed<br />
our baby is growing as expected and the heart<br />
beat was beating strong. The baby was sleeping<br />
on the scan so we kept trying to wake him/<br />
her up to get some measurement sizes, but the<br />
little one was happy all curled up!<br />
We have been given a due date of around<br />
the start of March 2017. We are now a<br />
40 | fertilityroad.com<br />
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FERTILITY JOURNEYS 2016<br />
clinic. We know how stressful it can be going<br />
away and also preparing for treatment.<br />
There is no need for couples to worry<br />
about not being able to speak Norwegian<br />
or what to do when they get here as again<br />
the international contact team provides<br />
support, help and reassurance.<br />
How does it work?<br />
One of the reasons for choosing treatment<br />
outside of the UK is often financial.<br />
However, one of the biggest reasons couples<br />
travel for IVF is that the NHS are unable<br />
to fulfill a couples request for IVF. We<br />
understand that there is a level of comfort<br />
when dealing with the known or familiar, so<br />
when we are contacted by couples from the<br />
UK we know the first step of the process is to<br />
make them feel comfortable and to inform<br />
them of what to expect. This helps couples<br />
to be in the best possible position to make an<br />
informed decision.<br />
First contact<br />
When a couple contacts us they have usually<br />
done a lot of research online. They may have<br />
already met us at a UK show or found<br />
us whilst searching the internet.<br />
Also by checking out various<br />
forums they can quickly make<br />
an opinion of which clinic will<br />
work for them. It’s always<br />
helpful talking to other<br />
people who have “been there<br />
and done that”.<br />
The process of booking a<br />
consultation abroad can be<br />
difficult when trying to organise<br />
around work and home commitments. At<br />
Klinikk Hausken we understand how this<br />
can be difficult and that is why we offer free<br />
Dr Hausken<br />
We are over<br />
the moon for Terri and<br />
Kieran and that everything is<br />
going well with the pregnancy.<br />
They have been keeping in touch<br />
throughout and it’s so exciting<br />
whenever they send over<br />
the latest ultra sound<br />
picture.<br />
evening Skype sessions with Dr Hausken.<br />
You could be having your consultation in<br />
the comfort of your own home with a cup of<br />
tea (maybe even a biscuit).<br />
Meet your nurse<br />
A couple of days after your initial<br />
Skype session with our doctor<br />
you will be introduced to your<br />
nurse. They will guide you<br />
through the whole treatment<br />
process and will then be<br />
your point of contact if<br />
you have any questions or<br />
concerns. They work very<br />
closely with your doctor to<br />
make your treatment as stress<br />
free as possible.<br />
Pre-treatment<br />
The first stage of your individual<br />
treatment plan can be done at home with<br />
the full support of your doctor and nurse<br />
from Klinikk Hausken. Your treatment<br />
plan will be posted to you and prescriptions<br />
will be sent electronically to our UK<br />
pharmacy <strong>Fertility</strong>2U. They provide a<br />
home delivery service which is one less<br />
thing for you to worry about.<br />
Couples usually develop a close<br />
relationship with our nurses. They go<br />
through everything with you in great<br />
detail to ensure that you understand and<br />
are comfortable with your treatment plan.<br />
Your doctor is also available if you want to<br />
talk through the procedure again or want<br />
to discussion with him of any changes or<br />
concerns that you might have.<br />
Arriving in Norway<br />
When the time comes for you to travel to<br />
Norway we will need you to stay for one<br />
week starting from a Friday.<br />
When you arrive at our clinic our<br />
experienced and dedicated team will guide<br />
you through the week ahead and make<br />
sure that you are cared for and supported<br />
during your stay.<br />
Post treatment<br />
Our care does not stop when you travel back to<br />
the UK. We are there to support you. If there<br />
is anything you need we are only a phone or<br />
Skype call away. After a positive pregnancy test<br />
you start your regular checkups with your GP<br />
in the UK. We provide you with a copy of your<br />
medical files so you can discuss your treatment<br />
with your GP.<br />
Our <strong>Fertility</strong> Journey couple<br />
We are over the moon for Terri and Kieran<br />
and that everything is going well with the<br />
pregnancy. They have been keeping in touch<br />
throughout and it’s so exciting whenever<br />
they send over the latest ultra sound picture.<br />
The team wish them the very best and we<br />
can’t wait for the next update.<br />
We hope Terri and Kieran felt their<br />
experience with the clinic was as unique<br />
and positive as they are as a couple and<br />
soon to be parents.<br />
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FERTILITY JOURNEYS 2016<br />
FERTILITY JOURNEYS:<br />
DONOR EGG IVF... WITH OREGON REPRODUCTIVE MEDICINE<br />
Earlier in 2016, Oregon Reproductive Medicine selected a couple to be a part of our unique<br />
<strong>Fertility</strong> Journeys project. We follow up with Chris and Anne, who after repeated attempts<br />
to become pregnant, and a failed shared egg donor IVF cycle in the UK, are near the end of<br />
Anne’s second trimester having become pregnant following donor egg IVF at ORM.<br />
Anne writes…<br />
The 6 week scan had been the first<br />
emotional hurdle for us. Previously<br />
during our first IVF attempt a year before,<br />
we had an empty pregnancy sac scanned<br />
at 9 weeks, so having a tiny foetus forming<br />
meant everything! The most amazing fact<br />
was that she already had a beating heart at<br />
that very early stage even though she was<br />
the size of a grain of rice!<br />
This scan we had done at another private<br />
clinic, as the NHS monitoring would only<br />
start after 12 weeks.<br />
Following that, the rounds of<br />
estradiol and progesterone<br />
testing continued and<br />
I relayed the results to<br />
Lauren at ORM. My results<br />
continued to be good and I<br />
was able to wean down off my<br />
medications. I was still having<br />
injections in my bottom though<br />
the amount had reduced, and also<br />
progesterone vaginal pessaries. In the<br />
By 20 weeks<br />
I could definitely<br />
say that those butterfly<br />
wings fluttering had<br />
become kicks!<br />
UK, only progesterone pessaries seem to be<br />
prescribed, and not progesterone injections.<br />
I was feeling the effects of her presence<br />
now as morning sickness had kicked in…<br />
and I could not wait for it to end! Constant<br />
snacking I found was the best remedy, as<br />
any hunger quickly led to nausea.<br />
We arranged another check-up scan at 9<br />
weeks at the private clinic, and seeing her<br />
getting bigger, now 26mm from her bottom<br />
to the top of her head, was really fantastic.<br />
We were very conscious though that it<br />
was still early days and anything<br />
could still go wrong. Consequently,<br />
we felt unwilling to share our<br />
excitement with anyone but the<br />
closest family members.<br />
By 11 weeks, Lauren told<br />
me that I could stop all my<br />
medications – happy days! I<br />
was concerned that my uterus<br />
was not ready to support her<br />
without outside help, but Lauren<br />
reassured me that it would be just fine,<br />
and it was! No-one had told me about the<br />
numb bum syndrome (unless it was just<br />
me!), a result of all the intra-muscular<br />
injections in my bottom – I found it a<br />
really odd sensation not being able to feel<br />
my skin being touched.<br />
At 12 weeks, I had a small bleed. I did not<br />
think I would react so emotionally, but<br />
when I had a small amount of bleeding,<br />
I panicked and thought that all our hard<br />
work was about to be crushed and our<br />
little girl had disappeared. I was at work<br />
and just could not hold back a few tears.<br />
I was thinking to myself, would I go<br />
through it all again if this attempt failed<br />
now? I arranged another private scan the<br />
same day and thankfully all was well…<br />
phew! There she was happy as Larry!<br />
I finally had my first appointment<br />
with the NHS midwife a week later. We<br />
discussed lots of details about me, my<br />
previous history and my lifestyle. Because<br />
we had opted for the CCS testing on<br />
the embryos, it meant that the normal<br />
tests for Downs syndrome and other<br />
chromosome conditions would not need<br />
to be done. So although I was an older<br />
mother, my young donor eggs made the<br />
process much simpler.<br />
And so the weeks marched on. My 13<br />
week scan was arranged with the NHS<br />
and she was now a whopping 76mm long.<br />
All was well so we started to feel more<br />
confident that she was more likely to<br />
survive, and we started telling friends and<br />
extended family. Everybody was really<br />
pleased for us and we felt very supported.<br />
Nothing much happened over the next few<br />
weeks, and apart from feeling bloated, there<br />
were not really any signs of being pregnant.<br />
So when I had another bout of abnormal<br />
discharge at the 16 week stage I got<br />
concerned again. I called my doctor and she<br />
sent me for another scan. Again, thankfully<br />
she was fine and had continued to grow.<br />
A week later I had my first appointment<br />
with my NHS consultant. This was arranged<br />
to discuss my birth plan and also because<br />
I was an older mother and more at risk,<br />
I would have special care! We discussed<br />
42 | fertilityroad.com<br />
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FERTILITY JOURNEYS 2016<br />
There are four elements of the process<br />
worth highlighting: medications; pre-cycle<br />
testing and monitoring; the IVF procedure<br />
and transfer; and post-cycle testing and<br />
monitoring. All patients have their IVF<br />
procedure and transfer at ORM. The other<br />
three parts of the process typically work<br />
differently for long-distance patients<br />
compared to ORM’s locally-based patients.<br />
birthing, and I requested a Caesarian and<br />
the consultant was delighted to arrange<br />
this for me. She said that they prefer to<br />
offer Caesarians for the older mother at<br />
the 39 week stage, as labour can be delayed<br />
sometimes a few weeks after the due date<br />
because there is less contractility in the<br />
uterus. That suited me very well, and to my<br />
surprise she booked me in there and then for<br />
the Monday morning a week before my due<br />
date. That suddenly made it all very real!<br />
She told me that from 17-20 weeks I<br />
would start to feel her moving, initially<br />
just like butterfly wings fluttering. I had<br />
felt something, but could not honestly say<br />
that it was not my digestion! However,<br />
from 17 weeks onwards, these feelings did<br />
grow stronger and by 20 weeks I could<br />
definitely say that those butterfly wings<br />
fluttering had become kicks!<br />
The midwife had made clear that at week 20<br />
there was the most detailed scan so far and<br />
that they would check for abnormalities;<br />
this felt like a milestone point. Shortly<br />
after a quick holiday I was booked in for the<br />
big scan. She had her heart chambers and<br />
blood flow checked, and her spine, kidneys<br />
and brain development were looked at,<br />
among other things. All was good, in fact<br />
the ultrasonographer pronounced her very<br />
active and had to chase her around to get<br />
the pictures! She was now 140mm head to<br />
rump, though apparently they do not really<br />
measure this any more from this stage on;<br />
according to the internet, she should have<br />
been the size of a banana!<br />
trekking hut to hut in the mountains, but<br />
our concession to my condition was having<br />
our bags transported for us between the<br />
huts. Obviously we would be taking it gently<br />
with our precious cargo on board!<br />
Dr. Bankowski comments on managing<br />
a long-distance donor egg IVF process<br />
Everyone at ORM is delighted with Chris<br />
and Anne’s continued progress. The<br />
seamless management of their long-distance<br />
donor egg IVF process is something that we<br />
are proud to have organised for Chris and<br />
Anne, as well as the hundreds of similar<br />
patients that come to ORM in Portland,<br />
Oregon from around the globe.<br />
Often potential patients from around the<br />
world have concerns about how to manage<br />
an international IVF process – be it with<br />
or without donor egg or with or without<br />
a surrogate, if either are part of their<br />
treatment plan. Patients have for years<br />
come to ORM from around 40 counties to<br />
build their families. As a result of treating<br />
patients from every continent (as well as<br />
from across the USA), we have built-up<br />
significant experience efficiently managing<br />
these long-distance IVF cycles.<br />
Dr Bankowski<br />
Below:<br />
ORM team<br />
For long-distance patients, we organise the<br />
medications for them. These patients either<br />
collect their medications when visiting ORM,<br />
or we have them delivered directly to them. In<br />
certain cases we organise the medications in<br />
our patients’ home countries where relevant<br />
options exist. We coordinate with providers<br />
in our patients’ home locations for blood tests<br />
and ultrasound monitoring pre and post-cycle.<br />
We provide the necessary medical orders<br />
and have systems in place to receive back the<br />
results same-day so that a patient’s treatment<br />
protocol can be adjusted if necessary to<br />
optimise results. We have established relations<br />
with providers in many locations and a team<br />
experienced and dedicated to managing these<br />
long-distance processes.<br />
When it comes to communication, our<br />
dedicated patient coordinators stay in close<br />
contact via email, phone and Skype with their<br />
patients around the world. In the unlikely case<br />
of an out-of-hours emergency, we have on-call<br />
staff at all times should a patient urgently need<br />
to reach our team at any time - regardless of<br />
the time zone they are calling from.<br />
It is always our goal that our long-distance<br />
patients should feel well-connected to the<br />
team at ORM, and that their experience is as<br />
convenient and seamless as possible.<br />
The entire team at ORM is honoured to be<br />
working with Chris and Anne. Though they<br />
have graduated from ORM’s day-to-day care<br />
we continue to follow closely each step of<br />
their <strong>Fertility</strong> Journey!<br />
We decided to go on a last holiday as a<br />
couple while I was still feeling relatively<br />
normal. We arranged a last activity holiday,<br />
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fertilityroad.com | 43
SCIENCE<br />
iard estoy<br />
WHY DO INTENDED<br />
PARENTS GO ABROAD<br />
FOR SURROGACY?<br />
Richard Westoby shares his personal and professional<br />
experience on going abroad to start his own family.<br />
t is a ommo misoetio tat<br />
surrogay i te is illegal t ist<br />
teded arets aot ay a surrogate a<br />
fee or ay more ta reasoale eeses<br />
iurred durig te regay roess<br />
ut ow mu is reasoale is is<br />
learly oe for iterretatio ut from<br />
wat uderstad tis umer seems to<br />
e aroud te mar<br />
additio surrogay ageies<br />
aot mae moey from arragig a<br />
ommerial surrogay trasatio at<br />
doest mea tey at eist i te <br />
tey ust ae to e otforrofit dd<br />
to tat te fat surrogay otrats are<br />
ueforeale you te ae a seario<br />
tat meas wateer is agreed etwee<br />
te iteded aret ad te surrogate is<br />
urely trust ased<br />
t a all e writte dow ad agreed i<br />
adae ut legally tat agreemet will<br />
ot stad u i ourt<br />
o ot a great framewor o wi to<br />
go troug surrogay t does ae<br />
to wor well most of te time ut we<br />
tigs go wrog tey seem to go ery<br />
wrog is is te rimary reaso tat<br />
most iteded arets tat tal to loo<br />
at iteratioal surrogay<br />
early uly tere was a ase were a<br />
surrogate wo ustody of te ay tat se<br />
arried from te iteded arets eause<br />
te ourt ruled tat se was uale to<br />
oset uoditioally to te surrogay<br />
ourey e ourt also foud tat te<br />
iteded arets were maiulatie<br />
ad disoest ad at te ery least<br />
otetially eloitatie e iteded<br />
arets ad te surrogate met ia a<br />
aeoo grou were iteded arets<br />
ad surrogates were mated<br />
is ase is fraugt wit issues ad as we<br />
ow tere are always two sides to eery<br />
story ut it igligts oe agai te issue<br />
wit surrogay i te my mid<br />
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SCIENCE<br />
the issue is that without surrogacy reform<br />
where all parties are covered and legally<br />
empowered to make decisions we will<br />
continue to face situations like this.<br />
Without the ability for professionals<br />
to assist in the matching process we are<br />
likely to also see situations arise where<br />
the court finds for the surrogate over the<br />
intended parent.<br />
I’m not saying that this will happen every<br />
day, in fact it has only happened a handful<br />
of times but it will happen often enough<br />
to make intended parents worry about<br />
the situation and think twice about going<br />
through the UK system. So, where can<br />
intended parents look for as an alternative<br />
to go through their surrogacy process?<br />
The most well-known and well-covered<br />
jurisdiction is the United States of<br />
America. In the US, surrogacy is not<br />
covered by Federal law but by State law<br />
which means that the laws vary state by<br />
state which can be confusing. I typically<br />
tell intended parents to do a little bit of<br />
research online and I suggest people to<br />
take a look at the Surrogacy Map, which is<br />
an online tool that can be found via any<br />
search engine.<br />
The US is where everyone has the best<br />
legal protection, from the intended<br />
parents to the egg donors (if needed) and<br />
surrogate. There is also wording in the<br />
contracts that are put together to protect<br />
the unborn child! So, as you can see the<br />
US is the global benchmark on fully<br />
empowered decision making.<br />
But hand in hand with this<br />
legal coverage goes the<br />
cost. The US is the most<br />
expensive place to go<br />
through surrogacy<br />
and the costs can<br />
range from $85,000<br />
up to $170,000+. In<br />
all of the cases that<br />
I have helped the<br />
average cost is about<br />
$140,000. This does not<br />
include medical coverage<br />
for the child/children after<br />
birth though.<br />
The next jurisdiction that I find intended<br />
parents are looking at is Canada. It’s very<br />
similar to the UK because in Canada<br />
surrogates are not allowed to be paid a<br />
fee. They are however, allowed to be paid<br />
reasonable expenses, which in most cases<br />
equates to the same amount that you would<br />
be paying over to a UK surrogate. Canada<br />
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fertilityroad.com | 45
SCIENCE<br />
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SCIENCE<br />
benefits because English is the main language<br />
and all of the maternity health care costs<br />
are covered by the Canadian State which<br />
sometimes also covers the child post-birth.<br />
For same-sex male couples, the US,<br />
Canada and the UK are currently the<br />
only bona fide jurisdictions that allow<br />
international surrogacy.<br />
Georgia, Russia and the Ukraine. In<br />
addition Greece and Cyprus have a<br />
hybrid type of scenario to enable the law<br />
to be circumvented.<br />
Surrogacy contracts to date have not been<br />
tested in the Canadian courts (unlike in<br />
the UK) but that is not to say that they<br />
won’t. Anyone looking at Canada should<br />
really talk to a lawyer in Canada to<br />
understand the risks associated with this.<br />
Canada is not as expensive as the US and<br />
the cost range is $80-100,000 with the IVF<br />
being done in Canada or in the US. The<br />
most recent development has been the<br />
flying of Canadian surrogates to the US<br />
in order to gain access to a wider range of<br />
IVF clinics and services. In Canada there<br />
are a handful of good clinics but in the US<br />
there are many more. Another factor that<br />
drives some intended parents to the US<br />
is that in Canada gender selection is not<br />
allowed, whereas in the US it is.<br />
Cambodia has just opened up as a venue<br />
for international surrogacy but the law<br />
there is such that it is neither for nor<br />
against allowing surrogacy to happen. To<br />
me this is another Thailand waiting to<br />
happen with an overnight ban on<br />
it being imposed. There are<br />
no laws protecting either<br />
the surrogate or the<br />
intended parents and I<br />
would say to anyone<br />
looking at Cambodia<br />
to proceed with<br />
caution.<br />
For opposite-sex<br />
couples, the other<br />
jurisdictions that<br />
are available include<br />
THE AGENCIES<br />
AND CLINICS IN THE US<br />
AND IN CANADA KNOW THAT<br />
INTENDED PARENTS LOOK<br />
AT THE LOWER COST<br />
JURISDICTIONS AND THEY ARE<br />
WORKING ON WAYS TO GET<br />
THE COSTS DOWN.<br />
The decision to go to other countries is<br />
predominantly driven by the cost of the<br />
surrogacy journey. The reality is that the<br />
US can be more than double that of the<br />
Ukraine! However, I also strongly urge<br />
intended parents to think about<br />
the long-term implications.<br />
Obtaining a passport for<br />
a child born in the US<br />
or in Canada is very<br />
simple and quick to<br />
do. Once the child<br />
has this passport<br />
it is able to fly in<br />
to the UK on the<br />
visa-waiver program<br />
and the UK passport<br />
process can begin.<br />
However in countries<br />
such as Ukraine /<br />
Georgia, the process will<br />
take a minimum of 16 weeks<br />
from the date of birth. This is<br />
because the UK passport office has<br />
instigated more rigorous checks.<br />
In Ukraine, UK intended parents can<br />
only stay for a period of 90 days within<br />
a 180 day period so you can be there for<br />
3 months and then not visit again for 3<br />
months. You would need to think through<br />
who is going to be the person to go first<br />
and then second because in all likelihood<br />
you won’t be able to be there at the same<br />
time. This also has an impact on work<br />
because you will have to be away from<br />
work for that whole period of time to look<br />
after your child.<br />
The agencies and clinics in the US and in<br />
Canada know that intended parents look<br />
at the lower cost jurisdictions and they are<br />
working on ways to get the costs down.<br />
I would definitely say to anyone thinking<br />
about international surrogacy to get<br />
in touch with me, come to one of my<br />
informational sessions and learn more<br />
about the process and how to make it<br />
work for you. There are ways and means<br />
to make this journey financially accessible<br />
whilst getting the best legal coverage that<br />
you can and I’m happy to be the impartial<br />
guide to that.<br />
For more information please contact<br />
me via guidetosurrogacy.com<br />
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SCIENCE<br />
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SCIENCE<br />
DONOR EGG IVF<br />
CHOOSING FOR SUCCESS<br />
Expert advice on having a healthy baby on your first attempt.<br />
WORDS: Craig Reisser<br />
A<br />
healthy baby. It's what every<br />
intended parent wants. Being<br />
successful on the first attempt<br />
is what every IVF patient wants. IVF<br />
is a stressful and frequently costly<br />
process. Adding donor eggs to the<br />
equation can compound the stress,<br />
cost and complexity. Compared to IVF<br />
with a woman's own eggs, donor egg<br />
IVF provides the opportunity to make<br />
certain choices that can increase the<br />
chance for success and a healthy baby<br />
on the first attempt. It is important<br />
they understand what factors can<br />
impact on their chance for success so<br />
that intended parents know what to look<br />
for and the questions to ask.<br />
Availability, waiting times, cost, ease of<br />
accessing treatment, physical and ethnic<br />
characteristics, personal background such<br />
as education and interests, reasons for<br />
donating, and anonymous versus known<br />
donation are all typical considerations<br />
forefront in intended parents’ minds<br />
before starting donor egg IVF.<br />
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fertilityroad.com | 49
SCIENCE<br />
ometimes iteded arets wot e ale<br />
to oose or ow some of tese elemets<br />
ased o were tey lie or were tey<br />
ursue treatmet may loatios su<br />
as i te iteded arets oies<br />
ad aess to otetial door iformatio<br />
will e limited oters su as i<br />
te mu more otetial door<br />
iformatio ad otios will e aailale<br />
ile tese are all imortat fators for<br />
iteded arets to osider i door egg<br />
oe of tem diretly imat<br />
o teir ae of suess ad a<br />
ealty ay<br />
all iludig<br />
door egg suess is<br />
diretly orrelated<br />
to aig a<br />
suffiiet umer of<br />
geetially ealty<br />
ad romosomally<br />
ormal emryos<br />
derstadig wat<br />
oies tey a mae<br />
wit tis i mid is ey<br />
ere is o sigle umer of<br />
emryos tat defies suffiiet<br />
ut geerally more is etter as tis<br />
roides iteded arets more otios<br />
if tey oe to ae more ta oe ild<br />
ad greater assurae if teir first attemt<br />
is ot suessful<br />
IN ALL IVF,<br />
INCLUDING DONOR<br />
EGG, SUCCESS IS DIRECTLY<br />
CORRELATED TO HAVING<br />
A SUFFICIENT NUMBER OF<br />
GENETICALLY HEALTHY<br />
AND CHROMOSOMALLY<br />
NORMAL EMBRYOS.<br />
Family History Screening: t is imortat<br />
for a geeti ouselig eert to sree<br />
te otetial doors ad serm roiders<br />
family istories to loo for aytig tat<br />
migt e assoiated wit ireased ris<br />
for geeti disease irt defets learig<br />
rolemsautism ad adultoset disorders<br />
i te future offsrig oeied usig a<br />
artiular doors eggs f tis sreeig<br />
idiates a otetial ris iteded arets<br />
a oose to selet aoter door wit<br />
wom tere is o eidee of<br />
similar oers<br />
Genetic Disorder Carrier<br />
Screening: irtually<br />
eeryoe is a arrier<br />
for some reessie<br />
geeti disorder<br />
toug tey may<br />
ae o sigs of te<br />
disorder ad tere may<br />
e o family istory<br />
of te disorder ome<br />
geeti disorders are more<br />
ommo i ertai eti<br />
grous ay are deilitatig<br />
or life treateig if a ay is or<br />
wit te disease e te egg door ad<br />
serm roider are arriers for te same<br />
disorder tere is a ae tat ay<br />
ay or from tat mat will ae tat<br />
disease reeig a egg door ad te<br />
serm roider a idiate weter ot<br />
are arriers for te same geeti disorder ad<br />
terefore may ot e a good mat tis<br />
ase iig a differet egg door wo is ot<br />
a arrier for te same disorder as te serm<br />
roider a ameliorate te ris is form<br />
of sreeig is ossile wit a lood or salia<br />
samle ad is aailale troug arious tests<br />
tat sree for differet aels of geeti<br />
disorders to aryig degrees of auray<br />
Medical Indicators of<br />
the Donor<br />
ere is a orrelatio etwee te umer<br />
of mature eggs retrieed from a door<br />
ad te ae of ultimately aig a<br />
suffiiet umer of geetially ealty<br />
ad romosomally ormal emroys s<br />
tere is a atural dimiutio from te<br />
umer of eggs retrieed to te umer<br />
tat fertilise grow to te astoyst stage<br />
ad are romosomally ormal geerally<br />
ree elemets merit igligtig as<br />
tey a diretly otriute to te goal of<br />
aig a suffiiet umer of geetially<br />
ealty ad romosomally ormal<br />
emryos geeti sreeig redoor<br />
seletio medial idiators of te door<br />
ad trasferrig a romosomally ormal<br />
emryos oor sreeig ad aroal y<br />
teir lii as well as treatmet oies<br />
made y iteded arets are ot ritial<br />
elemets i aieig tis goal ofusigly<br />
for iteded arets door sreeig<br />
aroal rotools ad aailale treatmets<br />
a differ widely etwee liis i differet<br />
outries ad ee witi te same outry<br />
Genetic Screening<br />
Pre-Donor Selection<br />
e fat of seletig a egg door allows<br />
iteded arets te uiue oortuity to<br />
loo after te future ealt of teir family<br />
roriate geeti sreeig redoor<br />
seletio allows iteded arets to oose<br />
a door tat is a good mat wit te serm<br />
roider from a geeti ealt ersetie<br />
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SCIENCE<br />
speaking the more eggs mature retrieved<br />
the better. As a consequence, some donors<br />
are simply medically better suited for<br />
the donation process. Whether a woman<br />
is finally approved to be a donor will<br />
depend on how rigorous a clinic is in their<br />
medical screening and approval process.<br />
Age: A woman’s peak fertility is during<br />
her 20s. As she ages, diminished ovarian<br />
reserve and the rate of chromosomally<br />
abnormal (possessing extra or missing<br />
chromosomes) embryo formation make<br />
it less likely that her eggs will result in a<br />
healthy baby. From 35 years of age these<br />
two factors increase significantly. In<br />
some countries the average age of donors<br />
approved by clinics tends to be higher<br />
than in others.<br />
Body Mass Index (BMI): When a<br />
woman’s BMI is more than 29 the<br />
effectiveness of the fertility medications<br />
that stimulate her ovaries may be<br />
reduced, leading to a risk of fewer<br />
mature eggs being retrieved. Increasing<br />
the doses to compensate for reduced<br />
effectiveness can raise the risk of Ovarian<br />
Hyperstimulation Syndrome which can<br />
endanger the health of the donor. Donors<br />
with a healthy BMI of between 19 and<br />
29 will have the best chance of optimal<br />
response to stimulation.<br />
Ovarian Reserve: A woman’s ovarian<br />
reserve is the capacity of her ovaries to<br />
provide eggs capable of fertilisation.<br />
Basal Antral Follicle (BAF) count and<br />
Anti-mullerian Hormone (AMH) are two<br />
measures that can help assess ovarian<br />
reserve. BAF count uses a transvaginal<br />
ultrasound to count the number of follicles<br />
that contain immature eggs capable of<br />
being stimulated. A higher number of<br />
follicles is an indicator that more eggs<br />
may be able to be retrieved for donation.<br />
AMH is produced by the follicles growing<br />
in a woman’s ovaries and women with<br />
higher levels tend to respond better to the<br />
stimulation and have a greater number of<br />
eggs retrieved. Generally speaking, donors<br />
with higher BAF and AMH test results will<br />
have better chances of more mature eggs<br />
being retrieved.<br />
Prior Donation Information: If a woman<br />
has donated previously and the details<br />
of her prior egg donation(s) are available,<br />
this can give a good indication of the<br />
potential for future success. The details<br />
of a woman’s prior egg donation(s) can<br />
be more insightful that ovarian reserve<br />
testing which is most important for firsttime<br />
donors. Relevant factors include the<br />
number of eggs retrieved; the fertilisation<br />
and 5-day blastocyst formation rates;<br />
the rate of normal embryo formation if<br />
analysed; and ongoing pregnancy or live<br />
birth outcomes for other intended parents.<br />
In addition, information from her prior<br />
donation may indicate her responsiveness<br />
to the fertility medications and whether<br />
dosage protocols may be adjusted to<br />
optimise results.<br />
In some countries this type of information<br />
on donors will be available to intended<br />
parents to consider as part of their choice<br />
of donor. In any case, intended parents<br />
should understand the screening and<br />
approval standards of the IVF clinics they<br />
are considering.<br />
Transferring a<br />
Chromosomally Normal<br />
Embryo<br />
The formation of chromosomally abnormal<br />
embryos is a natural phenomenon. Around<br />
25% of embryos from a young woman’s eggs<br />
can be naturally abnormal and this rate<br />
increases with age. In some cases, even with a<br />
young women’s eggs, this rate may be higher.<br />
Transferring a chromosomally abnormal<br />
embryo is the most common cause of failed<br />
implantation and miscarriage in IVF, or<br />
can lead to a pregnancy and birth of a baby<br />
with a disorder linked to chromosomal<br />
abnormality (such as Down’s Syndrome).<br />
It is not possible to assess whether an<br />
embryo is chromosomally normal from a<br />
visual assessment. Testing embryos with<br />
Comprehensive Chromosome Screening<br />
(CCS) is the only way to know which<br />
embryos have screened as chromosomally<br />
normal and will provide the best chance for<br />
success and a healthy baby.<br />
In addition to these three elements,<br />
overall excellence in IVF – including<br />
customizing treatment protocols and the<br />
quality of an IVF clinic’s laboratory – will<br />
play a significant part in any IVF patient’s<br />
chances for success on their first attempt.<br />
As with most things, all IVF and all donor<br />
egg IVF is not equal. Intended parents<br />
should arm themselves with the knowledge<br />
they need to fully evaluate prospective IVF<br />
clinics and their egg donor programs so<br />
that they can choose for success.<br />
More information on Donor<br />
Egg IVF treatment in the US<br />
can be found on the website<br />
oregonreproductivemedicine.com<br />
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fertilityroad.com | 51
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MEN ONLY<br />
eea ewis<br />
HOW HEALTHY<br />
ARE YOUR SPERM?<br />
Male fertility expert Professor Sheena Lewis from SpermComent<br />
asks the question…. are men’s biological clocks ticking too?<br />
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fertilityroadom |
MEN ONLY<br />
i agger is eetig a ild wit is<br />
yearold alleria arter elaie<br />
amri is would suggest tat me do<br />
ot eeriee a iologial lo ile<br />
agger is te latest male elerity to fater<br />
a ild i middletoolder age followig<br />
i te footstes of aul artey od<br />
tewart ad tee arti lets rememer<br />
e is te eetio rater ta te<br />
rule oiety assumes serm<br />
from older me are ust as<br />
ealty as from youg<br />
me ut y ad large<br />
tats ot uite true<br />
ertility is ot ifiite<br />
ad age does imat<br />
fertility for me as<br />
well as wome<br />
ore ad more<br />
resear sows tat<br />
serm uality gets<br />
worse wit age e<br />
idea tat roust fertility<br />
for a ma will otiue well<br />
ast womas delie i fertility<br />
THE IDEA<br />
THAT ROBUST<br />
FERTILITY FOR A MAN<br />
WILL CONTINUE WELL<br />
PAST WOMAN’S DECLINE<br />
IN FERTILITY IS<br />
UNTRUE.<br />
is utrue oe study otes fat mu<br />
resear states tat mes fertility egis<br />
to derease from te age of s age<br />
ireases serm struture ad futio<br />
derease is a lead to a ireased<br />
ris of misarriage a egatie imat o<br />
emryoi deelomet ad ee more<br />
worryig a iger ae of ildood<br />
disease urtermore age is oe<br />
of te leadig otriutors<br />
to damage i serm<br />
osiderig you will gie<br />
of your to<br />
your ild ealty<br />
is imeratie to<br />
faterig a ealty<br />
ay umerous<br />
studies reort lis<br />
etwee adaed<br />
ateral age ad a<br />
ireased ris of geeti<br />
diseases eseially tose<br />
seifially assoiated wit<br />
serm mutatios ad<br />
romosomal aeuloidies wi<br />
a affet ildres ealt<br />
at we do ow is tat ealty eggs a<br />
sometimes reair serm damage<br />
wi may elai aggers suosed<br />
itality e est tig is for me to tae<br />
otrol of teir serm ealt ad reet<br />
damage aeig i te first lae<br />
e rodue ew serm eery tree<br />
mots ad simle lifestyle ages a<br />
rotet serm from damage iet eerise<br />
driig ad smoig all imat serm<br />
ealt ad y moitorig lifestyle me<br />
a mae a real differee<br />
ile oe of us a tur a our<br />
iologial los oweer mu we wis<br />
we ould simle lifestyle ages a<br />
limit te damage wi age a ae o<br />
fertility ealt ad esure me are still<br />
fit for faterood i teir forties<br />
ile tryig for a ay tae otrol of<br />
your serm ealt esurig its te est<br />
it a e wateer age you may e<br />
Clockwise<br />
Mick Jagger, Rod<br />
Stewart, Steve Martin,<br />
Paul McCartney.<br />
| fertilityroadom<br />
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MEN ONLY<br />
5 Top Tips for Healthy Sperm:<br />
Drinking: try to limit itae to its<br />
of eer or glass of wie er day<br />
ot ulie ourseles serm a lose<br />
diretio we uder te ifluee<br />
of alool ad ee swim i irles<br />
Diet: eat ealtily ut dow<br />
o fried food ad mae sure to<br />
ae ortios of fruit ad eg er<br />
day omatoes umi seeds waluts<br />
lueerries letils omegraates ad dar oolate ae all<br />
ee lied to serm ealt<br />
Smoking: emials o your serm moig is te iggest<br />
serm eemy<br />
ecreational drugs: may emials<br />
foud i drugs diretly damage serm<br />
Exercise: try to get te alae<br />
rigt oo mu eerise a e<br />
detrimetal to mes fertility<br />
miles o te iyle saddle or<br />
odyuildig steroids are o frieds<br />
of fertility<br />
Heat: as a reet artile i <strong>Fertility</strong> <strong>Road</strong> sowed eeig<br />
your oe eside your groi ireases te eat of te testes<br />
teyre outside te ody for a reaso ittig for too log<br />
wearig tigt uderwear or ee eessie ylig all irease<br />
your testiular eat<br />
ulemetig your diet wit itamis ad<br />
mierals may also imroe your serm<br />
ealt ut e areful te resear o<br />
sulemets is i its ifay so osult<br />
wit your fertility dotor ad e<br />
our wesite spermcomet.com for more<br />
details<br />
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fertilityroadom |
MEN ONLY<br />
ussell ais<br />
BIG BOYS<br />
DON’T CRY<br />
I can look back now over the last 10 years and see<br />
how much I’ve learnt about what it means to be a<br />
man and how to relate to women.<br />
Did you know?<br />
Men are less likely to<br />
access psychological<br />
therapies than women.<br />
Only 36% of referrals<br />
to IAPT (Increasing<br />
Access to Psychological<br />
Therapies) are men.<br />
sool fortuately differees etwee<br />
me ad wome a ome to fore at times<br />
of stress ad ifertility a ut a strai o<br />
te est of relatiosis at wat to<br />
sare wit you are te tigs wis ew<br />
a te<br />
Stop trying to be the hero<br />
ot try ad e te strog oe its ot wat<br />
wome wat ome wat teir me to<br />
oet wit tem o a emotioal leel<br />
ey wat teir me to e ale to sare ow<br />
tey feel e ulerale e real tougt<br />
eeded to e te strog oe for my wife<br />
ut it was te oosite se wated y ot<br />
oeig u ad sarig ow felt was<br />
reatig a arrier a distae etwee us tat<br />
made it arder for er as se felt more aloe<br />
oiety rigs me u to ti tat ig<br />
oys dot ry ti owerful me are<br />
omfortale wit emotios as mu as tey<br />
are teir tool elt ad watig footall<br />
wit te oys<br />
ou are ot wit me o tis ourey<br />
my wife said to me eigt years ito our<br />
ourey didt uderstad wet to all<br />
te aoitmets e taled aout tigs<br />
or so tougt<br />
e said se ad o idea wat was goig<br />
o i my ead ow felt aout tigs e<br />
didt feel uited eause i er mid lie<br />
most wome you feel uited to someoe<br />
we you feel uderstood ad uderstad<br />
ow tey feel<br />
is was a real rolem for me f am<br />
oest it wast a ew message ere ae<br />
ee may times i our relatiosi we<br />
se said se was loely eause wast<br />
fully reset to er was too usy i my<br />
ead e rolem ad was didt ow<br />
ow to age it ts all ew<br />
at momet was te egiig of a uge<br />
learig ure for me eduatio ito<br />
te world of emotios ito a strage ad<br />
somewat mystial world tat wome<br />
seem to lie eduatio o ow to feel<br />
more eae wit myself as well as loe my<br />
wife i a way se areiates so se feels<br />
more loed<br />
a loo a ow oer te last years<br />
ad see ow mu e leart aout wat<br />
it meas to e a ma ad ow to relate to<br />
wome e eduatio you dot get i<br />
| fertilityroadom<br />
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MEN ONLY<br />
Stop trying to fix things<br />
e your arter sares ow se feels<br />
se doest wat you to fi it f se sares<br />
a rolem wit you se doest wat you<br />
to fi it f ses moaig aout sometig<br />
se doest wat you to mae er feel etter<br />
y fiig it less se seifially ass i<br />
writig i triliate from a lawyer<br />
tryig to mae er feel<br />
etter y fiig tigs<br />
at wome wat is to<br />
e uderstood e<br />
sare rolems to see<br />
solutios ome<br />
sare rolems to feel<br />
uderstood ee to<br />
uderstad ow se<br />
feels i tat momet<br />
f you try ad fi te<br />
rolem a se doest feel<br />
uderstood ad se ofte<br />
feels elittled you ti se<br />
at fi it erself<br />
I THINK<br />
POWERFUL MEN<br />
ARE COMFORTABLE<br />
WITH EMOTIONS AS MUCH<br />
AS THEY ARE THEIR TOOL<br />
BELT AND WATCHING<br />
FOOTBALL WITH THE<br />
BOYS.<br />
ere are oly so may times you a try<br />
ad say sometig to el wi oly<br />
maes it worse t a e lie dealig wit<br />
a time om ad eer owig wi is<br />
te rigt wire to ut tig to say tat will<br />
diffuse it owig te wrog oe will mae<br />
it worse i rigs me o to<br />
Don’t run away from<br />
their emotions<br />
e ad womes rais<br />
oerate ery differetly<br />
es rais are lie<br />
a well orgaised<br />
worso ery tool as<br />
its lae e sadow<br />
oard tells you wat<br />
tool goes were ts<br />
a ery ordered logial<br />
struture<br />
omes rais oweer<br />
are a udle of eletrial<br />
wires eery oe touig<br />
aoter erytig is oeted to<br />
sometig else e oetios to a<br />
ma ofte seem illogial ad te ower<br />
tat rus troug tese wires is a<br />
eergy alled emotio ome are a<br />
owerouse of emotio e miute tis<br />
a e eressed as eig te goddess<br />
you fell i loe wit e et miute<br />
tey are eig te it you ate ts all<br />
drie y te same fuel motios<br />
ome wat teir me to e ale to old<br />
a otaier for tis emotio o e ale<br />
to old tat sae for wateer emotio<br />
eerieig i tat momet itout<br />
udgemet witout ritiism witout<br />
tryig to age it ad most imortatly<br />
witout eig sared of it<br />
f you old tat sae i loe seeig to<br />
uderstad tem you will fid it diffuses<br />
ad moes o to sometig far more<br />
leasat for ot of you more uily<br />
ta you imagie<br />
ree words tat a mae all te<br />
differee we your woma is feelig<br />
emotioal are get tat e if you<br />
ti te emotio or te outurst is<br />
ueessary ad uust e if its aimed<br />
at you its ot aout you ts ust a<br />
emotio se is feelig i tat momet<br />
a few momets time se may feel<br />
sometig ery differet if you old tat<br />
sae for er<br />
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fertilityroadom |
MEN ONLY<br />
IS IT TIME YOU TOOK YOUR<br />
SPERM FOR AN MOT?<br />
ost coules wo are tryig to coceie<br />
are roaly familiar wit te terms seme<br />
aalysis ad serm cout or uatity.<br />
oweer tere is aoter imortat male<br />
fertility test tat idetifies te uality<br />
of serm. ealty serm is eeded for<br />
ot a ealty regacy ad ay ad<br />
damage to serm ca cause rolems wit<br />
fertility. e ermomet test idetifies<br />
damage i serm ad eales me<br />
to tae cotrol of teir ealt ad fertility.<br />
ealty is so imortat as it is te<br />
code of life we gie our cildre.<br />
e ermomet test is rilliat i its<br />
simlicity. t is carried out y silled<br />
scietists ad is te most sesitie <br />
fragmetatio test. e test uses cemicals<br />
to rela te tigtly coiled strads of <br />
i idiidual serm efore searatig<br />
tem out y usig a electric field.<br />
der a microscoe ealty sies<br />
rigtly wile damaged or roe <br />
as a weaer glow. y eamiig te legt<br />
of te tail of damaged scietists ca<br />
tell ow adly damaged a mas serm is.<br />
or rofessor eea ewis of ermomet<br />
td te sciece could old aluale clues to<br />
male fertility. damage ca e caused<br />
y lifestyle coices suc as diet smoig<br />
driig eercise steroids ad ee<br />
armful cemicals. s me roduce ew<br />
serm eery tree mots lifestyle cages<br />
ca mae a differece to serm ealt.<br />
rofessor ewis eliees te test could e<br />
esecially useful for tose wo lose out i<br />
te ostcode lottery for istace were<br />
coules oly ae oe free cycle of .<br />
aig te test could direct coules to te<br />
est treatmet o teir first ad oly cycle.<br />
ome studies ae sow tat me wit<br />
serm damage ae more success<br />
wit ta or .<br />
e ermomet test could ee e<br />
articularly useful for me wit ormal<br />
seme aalysis after all researc as<br />
sow tat of me wit o detectale<br />
rolems wit a seme aalysis do<br />
actually ae serm damage. e<br />
ermomet test roides me wit more<br />
iformatio aout teir serm ealt<br />
allowig tem to tae cotrol of teir<br />
fertility ad el coules mae te est<br />
decisio aout fertility treatmet.<br />
ermomet td wors wit arter<br />
cliics trougout te ad relad.<br />
or a full list of were you ca get<br />
te ermomet test lease isit<br />
spermcomet.com/clinic-locations. ou<br />
ca ow also selfrefer at te atla odo.<br />
ermomet are also looig at a ew<br />
study o te role of serm damage i<br />
recurret miscarriage wile aoter roect<br />
loos to see if atioidats ca imroe<br />
serm uality. or more iformatio<br />
o te sciece eid ermomets<br />
researc isit spermcomet.com<br />
| fertilityroad.com<br />
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BODY<br />
MEN ONLY<br />
| fertilityroadmag | | follow | follow us us @fertilityroad<br />
fertilityroad.com | 31|
FERTILITY LIFE<br />
LETTER FROM<br />
THE HEART<br />
Leyla and Richards story<br />
| fertilityroad.com<br />
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FERTILITY LIFE<br />
“S<br />
So we have some news…!" Yet<br />
another couple announcing<br />
joyfully over dinner that<br />
they were going to become parents<br />
and the accompanying sinking of my<br />
stomach in jealousy. No, not jealousy<br />
exactly, but a really deep-seated, allencompassing,<br />
overwhelming envy. The<br />
struggle to become a parent aside, I<br />
loved my life - but I just had the most<br />
consuming desire for us to be the ones<br />
sharing happy baby updates.<br />
I was diagnosed with a serious medical<br />
condition in my late twenties, one of the<br />
horrendous ‘side effects’ was that it could<br />
prove fatal for me to carry my own child.<br />
Oh, and I had a 50% chance of passing this<br />
condition on to any offspring in any event.<br />
Although we had been among the first in<br />
our friendship groups to marry, we reacted<br />
to this bombshell by burying our heads in<br />
the sand; we were not ready to contemplate<br />
the enormous minefield of IVF treatment,<br />
PGD analysis to detect embryos affected<br />
with the condition, teaming with a<br />
surrogate and maybe, just maybe, after all<br />
of that, lasting a pregnancy. And after our<br />
first IVF cycle, it transpired I would also<br />
react to the hormone drugs in such a way<br />
that normal IVF treatment would probably<br />
kill me. Quite a lot to take in.<br />
Eventually it became too heart-breaking to<br />
even walk past a pregnant lady in the street<br />
or hear the sound of buggy wheels on the<br />
pavement outside our window during our<br />
Saturday morning lie-ins – so coveted by<br />
parents, and so wasted on us. This became<br />
the soundtrack to another desperate google<br />
search about IVF success rates.<br />
We tentatively began the process, signing<br />
up to become members of Surrogacy UK,<br />
a welcoming and knowledgeable not for<br />
profit organisation, which provides a<br />
framework for teaming surrogates and<br />
intended parents which offers support<br />
and advice to its members through its<br />
friendship first ethos. And my goodness<br />
how we welcomed that support and<br />
friendship! Infertility and the struggle to<br />
become a parent can be the most isolating<br />
experience, and one which, despite its<br />
incredible prevalence, is still stuck being<br />
shrouded in secrecy for the most part.<br />
And so began six years of ricocheting<br />
from clinic to clinic, cross-country and<br />
cross-continent. Trying IVF, Natural<br />
IVF, IVM, ICSI, transfers, negative tests,<br />
transporting embryos up Regent Street<br />
in liquid nitrogen – chatting to them as I<br />
drove, desperately entreating them to “just<br />
survive this time” before dissolving into<br />
half tears and half laughter as I realised<br />
the ridiculous pathos of what I was doing.<br />
Embryos not developing, embryos not<br />
surviving the thaw, failed egg collections,<br />
mislaid or missing HFEA consent forms,<br />
and my personal favourite, missing sperm<br />
somewhere between Oxford and London.<br />
As I used to bawl to my best friend on<br />
the phone from under my desk in the<br />
office after more bad news when the<br />
sniffling started before I could make a<br />
frantic dash to the loos, “if it wasn’t so<br />
gut-wrenchingly, desperately tragic, it<br />
would actually be quite funny”. But many<br />
thousands of pounds and many tears later,<br />
it really wasn’t.<br />
I think one of the hardest factors to accept<br />
was that my life-long mantra “that if you<br />
Further information can<br />
be found on the<br />
surrogacyuk.org website.<br />
just worked hard enough at something,<br />
eventually you would succeed”, had<br />
absolutely no bearing in the world of<br />
infertility. In fact, the more you worked at<br />
it, the more your emotions ran way, way<br />
out of control. And what do you mean, we<br />
can’t just have sex and make a baby and<br />
then go on a lovely babymoon?! Oh sweet<br />
irony – when we were the ones who needed<br />
a holiday – but remained trapped in our<br />
vicious cycle of paying for treatment,<br />
hoping treatment would work yet not<br />
becoming too stressed because stress has<br />
a negative impact on baby-making, right?<br />
And then stressing that we were stressing<br />
too much. Et cetera et cetera.<br />
Finally, the magical day came when<br />
Rachael, our surrogate, sent through<br />
a picture of a positive pregnancy test.<br />
Then followed nine turbulent months<br />
during which Rachael and her family<br />
helped us to appreciate fertility treatment<br />
as being a positive thing. We are now<br />
parents to a two year old boy and at the<br />
risk of sounding greedy, embarking on<br />
a sibling project, all through surrogacy<br />
and the wonderful altruistic gift of life<br />
and parenthood given to us by Rachael.<br />
Rachael who spent nine long months<br />
looking after our embryo for us and who<br />
is prepared, together with her family, to<br />
spend nine months doing it all again.<br />
This second journey has already not gone<br />
smoothly and it has reminded me just<br />
how incredibly difficult everything about<br />
the IVF and the infertility process is. We<br />
had somehow begun to think we could<br />
just plan another child like those ‘normal’<br />
couples who used to share their news<br />
with us, and of course, that does not look<br />
like it will be the case. I will never, ever,<br />
forget what we went through to become<br />
a family, but the pain does fade to some<br />
degree. I’m so pleased to say that we stayed<br />
strong and I do think that it is important<br />
for every couple going through a struggle<br />
to parenthood to continue as long as<br />
is necessary for you, regardless of what<br />
experts might advise.<br />
Though we found the pain of it all took<br />
us to some dark places, I wouldn’t change<br />
what we’ve been through as I hope that<br />
we are better parents, friends, siblings<br />
and children for it. We also are so lucky<br />
to have an extended surrogate family and<br />
a special story of just how very much he<br />
was longed for to share with Zeki as he<br />
grows up.<br />
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fertilityroad.com | 61
FERTILITY LIFE<br />
BEFORE YOU<br />
WERE HERE...<br />
odo ased oule arti ad era<br />
tried for may years to oeie aturally<br />
witout ay suess efore emarig o<br />
see log yles<br />
aitig lists to liial tests dotors<br />
aoitmets more tests ietios<br />
regay tests ad all te us ad<br />
dows tat are art of te log ourey<br />
to eome arets<br />
eir story ist differet from may<br />
oules wit fertility rolems oweer<br />
it is uusual to ear a story from a mas<br />
oit of iew e arti otated<br />
<strong>Fertility</strong> <strong>Road</strong> oig to sare is ersoal<br />
story ad is oem efore you were<br />
ere we oed it migt isire oter<br />
me to sea out<br />
arti elais wy o te day after<br />
teir first ild was or e wrote a<br />
oem to is wife aout teir ourey ut<br />
from is ersetie<br />
uttig tigs ito words as always<br />
eled me artiularly as is still a<br />
taoo suet t was for tat reaso tat <br />
wated to rea tese arriers wit a oem<br />
wrote t as already reeied some really<br />
strog iterest olie so d lie to sare it<br />
wit <strong>Fertility</strong> <strong>Road</strong> readers as well<br />
e are luy eoug to e ale to say<br />
we ae two eautiful ildre ut tere<br />
were times we we wodered if it would<br />
eer ae<br />
ormally resere my oems for te wifes<br />
irtday ards ut gie its sigifiae<br />
tougt would sare wit te iew of<br />
elig oters eseially from te mas<br />
oit of iew wi ofte gets oerlooed<br />
fter sarig is oem wit family ad<br />
frieds arti was urged to el oter<br />
oules wo ae ee waitig for teir<br />
dream to ome true<br />
WE ARE ‘LUCKY’<br />
ENOUGH TO BE<br />
ABLE TO SAY WE<br />
HAVE TWO BEAUTIFUL<br />
CHILDREN, BUT THERE<br />
WERE TIMES WHEN<br />
WE WONDERED IF IT<br />
WOULD EVER HAPPEN.<br />
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FERTILITY LIFE<br />
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FERTILITY LIFE<br />
BEFORE YOU<br />
WERE HERE...<br />
efore you were ere we were gie some ews<br />
a liial room wit eerytig to lose<br />
est after test sa after sa<br />
ou at ae ildre lie ormal eole a<br />
ur world stos still wile we digest tis low<br />
orale as droed to a all time low<br />
tios are gie stats are sow<br />
ee got yout o our side we souldt moa<br />
e are told were luy we get two free goes<br />
starts its a log log road<br />
wo mots of ietios te mryos go i<br />
e ruel log wait woder if its twis<br />
e ees o a sti te ear er ry<br />
t doest get easier as mots go y<br />
e try agai full of oe<br />
ut if it fails agai ow will we oe<br />
e test omes out ear tears agai<br />
ifes ot fair you dot always wi<br />
dotios a otio were told y our eers<br />
oud mae great arets its still ard to ear<br />
e te dust settles ad we sit ad sea<br />
e deide to go riate t ist ea<br />
arley streets te eue were see y a urse<br />
ey refuse our ustom ad ti our oditio is worse<br />
o a to te dotor ad get see agai<br />
ti its your tues ad out tey ame<br />
ull of autio we gie arley street a go<br />
gai ee o a sti were eetig a <br />
ts really feit ut tere is a lie<br />
e at eliee it my wifes ow ryig<br />
e go to te lii oull eed a lood test<br />
ts ofirmed y a all we feel so lessed<br />
ee et it a seret util wees<br />
e go for a sa to get a ee<br />
e urse goes silet as se taes er seat<br />
e got some ad ews we at fid a earteat<br />
y wifes sreams still aut me ow<br />
f tere is a eil lease tae a ow<br />
o we ae aoter go is it wort te ai<br />
t wored oe efore t sould wor agai<br />
e orrow te moey were ere oe more<br />
is will mae it attemt umer four<br />
e go troug te roess te ietios ad drugs<br />
ll a offer is isses ad ugs<br />
t omes dow to tis aoter lood test<br />
e wait for te all tryig ot to stress<br />
ts our est frieds weddig we ust wat to e aloe<br />
ll we a ti aout is tat stuid oe<br />
aswer oe message reuests us to all<br />
e urse starts ryig wee it aoter ri wall<br />
ee made a deisio lets sto tis madess<br />
ats te oit t oly rigs sadess<br />
mots o we get a all from our o<br />
m oeig a ratie let me gie it a sot<br />
f it doest wor you do ot ae to ay<br />
ew uestio to aswer ad we dot ow wat to say<br />
seret to us our seial frieds<br />
ad made a olletio so we ould try agai<br />
ttemt umer fie suess or a tragedy<br />
e staff at te lii all felt lie family<br />
alets teroids ills ad ietios<br />
er little urle ase ad a imressie olletio<br />
ore wee o a stiteres a strog lear lie<br />
itout dout its wored tis time<br />
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FERTILITY LIFE<br />
IF IT HELPS AT LEAST ONE<br />
COUPLE THEN I FEEL IT WILL<br />
HAVE BEEN WORTH IT.<br />
We get clarification, another blood test<br />
The best phone call ever, “Now go home and rest..”<br />
6 week scan, the mood is great,<br />
But the docs face drops, we’re dealt our fate<br />
There’s no sign of a beat, my wife screams and cries<br />
This has done damage, I can see it in her eyes<br />
Were told to go back, for a follow up check<br />
What’s the point, our heads are a wreck<br />
The doc is gutted, and does a routine scan<br />
I remember the face, of this miracle man<br />
“Oh my god” a heartbeat is found<br />
The room filled with staff, what an emotional sound<br />
An amazing day, well never forget,<br />
Mentally drained, It’s human roulette<br />
The months pass by, random cramps and bleeds<br />
This is hard to enjoy, its the due date we need!<br />
The day arrives, unforgettable feelings<br />
Pinching ourselves, to see if we’re dreaming<br />
Blessed with a daughter, a gorgeous baby girl<br />
An amazing little person, now the centre or our world<br />
You never really know, how strong you are<br />
Until you’re out the other side, reflecting from afar<br />
So when things are against you and life seems unfair<br />
Remember all of this was possible, because other people cared.<br />
Thank you to our amazing <strong>Fertility</strong> Team, Friends & Family xx<br />
Martin Davis ( Proud Daddy ) - October 2014<br />
Martin is happy to offer to advice and support to other<br />
couples via email reesult@googlemail.com<br />
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FERTILITY LIFE<br />
IVF CUBE <strong>Fertility</strong> Clinic, Prague is<br />
an established centre dedicated to<br />
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diagnosis and treatment of fertility<br />
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methods, along with the latest<br />
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Since January 2016 we have been<br />
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brings amazing results for our clients.<br />
This painless procedure involves the<br />
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and after embryo transfer that helps<br />
to improve the embryo implantation.<br />
IVF CUBE Prague Clinic<br />
Evropska 178<br />
16000 Praha<br />
Czech Republic<br />
www.ivf-cube.co.uk<br />
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Hana Visnova, MD, PhD<br />
Medical Director<br />
Head of IVF CUBE Clinic<br />
Dr Renata Huttelova, PhD<br />
Head of IVF CUBE Laboratory<br />
Senior ESHRE Embryologist<br />
Petr Uher, MD, PhD<br />
Scientific Director<br />
Co-Founder of IVF CUBE<br />
Maximum commitment to transparency<br />
Pregnancy Rate for Donor Egg cycles 65 %<br />
Extensive database of young proven donors<br />
No waiting times for any treatment