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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 />

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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 />

| fertilityroadmag | follow us @fertilityroad


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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 />

Publisher<br />

Tone Jarvis-Mack<br />

tone@fertilityroad.com<br />

Managing Director<br />

PJ Jarvis-Mack<br />

Art Editor<br />

Richard Porter<br />

Advertising<br />

sales@fertilityroad.com<br />

UK 020 7183 9882<br />

US (323) 892-8486<br />

Accounts Manager<br />

Lynsey Jackman<br />

lynsey@fertilityroad.com<br />

Distribution<br />

UK Distribution<br />

Goldkey Media Ltd<br />

0207 491 4065<br />

UK/US Distribution<br />

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01245 600368<br />

Licensing enquiries<br />

licensing@fertilityroad.com<br />

Printed by<br />

Print by CPUK Print Publishing<br />

Website and Online<br />

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girafficmedia.co.uk<br />

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Buckworth Solicitors<br />

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SUBSCRIBE<br />

Take out an annual subscription to <strong>Fertility</strong> <strong>Road</strong>.<br />

For more information or to subscribe visit fertilityroad.com<br />

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06 | fertilityroad.com<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 />

| fertilityroadmag | follow us @fertilityroad<br />

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 />

| fertilityroadmag | follow us @fertilityroad


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 />

| fertilityroadmag | follow us @fertilityroad<br />

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 />

| fertilityroadmag | follow us @fertilityroad


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 />

| fertilityroadmag | follow us @fertilityroad<br />

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 />

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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 />

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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 />

| fertilityroadom<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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fertilityroad.com | 15


FR News & Views<br />

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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 />

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slightly improving,” Pohanka said.<br />

The WHO lower standard for<br />

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“The dramatic fall in fertile men is but a<br />

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“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 />

| fertilityroadmag | follow us @fertilityroad<br />

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 />

| fertilityroadom<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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BODY<br />

• 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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BODY<br />

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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BODY<br />

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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BODY<br />

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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BODY<br />

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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BODY<br />

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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BODY<br />

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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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 />

| fertilityroadom<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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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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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 />

fertilityroad<br />

Get <strong>Fertility</strong> <strong>Road</strong> magazine<br />

delivered straight to your door<br />

fertilityroadsubscribe.co.uk<br />

| fertilityroadom<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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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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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 />

the issue of fertility treatment. We<br />

provide comprehensive care in the<br />

diagnosis and treatment of fertility<br />

disorders using all state-of-theart<br />

methods, along with the latest<br />

scientific knowledge.<br />

Since January 2016 we have been<br />

providing fertility acupuncture which<br />

brings amazing results for our clients.<br />

This painless procedure involves the<br />

insertion of an ultra-thin needle into<br />

specific points on the body before<br />

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

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