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THE WORLD'S NO.1 FERTILITY MAGAZINE<br />

ISSUE <strong>13</strong> | WINTER 2012/20<strong>13</strong> £3.95/€4.95<br />

YOUR PATH TO PARENTHOOD<br />

WWW.FERTILITYROAD.COM<br />

T R AV E L<br />

WIN<br />

AN IVF<br />

HOLIDAY!<br />

F O R<br />

T R E AT M E N T<br />

N• LIFE-CHANGING COMPETITIO<br />

•<br />

LETTER<br />

FROM THE<br />

HEART<br />

Josh Cintron<br />

shares a journey<br />

with infertility<br />

through his eyes<br />

WINNER<br />

ANNOUNCED<br />

Valentines<br />

Day!!<br />

UNEXPLAINED<br />

INFERTILITY<br />

Prof. Sheena Lewis<br />

on how unexplained<br />

infertility may now be<br />

a thing of the past<br />

ISSUE <strong>13</strong> WWW.FERTILITYROAD.COM<br />

Hugh Jackman<br />

A-List Adoptions<br />

ALPINE RETREATS FERTILITY MONITORS REVIEW BABIES IN BARBADOS


Know which ones will grow.<br />

Meet Eeva – the new Early Embryo Viability Assessment Test.<br />

Clinically proven to help your IVF team select the best embryo(s).<br />

Visit eevaivf.com/fr to find a clinic near you.<br />

Eeva is currently approved and available for use only in the EU. MKT 2159A


F E R T I L I T Y R O A D W I N T E R 2 0 1 2 / 2 0 1 3<br />

ISSUE <strong>13</strong> CONTENTS<br />

12<br />

WIN<br />

AN IVF<br />

HOLIDAY!<br />

20<br />

<strong>13</strong><br />

26<br />

37<br />

<strong>13</strong> A GIFT FROM GREECE<br />

Thessaloniki based fertility clinic, Embryolab is offering one lucky<br />

couple the chance to win a free round of IVF and a Grecian holiday.<br />

Be sure to enter for your chance to win.<br />

16 INFERTILITY EXPLAINED<br />

Prof. Sheena Lewis from Lewis <strong>Fertility</strong> discusses how unexplained<br />

infertility in both men and women may now be a thing of the past.<br />

20 HOLLYWOOD, HEARTACHE & HAPPINESS<br />

Hollywood star and father of two, Hugh Jackman chats with <strong>Fertility</strong><br />

<strong>Road</strong> about fate, IVF and his own personal journey to becoming a<br />

proud Dad to Oscar and Ava.<br />

32 BABIES IN BARBADOS<br />

Fancy a holiday in the sun? With good weather, shorter waiting times<br />

and fewer restrictions, is travelling for treatment right for you?<br />

ALSO IN THIS ISSUE:<br />

ALPINE RETREATS<br />

Winter Blues? Take time-out at one of our Winter Wonderlands,<br />

all in Europe, a short plane ride away and guaranteed to have snow.<br />

NUTRITION<br />

Nutritional Guru Annabel Karmel shares a few of her own delicious<br />

'fertility superfood' recipes aimed to boost your chances of conceiving.<br />

TRIED AND TESTED<br />

With so many fertility products on the market, which one is the best?<br />

<strong>Fertility</strong> <strong>Road</strong> compares the differences between the top products<br />

out there and what is right for you.<br />

LETTER FROM THE HEART<br />

We hear from Josh in California who shares a journey with infertility<br />

through his eyes, which ultimately led to becoming a dad to twins.<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

03


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N• LIFE-CHANGING COMPETITIO<br />

•<br />

ISSUE <strong>13</strong> | WINTER 2012/20<strong>13</strong> £3.95/€4.95<br />

F E R T I L I T Y R O A D<br />

C O N T R I B U T O R S<br />

ISSUE <strong>13</strong> WINTER 2012/<strong>13</strong><br />

CHECK OUT OUR NEW YOU TUBE<br />

CHANNEL FOR GREAT FERTILITY<br />

RELATED VIDEOS & INTERVIEWS<br />

YOUTUBE.COM/FERTILITYROAD »<br />

FERTILITY ROAD<br />

ISSUE <strong>13</strong> WINTER 2012/20<strong>13</strong><br />

WWW.FERTILITYROAD.COM<br />

THE WORLD'S NO.1 FERTILITY MAGAZINE<br />

YOUR PATH TO PARENTHOOD<br />

WIN<br />

AN IVF<br />

HOLIDAY!<br />

T R AV E L<br />

F O R<br />

T R E AT M E N T<br />

WINNER<br />

ANNOUNCED<br />

Valentines<br />

Day!!<br />

UNEXPLAINED<br />

INFERTILITY<br />

Prof. Sheena Lewis<br />

on how unexplained<br />

infertility may now be<br />

a thing of the past<br />

GROUP MANAGING DIRECTOR:<br />

PJ Mack<br />

CONTRIBUTING PUBLISHER:<br />

Jeff Crockett<br />

CONTRIBUTING MANAGING EDITOR:<br />

Giorgio Severi<br />

IT DIRECTOR:<br />

Tone Jarvis<br />

ART EDITOR:<br />

Damian Browning<br />

CONTRIBUTORS:<br />

Emma Cannon, Josh Cintron, Frank<br />

Grice, Annabel Karmel, Prof. Sheena<br />

Lewis, Veronica Montgomery<br />

WEBSITE & ONLINE PRESENCE:<br />

Giraffic Media Ltd<br />

www.girafficmedia.co.uk<br />

EUROPEAN SALES:<br />

Susan Calatayud, Pier Minole<br />

ACCOUNTS MANAGER:<br />

Jennifer Gardner<br />

LEGAL ADVISOR:<br />

Buckworth Solicitors<br />

Berkeley Square House, Berkeley<br />

Square, Mayfair, London, UK W1J 6BD<br />

PRINTED IN THE UK BY:<br />

The Magazine Printing Company using<br />

only paper from FSC/PEFC suppliers<br />

www.magprint.co.uk<br />

ADVERTISING ENQUIRIES:<br />

sales@fertilityroad.com<br />

WWW.FERTILITYROAD.COM<br />

LETTER<br />

FROM THE<br />

HEART<br />

Josh Cintron<br />

shares a journey<br />

with infertility<br />

through his eyes<br />

Hugh Jackman<br />

A-List Adoptions<br />

ALPINE RETREATS FERTILITY MONITORS REVIEW BABIES IN BARBADOS<br />

CONTACT DETAILS:<br />

Mack Media Group<br />

Suite 27, Westcroft Court, New <strong>Road</strong>,<br />

Broxbourne, Herts EN10 7LT<br />

Tel: 0843 2895337<br />

Email: info@fertilityroad.com<br />

FOLLOW US ON TWITTER<br />

TWITTER.COM/FERTILITYROAD<br />

WWW.FERTILITYROAD.COM<br />

ISSUE <strong>13</strong> WWW.FERTILITYROAD.COM<br />

Welcome to <strong>Issue</strong> <strong>13</strong> of <strong>Fertility</strong> <strong>Road</strong>.<br />

For some <strong>13</strong> can be thought of as an unlucky number,<br />

but we at <strong>Fertility</strong> <strong>Road</strong> think otherwise, as we have<br />

bagged an exclusive interview with Hollywood hunk,<br />

Hugh Jackman, who chats with us about the love for<br />

his wife, how he coped with infertility, and what being a dad means to him.<br />

Also in this issue we hear from the Barbados <strong>Fertility</strong> Centre who<br />

explains how treatment abroad could be right for you, and Professor<br />

Sheena Lewis of Lewis <strong>Fertility</strong> discusses how unexplained infertility<br />

in both men and women may now be a thing of the past.<br />

Nutritional expert, Annabel Karmel, once again lends us some of her<br />

own delicious recipes full of fertility superfoods aimed at helping you on<br />

your path to parenthood, and we hear Josh’s story of his rocky road to<br />

fatherhood, failed IVF cycles and ultimately becoming a proud dad to twins.<br />

And finally, be sure to enter Embryolab’s fantastic competition for a<br />

chance to fly to Thessaloniki, Greece for free IVF treatment combined<br />

with a relaxing holiday. It’s free to enter and the winning couple will be<br />

announced on Valentine’s Day 20<strong>13</strong>.... Good luck!!<br />

So until next time – stay warm, relax and enjoy our magazine… Giorgio<br />

OUR WRITERS...<br />

OUR PREGNACY EXPERT...<br />

Emma Cannon practises complementary therapies and acupuncture<br />

and specialises in fertility and women’s health; gynaecology, IVF support,<br />

conception, pregnancy and postnatal care. She is Director of Emma<br />

Cannon Ltd and author of The Baby-Making Bible and You and Your Bump.<br />

www.emmacannon.co.uk<br />

OUR FERTILITY EXPERT...<br />

Professor Sheena Lewis, has been at the forefront of research in male fertility<br />

for the past 25 years. She has led the reproductive research team at Queens<br />

University Belfast since 1995 and developed the novel SpermComet DNA test.<br />

She is regularly invited to speak on the clinical role of sperm DNA testing<br />

at medical and scientific conferences around the world.<br />

Annabel Karmel is a nutritional expert, author and mum-of-three who works<br />

tirelessly to promote better education and greater awareness of what foods can<br />

help with a successful conception and pregnancy, and is on a mission to help women<br />

better prepare themselves for motherhood simply by watching what they eat.<br />

Joshua Cintron lives with his wife Veronica and twins Jude and Gianna in<br />

Mission Viejo in California. Working as a creative writer, Josh is currently penning<br />

a book, A Journey Through In Vitro Fertilization From The Eyes Of A Husband,<br />

which is set for publication in the summer of 20<strong>13</strong>.<br />

FERTILITY ROAD IS NOW AVAILABLE TO READ<br />

ACRoSS ALL TABLETS AND MOBILE DEVICES<br />

WWW.FERTILITYROAD.COM/DIGITAL<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

05


F E R T I L I T Y R O A D<br />

N E W S , V I E W S & R E V I E W S<br />

EMBRYO<br />

MONITORING<br />

DESIGNED TO<br />

IMPROVE IVF<br />

OUTCOMES<br />

Revolutionary new non-invasive<br />

test that uses intelligent imaging<br />

software to measure and predict<br />

with more accuracy which embryos<br />

will likely grow to the blastocyst<br />

stage (day 5-6), a critical milestone<br />

in embryo development.<br />

or couples who find they are unable to conceive<br />

naturally, undergoing a cycle of IVF is often the<br />

next step on their path to parenthood, but with only<br />

one third of IVF cycles resulting in a live birth, and<br />

at a cost of around £5,000, the struggle to become<br />

parents, both emotionally and financially, can be a real nightmare.<br />

Embryo Evaluation<br />

Over the past 30 years, fertility researchers have worked tirelessly in<br />

an effort to identify which embryo(s) to implant that will ultimately<br />

result in a healthy live birth. Unfortunately, human reproduction is<br />

not an efficient process and only 15 percent of embryos transferred<br />

result in a pregnancy. To achieve high pregnancy rates, multiple embryos<br />

are transferred in each cycle to improve the odds of success.<br />

Until now a process known as embryo grading is used to visually<br />

determine the quality of embryos during development. Embryo<br />

grading is traditionally performed using microscopic observation at<br />

set times. This will usually occur once or twice a day so as to minimise<br />

the time embryos spend outside of the controlled environment of<br />

an incubator. The assessment is based on visual appearance of the<br />

embryos such as the number of cells, symmetry of cells and degree of<br />

cell fragments. However, embryo grading by nature is subjective and is<br />

based on snap-shots of the embryo at selected times.<br />

Once the embryos are graded and selected, the embryo or<br />

embryos are loaded in a soft catheter and transferred back into the<br />

womb, with embryos being able to be transferred at different stages<br />

of their development.<br />

The future of IVF<br />

However, a brand new non-invasive test has just been launched in<br />

the UK, called Eeva (Early Embryo Viability Assessment) and has been<br />

designed by Auxogyn, based on research discovered at Stanford<br />

University, to significantly improve positive IVF outcomes by<br />

providing clinicians and their patients with objective information<br />

that will enable them to predict embryo viability at a higher level of<br />

accuracy than ever before. Using intelligent computer vision<br />

software, Eeva is able to analyse embryo development against<br />

scientifically and clinically validated cell-division parameters from<br />

video images and has the ability to then predict which embryos will<br />

most likely grow to the blastocyst stage, optimising the chances for<br />

a successful pregnancy.<br />

Eeva consists of a special microscope that fits inside a standard<br />

incubator, integrating into an existing IVF lab environment and takes<br />

video images of the embryos, which are analysed by proprietary,<br />

intelligent software. Cultured within a specially-designed petri dish, the<br />

embryos are monitored closely by Eeva over a certain period of time.<br />

Science and Success<br />

CRM London is the first fertility clinic in the capital to offer the Eeva<br />

Test to patients undergoing IVF, but Auxogyn have also announced<br />

that Eeva will be made available to IVF patients at London’s King’s<br />

College Hospital, and in the East of England through Bourn Hall Clinic.<br />

Outside of London, other clinics offering Eeva are GCRM in Glasgow<br />

and Liverpool’s Hewitt <strong>Fertility</strong> Centre. On the subject of IVF and its<br />

new advancement, Charles Kingsland, lead consultant at the Hewitt<br />

<strong>Fertility</strong> Centre, the first to offer Eeva in Europe, said;<br />

“At the Hewitt <strong>Fertility</strong> Centre, we are committed to doing<br />

everything we can, including adopting breakthrough technologies, to<br />

improve embryo selection in order to increase a patient’s success of<br />

pregnancy while reducing the risks associated with multiple births. By<br />

using Eeva, we will be able to help our patients make more informed<br />

personal decisions and provide them with the best care possible.”<br />

For more information about Eeva, please visit Eevaivf.com/fr<br />

06 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


F E R T I L I T Y R O A D<br />

N E W S , V I E W S & R E V I E W S<br />

WINDY<br />

WONDERS<br />

LOVE THEM OR LOATHE THEM, BRUSSELS SPROUTS<br />

are a key ingredient to a quintessential festive dinner.<br />

However did you know that these mini green cabbages<br />

are also a great dietary source of folic acid, the fertility<br />

boosting nutrient that assists with healthy sperm<br />

in men and egg maturation in women. Like other<br />

cruciferous veggies (think broccoli or cabbage) these<br />

fertility friendly greens also contain phytonutrient<br />

called di-indolylmethane (or DIM), which can help<br />

women metabolise oestrogen better, which is especially<br />

important for those struggling with conditions related<br />

to too much oestrogen.<br />

It was reported that William and Kate requested<br />

that their honeymoon suite in the Seychelles be stocked<br />

with their favourite snack, Brussels Sprouts with cream<br />

cheese, in an effort not to break the 200 year royal<br />

tradition of conceiving within the first year of marriage.<br />

Over 1,000 babies have now been born following<br />

NHS-funded IVF treatment at Bourn Hall Clinic<br />

since May 2009, the clinic achieves pregnancies<br />

for 70 per cent of its patients within two cycles.<br />

BOURN HALL CLINIC CELEBRATE ONE THOUSAND BABIES BORN AS A RESULT OF NHS-FUNDED IVF<br />

BOOK REVIEW<br />

A DAD FOR<br />

ALL SEASON<br />

How My Sons<br />

Raised Me.<br />

by Ian Mucklejohn<br />

THEY SAY YOUR FIRST CHILD WILL CHANGE YOUR LIFE, BUT<br />

what if you have three at the same time! Eleven years ago,<br />

Ian Mucklejohn had triplet sons as a single father via<br />

surrogacy and had to do it all by himself: juggle, organise,<br />

cook, keep sane, stay calm, and handle every obstacle. There<br />

was always one hand short, one child who felt left out or<br />

needed an extra hug. Over the years Ian has gathered<br />

together his sons’ funniest stories: the hilarious moments,<br />

the fights and crocodile tears, the tough questions to which<br />

there is no right answer. You may well recognise yourself<br />

just multiply by three and deduct one parent!<br />

Available from Amazon.co.uk<br />

SARAH’S<br />

FERTILITY<br />

STORY<br />

STRIKES<br />

A CHORD!<br />

FOR THOSE OF YOU WHO READ<br />

the last issue of <strong>Fertility</strong> <strong>Road</strong>,<br />

you will remember Sarah’s story<br />

about her struggle with infertility<br />

and her current campaign to change the laws surrounding the IVF<br />

postcode lottery, giving everyone equal and fare access to IVF on the NHS.<br />

On reading her story, Dr. Nikos Christoforidis from Embryolab in Greece,<br />

who is offering one lucky couple the chance at an IVF Holiday (see p.<strong>13</strong>)<br />

felt so moved by her and husband Levi’s situation that he has offered<br />

them both an IVF holiday of their very own. Happy Christmas Sarah!!<br />

To sign Sarah’s petition please visit gopetition.com/petition/439<strong>13</strong>.html<br />

08 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


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F E R T I L I T Y R O A D<br />

N E W S , V I E W S & R E V I E W S<br />

A-LIST<br />

FAMILY<br />

MATTERS<br />

ON THE 21ST NOVEMBER 2012, HOLLYWOOD STAR, ELIZABETH<br />

Banks, who is already mum to 20 month old Felix, announced the birth<br />

of her second son Magnus Mitchell with husband Max Handelman.<br />

The 38-year-old Hunger Games actress wrote: “As 2012 winds<br />

down, I have much for which to be thankful - personal, professional,<br />

and Presidential. However, nothing can match the joy and excitement<br />

my husband and I felt when we recently welcomed our second baby<br />

boy. Like Felix, Magnus was born via gestational surrogacy. This<br />

experience has exceeded all our expectations, taught us a great deal<br />

about generosity and gratitude, and established a relationship that will<br />

last for a lifetime and I am so very thankful to the Centre for Surrogate<br />

Parenting for helping make all this possible”<br />

DOCTORS MAY HAVE<br />

UNLOCKED SECRET<br />

OF IVF SUCCESS FOR<br />

OLDER MOTHERS<br />

DOCTORS BELIEVE THEY HAVE UNLOCKED THE SECRET OF HOW TO GIVE WOMEN<br />

in their early 40s a similar chance of having a child through IVF as those 10 years younger.<br />

Official figures show women in this age bracket have only a <strong>13</strong> per cent chance of conceiving<br />

per cycle, the new procedure will give 40-year-olds a 6 in 10 chance of becoming mothers<br />

with a single round of IVF and involves testing embryos for major genetic abnormalities,<br />

which is the main reason why middle-aged women often struggle to fall pregnant.<br />

SPERM LENGTH ALSO<br />

DETERMINES FERTILITY<br />

IT IS SAID THAT MEN HAVE A BETTER CHANCE<br />

of reproducing if they have semen packed with<br />

strong-swimmers, but fertility experts are now<br />

claiming that sperm that have tails of a similar<br />

length are better able to travel than those with tails<br />

of varying lengths.<br />

Researchers from Brown University in Rhode<br />

Island, led by James Mossmon, were surprised to<br />

find that tail consistency surpassed average length.<br />

examined the semen of 103 men attending an<br />

infertility clinic at Sheffield Teaching Hospital<br />

NHS Foundation Trust and from their research,<br />

found that the wider the variation of sperm length<br />

in samples, the lower the concentration of motile<br />

sperm and the variation in tail length was found to<br />

be the most crucial factor.<br />

10 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


C<br />

M<br />

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K


F E R T I L I T Y R O A D<br />

T R A V E L F O R T R E A T M E N T<br />

a gift<br />

from<br />

Greece<br />

WIN<br />

AN IVF<br />

HOLIDAY!<br />

'Travelling for Treatment' is now a<br />

viable option for couples with fertility<br />

issues, here Dr. Nikos Christoforidis,<br />

Lead Gynaecologist at Embryolab,<br />

explains why couples are travelling<br />

abroad for procedures and why he is<br />

offering free IVF to one lucky couple.<br />

ver the last few years 'Medical tourism' has<br />

become a global industry, fuelled by the popularity<br />

of the internet, ease of travel, shorter waiting times<br />

for appointments and greater international sharing<br />

of medical advancements and innovations. Many<br />

couples are now opting to travel abroad for fertility treatments that<br />

may not be available to them in their own countries, either<br />

financially or legally.<br />

As Lead Gynaecologist at Embryolab I have met many couples<br />

from all over the world, whose lives have been changed by having<br />

fertility treatment and effectively giving them the gift of life, and<br />

have seen the joy that it brings. As well as the joy I have also seen<br />

the pain, as there are so many couples in need of help to conceive,<br />

and every one of them has a unique and compelling story. I was<br />

reading an article recently in <strong>Fertility</strong> <strong>Road</strong> where a couple in the<br />

UK could not afford IVF and were not eligible for NHS treatment<br />

and were left with very few options, this really pulled on my<br />

heart-strings.<br />

If you do not meet the criteria of your local Primary Care Trust,<br />

then the only option is to go private, and these out of pocket<br />

expenses for fertility treatments make it very difficult, if not<br />

impossible, for couples to achieve their dreams of expanding their<br />

family in their home country.<br />

»<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

<strong>13</strong>


F E R T I L I T Y R O A D<br />

T R A V E L F O R T R E A T M E N T<br />

GET 20%<br />

DISCOUNT<br />

JUST BY<br />

ENTERING!<br />

ENTER AT<br />

FERTILITY<br />

ROAD.COM<br />

/WINIVF<br />

»<br />

Because of these compelling stories, here at Embryolab we<br />

have decided to make the dream of having a family come true for<br />

one lucky couple, by offering a full round of IVF, combined with<br />

a relaxing Grecian holiday in our life changing competition.<br />

About us:<br />

Here at Embryolab, we pride ourselves in looking after couples<br />

who are experiencing fertility disorders, providing them with an<br />

accurate diagnosis and then offering immediate and tailor made<br />

treatment to meet each patient’s needs in order to help the couple<br />

conceive. We strongly believe that customized care is crucial in<br />

order to serve the individual needs of our patients.<br />

Since the conditions under which oocytes and embryos<br />

develop is imperative to a successful treatment outcome our lab<br />

has developed a highly successful vitrification protocol which<br />

guarantees high survival rates for both oocytes and embryos.<br />

We ensure our laboratory is an industry leader, by a continuous<br />

updating of assisted reproduction systems coupled with the<br />

support provided by our state-of-the-art equipment thus achieving<br />

our high success rates we have enjoyed so far.<br />

We also have a fantastic team here, from our experts in the<br />

fertility field, right down to our receptionists. We all spend time<br />

getting to know each and every couple, understanding their<br />

needs, answering their questions, and supporting them every<br />

step of the way on their path to parenthood.<br />

Our clinic is situated in Thessaloniki, the second-largest city<br />

in Greece. Also known as Salonika or Saloniki, which has given<br />

Greece some of its greatest musicians, artists, poets and thinkers.<br />

It also has some of the most beautiful beaches and some of the<br />

finest hotels and best restaurants in northern Greece. Built<br />

near the sea, at the back of the Thermaïkos Gulf, it is a<br />

modern metropolis bearing the marks of its stormy past and<br />

cosmopolitan character, giving it a special beauty and charm.<br />

Gastronomy, world-class heritage sites and fantastic shopping<br />

are some of the things that visitors can indulge in. For more<br />

information on Embryolab please visit www.embryolab.co.uk<br />

How to enter:<br />

For your chance at winning a full IVF treatment here at<br />

Embryolab all you have to do is visit www.fertilityroad.com/<br />

winIVF. Where you simply have to complete a form for the<br />

chance of winning this amazing opportunity.<br />

The winning couple will receive:<br />

• Flights from their home town to Thessaloniki.<br />

• Accommodation at the Hyatt Regency in Thessaloniki.<br />

www.thessaloniki.regency.hyatt.com<br />

• All transfers from airport to hotel and Embryolab clinic.<br />

• Full round of IVF treatment.<br />

• Dinner at a top restaurant on the first night.<br />

• Complimentary acupuncture treatment.<br />

Competition closes on <strong>13</strong>/02/<strong>13</strong> and the winning couples' names<br />

will be randomly selected on the 14/02/<strong>13</strong> and announced on<br />

the <strong>Fertility</strong> <strong>Road</strong> website, Facebook and Twitter accounts.<br />

• Preliminary tests of suitability may be required.<br />

Please see www.fertilityroad.com/winIVF for full terms and conditions.<br />

COMPETITION TERMS & CONDITIONS: 1) Information on how to enter forms part of the terms of entry. Entry into this competition is deemed acceptance of these terms and conditions set out by<br />

Embryolab. 2) By entering this competition, entrants agree to be bound by these Terms & Conditions. (and by any other requirements set out in the promotional material) which may be amended<br />

or varied at any time by Embryolab. 3) Entry can be made online via www.fertilityroad.com/winIVF 4) Embryolab is the promoter of this competition. For more information on this clinic please visit<br />

www.embryolab.co.uk 5) Entrants must enter their own name. Embryolab reserves the right request the winner to provide proof of identity in order to claim the treatment. In the event that a winner<br />

cannot provide suitable proof, the winner will forfeit the prize in whole and no substitute will be offered. 6) The competition closes on <strong>13</strong>/02/<strong>13</strong> at midnight. 7) Entry is open to any couple older than<br />

18 and fall within the categories stated in the criteria for entry. 8) The winning couple will receive a full IVF treatment. 9) The winning couple will receive accommodation during this time. 10) The<br />

winning couple will receive return fl ights from Thessaloniki. 11) The winning couple will receive transfers from airport to Hotel and vice versa. 12) All food and incidentals will be covered by the winning<br />

couple. <strong>13</strong>) To submit a complete and valid online entry, entrants will be required to provide various personal details including full name, email address, residential address, contact phone number/s,<br />

age, and date of birth for the purpose of verifying eligibility. Any contact details entered incorrectly shall invalidate the entry. Online entry is free, however internet connection rates apply. 14) The<br />

winning couple will be drawn on 14/02/<strong>13</strong> and will be contacted via telephone on 14/02/<strong>13</strong>. 15) The winning couple will be announced publicly through <strong>Fertility</strong> <strong>Road</strong>’s Twitter and Facebook networks<br />

and on www.fertilityroad.com, in any publicity relating to the competition and will feature in future issues of <strong>Fertility</strong> <strong>Road</strong>. magazine 16) The prize is as stated and is non-transferable or exchangeable.<br />

No cash alternatives will be offered. 17) Privacy statement: We will only use and store your personal information for the purpose disclosed to you in this competition. Full T&C's available at fertilityroad.com<br />

14 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


F E R T I L I T Y R O A D<br />

I N F E R T I L I T Y E X P L A I N E D<br />

UNEXPLAINED<br />

INFERTILITY IS<br />

UNEXPLAINED<br />

NO MORE!<br />

Unexplained infertility can be a very frustrating ‘diagnosis’ for<br />

so many couples to hear. On the one hand, they are happy that<br />

there is nothing obviously broken in either of them, but on the<br />

other hand it just makes it all the more frustrating that there is<br />

anything they can fix!<br />

WORDS BY<br />

PROF. SHEENA LEWIS<br />

or the third of couples diagnosed with unexplained<br />

infertility - we have found a cause! Our sensitive<br />

SpermComet test has been developed to guide these<br />

couples to better fertility treatment for them.<br />

Some of your unexplained infertility experiences:<br />

“I have unexplained infertility, in perfect health, all my tests have all been<br />

perfect. I am 34 years old. Doctors tell me I am a picture of health. I have<br />

regular cycles. I have never had a missed period, been pregnant or been on<br />

the pill. My husband's tests all came back normal too. He is 39.”<br />

“I am so heartbroken. I am recovering from the shock of my failed IVF cycle<br />

and feel like there is an emptiness within me. My partner and I have no<br />

children and have unexplained infertility - we both have 'nothing' wrong and<br />

had all the tests etc done. We only got 2 eggs and neither fertilized. I feel so<br />

robbed. We were not given any reason why it didn’t work this time. I feel so sad<br />

- as if my life is on pause and I have no interest in anything else.”<br />

Unexplained infertility can feel like you don’t know where to turn, what<br />

treatment to seek or if you will ever have a baby.<br />

»<br />

16 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

17


F E R T I L I T Y R O A D<br />

I N F E R T I L I T Y E X P L A I N E D<br />

» Male Infertility<br />

When we think about infertility, very often we focus on the female<br />

but in fact male infertility contributes to nearly 50% of all<br />

infertility cases. Sperm DNA damage has been identified as a major<br />

contributor to male infertility and linked to problems with the<br />

embryo and even to the short and long term health of the baby.<br />

» What is sperm DNA damage?<br />

Research shows that sperm quality is not as good as it was. This<br />

is one of the reasons for increasing numbers of couples seeking<br />

fertility treatment all around Europe. There are many lifestyle<br />

causes for this like smoking, poor diet and environmental<br />

pollutants. All of these produce free radicals that can damage<br />

the DNA of your sperm.<br />

Sperm DNA damage can lead to:<br />

• Fewer eggs being fertilized<br />

• Embryos not developing as well as they should<br />

• Lower pregnancy rates<br />

• More miscarriages<br />

» What if the semen analysis is normal?<br />

Can testing for sperm DNA damage help<br />

decide what treatment is best for you?<br />

Recent research shows that that there is little connection between<br />

a traditional semen analysis result and the DNA damage in your<br />

sperm. So, even if your sperm count is normal, DNA damage may<br />

mean you are unable to get pregnant. Measuring sperm DNA<br />

quality is much more sensitive than a semen analysis test at<br />

picking up problems.<br />

» How Sperm DNA testing can guide to the<br />

right diagnosis and treatment choice.<br />

• If less than 25% of sperm are damaged: The problem is not<br />

your sperm DNA.<br />

• If 25% or more are damaged: there is a high risk of infertility<br />

and very little chance of natural pregnancy.<br />

In both these circumstances inseminating you with your partner’s<br />

sperm (IUI) is unlikely to work.<br />

• If the damage in your sperm is only between 25% & 50%: there<br />

is a very good chance that you will be successful with IVF.<br />

• If the damage is over 50%: IVF is unlikely to succeed. If treatment is<br />

planned, intracytoplasmic sperm injection (ICSI) is more likely<br />

to be successful. This is when a single sperm is injected directly<br />

into the egg. We think this works better because ICSI gives the<br />

egg a better chance to repair the damaged DNA in the sperm.<br />

• If ICSI has been attempted and has not worked for you, then you<br />

may wish to talk to your fertility specialist about ICSI with<br />

surgically retrieved sperm. For those who don’t wish to undergo<br />

this simple but invasive procedure then donor sperm is the<br />

alternative choice.<br />

Our group has recently published a paper on a very large study<br />

that we performed within our university. Part of the study<br />

looked at couples with unexplained infertility. We wanted to<br />

see if any of the men who had been diagnosed with unexplained<br />

infertility had sperm DNA damage. We found that a staggering<br />

49% of these men had sperm DNA damage. So their ‘unexplained<br />

infertility’ is unexplained no more! The good news is<br />

that now we have a diagnosis, we can choose fertility treatment<br />

more suited to their needs.<br />

When we use the SpermComet test, we can check how much<br />

damage is in each sperm. If your partner has a lot of DNA damage<br />

then you can decide to go forward using ICSI and hope for a greater<br />

chance of a successful birth.<br />

» About the SpermComet DNA test<br />

The SpermComet looks just like a ‘comet’ in the sky. Here the tail<br />

of the SpermComet is the damaged DNA. We can look at your<br />

sperm individually and measure any damage. This gives you a<br />

much more detailed result than other tests.<br />

» Sperm DNA as a diagnostic test<br />

Since DNA damage is a more reliable indicator of male infertility<br />

than for example a low sperm count, then the SpermComet test<br />

is needed for a suitable diagnosis.<br />

Just to sum up, male infertility research is currently a very<br />

exciting and rapidly moving area. The sooner fertility clinics start<br />

to use the SpermComet routinely instead of sticking with the<br />

older and less reliable tests to diagnose the type of infertility the<br />

man may have, then the sooner we can look forward to better<br />

reproductive outcomes in fertility treatment.<br />

With the acceptance of new tests, couples will be better<br />

informed and clinics will have additional information on which to<br />

base their choice of treatment.<br />

There are an increasing number of fertility clinics in the UK and<br />

Ireland offering the SpermComet test already and many more<br />

planning to use it in the future. To find out all about the test please<br />

email info@lewisfertilitytesting.com of visit the Lewis <strong>Fertility</strong><br />

website at www.lewisfertilitytesting.com<br />

18 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


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F E R T I L I T Y R O A D<br />

C E L E B R I T Y S P O T L I G H T<br />

While cultivating a successful Hollywood hard-man image thanks<br />

to buffed up performances in Australia, ‘Swordfish’ and his<br />

calling card trademark, the X-Men character Wolverine, Hugh<br />

Jackman makes no attempt to maintain a strong, silent personal<br />

guise away from the spotlight as a devoted husband and father.<br />

HOLLY WOOD,<br />

HEARTACHE<br />

& HAPPINESS<br />

nlike many in Hollywood,<br />

Australian Hugh Jackman<br />

is refreshingly frank, and<br />

has been since his breakout<br />

in X-Men nearly 12<br />

years ago. Indeed, his openness surrounding<br />

his and wife Deborra-Lee Furness’s<br />

difficulties in having a family remains<br />

nothing short of admirable.<br />

Married for 16 years, the couple endured<br />

long periods of anguish in their hopes to<br />

have children, blighted by a succession of<br />

emotionally draining miscarriages. Hugh<br />

has been quoted over the years, often<br />

labelling the journey as the most painful<br />

thing he has been through.<br />

But wind forward, and having turned<br />

their sights towards adoption, the couple<br />

are now the proud parents of children<br />

Oscar, 12, and Ava, 7. The actor calls them<br />

“part of his destiny”.<br />

“You go through this journey for years, through so<br />

WORDS BY<br />

FRANK GRICE<br />

much emotion, an emotional rollercoaster - and<br />

arrive at a personal place where you sit back and<br />

realise, after all that, it was all part of your destiny,”<br />

he explains to <strong>Fertility</strong> <strong>Road</strong>.<br />

“I’m a firm believer in the idea that what’s meant for you is<br />

what’s meant for you, and both Deb and I believe things happened<br />

the way they were meant to. Oscar and Ava were our destiny; it<br />

was how it was all planned. Having children biologically was not<br />

our intended path.<br />

“Now, as we go through life together, of course there are always<br />

going to be challenges and obstacles in our path but everyone’s in<br />

the right place with the right people. It sounds all up in the air, sunshine<br />

and rainbows, but it’s something we feel very deeply about.”<br />

Now based in Manhattan, Hugh and Deborra-Lee underwent<br />

IVF in their attempts to have a family and he reveals the difficult<br />

process, and ultimate failure to conceive, understandably ened their anxiety.<br />

“Anyone who’s been through IVF knows how draining the whole<br />

process is - it’s tough on everyone. It pulls on every emotion. But<br />

we had an idea in our head of where we wanted to go. height-<br />

»<br />

20 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


“<br />

On screen Hugh Jackman<br />

may be the all-action acting<br />

heavyweight, but on home<br />

turf he’s a devoted dad to<br />

children Oscar and Ava. ”<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

21


F E R T I L I T Y R O A D<br />

C E L E B R I T Y S P O T L I G H T<br />

Hugh takes on the role of protagonist Jean Valjean in<br />

the big-screen adaptation of book and mega-musical<br />

Les Miserables alongside fellow Aussie Russell Crowe.<br />

“<br />

There used to be such shame surrounding<br />

adoption - parents would wait for years<br />

to tell their children, and would sometimes<br />

never tell them at all. So what I think is<br />

amazing now is that the focus is switching<br />

to the care of the child. ”<br />

“We thought we’d have a kid or two biologically and then adopt.<br />

We went through what we went through with IVF, until the decision<br />

came to stop. We’d had enough - Deb’s body had enough. It<br />

was too much and something had to give. So we went ahead<br />

with adoption.”<br />

But while Hugh admits the IVF experiment for he and his<br />

wife was ultimately a fruitless one, he stands by the science.<br />

“When it works, it must be one of the most wonderful things<br />

in the world. For us, it wasn’t to be, and while our own experiences<br />

are negative, I am fully behind the science and the journey,<br />

because for so many other couples it does work. We had a look<br />

into that side and maybe we were close to being successful, but I<br />

guess ours is a lesson in accepting that things don’t always turn<br />

out the way you think they might. I guess we can be there as a<br />

reason to temper some of the positivity and excitement with the<br />

fact that it doesn’t always work out the way that you hope. But if<br />

that’s the reality, then there is always another step. For us, it was<br />

perfect – adoption. So my message is to never give up.<br />

“It was incredibly difficult to make the decision to end IVF<br />

treatment, but from the first second we went down the adoption<br />

route, all the anxiety just disappeared and went away.”<br />

Hugh, who’ll soon be seen as Jean Valjean in the hotly anticipated<br />

big screen version of Les Misérables, lovingly admits his<br />

relationship with Oscar and Ava is something he’d never experienced,<br />

bringing to the fore a range of new emotions.<br />

“My love for my children is so incredible,” he says. “It’s incomparable<br />

from the love for my wife. It’s like different oxygen -<br />

you find this new superpower within and you can’t believe you<br />

were capable of such love. I would do anything, anything for my<br />

children, without a moment’s thought. It’s just engrained now.”<br />

The couple has publically lent their support raising adoption<br />

awareness throughout the world and Hugh is determined to see<br />

the stigma surrounding the issue fade away.<br />

“There used to be such shame surrounding adoption - parents<br />

would wait for years to tell their children, and would sometimes<br />

never tell them at all. So what I think is amazing now is that the<br />

focus is switching to the care of the child. We are incredibly<br />

open with our kids about where they came from; we made sure<br />

of that from the moment they could understand and, I hope, in<br />

time, any stigma will simply vanish.”<br />

While he’s clearly a devoted family man, it’s not all about clan<br />

for the Sydney born star, 44, who’s experiencing a grueling filming<br />

schedule. Currently dividing his time between Japan and<br />

Australia shooting James Mangold’s The Wolverine - a spin-off<br />

from the phenomenally successful X-Men franchise - he’ll fly<br />

out to Boston afterwards to record thriller Prisoners with Jake<br />

Gyllenhaal. And straight afterwards, he’ll head down south to<br />

Louisiana where he’s taking on the role of circus legend PT Barnum<br />

in biopic The Greatest Showman on Earth.<br />

And fans will soon be able to catch the star in what’s he’s describing<br />

as his most challenging role to date as Jean Valjean in<br />

Les Misérables, with early reviews already creating ‘Oscar buzz’<br />

for the actor. “It’s been incredible” he gushes. ”It’s an incredible<br />

film and project, I feel proud to be part of it. I don’t know if I ever<br />

worked as hard on a film to be honest. And if it gets recognised<br />

come awards season, then all the better. Bring it on!”<br />

Hugh undergoes a dramatic physical transformation in the<br />

movie, losing a reported three stone for the demanding role.<br />

“You see Valjean when he is aged 39 or whatever it is, as he<br />

gets released from prison after being essentially in a labour<br />

22 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


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Dr. Petr Uher is a Czech gynaecologist who operated for many years in the field of assisted reproduction in<br />

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that managed to achieve pregnancy resulting in the first child being delivered after ART in the Czech Republic.<br />

Since 2003 he has worked on the development of PGD techniques and human stem cell research.<br />

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F E R T I L I T Y R O A D<br />

C E L E B R I T Y S P O T L I G H T<br />

“<br />

I’m a blessed man, and I feel so<br />

lucky in my lifetime, I just want<br />

everything to continue on as is. My<br />

kids are happy, my wife is happy,<br />

I can happily say I’m happy. I’m<br />

excited for the future, to see what’s<br />

coming and what’s ahead, but I’m<br />

more than happy in the present. ”<br />

Hugh’s antipodean<br />

Easter Bunny with<br />

Alec Baldwins Nicholas<br />

St. North (Santa Claus),<br />

Another of Hugh’s diverse<br />

roles is as the voice of<br />

E. Aster Bunnymund<br />

(Easter Bunny) in the<br />

2012 DreamWorks 3D<br />

animataion Rise of<br />

the Guardians<br />

camp for 19 years, and we needed to see that in part of his every<br />

being - mentally and physically. But then I had to put the weight<br />

back on slowly to represent his rebirth to life, but in a very gradual<br />

way. And considering I’ve done this kind of transformation<br />

before on other movies, I still see Les Mis as probably the most<br />

demanding, not helped by the vocal challenges we faced.”<br />

It’s not the typical process for a Hollywood musical, given that<br />

Kings Speech director Tom Hooper insisted his A-list cast - including<br />

Russell Crowe, Anne Hathaway and Amanda Seyfried - sing the<br />

legendary score live on set, rather than record the vocals in a studio.<br />

And even for a stage veteran like Jackman, it was a daunting prospect.<br />

“When I initially got the part, the excitement and anticipation<br />

was insane; I was like a little kid at Christmas. But then I got the<br />

news that we’d be singing live on set. Firstly I wasn’t even sure if<br />

that was possible but Tom [Hooper] was insistent and mined in his vision. And it’s been an amazing experience.<br />

“And yes, I know I have familiarity from working on the stage -<br />

I’m not a complete novice - but it was an entirely different<br />

project. To start singing at eight o’clock in the morning, continuing<br />

until eight o’clock at night, I never got used to it, but that lent<br />

deteritself<br />

to the production. I’m excited for everyone to see it.”<br />

Given the intensity of the workload, it has been a relief for<br />

Hugh to return to Australia for a festive break.<br />

“We’ve celebrated Christmas previously in New York but it<br />

has been nice to have some sunshine to enjoy. On actual Christmas<br />

Day itself, it’s always been ‘go, go, go’, and having that experience<br />

with kids just makes it all the better. We’ll usually have gone to a<br />

midnight mass the night before, and on the day, we have a hot<br />

lunch and ham and all that sort of thing. Even though it’s crazy<br />

sometimes in the Australian climate to have the traditional dinner,<br />

we insist on having the Christmas pudding and going the<br />

whole hog.<br />

“We do presents in the morning and leave stockings out and<br />

obviously the reindeers and Santa would come and there’s evidence<br />

of that. We have family over and my wife’s family has a<br />

tradition of having all the Christmas orphans come around so<br />

there are usually about 60 people at our place Essentially, if<br />

there’s anyone that we vaguely know without their family, they<br />

end up coming to our place.”<br />

It must be difficult to plan Christmas for the kids when he’s<br />

so busy with work commitments? Does Hugh ‘do a Hollywood’<br />

and have some underling assistant buy his presents?<br />

“No, not at all, I still buy presents – for Christmas, for birthdays,<br />

the lot,” he laughs. “Well, let me be honest, my wife does the<br />

lion’s share of that. But I do shopping for the stocking - I don’t<br />

know why, I like all that stuff, just the little bits and pieces. It’s<br />

important to me - Christmas is important to me, and when you<br />

have kids it takes on that whole new meaning. It’s reliving the<br />

magic that you felt yourself as a little kid.”<br />

And what about his plans for 20<strong>13</strong>?<br />

“I think the place I’m at right now it’s all about everyone being<br />

happy and healthy. What more can you ask for after that? I’m a<br />

blessed man, and I feel so lucky in my lifetime, I just want everything<br />

to continue on as is. My kids are happy, my wife is happy, I<br />

can happily say I’m happy. I’m excited for the future, to see what’s<br />

coming and what’s ahead, but I’m more than happy in the present.<br />

And I guess I’m evidence that through all the emotion and heartache,<br />

things do work out okay if you keep your vision and belief.”<br />

24 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


F E R T I L I T Y R O A D<br />

T I M E A W A Y F O R T W O<br />

Alpine<br />

Retreats<br />

»<br />

26 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


Taking time out of a hectic lifestyle<br />

can do miracles, not only for your<br />

fertility, but also for your well being.<br />

With that in mind, we have found<br />

some fabulous alpine retreats where<br />

you can unwind, de-stress and even<br />

ski with your partner, and who knows,<br />

you might just come home pregnant.<br />

THE CAMBRIAN<br />

» Adelboden, Switzerland<br />

Offering breath taking views of the Swiss Alps, the Cambrian is located in<br />

the centre of Adelboden, offering an authentic slice of Alpine living. The<br />

71- room hotel features a massive spa area and a heated outdoor pool<br />

overlooking the mountains and also includes an indoor pool, 2 saunas, a<br />

Jacuzzi, and a modern gym, and if you fancy it, there are masseurs<br />

available to rub out all that tension in your neck and shoulders.<br />

Why not sit back and enjoy the unique vista of mountains and<br />

waterfalls from the sun terrace and the lounge, which features a<br />

beautiful grand fireplace. Modern Swiss cuisine is made from seasonal<br />

and regional products and Scott’s bar offers a wide range of drinks and<br />

snacks. There are also five ski fields for all levels on your doorstep if<br />

you fancy a bit of skiing.<br />

LEARN MORE: www.thecambrianadelboden.com<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

27


F E R T I L I T Y R O A D<br />

T I M E A W A Y F O R T W O<br />

ALPINA DOLOMITES<br />

GARDENA HEALTH LODGE & SPA<br />

» South Tyrol, Italy<br />

Just opened in an unbeatable location on the Alpe di Suisi, Europe’s<br />

largest high-altitude plateau, this 56 room wellness hotel sits right<br />

next to the Dolomiti Superski circuit, which is home to 760 miles of<br />

pristine slopes for all levels of skier. The hotel has eight levels of<br />

accommodation, indoor and outdoor pools and the Alpina Spa, which<br />

has tepidarium-style herbal bio-saunas, aromatic steam baths and<br />

products and treatments by Sothys Paris and Aveda.<br />

Stylish rooms range from spacious doubles to suites sleeping<br />

four, with their own living-rooms, massage tables, cooking<br />

areas, ethanol-burning fireplaces and private balconies. All have<br />

been designed to maximise the views of the hotel’s beautiful<br />

surroundings. There are also four restaurants and bars including<br />

the organic Mountain Restaurant and Stube (South Tyrolean<br />

living-room-style), the Mountain Lodge & Bar and a cigar lounge.<br />

LEARN MORE: www.alpinadolomites.it<br />

GRAND HOTEL KRONENHOF<br />

» Pontresina, Switzerland<br />

The 5-star superior Grand Hotel Kronenhof in Pontresina is one of the<br />

most architecturally significant Grand Hotels in the Alps since the 19th<br />

century. Many of the luxurious rooms are lavishly furnished to pamper<br />

with the latest technology to provide a luxurious home away from home.<br />

The Kronenhof Spa stretching over 2,000 square metres is in a class by<br />

itself, offering a new dimension in relaxation and wellness for all those<br />

wanting to stay naturally healthy.<br />

The stunning views to the glaciers of Bernina, Val Roseg with its<br />

marvellous glacier and the magnificent Swiss stone pine and larch forests<br />

are simply breathtaking. The art of cuisine at the Grand Hotel Kronenhof<br />

is celebrated by an array of spectacular culinary experiences and a<br />

variety that is as exclusive as the unique mountains cape and all guests<br />

are welcome to dine in one of the most beautiful neo-baroque Grand<br />

Restaurants in the Alps.<br />

LEARN MORE: www.kronenhof.com<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

29


F E R T I L I T Y R O A D<br />

T I M E A W A Y F O R T W O<br />

HOTEL DAS KRANZBACH<br />

» Bavaria, Germany<br />

This delightfully original spa hotel in a beautiful valley in the<br />

Bavarian was built in 1918 by the architect Detmar Blow for Mary<br />

Portman, a renegade aristocrat who fled Edwardian Britain to<br />

connect with nature in the mountains, it re-opened as a 90 room<br />

hotel and spa in 2007m creating a hotel that feels more like an<br />

inviting home, with open fires in every public room; a vibrant<br />

colour scheme; tactile, buttoned armchairs; communal dining tables<br />

and bespoke butterfly wallpaper. Elegant bedrooms are shared<br />

between the original building and a new south-facing annexe.<br />

There’s also a spring-fed, 25 treatment room spa with five<br />

heated pools, six saunas and steam baths and beauty products by<br />

Thalgo and Pharmos Natur. Food is healthy and locally sourced but<br />

the buffet breakfast of homemade breads, jams, yogurts and cakes<br />

will set you up for a day of cross-country skiing.<br />

LEARN MORE: www.daskranzbach.de<br />

AU COIN DU FEU<br />

» Megève, France<br />

Nicknamed the ‘21st arrondissement of Paris’ in the 1950s by Jean Cocteau<br />

because of its chic social scene, the pretty alpine village of Megève, built just<br />

after the First World War, has always had that ‘sprinkled with fairy dust’<br />

feel about it. Set just few steps from the village of Megève and the<br />

Rochebrune cable-car, this Au Coin Du Feu welcomes you into its warm<br />

and inviting atmosphere blending the art of living and French tradition.<br />

The elegant Hotel offers an authentic chalet-type setting and<br />

tastefully decorated guest rooms that provide a view of the mountains.<br />

They are all elegantly furnished and equipped with modern amenities<br />

and facilities. The hotels lounge is the ideal place to unwind and relax. Sit<br />

near the fireplace and enjoy the warmth after a long day on the slopes<br />

while sipping a warm drink. There is also a relaxation area to fully<br />

recharge your batteries with Jacuzzi, saunas and deep tissue massages.<br />

LEARN MORE: www.coindufeu.com<br />

30 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


Porter Dodson’s <strong>Fertility</strong> and Parenting Law team provides<br />

bespoke cutting edge legal help and solutions to people<br />

across the UK and abroad. We can help create, support<br />

and protect your much wanted family no matter where in<br />

the world you are based.<br />

We offer the latest<br />

testing for male<br />

infertility<br />

The Team is headed by Louisa Ghevaert.<br />

Internationally recognised as a leading<br />

expert in UK fertility, surrogacy, parenting<br />

and children law, Louisa has pioneered the<br />

practice of fertility and parenting law in the<br />

UK. Her expertise covers international and UK<br />

surrogacy, donor conception, co-parenting,<br />

embryo storage, children and parenting, and<br />

gay and lesbian parenting.<br />

Contact Louisa Ghevaert<br />

Telephone: +44 (0)207 222 1244<br />

Email: louisa.ghevaert@porterdodson.co.uk<br />

@LouisaGhevaert<br />

www.porterdodsonfertility.com<br />

The human desire to have children is at<br />

the heart of our being. If couples find it<br />

hard to get pregnant, it can be one of the<br />

most distressing times of their lives.<br />

www.lewisfertilitytesting.com<br />

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HalfPageHoriz.indd 1<br />

9/24/12 11:34 PM


F E R T I L I T Y R O A D<br />

T R A V E L F O R T R E A T M E N T<br />

Many couples who are struggling to conceive may be advised that<br />

their best chance of success is to seek treatment abroad. With the<br />

promise of hot sunny weather, white sandy beaches, shorter waiting<br />

times and no anonymity laws for egg donation, Veronica Montgomery<br />

at the Barbados <strong>Fertility</strong> Centre explains why travelling for treatment<br />

might be right for you.<br />

Babies in<br />

Barbados<br />

nfertility is a very difficult subject for couples<br />

to talk about openly, and can put a huge strain<br />

on a relationship. All too often, after making<br />

the happy decision to start a family, the telltale<br />

cracks start to appear as month after<br />

month no pregnancy occurs. If you have been trying<br />

for 12 months or more then this is classed as infertility<br />

and further investigations must be carried out. It is<br />

important to remember that a woman is born with all of<br />

her eggs, but by the time she reaches 35, her ovulation<br />

will decrease by almost half.<br />

Choices to be made<br />

Only once all the tests have been carried out, then a<br />

course of action can be determined, but treatment costs<br />

are not always covered. The criteria for an IVF cycle on<br />

the NHS are determined by many factors and each Trust<br />

has its own individual policy on their criteria for funded<br />

treatment.<br />

So do you meet the criteria for an IVF cycle in your<br />

area? If so, how long will you have to wait for treatment?<br />

Some couples have been known to wait as long as 18<br />

months to get an IVF cycle, only to be informed that<br />

funding in their area has run out, with the only option<br />

left, to go private.<br />

On average, the cost of private IVF treatment in the<br />

UK is around £7000, and in the current economic<br />

climate, couples have gone to extreme measures to fund<br />

their treatment only to be told that because they are over<br />

40, and that the best chance of becoming pregnant is<br />

with donor eggs.<br />

“<br />

There are many reasons<br />

why women might need egg<br />

donation. Perhaps she has<br />

poor quality eggs, survived<br />

cancer, or her biological<br />

clock has simply run out. ”<br />

Egg Donation<br />

Dionne Holmes, from BFC has a wide knowledge of<br />

international egg donation and has worked with Donors<br />

and Recipients for the last 4 years.<br />

“There are many reasons why women might need egg<br />

donation. Perhaps she has poor quality eggs, survived<br />

cancer, or her biological clock has simply run out. Many<br />

emotions and logistical challenges can arise during<br />

fertility treatment and it my job to see couple’s through<br />

the maze by being their primary point of contact<br />

throughout the process.”<br />

For some couples, using an egg donor can be a<br />

difficult reality to digest and is a very emotional time for<br />

all concerned. But to understand fully that by using an<br />

egg donor, will not take away any part of you being a<br />

mother. If your treatment is successful, you will enjoy<br />

everything pregnancy has to offer, feel the baby’s first<br />

movements, carry the child to term and roughly 9<br />

months later, give birth. »<br />

32 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

33


F E R T I L I T Y R O A D<br />

»<br />

T R A V E L F O R T R E A T M E N T<br />

So if you are thinking of egg donation in the UK, it is<br />

important to do your research, but where do you look?<br />

UK Regulations and Treatment abroad<br />

New laws introduced in the UK in 2005, stated that any child born<br />

from donor eggs in the UK has the right to ask the Human<br />

Fertilisation & Embryology Authority (HFEA) for the identity of<br />

the donor when they reach eighteen and over. As a result of this<br />

regulation, there has been a serious decline in the number of<br />

women willing to donate in the UK. Recipients tend to feel more<br />

comfortable with using anonymous donors and so many couples<br />

are now forced to look overseas for treatment with donor eggs.<br />

One clinic who has seen a dramatic influx of couples from the<br />

UK is the Barbados <strong>Fertility</strong> Centre (BFC), located on the Caribbean<br />

island of Barbados. Since opening 10 years ago, Dr. Juliet Skinner<br />

and her medical team have worked hard to increase every<br />

couple’s chance of success and have created their own donor egg<br />

programme to help couples through the minefield of egg donation.<br />

This is especially good news for couples that need Afro Caribbean<br />

eggs as they run a local programme to recruit donors.<br />

After attending November’s <strong>Fertility</strong> Show in London, BFC’s<br />

Dionne Holmes was amazed at the positive response relating to<br />

travelling for treatment, she said<br />

“Most patients love the idea of a relaxing, stress free holiday in<br />

Barbados while undergoing treatment. Of course the weather is big<br />

plus for us and we do believe that by helping couples to unwind,<br />

we also increase their chances of a successful outcome. There is<br />

currently a shortage of donors for Afro Caribbean eggs in the UK,<br />

the waiting time is at least 2 years and it’s not anonymous, where<br />

as at BFC we have no waiting list and it is anonymous.”<br />

Many studies have shown that stress has an impact on<br />

fertility, so treatment abroad in a relaxing environment may be<br />

beneficial. Weather can also play a part in aiding conception as<br />

a recent meeting of the American Society of Reproductive<br />

Medicine reported evidence that sunlight exposure can have a<br />

positive effect on the success of IVF cycles using donor eggs.<br />

“<br />

Most patients love the idea<br />

of a relaxing, stress free holiday<br />

in Barbados while undergoing<br />

treatment. Of course the weather<br />

is big plus for us and we do believe<br />

that by helping couples to unwind,<br />

we also increase their chances<br />

of a successful outcome. ”<br />

combination of these factors has discouraged UK based donors.<br />

Recently, the compensation has gone up to £750, but we are yet<br />

to see any significant improvement in waiting times and good<br />

quality donors still remain difficult to obtain, especially for ethnic<br />

minorities.<br />

Waiting lists can be quite long in the UK; therefore UK couples<br />

who need donor eggs are being driven abroad. We chose to work<br />

with BFC as they have an outstanding reputation and very high<br />

success rates, so we feel confident in sending patients over to<br />

Barbados for treatment.”<br />

For more information on travelling for treatment and the work of<br />

Barbados <strong>Fertility</strong> Centre please log on to www.barbadosivf.com.<br />

To speak to Dionne directly you can email your questions about egg<br />

donation to dholmes@barbadosivf.com.<br />

Working with the right clinics<br />

Before travelling abroad for treatment, support from a UK<br />

specialist is needed to carry out the necessary tests prior to any<br />

procedures undertaken overseas.<br />

Dionne Holmes adds, “Whilst at the <strong>Fertility</strong> Show I spoke to<br />

many other fertility clinics, specifically about the challenges faced<br />

by UK patients for egg donation. Every clinic was very receptive<br />

about working with overseas clinics in the future, so our goal at<br />

BFC is to make egg donation more accessible for UK couples<br />

through partnerships with UK fertility specialists nationwide.”<br />

BFC has partnered with two leading UK fertility specialists;<br />

Mr. Christopher Steer, Consultant Obstetrician & Gynaecologist<br />

who works out of Chelsfield Park Hospital and The Sloane<br />

Hospital both in Kent and Mr. Amit Shah, Consultant Obstetrician<br />

& Gynaecologist at <strong>Fertility</strong> Plus on Harley Street.<br />

Mr. Shah said, “The UK egg donation situation has changed a<br />

lot since anonymity was removed, and compared to rest of the<br />

world, the donor compensation was limited to £250, the<br />

FOR MORE ARTICLES ON<br />

EGG DONATION VISIT<br />

FERTILITYROAD.COM »<br />

34 | WWW.FERTILITYROAD.COM |<br />

WINTER 2012/20<strong>13</strong>


need an Afro Caribbean egg there is no time limit on how long you can wait.<br />

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EGG DONATION FROM THE<br />

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ISSUE 12 WWW.FERTILITYROAD.COM


F E R T I L I T Y R O A D<br />

N U T R I T I O N<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 />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

37


F E R T I L I T Y R O A D<br />

N U T R I T I O N<br />

SALMON FILLET<br />

WITH TOMATO SALSA<br />

Salmon provides a brain building dose of omega-3 oils – but watch<br />

your intake while pregnant. Omega-3 oils are very important, but its<br />

advised that you don’t have more than two portions of oily fish a week.<br />

QUINOA<br />

SALAD<br />

You could make this with or without avocado. If making without<br />

avocado, it will keep for 2 to 3 days. If you don’t add avocado its<br />

delicious if you add some raisins or other dried fruit or nuts.<br />

INGREDIENTS:<br />

• 2 x 100g pieces salmon fillet<br />

• 2 heaped tbsp cream cheese<br />

• 2 tbsp chopped chives<br />

• 1 tbsp chopped chives<br />

• 2 tsp chopped basil<br />

• 2 tsp chopped dill<br />

• 1 tbsp lemon juice<br />

• 10g / 3 tbsp fine breadcrumbs<br />

• 10g / 3 tbsp parmesan, grated<br />

Tomato Salsa<br />

• 2 tomatoes, chopped & deseeded<br />

• 2 spring onions, chopped<br />

• 1 tbsp olive oil<br />

• 2 tbsp white wine vinegar<br />

• 1 tbsp chopped basil<br />

• Salt and pepper<br />

METHOD:<br />

1. Preheat the oven to 200C / 180 Fan / Gas 6. For the topping, mix the<br />

cream cheese, chives, basil, dill and lemon juice together and season.<br />

2. Spread the mixture over the top of the fillets. Place on a baking<br />

sheet. Mix the breadcrumbs, parmesan and 1 tbsp chives together.<br />

Sprinkle over the fillets. Bake for 12 to 15 minutes until the salmon<br />

is cooked through and the topping is golden brown. If the topping is<br />

a little pale, you can brown under a hot grill to crispen the top.<br />

INGREDIENTS:<br />

• 200g quinoa, rinsed<br />

• 500 ml vegetable stock<br />

• 6 spring onions, thinly sliced<br />

• 100g unsalted cashew nuts<br />

• 3 tbsp olive oil<br />

• 1 ½ 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. Bring to the boil, then<br />

reduce the heat and simmer until all the liquid has been absorbed<br />

(approx 20 minutes).<br />

2. Spread the quinoa out on a plate to cool, then transfer to a bowl.<br />

Stir in the onions, cashews, oil and lemon juice and season to taste.<br />

Stir in the raisins if using.<br />

3. Chill until needed. If using avocado, slice the avocado just before<br />

serving and lay over the top of the salad.<br />

Makes 2 portions<br />

3. To make the salsa – mix the tomatoes , spring onions, olive oil,<br />

vinegar and basil together. Season and serve with the salmon.<br />

Makes 2 portions<br />

38 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


BRULEE STYLE<br />

STRAWBERRY DESSERT<br />

Berries are a delicious source of vitamin C, this is a delicious<br />

quick to make dessert that gives you that sweet fix that is a bit<br />

more exciting than plain fruit.<br />

INGREDIENTS:<br />

• 150g strawberries, sliced<br />

• 100g blueberries<br />

• 300 ml Greek yogurt<br />

• 4 tbsp demerera sugar<br />

• 50g Amaretti biscuits, crushed<br />

METHOD:<br />

1. Put the strawberries and blueberries in the base of four wine<br />

glasses or ramekins. Spoon the yogurt on top.<br />

2. Sprinkle over the demerera sugar and top with the crushed<br />

Amaretti biscuits.<br />

3. Chill in the fridge for one hour.<br />

Makes 4 portions<br />

EATING FOR TWO<br />

BY ANNABEL KARMEL<br />

These 3 recipes are all taken from<br />

Annabel's latest book, Eating for Two,<br />

which is a complete guide to nutrition<br />

during pregnancy and beyond. The book<br />

assists expectant mothers throughout<br />

each stage of their pregnancy, offering<br />

tips and advice on what to eat and<br />

what to avoid. Included are the best<br />

foods to promote conception, ideas to<br />

avoid morning sickness and nutrition to combat sleeplessness, anaemia<br />

and heartburn. Annabel steers readers on a healthy and nutritional<br />

journey during pregnancy and even suggests meals to make and freeze<br />

ready for when baby arrives.<br />

Annabel has kindly given <strong>Fertility</strong> <strong>Road</strong> a few copies of Eating for Two<br />

to pass onto to our readers. To win a copy of Eating for Two, simply<br />

email competitions@fertilityroad.com to enter the draw. Winners will<br />

be chosen at random on the 1st February 20<strong>13</strong>.<br />

Eating for Two (RRP £12.99 Ebury Press) available at Amazon.com<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

39


F E R T I L I T y R O a d<br />

I N T E L L I G E N T P R O F I L E<br />

The Jinemed (Gynmed) group of Istanbul, Turkey was established<br />

17 years ago as the first private clinic in Istanbul specialising in<br />

IVF treatments. The clinic is well aware of difficulties that British<br />

couples go through when it comes to infertility. Especially women<br />

above 35 years of age that are affected by this situation.<br />

Jinemed<br />

women’s hospital<br />

ince GPs must request several<br />

tests for the couple, the NHS<br />

system can only provide these<br />

tests within long time intervals,<br />

sometimes from 6-12 months.<br />

Once the diagnosis is ready, the patient can<br />

be referred to an NHS hospital for<br />

reimbursement which takes yet more time.<br />

During this process, patient’s fertility<br />

success may diminish and this process also<br />

causes negative impact on the couple’s<br />

psychology. But of course a reimbursement<br />

system is costless for the patient and such a<br />

system would have such consequences.<br />

However all GPs are doctors and they<br />

surely inform patients to the short cut to<br />

reach the highest possible chances for their<br />

success in the treatment. This is not valid only for infertility<br />

treatments but also for other treatments where time plays a<br />

significant role. At this stage, GPs can inform patients about private<br />

hospitals within the UK and abroad.<br />

Jinemed of Istanbul, Turkey would like to work with GPs on this<br />

matter to provide patients with an alternative option. It is sure that<br />

not all patients are happy with the private treatments received in<br />

the UK due to costs, limitations on the number of embryos.<br />

At this stage, some patients would consider other solutions,<br />

but it is not an easy decision for a patient to fly abroad and<br />

actually compare centres. Although there are informative websites<br />

on the net for IVF centres, the advice of GPs would have a greater<br />

impact for patients to fly abroad. When their patients are happier<br />

and get better pregnancy rates, GPs will be happier as well.<br />

English patients can start their treatment with our partner<br />

gynaecologists in the UK. This way, patients can stay only 7-10<br />

days in Istanbul.<br />

40 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


» Here are some treatments<br />

we offer for infertility:<br />

IVF/ICSI<br />

IVM, Mini IVF<br />

Pre implantation genetic diagnosis<br />

Microsurgical TESE<br />

Egg Freezing<br />

Ovarian Cortex Freezing<br />

Blastocyst Transfer<br />

Assisted Hatching<br />

Embryo Freezing<br />

Frozen Embryo Transfer<br />

Co-Culture<br />

GynaecoloGical operations:<br />

Myomectomy<br />

Laparoscopy<br />

Hysterescopy<br />

Hysterectomy<br />

Gynaecologic Urology Surgeries<br />

More aBoUt JineMeD:<br />

Jinemed’s president and head doctor is Professor. Dr.<br />

Teksen Camlibel who is an American Board certified<br />

Doctor. Prof. Camlibel is well-known doctor when it<br />

comes to Gynaecology and infertility treatments in<br />

Turkey who has established Gynaecology and Obstetrics<br />

departments within A class hospitals in Istanbul,<br />

including IVF treatments. Today Prof. Camlibel is one of<br />

the few doctors in Turkey who has been able to establish<br />

his own hospital and IVF group. Jinemed operates 2<br />

branches in Istanbul-Turkey, 2 branches in Bursa Turkey,<br />

2 branches in Erbil and Basra - Iraq, 1 branch in Sarajevo Bosnia and Herzegovina and 1 branch<br />

in Baku Azerbaijcan, so there are a total of 8 branches of Jinemed Medical Group which can only<br />

be reached via great experience, teamwork , technology and high success rates"<br />

What do our British Patients say about Jinemed?<br />

Patients find our facilities well organised, well clean, and luxurious. They underline the fact that<br />

all of their questions are answered completely so that they feel more involved in the treatment.<br />

Success rates of Jinemed are among top private IVF centres of Europe and USA which is also an<br />

important reason for patients to consider Jinemed. Istanbul as a city is also becoming popular<br />

for tourists to visit. All though fertility patients do no really consider this point important, at<br />

least in different environment than their daily life inclines them towards a positive psychology.<br />

Jinemed also arranges hotel accommodation and airport transfers for patients as well.<br />

From the UK call: 020 3002 0759<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |<br />

41


F E R T I L I T Y R O A D<br />

A S K T H E E X P E R T<br />

<strong>Fertility</strong> expert and best-selling author,<br />

Emma Cannon takes time out to answer<br />

our readers fertility related concerns.<br />

Expert Witness<br />

with Emma Cannon<br />

My partner and I have been trying for over a year to<br />

conceive but with no luck. We've cut out coffee, eat<br />

healthly and stopped smoking, are there any other lifestyle<br />

changes that might increase my chances of getting pregnancy?<br />

I know it sounds strange but couples can fall into the danger of<br />

overlooking the really important part and that is the sex. I am sure you<br />

are having sex, but to make a baby you need to be having plenty of it.<br />

Some couples grow weary of trying and end up reducing the amount<br />

of sex they are having, or the sentiment behind the sex changes. Try<br />

prioritising sex and having some fun. Aim to have sex throughout the<br />

month but increase to every other day from about day 9. Don't force<br />

yourself to have sex though when you are tired or don't feel like it and<br />

don't force your partner - it is a recipe for disaster. Instead try and be<br />

creative and fun and keep the mood light and playful.<br />

In terms of diet don't just focus on what you eat but when you eat -<br />

make sure it is at regular intervals.<br />

I am just about to start my first round of IVF and my<br />

Doctor has advised me that I will need a PGT. What is<br />

this and is it necessary for a successful conception?<br />

Preimplantation Genetic Testing (PGT) is a procedure used in<br />

conjunction with in IVF, which allows the clinic to select embryos<br />

without chromosomal abnormalities and specific genetic disorders.<br />

PGT is used on couples with infertility related to recurrent<br />

miscarriage or unsuccessful IVF cycles or when there is a high risk<br />

of couples passing on and inherited genetic disease to their offspring.<br />

Your Doctor will have a clearer idea of your history and whether this<br />

procedure will improve your chances of conception.<br />

After a year of trying I finally got pregnant but<br />

unfortunately miscarried. I have been thinking of<br />

having acupuncture and herbal medicine. Will this improve<br />

my chances of a healthy conception?<br />

There is growing evidence that treatments such as acupuncture<br />

and herbal medicine can increase your chances of conception.<br />

However, it is important that you find a good practitioner and you<br />

continue pursuing the traditional Western Medicine route. I have seen<br />

acupuncture and herbal medicine improve the health of so many<br />

patients and result in successful pregnancies but it is important to<br />

keep all your options open and let your health care provider know<br />

what other treatments you are receiving.<br />

When my husband was younger, he was involved in<br />

an accident playing rugby, where he ultimately ended<br />

up with a twisted testicle. Could this have left him infertile?<br />

Testicular trauma or torsion can affect fertility. Around 30 - 40%<br />

of men with a history of testicular torsion has an abnormal semen<br />

analysis. It is also worth checking to see if there are varicoceles;<br />

varicose-like veins of the small veins around the testicles which can<br />

result in high testicular temperature, which over a long period can<br />

damage the sperm. A DNA fragmentation test could be beneficial as<br />

some sperm which appears normal can actually have some DNA damage.<br />

In Chinese medicine theory any trauma can create a disturbance in<br />

the bodies energy system which could potentially result in sub<br />

optimal functioning. It would be worth seeing an acupuncturist to<br />

support the treatments you may be subsequently offered.<br />

www.emmacannon.co.uk<br />

42 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


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F E R T I L I T Y R O A D<br />

F U T U R E E V E N T S<br />

FUTURE EVENTS


N• LIFE-CHANGING COMPETITIO<br />

N• LIFE-CHANGING COMPETITIO<br />

•<br />

•<br />

ISSUE <strong>13</strong> | WINTER 2012/20<strong>13</strong> £3.95/€4.95<br />

ISSUE 12 | OCTOBER - NOVEMBER 2012 £3.95/€4.95<br />

Institute of Reproductive Medicine<br />

LETTER THE<br />

FROM NAKED<br />

TRUTH<br />

THE<br />

Where Ovarian transplantation WIN<br />

new life in HEART<br />

AN IVF begins…<br />

HOLIDAY!<br />

Expect Miracles Surrogacy<br />

THE WORLD'S NO.1 FERTILITY MAGAZINE<br />

YOUR PATH TO PARENTHOOD<br />

WWW.FERTILITYROAD.COM<br />

From the Strength of your Dreams, Comes your Future...<br />

The main<br />

Josh<br />

causes<br />

Cintron<br />

of<br />

shares<br />

male infertility<br />

a journey<br />

and what<br />

with infertility<br />

you can<br />

do to prevent it<br />

through his eyes<br />

humans is a robust procedure,<br />

LETTER<br />

even after cryopreservation,<br />

EGG DONATION FROM THE<br />

PROGRAM<br />

HEART<br />

Sarah Johnson on<br />

her quest to end<br />

the IVF postcode<br />

vitrifi cation might lottery ruling be more<br />

UNEXPLAINED<br />

INFERTILITY<br />

Prof. Sheena Lewis<br />

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FERTILITY ROAD<br />

FERTILITY ROAD<br />

ISSUE 12 OCTOBER - NOVEMBER 2012<br />

ISSUE <strong>13</strong> WINTER 2012/20<strong>13</strong><br />

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F E R T I L I T Y R O A D<br />

L E T T E R F R O M T H E H E A R T<br />

Infertility can cause a great deal of emotional distress to<br />

both women and men. From a man's perspective it can<br />

be incredibly painful to watch your wife struggling both<br />

physically and emotionally. In this issue, we hear from Josh<br />

who explains how he, with his wife, faced infertility head<br />

on, and ultimately becoming a proud Dad himself.<br />

Josh’s<br />

Story<br />

letter<br />

remember that fateful day back in<br />

from<br />

2005 when my wife, Veronica, and I<br />

were sitting in a run-down medical<br />

office in hot Arizona, waiting for<br />

the results<br />

the heart<br />

of an HSG test. The<br />

results would determine whether Veronica<br />

could have kids or not. The obstetrician<br />

walked in. He said hello. He walked over to<br />

Veronica, stood directly in front of her and<br />

looked in her in the eyes. His face was<br />

rather sour and had defeat written all over<br />

it. Without skipping a beat he said,<br />

"I'm going to get to the point. The test<br />

results show that your tubes are clogged<br />

which means you cannot have children."<br />

He grabbed her right-hand and placed<br />

his other hand on her left shoulder. I stood<br />

on the other side her holding her other<br />

hand in mine. She already had tears in her<br />

eyes before the appointment so hearing<br />

these words broke her. (Clearing my throat<br />

right now) This is an image I have in my<br />

mind that I presume will last a lifetime.<br />

» What to do now?<br />

I didn't believe him. I asked him if he was certain, to which he<br />

replied, "Yes." I than asked the doctor what do we do now. He<br />

finished talking to Veronica, trying to console her. He let her know<br />

that everything was going to be alright. In between breaths, he<br />

recommended the name of a local doctor in the field of<br />

reproductive medicine. As she continued crying, I grabbed a tissue,<br />

wiped away her tears and whispered in her ear that we had to leave.<br />

As I walked back to our car and to the driver’s side, I began<br />

hearing, "Why me?!" It was Veronica. She was raising her hands to<br />

the skies, pounding her fists on the dashboard and cursing. The<br />

make-up she meticulously applied before the appointment was<br />

now running down her face, as tears gushed from her eyes.<br />

I sat there motionless. My mouth opened from time to time but<br />

words couldn’t find their way out. I just listened to her scream<br />

and cry. I tried to put my hand on her neck to let her know I was<br />

there but she retracted, flinging her head forward. I get teary eyed<br />

writing this because it makes me relive that point in time. Hearing<br />

the news that kids weren’t a possibility sucked the life out of her.<br />

All she ever wanted to be was a mother and now, that right was<br />

taken from her.<br />

Weeks passed before I called the <strong>Fertility</strong> Doctor recommended<br />

to us by her OB/GYN. I thought, "Maybe he can help?”<br />

46 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


general surgery was performed, in which<br />

her tubes, large fibroids and endo were<br />

removed. Success!!<br />

She spent five days in the hospital and<br />

six weeks at home recovering. Following<br />

her recovery, Dr. Werlin immediately started<br />

a mock trial. And in April 2009, we began<br />

the first of three cycles.<br />

» Adversity at every corner<br />

The appointment with what I know as a<br />

Reproductive Endocrinologist (RE) ended<br />

before it started. After seeing her history<br />

and having us attend several appointments<br />

he declined us as patients. I guess we<br />

would have ruined his success rates.<br />

At this time we lived in Arizona. We<br />

were there because of a house we purchased<br />

in 2004, but as we embarked on the IVF<br />

journey we believed it was best to head back<br />

to California, so we did.<br />

We met with a highly referred RE and<br />

were encouraged after the first appointment.<br />

The RE reviewed Veronica's history<br />

prior to the appointment and pointed out<br />

the severity of her endo. Still, he accepted<br />

us as patients. Hearing this made us enthusiastic.<br />

But, as fate would have it, he retired.<br />

So, we picked ourselves up and found<br />

another RE. Like before, we went through<br />

the motions and he accepted us as<br />

patients. His recommended surgery was<br />

to remove endo and fibroids but Veronica<br />

decided against that and opted for<br />

medication called Lupron. She endured<br />

Lupron injections for a year and at a<br />

regular checkup the RE asked, “I know you<br />

don’t want surgery, but did you want to<br />

start Lupron injections?”<br />

What?! As you could imagine, Veronica<br />

was distraught. We wasted a whole year<br />

and thousands of dollars with an RE who<br />

forgot about us. Again, the firestorm of<br />

tears, wailing of arms and curse words filled<br />

our car following the appointment. Sitting in<br />

the car with the engine off, I found myself<br />

back in the same situation when we were<br />

told when we couldn’t have kids.<br />

» A clinic to the rescue<br />

That very day Veronica let out all the tears<br />

and screams she could. She picked up her<br />

cell phone, typed “IVF clinics” in Google and<br />

made two phone calls to infertility clinics.<br />

She said the first one to call back is the one<br />

we’re going with. Later that day, Coastal<br />

<strong>Fertility</strong> in Irvine California responded<br />

first with a voicemail. Within minutes, we<br />

were scheduled for an appointment. Our<br />

first appointment with Coastal <strong>Fertility</strong><br />

“<br />

Each day I wake, I see my dream and know<br />

they are the dream of others. In this, I will<br />

never cease inspiring other brothers and<br />

sisters who yearn for a child. Believe as if here.<br />

featured an Albert Einstein look-alike<br />

doctor by the name of Lawrence Werlin. I<br />

prepared myself for his spiel about how bad<br />

Veronica’s condition was, but Dr. Werlin was<br />

different. He listened to our concerns and<br />

didn’t blink an eye at Veronica’s severe case<br />

of endo. He reassured us that he was going<br />

to do his best to make our dreams of<br />

parenthood come true.<br />

At that same appointment he ordered a<br />

Laparoscopic (lapo) surgery to verify what<br />

he read in her charts was accurate. The lapo<br />

was unsuccessful because of scar tissue so<br />

» Fatherhood is upon me<br />

We encountered IVF failure twice. We<br />

thought of giving up after receiving a<br />

phone call from Dr. Werlin following the<br />

second failed IVF cycle. With doubt<br />

swirling in our minds, we turned to family<br />

for comfort. Seeing the devastation in<br />

Veronica’s eyes, one of her cousin’s boldly<br />

stepped up and offered to carry for us. We<br />

accepted her offer and the rest is history.<br />

On March 2, 2012, my ‘air’ and ‘water’<br />

as I like to call them were born. Twins; a boy<br />

and a girl. Jude and Gianna. They’re miracles<br />

of miracles and the closest thing to God<br />

I’ll ever know in the flesh. I cannot repay<br />

Veronica’s cousin for sacrificing her body and<br />

time for the desires of someone else. Her<br />

reward is surely coming from the almighty.<br />

It took seven years, many appointments<br />

and over $100k to have my ‘air’ and ‘water.’ It<br />

took every ounce of faith and strength to<br />

persevere through adversity that seemed to<br />

find our front door. This journey troubled our<br />

hearts, turned my wife and me against each<br />

other and even made us question our faith<br />

in God. In the end, I’m humbled to be standing<br />

here today, writing this letter for all mothers-to-be<br />

and fathers-to-be. I leave with this:<br />

“Each day I wake, I see my dream and<br />

know they are the dream of others. In this, I<br />

will never cease inspiring other brothers<br />

and sisters who yearn for a child. Believe as<br />

if here. Dream as if real. Never give in.<br />

Never give up.”<br />

Dream as if real. Never give in. Never give up. ” 47<br />

WINTER 2012/20<strong>13</strong> | WWW.FERTILITYROAD.COM |


F E R T I L I T Y R O A D<br />

F E R T I L I T Y M O N I T O R S R E V I E W<br />

<strong>Fertility</strong> monitors can be reassuring and<br />

empowering – putting you in control of<br />

your fertility. But with so many to choose<br />

from at very different prices, the choice<br />

can be bewildering. Which is right for you?<br />

<strong>Fertility</strong> <strong>Road</strong> gives you the rundown<br />

on all the main contenders.<br />

<strong>Fertility</strong><br />

Monitors<br />

Early Days (0-6 months)<br />

If you have been trying for a baby for a short time, and have<br />

regular cycles you’re best advised not to spend too much<br />

money now and let nature take its course. Concentrate on<br />

understanding your fertility cycle by keeping a diary and<br />

observing fertility clues (changes in your body). You might find<br />

fertility ‘Apps’ a useful low cost option. If you are over 35, or<br />

have irregular cycles, you may not want to leave things to<br />

nature. Try ovulation tests such as ClearBlue, or First Response<br />

(£10-15). They’re simple to use and can estimate ovulation dates.<br />

If you have not managed to conceive after 4 cycles using these<br />

tests, we suggest moving up to the next level.<br />

Beginning to get worried (6-12 months)<br />

If you’ve been trying for 6 months, you have a 50% chance of<br />

being diagnosed as infertile after a year. So it makes sense to<br />

start taking a closer look at what help is available. If you have<br />

not yet tried LH tests, you could try using them for a couple<br />

of months. Many couples will want to start monitoring things<br />

in greater detail as this may help the diagnosis of a problem<br />

preventing conception. In that case, <strong>Fertility</strong> <strong>Road</strong> would<br />

recommend the ClearBlue monitor or Duo<strong>Fertility</strong>. The ClearBlue<br />

monitor is a standalone monitor whereas the Duo<strong>Fertility</strong> comes<br />

with expert support.<br />

Infertility confirmed (12 months onwards)<br />

In your second year, you should visit your GP to get a few tests and<br />

try to identify the cause of the delay in getting pregnant. During<br />

this year, you may not get fertility treatment if no major problems<br />

are found. The ClearBlue <strong>Fertility</strong> monitor and the Duo<strong>Fertility</strong><br />

monitor would be an investment worth making at this stage.<br />

More details about each of the monitors,<br />

monitors fall into four main categories:<br />

1<br />

Ovulation Tests<br />

Ovulation Tests such as Clearblue and First Response rely<br />

on measuring the surge in luteinising hormone (LH) that<br />

occurs just prior to ovulation. Plus points include clarity<br />

and simplicity. A simple yes/no answer for identifying your two<br />

most fertile days is given by dipping the test stick in urine and<br />

waiting a few minutes for the answer. On the negative side they<br />

can be somewhat messy to use and their accuracy may be<br />

questionable if you have been trying for a baby for over 6 months.<br />

If you are one of 20% of women with hormone irregularities, then<br />

they cannot be expected to work. Finally, they do not confirm<br />

ovulation. So even if you get a positive response, you do not know<br />

if or when you ovulated.<br />

Clearblue <strong>Fertility</strong> Monitor £90-100<br />

48 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


Follow us @<strong>Fertility</strong><strong>Road</strong><br />

Further up the price scale, the Clearblue <strong>Fertility</strong> Monitor<br />

works in a similar manner<br />

to<br />

as<br />

help<br />

the single<br />

you<br />

use<br />

on<br />

tests,<br />

your<br />

however<br />

path to<br />

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monitor will learn about parenthood your cycle and and prompt for you all on the the<br />

best day to test. As this latest monitor fertility relies on related reading hormones news,<br />

in urine, it suffers from views the same and failings reviews as ovulation :) #hope test<br />

strips. Importantly, it doesn’t #inspiration confirm that #ttc ovulation #IVF occurs.<br />

2<br />

Monitoring Basal Body Temperature (BBT)<br />

Many GPs recommend that couples try to establish their<br />

fertile days by monitoring the rise in body temperature<br />

as ovulation approaches. Options range from simple<br />

thermometers costing under £20 through to a range of<br />

computerised versions such as Cyclotest and Babycomp costing<br />

up to £400. As changes in temperature can be minute, a digital<br />

thermometer which can read up to 0.01 degree may give more<br />

accurate information. If temperatures are taken at the same time<br />

every day on waking, then an accurate record of your fertility<br />

cycle and indication of ovulation can be charted. However, it can<br />

be difficult taking temperatures at the same time every day -<br />

ideally around 6-7am. Any movement on waking will contribute<br />

to a rising body temperature – as will any illness or disrupted<br />

sleep. Some fertility monitors such as Cyclotest allow you to add<br />

in additional clues such as cervical mucus and LH surges to<br />

possibly enhance the results.<br />

Cyclotest £170 or BabyComp £400<br />

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3<br />

Saliva-based tests<br />

Prior to ovulation, a woman’s saliva, close up may begin<br />

to form a distinct fern-like pattern indicative of the<br />

fertile days. However, most clinicians doubt the accuracy<br />

of saliva analysis to identify fertile days. The level of clinical<br />

evidence to support the efficacy of this technique is far from<br />

convincing. Simple microscopes allow you to look for ferning.<br />

Digital monitors such as OvaCue monitor electrolytes in saliva.<br />

Babystart Saliva Microscope £20 or OvaCue Monitor £200<br />

THE<br />

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Duo<strong>Fertility</strong>, starting at £149 for the monthly plan is<br />

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CODE OF<br />

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feel Duo<strong>Fertility</strong> justifies the expense. Firstly, Duo<strong>Fertility</strong> is<br />

FERTILITY<br />

fully automated – all you have to do is wear a lightweight<br />

sensor under your arm while you sleep. Duo<strong>Fertility</strong> gives a<br />

week’s THE ‘GOLDEN notice of RATIO’ peak OF fertility 1.618, and WHICH confirms WAS when POPULARISED ovulation BY<br />

has Dan occurred. Brown’s novel, You also The enjoy Da Vince individual Code, could support reveal from which fertility women<br />

have consultants. the most New fertile clinical wombs, evidence according has to clearly a gynaecologist. shown that,<br />

for Dr infertile Jasper (but Verguts, not sterile) from couples the University Duo<strong>Fertility</strong> Hospital can be Leuven more in<br />

Belgium, effective than theorised a cycle that of IVF women when would used be for most 12 months. fertile if they had<br />

a Duo<strong>Fertility</strong> uterus of perfect from £149 proportions – a womb where the ratio of<br />

length to width is 1.618. He found that the ratio is around 2 at the<br />

time of birth but decreases as women age to 1.46. Verguts also<br />

Conclusion<br />

found the age when women are most fertile between the ages of<br />

On balance, we believe that ClearBlue and First Response<br />

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ovulation tests are the first choice early on due to their<br />

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Fibonacci<br />

From six<br />

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to of everything trying Duo<strong>Fertility</strong> - from encrypting offers the computer most in-depth data, support. to the numbers The<br />

of combination spirals on of a sunflower simplicity in head use, and expert there support, has been compelling speculation<br />

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F E R T I L I T Y R O A D<br />

N O T F O R G O T T E N<br />

Chinese Year of the Snake<br />

Starts 10th February 20<strong>13</strong><br />

CHINESE NEW YEAR 20<strong>13</strong> WILL MARK THE BEGINNING OF THE YEAR OF THE SNAKE.<br />

Around the world many fear the snake and link it to poison and death, however<br />

in China the snake is revered for its wisdom and knowledge, and is taken as<br />

sign that the family will never go hungry.<br />

Chinese lore holds that babies born during the Year of the Snake will be<br />

very affectionate and close with their family and friends, motivated and<br />

intellectual, hard working and resolute in gaining success. In love, they will be<br />

romantic and charming, intense and passionate, and they will possess a great<br />

sense of humour.<br />

If you were born in the year of the snake, you’re in good company as<br />

some other famous snakes include Greta Garbo, Audrey Hepburn, Bob Dylan,<br />

Brad Pitt, Oprah Winfrey and Virginia Woolf.<br />

Neither this publication nor its contents constitute an explicit endorsement by Mack Media Group of the products or services mentioned in advertising or editorial content. The editorial content in this<br />

publication does not necessarily represent policies or recommendations of Mack Media Group. This publication is not intended to be exhaustive. While every effort has been made to ensure accuracy,<br />

Mack Media Group shall not have any liability for errors or omissions. Readers who have questions should consult their healthcare providers or other competent sources of information and guidance.<br />

© All copyright Mack Media Group unless otherwise stated. Reproduction in whole or in part without written permission is strictly prohibited.<br />

50 | WWW.FERTILITYROAD.COM | WINTER 2012/20<strong>13</strong>


Chromosome<br />

screening<br />

Screening for aneuploidy in an IVF cycle<br />

Screening for aneuploidy before embryo transfer<br />

in IVF optimises the likelihood that embryos<br />

with no identifiable genetic abnormalities are<br />

transferred. This aims to improve the chance of<br />

having a healthy baby, and a successful IVF cycle.<br />

www.chromosome-screening.org<br />

Why are chromosomes important?<br />

Many IVF cycles can result in disappointment as embryos fail to implant. This may be explained<br />

by having an incorrect amount of genetic material (known as chromosomes) in embryos being<br />

transferred. Missing or extra chromosomes in embryos is called aneuploidy. Whilst some<br />

aneuploid embryos can lead to the birth of a baby the majority of pregnancies with aneuploid<br />

embryos result in miscarriages. With advancing age a woman’s risk of aneuploidy increases.<br />

Clinicians believe this is the main reason why birth rates fall for women in their late thirties and<br />

early forties.<br />

Because we believe chromosomes are important in fertility we have created an educational<br />

website designed as a resource for individuals who want to find out more about chromosome<br />

screening. For further information go to www.chromosome-screening.org<br />

website is sponsored by BlueGnome Ltd


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