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

ISSUE <strong>12</strong> | OCTOBER - NOVEMBER 20<strong>12</strong> £3.95/€4.95<br />

YOUR PATH TO PARENTHOOD<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 />

WWW.FERTILITYROAD.COM<br />

THE<br />

NAKED<br />

TRUTH<br />

The main causes<br />

of male infertility<br />

and what you can<br />

do to prevent it<br />

LETTER<br />

FROM THE<br />

HEART<br />

Sarah Johnson on<br />

her quest to end<br />

the IVF postcode<br />

lottery ruling<br />

ISSUE <strong>12</strong> WWW.FERTILITYROAD.COM<br />

Marcia Cross<br />

From primetime<br />

to family time<br />

PCOS EXPLAINED COOKING TO CONCEIVE TIME AWAY FOR TWO


Leaving our mark<br />

for over 20 years.<br />

We love memories, but more importantly we love<br />

beginnings. We’ve been pioneering infertility treatment,<br />

sperm and egg donation, and gestational surrogacy with<br />

same sex couples for over 20 years. Under the leadership<br />

of Dr. Gad Lavy, New England <strong>Fertility</strong> can help you begin<br />

your family – and start your own memories.<br />

Dr. Gad Levy will be speaking and providing free consultations at the “Men Having Babies” Conference, April 29 – May 1<br />

in Catalonia, Spain. This conference is part of the LGBT Families 2nd Annual European Conference. Book your free<br />

consultation now by emailing mwelch@nefertility.com. Skype consultations are also available.<br />

Visit nefertility.com or call +001.203.325.3200<br />

Conveniently located just north of New York City in Stamford, Connecticut.


F E R T I L I T Y R O A D O C T O B E R - N O V E M B E R 2 0 1 2<br />

ISSUE <strong>12</strong> CONTENTS<br />

<strong>12</strong><br />

WIN<br />

AN IVF<br />

HOLIDAY!<br />

22<br />

13<br />

26<br />

36<br />

13 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 THE NAKED TRUTH<br />

Nearly 40% of couple’s fertility issues are due to men's<br />

infertility. We find out the most common causes and what<br />

lifestyle changes and treatments can help prevent it.<br />

22 HOLLYWOOD TO HOUSEWIFE<br />

TV star, Marcia Cross left it late to become a parent, she shares<br />

how giving birth and becoming a Mum at 44 has changed her.<br />

26 UTOPIA IN THE UK<br />

Chase those winter blues away by treating yourself to a spa day<br />

with a friend or loved one, guaranteed to revive and refresh.<br />

ALSO IN THIS ISSUE:<br />

POLYCYSTIC OVARY SYNDROME EXPLAINED<br />

PCOS affects 1 in 4 women, we explore the causes, symptoms<br />

and possible treatment of this devastating disorder.<br />

NUTRITION<br />

<strong>Fertility</strong> expert, Emma Cannon, cooks up some hearty winter<br />

recipes that not only taste delicious but also boost your fertility.<br />

SUCCESS RATES<br />

Paul Serhal from CRGH explains about success rates and what<br />

you should be looking for when you choose a fertility clinic.<br />

LETTER FROM THE HEART:<br />

Sarah Johnson tells us her quest to change the IVF postcode lottery<br />

ruling, allowing couples fair and consistent access to IVF on the NHS.<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

03


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Specially formulated by experts, Pregnacare® replaces your usual multivitamin and provides a careful balance of 19 essential<br />

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Pregnacare® Plus is a dual pack with the additional benefit of an Omega-3 capsule providing 300mg DHA for your baby’s<br />

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Pregnacare® Breast-feeding & New Mum with calcium and Omega-3, to help replenish depleted nutrients following childbirth.<br />

For peace of mind before, during and after your pregnancy, let Pregnacare® take care of you and your baby.<br />

Conception<br />

Pregnancy<br />

Breast-feeding<br />

Important: some pregnancy formulas do not include the exact<br />

10mcg vitamin D, as recommended by the Department of Health<br />

for all pregnant and breastfeeding women.<br />

From Boots, Superdrug, Holland & Barrett, leading supermarkets, chemists, health stores and www.pregnacare.com<br />

NEW<br />

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N• LIFE-CHANGING COMPETITIO<br />

•<br />

ISSUE <strong>12</strong> | OCTOBER - NOVEMBER 20<strong>12</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>12</strong> OCT - NOV 20<strong>12</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>12</strong> OCTOBER - NOVEMBER 20<strong>12</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 />

LETTER<br />

FROM THE<br />

HEART<br />

Sarah Johnson on<br />

her quest to end<br />

the IVF postcode<br />

lottery ruling<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, Louisa Ghevaert,<br />

Sarah Johnson, Dr. Mark Leondires,<br />

Dr. Paul Serhal<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 />

THE<br />

NAKED<br />

TRUTH<br />

The main causes<br />

of male infertility<br />

and what you can<br />

do to prevent it<br />

Marcia Cross<br />

From primetime<br />

to family time<br />

PCOS EXPLAINED COOKING TO CONCEIVE TIME AWAY FOR TWO<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>12</strong> WWW.FERTILITYROAD.COM<br />

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

In this issue we learn about Marcia Cross’ path to<br />

parenthood, her race against her biological clock,<br />

and becoming a mum to twins at 44. We also discuss<br />

what the main reasons for male infertility are, find<br />

out about PCOS and its symptoms and we explain success rates<br />

and what you need to know when looking for a fertility clinic.<br />

Taking time out is vital not only for your fertility but also for your<br />

mind and it’s amazing what can be achieved with a positive attitude,<br />

so we have found some great spas around the country guaranteed to<br />

relax you and help get you back on track. We will also be launching<br />

our very own app for the iPhone and Android in the next few weeks so<br />

you can read your favourite fertility magazine where ever you may be.<br />

We also catch up with Sarah Johnson and her quest to end the<br />

postcode lottery ruling and how her petition is gathering pace!<br />

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

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

with a relaxing holiday with hotel and flights included.....Good luck!!<br />

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

OUR WRITERS...<br />

OUR FERTILITY 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 MALE FERTILITY EXPERT...<br />

Dr. Mark P. Leondires, medical director and lead physician with Reproductive<br />

Medicine Associates of Connecticut (RMA of CT) in the U.S., is board<br />

certified in both Obstetrics and Gynaecology and Reproductive Endocrinology<br />

and Infertility. He was recently selected for Best Doctors in America, in<br />

2011-20<strong>12</strong> representing the top five percent of physicians across in the U.S.<br />

Louisa Ghevaert is internationally recognised as a leading expert in UK fertility<br />

and parenting law. Her expertise covers international and UK surrogacy, donor<br />

conception, co-parenting, embryo storage and testing, children and parenting.<br />

She is a partner with Porter Dodson, www.porterdodsonfertility.com.<br />

Mr. Paul Serhal is medical director and founder of The Centre for Reproductive<br />

and Genetic Health (CRGH). He has vast experience of male and female infertility<br />

and has published numerous articles in leading fertility journals and has<br />

appeared on TV and radio debating different issues relating to women's health.<br />

Sarah Johnson lives in Portsmouth with her husband Levi. She is currently<br />

campaigning to stop the IVF postcode lottery ruling and is lobbying to change the<br />

NHS criteria to be a valid candidate for IVF in the UK. She has also featured on TV<br />

and in press sharing her story and the issues she faces on her journey to conceive.<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

05


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

T H E L A T E S T F R O M T H E W O R L D O F F E R T I L I T Y<br />

NEWS<br />

GO<br />

NUTS!<br />

A FISTFUL OF WALNUTS A DAY MAY HELP<br />

keep the fertility doctor away, new research<br />

suggests. Eating 75g of the nuts daily was found<br />

to improve the health of sperm in men aged<br />

21 to 35. Scientists in the US split 117 healthy<br />

volunteers into two groups, one of which had<br />

walnuts added to their diet. The nuts are rich in a<br />

natural plant source of omega-3, a type of fatty<br />

acid thought to be critical to sperm development.<br />

Researchers tested various indicators of the<br />

quality of participants’ sperm. At the end of three<br />

months, men consuming walnuts had significantly<br />

increased levels of omega-6 and omega-3 fatty<br />

acids in their blood. Their sperm also showed<br />

improvements in concentration, vitality, motility<br />

and morphology (shape). Walnut-eaters also had<br />

fewer chromosomal abnormalities in their sperm.<br />

FERTILITY<br />

ROAD APP<br />

COMING<br />

SOON!<br />

FERTILITY ROAD IS NOW AVAILABLE IN BOTH<br />

digital and print format. In the digital age of<br />

apps we decided it’s time to have everyone’s<br />

favourite path to parenthood, the <strong>Fertility</strong> <strong>Road</strong><br />

magazine as a downloadable app. Available in<br />

the next few weeks on both iTunes and Android,<br />

you can now read <strong>Fertility</strong> <strong>Road</strong> from your<br />

favourite location on your chosen mobile device.<br />

TV’S LONGEST RUNNING SOAP, ITV’S CORONATION STREET<br />

IS CURRENTLY SCREENING A SURROGACY STORY, THE SOAP<br />

IS WELL KNOWN FOR FEATURING CURRENT AND SOMEWHAT<br />

CONTENTIOUS ISSUES WITHIN IT’S STORYLINES AND PLOTS<br />

A REPORTED 8.9 MILLION TV VIEWERS ARE<br />

tuning in to follow the latest storyline along<br />

the famous cobbled street. It is the first time<br />

that the soap has included a plotline about<br />

surrogacy, and it has been receiving a very<br />

positive reaction from its fans with many on<br />

line forums and blogs being created to openly<br />

discussing individual and personal views on<br />

the subject. As with all soaps, the question is,<br />

will it all go according to plan? Tune in to find<br />

out what happens next!<br />

06 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


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

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The team at Barbados <strong>Fertility</strong> Centre are dedicated to helping you realise your dream<br />

of having a family, please visit our stand at The <strong>Fertility</strong> Show, to be held at Olympia,<br />

London on Nov 3 & 4, here you will meet Dionne Holmes our IVF Donor/Recipient<br />

Coordinator and can find out more about our donor egg programme that has no<br />

waiting list even for Afro Caribbean eggs.<br />

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by Joint Commission International


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

T H E L A T E S T F R O M T H E W O R L D O F F E R T I L I T Y<br />

NEWS<br />

FOOTSTEPS<br />

FOR<br />

FERTILITY<br />

SIX HUNDRED CHILDLESS COUPLES TOOK PART IN A FIVE<br />

kilometer run in Draper, Utah recently with the hope of<br />

winning 1st prize - one round of IVF. The Footsteps for <strong>Fertility</strong><br />

run places all runners into a raffle, and one couple wins free IVF<br />

treatment courtesy of the Utah <strong>Fertility</strong> Center.<br />

The raffle winners were Brian and Ramsi Stoker who had<br />

90 friends running for them. The couple had already tried<br />

artificial insemination and a round of IVF in the four years<br />

since they began trying to become pregnant.<br />

Mrs Stoker said: “We had five good years just as a couple and<br />

loved every second of it. And then we realized we were ready<br />

for the next step and we really thought that the second that we<br />

stopped preventing it, it would happen”. It didn’t, so now they’re<br />

hoping more IVF will give them the baby they so desperately want.<br />

THE REPORTED COST OF A GENDER SELECTION PROCEDURE IN THE U.S.<br />

Gender selection is now a multimillion<br />

business in the US with an<br />

estimated 6,000 procedures being<br />

performed annually and couples<br />

paying upto $40,000 to ensure<br />

they have their baby of choice.<br />

BOOK REVIEW<br />

GOTCHA DAY<br />

A Carried in My<br />

Heart Adoption<br />

Story for Children<br />

ADOPTIVE PARENT AND AUTHOR REBECCA TABASSO’S NEW<br />

release is a loving, and fun way to talk to children about<br />

adoption. Her story is a heartfelt portrait of the special place<br />

an adoptive child’s ‘Gotcha Day’ holds in their family’s history.<br />

Full of laughter and love, Gotcha Day is perfect for families<br />

to share with their child their own adoption story and joy<br />

their child brings to the family.<br />

Also included is a removable Gotcha Day certificate that<br />

families can personalise their child’s name and the date they<br />

became a family - “Let it hereby be known that your Gotcha<br />

Day is a very important date in our family history and how<br />

happy we are to have Gotcha!”<br />

Available from Amazon.co.uk<br />

TRYING TO CONCEIVE? THE FERTILITY SHOW AT LONDON OLYMPIA<br />

aims to take you through all the key issues of a healthy pregnancy<br />

and birth. With exhibitions, expert seminars and information on both<br />

conventional treatments, medicines and complementary alternatives.<br />

Regardless of whether you’ve just begun to think about having a baby<br />

or have been trying to get pregnant for a while, the <strong>Fertility</strong> Show, 3-4<br />

November, provides plenty of pregnancy advice and fertility related<br />

information. With experts including; Zita West giving top tips on how to<br />

get pregnant, Marilyn Glenville on fertility boosting nutrition and Charles<br />

Kingsland on preparing for pregnancy, there will be plenty to think about<br />

with priceless resources, tips and expert opinions to take home with you.<br />

www.fertilityshow.co.uk<br />

08 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


Follow us @<strong>Fertility</strong><strong>Road</strong><br />

to help you on your path to<br />

parenthood and for all the<br />

latest fertility related news,<br />

views and reviews :) #hope<br />

#inspiration #ttc #IVF<br />

FOLLOW US AT:<br />

TWITTER.COM/FERTILITYROAD<br />

THE<br />

DA VINCI<br />

CODE OF<br />

FERTILITY<br />

THE ‘GOLDEN RATIO’ OF 1.618, WHICH WAS POPULARISED BY<br />

Dan Brown’s novel, The Da Vince Code, could reveal which women<br />

have the most fertile wombs, according to a gynaecologist.<br />

Dr Jasper Verguts, from the University Hospital Leuven in<br />

Belgium, theorised that women would be most fertile if they had<br />

a uterus of perfect 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 />

found the age when women are most fertile between the ages of<br />

16 to 20 - the ratio was 1.<br />

1.618, the golden ratio of the Fibonacci sequence, named after<br />

Italian mathematician Leonardo Fibonacci, is said to be the key<br />

to everything - from encrypting computer data, to the numbers<br />

of spirals on a sunflower head and there has been speculation<br />

that Da Vinci used the sequence as the proportions of the Mona<br />

Lisa’s face. Many claim that the most aesthetically pleasing<br />

people have faces that fit these ratios.<br />

Get expert<br />

fertility<br />

information<br />

and support<br />

online with<br />

Boots WebMD<br />

Let us support<br />

you in taking the<br />

first step.<br />

Visit Visit www.bootswebmd.com<br />

and and search search ‘fertility’. ‘fertility’.<br />

feel good<br />

feel good


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

C E L E B R I T Y N E W S<br />

A-LIST<br />

FAMILY<br />

MATTERS<br />

We take a look at fertility<br />

issues in celeb-land, with<br />

all the gossip and rumours<br />

on who’s undergoing ivf,<br />

who’s adopting or who’s<br />

thinking about surrogacy!<br />

etail guru, Mary Portas, is celebrating the birth<br />

of her first child with partner Melanie Rickey.<br />

The couple recently conceived their baby through<br />

IVF. The happy news comes just weeks after<br />

Melanie fainted in the street and broke her ankle<br />

which resulted in her needing an operation.<br />

Melanie, an editor at fashion magazine Grazia, is said to have<br />

wanted children for a long time. Fashion entrepreneur Ms Portas, 51,<br />

has two teenage children by her former husband Graham Portas. She<br />

met Melanie nine years ago at a Royal College of Art dinner and<br />

entered into a civil partnership in May 2010. They live in Maida Vale,<br />

London, with Portas’s children.<br />

Across the pond, adoption in Hollywood has been a hot topic<br />

this summer as Tori Spelling reveals she and her husband Dean<br />

McDermott would consider adopting a child in the future, despite<br />

already having four kids. The Beverly Hills, 90210 actress gave birth<br />

to her fourth child Finn Davey on August 30 and while she insists<br />

she is done with being pregnant, she hasn’t ruled out expanding her<br />

family in other ways.<br />

Tori, 39, said, “I never say never but I think this is our last. I want to<br />

focus on the kids I have now and I don’t want to spread myself too<br />

thin. I’ve had C-sections with each baby. It puts the body through<br />

trauma. I don’t think I could do it again.”<br />

“I’m all for adoption. It’s such an amazing blessing and we<br />

would totally do it. My friends adopted my goddaughter Simone<br />

who’s two and having seen the process through their eyes, I’m<br />

definitely a believer.”<br />

“<br />

I’m all for adoption. It’s such<br />

an amazing blessing and we would<br />

totally do it. My friends adopted my<br />

goddaughter Simone who’s two and<br />

having seen the process through<br />

their eyes, I’m definitely a believer. ”<br />

Mum of four, Tori Spelling on not ruling out adding to her family in the future.<br />

Tori would also prefer to adopt from inside the US, unlike<br />

numerous other celebrities who give homes to kids from overseas,<br />

as she would like to help kids from her own country.<br />

The reality TV star told In Touch Weekly magazine, “I think we’d<br />

probably try to adopt from the US. I know a lot of people go outside<br />

the country and that’s great but there are plenty of kids here that<br />

could use our help and support.”<br />

In August Star magazine reported that 50-year-old Demi Moore<br />

was also having baby fever and was planning to adopt a baby of her<br />

own. A friend close to Demi tells Star that life has been ‘awful’ for<br />

the actress; “At this point she wants to run away from all her pain,<br />

her refuge has always been her home in Idaho and she’s been<br />

contemplating moving full time. She would love to build a new life<br />

without all of this drama.”<br />

10 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


The Zita West<br />

Clinic<br />

““I don’t want to have one( a child).<br />

The The Zita I don’t West want Clinic is to is the have the six. I don’t want<br />

UK’s largest to have integrated any, they’re precious to look<br />

clinic for at for and reproductive I love them; we have nieces<br />

health,<br />

and combining<br />

I love them very much. But I<br />

don’t want ‘em.<br />

the the latest medical ”<br />

Ellen DeGeneres quashes rumours of her searching sperm donor.<br />

thinking with expert<br />

The desire for a<br />

complementary treatments.<br />

“She really wanted to adopt a child with Ashton, but he wasn’t<br />

up for it. Now that she’s single and can make her own choices,<br />

child she’s seriously is looking one into it.” of life’s<br />

In other news Ellen DeGeneres insists all rumours are not<br />

Each year, our our specialist team of of doctors,<br />

midwives, nutritional therapists and and<br />

complementary practitioners help help hundreds<br />

of of couples driving to to get get pregnant, both both forces<br />

naturally and and<br />

through assisted means - - most of of whom have tried<br />

previously CRGH has for for been months assisting and and years couples without with success. specialist<br />

We We advice also also help that help and<br />

she many treatment<br />

and Portia more, are who who for<br />

in search are are over of going twenty<br />

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donor. IVF, IVF, to to<br />

improve obtaining their outstanding chances of of success results, through which expert place preparation us<br />

and and as leaders support. explaining amongst her stance fertility on the subject.” clinics in the UK.<br />

true and she hasn’t changed her mind about not wanting children.<br />

The TV host married Portia de Rossi in summer 2008, and<br />

there has been much speculation surrounding whether the pair<br />

will start a family or not. Ellen appeared on The Tonight Show<br />

with Jay Leno, where she was asked about the ongoing rumours<br />

“I’m here for your sperm,” she said to the host, before<br />

“That is not true. I don’t know why people want this. I’ve said it<br />

<strong>Fertility</strong>, At CRGH<br />

so conception, we provide<br />

many times: We pregnancy environment<br />

are not going and and to birth have are a are where<br />

child. whole-body you<br />

And they say that<br />

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beautiful blue eyes, and a good sense of humour, and a good shot<br />

potential giving at you a of NBC your the show. very baby We best too. would chance do well.” of success.<br />

Ellen loves being around kids. Although the star would never<br />

want a family of her own.<br />

How WHY USE we CRGH? can help:<br />

“I don’t want to have one. I don’t want to have six. I don’t want<br />

How we can help:<br />

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to have any,” she said. “They’re precious to look at and I love them;<br />

we have nieces and I love them very much. But I don’t want ‘em.”<br />

And finally congratulations to Bill and Giuliana Rancic who<br />

welcomed their first child, son Edward Duke Rancic, on August 29,<br />

the couple announced via Twitter, “The ‘Duke’ has landed! Edward<br />

Duke Rancic was welcomed into the world last night at 7lbs 4oz,”<br />

Bill wrote. “G & I feel blessed beyond words… We did it!”<br />

It’s been a long road to parenthood for the couple! After years<br />

of trying for a baby on their own, one miscarriage and a diagnosis<br />

of breast cancer, the reality TV stars have welcomed their first<br />

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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 />

'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 />

a gift<br />

from<br />

Greece<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<br />

times for appointments and greater international<br />

sharing of medical advancements and innovations.<br />

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

that 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 />

WIN<br />

AN IVF<br />

HOLIDAY!<br />

»<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

13


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 />

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.<br />

Built 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 a luxury hotel in Thessaloniki.<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 13/02/13 and the winning couples' names<br />

will be randomly selected on the 14/02/13 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.gr 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 13/02/13 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. <strong>12</strong>) All food and incidentals will be covered by the winning<br />

couple. 13) 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 14/02/13 and will be contacted via telephone on 14/02/13. 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 | OCTOBER - NOVEMBER 20<strong>12</strong>


C<br />

M<br />

Y<br />

CM<br />

MY<br />

CY<br />

CMY<br />

K


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

M A L E I N F E R T I L I T Y<br />

Many couples visit fertility clinics to discuss why the<br />

female partner isn’t getting pregnant. However, infertility<br />

affects couples – not just women. These same couples<br />

are surprised to learn that approximately 40 percent of<br />

the time, the male partner is either the sole cause or a<br />

contributing cause of their sub-fertility. So gents its not<br />

a time to be embarrassed, but time to man-up and face<br />

the issues and possible treatment together as a couple.<br />

The<br />

Naked<br />

Truth<br />

esearch shoes that male infertility cannot be overlooked. If a couple WORDS BY<br />

DR. MARK LEONDIRES<br />

has been trying unsuccessfully for one year to get pregnant (or six<br />

months if the couple is over 35 years old), both the man and woman<br />

should see a fertility specialist for diagnostic testing. For men, this<br />

includes sperm analysis and a complete medical history. Male infertility can be a<br />

result of producing too few sperm, a high percentage of abnormally shaped sperm (sperm morphology),<br />

sperm that do not move properly (motility), or a blockage in his reproductive tract that prohibits release.<br />

Men’s reproductive health can also be impacted by medical conditions and treatments such as<br />

diabetes or chemotherapy and radiation treatment for cancers. Many cancer treatments can lead to<br />

DNA breakage and affect the ability to produce functional sperm that can fertilise an egg. All cancer<br />

patients should be encouraged to freeze sperm prior to any treatment. This forethought can help<br />

ensure that cancer survivors are able to have the family they desire after treatment.<br />

Men have a biological clock just like women, it just ticks more quietly. Most male infertility issues<br />

relate back to sperm production within the testes. Sperm production is driven by testicular health<br />

and testosterone levels, which decline as men age. Sperm quality begins to deteriorate by the age of<br />

40 and significantly after 60 years of age. It is well documented that men as young as 40 are less<br />

fertile than their 20 year counterparts. Men who want children need to protect their fertility by<br />

staying in good overall health and avoid damage to their testes by making wise choices. The article<br />

covers some of the health and lifestyle choices that will help protect testicular health and fertility.<br />

»<br />

16 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


© Richard Wilkinson/www.richard-wilkinson.com<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

17


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

M A L E I N F E R T I L I T Y<br />

NUTRITION & WEIGHT<br />

Population studies have demonstrated that obese men<br />

and their wives have more fertility problems, are at a higher risk for<br />

miscarriage, and their children will have an increased risk for<br />

obesity. These findings are persistent even when couples pursue<br />

high tech fertility treatments such as in-vitro fertilisation (IVF). For<br />

men, obesity is related to lower sperm counts, more sperm motility<br />

problems, lower testosterone levels and therefore, decreased or<br />

diminished fertility. Obesity is defined as having a body mass index<br />

(BMI) of greater than 30. A body mass index is calculated by using a<br />

combination of height and weight. There are many BMI calculators<br />

on the Internet for patients to calculate their individual index.<br />

Nutrition is more than avoiding excessive calories. It’s about<br />

nutrients. Men trying to conceive need vitamins, minerals, protein<br />

and sustenance to improve their fertility. Eat a balanced diet that<br />

includes vegetables, fruit, whole grains, lean protein and heart<br />

healthy fats. For patients who find nutrition and diet challenging, I<br />

recommend seeing a nutritionist. Working with a nutritionist is<br />

like having a coach who can help identify foods that are hindering<br />

reproductive health, as well as foods that will help.<br />

In addition, I recommend that men consider taking a daily<br />

multivitamin to make sure they're getting adequate supplies of<br />

both fat-soluble (Vitamins A, D, E, and K) and water-soluble<br />

vitamins (Vitamin C). There have been many studies that have<br />

linked vitamins and supplements to sperm quality, motility and<br />

morphology. Unless you eat a perfect diet your sperm could<br />

probably benefit from a good quality vitamin.<br />

QUIT SMOKING<br />

There is no getting around this one. Quit smoking!<br />

Whether it’s tobacco, marijuana or another substance, smoking is<br />

detrimental to everyone’s general health, and especially men’s<br />

sperm count and sperm motility. Smoking decreases fertility and<br />

is related to higher miscarriage rates in couples. It has a negative<br />

effect in both women AND men. Smoking introduces toxins into<br />

the body that can damage DNA in the developing sperm and can<br />

decrease a man’s fertility.<br />

There are an overwhelming number of studies that show<br />

repercussions to the female even when only the male partner<br />

smokes: pregnancy rates are lower, miscarriage rates are higher,<br />

chances of success with fertility therapy – even in vitro fertilisation<br />

(IVF) success rates – are decreased. Therefore choosing to quit<br />

smoking for a period of three to four months prior to conception<br />

should be every male smoker’s minimal commitment to helping his<br />

partner conceive and have a healthy pregnancy. If both male and<br />

female partners are smokers, then they should try to quit together.<br />

EXERCISE<br />

Exercise is important for maintaining a healthy weight,<br />

circulation, body function, increasing testosterone levels and it<br />

can boost sex drive. Testosterone, which influences sperm<br />

production, is at much higher levels in the testes than anywhere<br />

else the body. Exercise can be a great way for couples to improve<br />

their health together. So, take a walk, go for a hike, get out there<br />

and get active.<br />

“<br />

Whether it’s tobacco, marijuana<br />

or another substance, smoking is<br />

detrimental to everyone’s general<br />

health, and especially men’s sperm<br />

count and sperm motility. ”<br />

In general, all forms of exercise are safe for men. One caveat:<br />

men who are active cyclists need to be careful because the<br />

pressure of the bicycle seat on their prostate can lead to a<br />

decrease in sperm count and function.<br />

ALCOHOL<br />

Alcohol – whether it is beer, wine or liquor – can be<br />

considered a reproductive toxin. There is a recent report that<br />

followed thousands of patients trying to conceive. The findings<br />

from that study were that men should not consume more than six<br />

alcoholic beverages per week in the months prior to conception. It<br />

is important to remember that the sperm that are produced the<br />

day of a fertility procedure (IVF, intrauterine insemination) have<br />

been developing within the man's body for approximately three<br />

months. Therefore this has to be a consistent behaviour change. As<br />

we discussed above, testosterone is essential for healthy sperm<br />

production and function. Alcohol use lowers testosterone levels<br />

and therefore male fertility as well.<br />

TOXINS<br />

At home and in the workplace, we are exposed to<br />

toxins, often without even realising it, that have a negative effect<br />

on sperm. Sometimes a man's hobbies can lead to regular<br />

exposure to fumes that can be harmful to sperm production and<br />

sperm function. Men who do a lot of work around the yard, on<br />

their vehicles, or in the work place who are exposed to the same<br />

fumes, pesticides, herbicides and fertilisers should make sure they<br />

follow the proper safety procedures and wear the proper<br />

protective equipment to protect themselves and their sperm<br />

count. Exposure to petroleum products can happen by repetitive<br />

exposures to gas or oil fumes. Heavy metals are often found in<br />

higher concentrations in predator fish (tuna, swordfish, marlin), as<br />

well as some fish from polluted bodies of water.<br />

18 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</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 <strong>12</strong>44<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 />

info@lewisfertilitytesting.com Tel: +44 (0)28 9063 3987<br />

<br />

<br />

The UK’s Leading Private<br />

IVF Clinic<br />

www.CRGH.co.uk<br />

Based in the heart of London, the CRGH consistently delivers<br />

one of the highest success rates in the UK.<br />

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• IVF, ICSI, IUI and PGD<br />

• Natural Cycle IVF<br />

• Embryoscope TM Imaging<br />

• Egg Freezing<br />

• Private and NHS Patients<br />

Open 7 days per week 0207 837 2905<br />

HalfPageHoriz.indd 1<br />

9/24/<strong>12</strong> 11:34 PM


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

»<br />

M A L E I N F E R T I L I T Y<br />

Beyond theses lifestyle changes there are treatments for male<br />

factor infertility, some of which require seeing a urologist who<br />

specialises in male factor infertility. Following are assisted<br />

reproductive technology (ART) and surgical treatment options.<br />

» Intrauterine insemination (IUI)<br />

Also called artificial insemination, this is the starting point of<br />

treatment for most couples with male factor fertility problems<br />

such as low sperm count and poor motility. Most sperm never<br />

make it to the end of the fallopian tube, partly because the female<br />

reproductive tract actively breaks down sperm. In fact most<br />

sperm are broken down either by the fluid in the vagina or the<br />

mucus and antibodies in the cervix. During an IUI a high<br />

concentration of motile sperm is released at the top of the uterus<br />

thus improving the chance that sperm actually find the egg.<br />

» In-vitro fertilisation (IVF)<br />

During IVF, the motile sperm are separated out after the male<br />

partner has produced a semen specimen. Then inside the laboratory<br />

we place approximately 10,000 of his sperm around the eggs<br />

in the petri dish in order to promote a fertilisation rate of approximately<br />

70%. Therefore, even if a man’s sperm count is low using<br />

IVF we need less sperm to complete fertilisation. This laboratory<br />

technique can dramatically improve the chance for fertilisation as<br />

we have manually put sperm and egg next to each other.<br />

» Intracytoplasmic Sperm Injection (ICSI)<br />

If there are concerns about the quality of the sperm and the<br />

ability of the sperm to complete fertilisation within the IVF<br />

laboratory, we sometimes use a procedure called intracytoplasmic<br />

sperm injection (ICSI). This technique involves the embryologist<br />

individually choosing moving, healthy-appearing sperm and<br />

injecting one sperm into one egg.<br />

This procedure is considered for men who have very low sperm<br />

counts, whose sperm have abnormalities, who have failed to<br />

fertilise eggs in the past or who have congenital or acquired<br />

absence or obstructions of the ejaculatory ducts. This is also how<br />

men who have had a vasectomy or unsuccessful vasectomy<br />

reversal and men with spinal cord injuries can achieve pregnancies.<br />

This procedure has been a life changing fertility advancement<br />

which has allowed previously sterile men to achieve a conception<br />

and hopefully have a child with their partner.<br />

» Varicocele Repair<br />

Varicoceles, a common problem related to male infertility, are<br />

enlarged veins which have prolapsed into the scrotum. The testes<br />

and epididymis which holds mature sperm become overheated<br />

because blood does not drain properly. Even one degree rise in<br />

temperature in the scrotum can have an adverse effect on<br />

testosterone levels, sperm production and sperm morphology. In<br />

addition, varicocele repair can improve testosterone production<br />

and lead to decreased sperm DNA fragmentation, or the breaking<br />

up of DNA strands into pieces. It is the DNA which is the key to<br />

fertilisation and a healthy embryo being formed.<br />

There are several approaches to varicocele repair; microsurgery<br />

has the highest success rates and least likely chance of<br />

complications. Patients see positive effects on their sperm<br />

three to six months after surgery.<br />

“<br />

Varicoceles, a common problem<br />

related to male infertility, are<br />

enlarged veins which have prolapsed<br />

into the scrotum. The testes and<br />

epididymis which holds mature<br />

sperm become overheated because<br />

blood does not drain properly. ”<br />

» Comprehensive Chromosomal Selection (CCS)<br />

Most people are not aware that chromosomal abnormalities are<br />

the cause of greater than 60% of miscarriages, as well as the most<br />

likely reason that patients do not get pregnant from an IVF cycle.<br />

The purpose of CCS is to analyse, select and transfer only<br />

embryos that do not have abnormalities in their number of<br />

chromosomes. These abnormalities may come from the male or<br />

female partner. Screening embryos in advance can help achieve<br />

higher implantation rates and fewer pregnancy losses.<br />

The utilisation of CCS is particularly important for patients<br />

over 40 years old, as well as those patients with a history of<br />

multiple miscarriages, termed Recurrent Pregnancy Loss (RPL).<br />

This technology provides clinicians with the ability to pre-screen<br />

embryos for chromosomal errors such as Down’s syndrome and<br />

other similar aneuploidy conditions.<br />

CCS, which is a technically-advanced form of pre-implantation<br />

genetic diagnosis (PGD), is conducted in conjunction with IVF.<br />

During CCS, we obtain 5-10 cells on a day 5 or 6 embryo called a<br />

blastocyst. Biopsying the embryo at this advanced cell stage<br />

dramatically increases the accuracy of this testing. The new<br />

analytical technology involves quantitative real-time polymerase<br />

chain reaction (qPCR) and allows for the evaluation of all 23 pairs<br />

of human chromosomes from several embryonic cells (versus 11<br />

chromosomes in more traditional techniques). Based on current<br />

data the error rate is less than one percent.<br />

The application of qPCR won the general prize paper at the<br />

2010 American Society for Reproductive Medicine (www.asrm.org)<br />

meeting as the first prospective, randomised trial to demonstrate<br />

a significant improvement in ongoing pregnancy rates using<br />

aneuploidy screening. This is the highest research honour in<br />

reproductive medicine in the United States; RMA of CT is one of handful<br />

of fertility practices in the United States that performs CCS.<br />

We know more about infertility than any other generation, and<br />

part of this knowledge is first recognising the prevalence of male<br />

infertility, as well as being able to improve our fertility through<br />

non-invasive methods as well as medically advanced treatment.<br />

This should empower patients and help them fulfil their dreams<br />

of having a family.<br />

Dr. Leondires is medical director and lead physician with the<br />

Reproductive Medicine Associates of Connecticut (RMA of CT) in<br />

the U.S. and is board certified in both Obstetrics and Gynecology<br />

and Reproductive Endocrinology and Infertility. He was recently<br />

selected for Best Doctors in America 2011-20<strong>12</strong>, . www.rmact.com<br />

20 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


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T R AV E L<br />

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The main causes<br />

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Marcia Cross<br />

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Ovarian transplantation in<br />

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If the tissue used had thickened by contracting after thawing,<br />

it was pared down once again to less than 1 milimeter<br />

under an operating microscope with microsurgical scissors<br />

before the transplantation takes place.<br />

The chief significance of this long-term study of ovarian<br />

tissue transplantation is not so much for the twins who are<br />

discordant for POF, which will always be rare, but for young<br />

cancer patients needing fertility preservation. Ovarian tissue<br />

banking for a future transplantation provides another fertility<br />

option for these patients, and sometimes the only one available.<br />

At least 1 in 250 women of reproductive age is a cancer<br />

survivor, and nowadays 90% of them become long-term<br />

survivors depending on the type of disease.<br />

However, their treatments are likely to reduce their fertility<br />

or in some cases, render them completely sterile. Most such<br />

women with cancer are anxious www.irm.com.ua<br />

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likelihood of success. All the surgical procedures and analyses<br />

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• Comprehensive Gynaecological Assessment • Endoscopic Surgery • In Committee Vitro Fertilization and the • Surgical Institutional Sperm Review Retrieval Board • Egg of St. Donation Luke’s<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 />

For some, falling pregnant and having a baby is easy. For others,<br />

it can be a long and arduous journey, fraught with disappointment<br />

and difficulty. Having a baby in your forties adds a further layer of<br />

complexity to the equation as TV star Marcia Cross found out.<br />

Hollywood<br />

Housewife<br />

est known for her hit TV<br />

roles as perfectionist Bree<br />

Van De Kamp in Desperate<br />

Housewives and vengeful<br />

Dr Kimberly Shaw in<br />

Melrose Place, Marcia Cross’ portrayal of<br />

these determined and powerful women<br />

suggests that she is used to getting what<br />

she wants. In real life, Cross is no less<br />

determined and from a young age she was<br />

always clear that she wanted a baby after<br />

she had established a successful career.<br />

Cross’ difficult path to motherhood is,<br />

in many respects, not dissimilar to that of<br />

many other women juggling life, work and<br />

wondering how a family fits into it all as<br />

well. Cross has had her fair share of heartache<br />

too, falling in love with an older man,<br />

losing her partner through illness, having<br />

to start from scratch in her thirties to find<br />

Mr Right with whom to have a family and<br />

then battling her way through fertility<br />

treatment. Many women can identify with<br />

Cross’ life experience and this, combined<br />

with her determination to speak out about<br />

pregnancy and motherhood in your forties<br />

makes her a role model for the increasing<br />

numbers of women wanting to become<br />

mothers later in life.<br />

Early life<br />

Cross was born in 1962 in Marlborough, Massachusetts,<br />

USA. She grew up with her mother, a teacher, and her<br />

father, a personnel manager, and her two sisters. Aged<br />

17, she won a scholarship to the prestigious Juilliard<br />

WORDS BY<br />

LOUISA GHEVAERT<br />

performing arts school in New York City where she graduated in 1984.<br />

Cross began her career in television in 1984, working her way<br />

through various soap operas and TV films, before landing the role<br />

of Dr Kimberly Shaw in US primetime soap opera Melrose Place<br />

in 1992. From there she made appearances in popular TV show<br />

including Ally McBeal, Spin City and CSI. She also featured in films<br />

including Bad Influence (1990) and Always Say Goodbye (1996).<br />

In 2003 she returned to education and earned a Master’s Degree<br />

in psychology from Antioch University Los Angeles, something<br />

which has remained a life-long interest for her.<br />

Career success<br />

In 2004, Cross’ career blossomed when she was cast in ABC’s<br />

Desperate Housewives. A year later her portrayal of character Bree<br />

Van de Kamp earned her a nomination for a Primetime Emmy<br />

Award for Outstanding Lead Actress, Comedy Series and a Golden<br />

Globe nomination for Best Actress, Television Series Musical or<br />

Comedy 2005 – 2007. Cross continued her lead role in Desperate<br />

Housewives until the eighth and final season this year.<br />

The show enjoyed huge success and captured the public’s imagination<br />

as it portrayed the lives, loves and losses of a close-knit<br />

group of American women and their families. Women all over the<br />

world identified with Cross’ portrayal of Bree Van de Kamp, aspiring to<br />

her emulate her grace, determination and strength of character. »<br />

22 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

23


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 />

Personal life<br />

Despite her considerable career success her personal life has<br />

been a very different story. Cross fell in love at 23 with a man<br />

twenty five years her senior, actor Richard Jordan. She became<br />

his companion until he died from a brain tumour in 1993.<br />

Aged 31, Cross faced life as a single woman and had to start<br />

over. In June 2006, she married stockbroker Tom Mahoney whom<br />

she had dated for a year and a half. She was so keen to start a<br />

family aged 44 that she skipped her honeymoon to start IVF<br />

treatment straight after her wedding.<br />

<strong>Fertility</strong> treatment and motherhood at 40<br />

Cross was lucky enough to conceive following her first round of<br />

IVF treatment. She was then placed on precautionary bedrest in<br />

January 2007. However, this did not stop her from continuing<br />

her Desperate Housewives filming schedule, arranging instead<br />

for the cast and crew to shoot some scenes from her bedroom.<br />

On 20 February 2007, Cross gave birth to twin girls, Eden<br />

and Savannah, just before her 45th birthday. Due to complications<br />

including preeclampsia, the twins were delivered 4 weeks early<br />

by an emergency c-section. Luckily, the twins were healthy and<br />

they were allowed home with Cross and her husband 4 days later.<br />

Cross was the first to admit that it was not easy becoming a<br />

mother at 44 and that it had been a difficult path to follow. During<br />

a magazine interview she said “We decided to skip our honeymoon<br />

and try IVF after the wedding. I had already been through<br />

infertility treatments. It’s very, very difficult to get pregnant in<br />

your 40s. It’s costly and tough on your body and your relationship”.<br />

She went on to say “I wish that I’d had my girls in my 30’s. Then I<br />

could be around longer for them. But they’re an incentive for me<br />

to stay healthy, take care of myself, and live as long as possible”.<br />

However, Cross was determined to speak even more openly<br />

about the reality of trying for a baby in your forties and her own<br />

personal experience of this. During another magazine interview<br />

she said “I don’t like the average woman being misled into thinking<br />

that fertility is something that goes on forever. When a woman<br />

gets older, they get a donor egg, which doesn’t make the baby any<br />

less beautiful or perfect. One’s own eggs only last so long, and<br />

sometimes, at 43 or 44 you can have your own baby, but<br />

statistically it’s very difficult. You don’t want to wait too long”.<br />

Unlike other celebrity women in Hollywood, Cross was also<br />

honest enough to admit that she conceived with donor eggs.<br />

In an industry where youth is prized and celebrities strive to<br />

perpetuate this in many different guises, it was a brave admission<br />

to make. Cross’ decision to share her story so openly was a<br />

deliberate one because she did not want to give other women in<br />

their forties false hope that they would be able to conceive easily<br />

or that they would be lucky enough to have a biological child<br />

of their own. She did not want women to be lulled into a false<br />

sense of security or undergo expensive fertility treatment with<br />

24 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


“<br />

I don’t like the average woman<br />

being misled into thinking that<br />

fertility is something that goes on<br />

forever. When a woman gets older,<br />

they get a donor egg, which doesn’t<br />

make the baby any less beautiful or<br />

perfect. One’s own eggs only last so<br />

long, and sometimes, at 43 or 44<br />

you can have your own baby, but<br />

statistically it’s very difficult. You<br />

don’t want to wait too long. ”<br />

© 2010 American Broadcasting Companies, Inc. / Florian Schneider<br />

unrealistic expectations of a baby at the end of it all. Statistics<br />

show that there are virtually no pregnancies from IVF in women<br />

over 45 who use their own eggs. The pregnancy rates in women<br />

over 42 using their own eggs is in very low single digits and this<br />

is not always understood or fully appreciated. Cross said in<br />

another interview “Your forties is not the time to be thinking<br />

about getting pregnant”.<br />

Legal issues<br />

Having to resort to fertility treatment in your forties to have a<br />

baby can raise other legal and practical issues too. If you conceive,<br />

as Cross did with donor eggs, you will need to manage sensitive<br />

issues surrounding the identity of your donor and the fact that<br />

your donor conceived child may well have numerous genetic halfsiblings<br />

living in other families. You will need to think about how<br />

best to discuss this with your child and wider family, the timings<br />

of this and the longer term implications if your child wishes to<br />

make contact with his or her donor or half-siblings later in life.<br />

Putting in place a specialist Will is also important for any<br />

parent. This can help to ensure that your child is properly cared<br />

for in the event of your death by the right people and that your<br />

financial resources are protected for your child’s benefit.<br />

Unlike Cross, if you are unable to carry a pregnancy, you may<br />

want to consider surrogacy as a means of having a baby that is<br />

genetically related to you or your partner. You may also wish to<br />

combine surrogacy with the use of donor eggs or sperm. UK law<br />

has not kept pace with the increasing demand for surrogacy.<br />

Other countries take varying legal approaches to surrogacy<br />

and there is currently no legal harmonisation around the world.<br />

This can create complex legal issues if you cross international<br />

borders for fertility treatment and surrogacy, which can leave<br />

surrogate born babies stranded abroad without a passport and<br />

intended parents lacking the legal status they need to legally<br />

parent their child when they get home.<br />

Parenthood at 40+<br />

There is no doubt that parenthood in your forties is tough. As<br />

Cross is so keen to point out, a woman’s fertility does not last<br />

forever and if you leave it too long you may find you’ve run out<br />

of time. In an age where women can look younger for longer and<br />

enjoy greater career and financial success than ever before, it’s<br />

easy to lose sight of the medical reality that you can’t cheat your<br />

biological clock.<br />

<strong>Fertility</strong> treatment, including IVF, is not an easy option. It’s<br />

expensive, time consuming, stressful and there are no<br />

guarantees it will work. It can be punishing both emotionally and<br />

physically and it can place great strain on your relationship. In<br />

these tough economic times, it can also create huge financial<br />

debts that can take years to pay off.<br />

For those that strike gold and become forty-something<br />

parents, it’s not all plain sailing either. Parenting a young child is<br />

tiring and parents’ energy levels decline with age. Life as a<br />

family is a big quantum shift from life without children. It’s far<br />

less easy to be spontaneous, to enjoy a raging social life or<br />

holiday in glamorous far flung places with a young child. Yet, the<br />

rewards of parenthood are immense and women like Cross<br />

prove that with determination and dedication its can be possible<br />

to have a baby later in life and that motherhood is no less<br />

special even if that child is not biologically your own.<br />

Louisa Ghevaert is a leading expert in UK fertility, surrogacy,<br />

parenting and family law and a passionate supporter of parents,<br />

children and families. She is a partner with Porter Dodson<br />

Solicitors & Advisors, www.porterdodsonfertility.com.<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

25


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 />

There’s only one thing more wonderful than a little selfindulgence,<br />

and that’s a lot of self-indulgence! Why not treat<br />

yourselves and escape the stresses of your hectic lifestyle<br />

to be pampered at a relaxing spa day for two? We’ve found<br />

some great places guaranteed to unwind and relax you.<br />

»<br />

26 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


SPA AT BLYTHSWOOD<br />

SQUARE HOTEL<br />

»Glasgow, Scotland<br />

The 10,000 square feet Spa at Blythswood Square<br />

has been designed as a discreet haven for the<br />

hotel’s residents and day guests. Created to reflect<br />

the glamorous style of the hotel and the sociable<br />

personality of Glasgow’s community, the Spa houses<br />

a number of exclusive features including the UK’s<br />

first indigenous Scottish treatments designed by<br />

the Spa Director, Matt Laird.<br />

There are nine spacious and tranquil treatment<br />

rooms including a double suite where you can<br />

enjoy a full range of face, body and holistic<br />

treatments. The Spa's signature treatments are<br />

centred around a ‘Turus’ (Gaelic word for journey)<br />

which combine the natural benefits of Scotland’s<br />

purest ingredients including Scotch Thistle<br />

extract, seaweed and sea lavender, with healing<br />

therapies to provide a complete body and mind experience.<br />

The Spa at Blythswood Square also offers a Rasul, a traditional<br />

Arabian cleansing ritual which will leave you feeling pure and<br />

calm and your skin beautifully exfoliated. There is also a fantastic<br />

spa lounge where you can peruse the spa menu and choose from<br />

an array of beautifully presented, locally sourced, organic dishes<br />

created by the hotels award winning Executive Chef, Daniel Hall.<br />

This is the ideal venue for a weekend of relaxation and<br />

restoration, with a friend or loved one.<br />

LEARN MORE: www.townhousecompany.com/blythswoodsquare/spa<br />

OCTOBER - NOVEMBER 20<strong>12</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 />

ESPA LIFE AT CORINTHIA<br />

» Whitehall Place, London<br />

Underneath the new five-star Corinthia Hotel, on the edge of the<br />

River Thames, the ESPA Life Spa is simply breathtaking, offering<br />

fully integrated wellness approach alongside a luxury spa experience.<br />

Globally acclaimed, holistic health professionals, influential specialists<br />

and outstanding spa therapists are on hand to guide you<br />

through the wide choice of revolutionary lifestyle programmes,<br />

therapies, spa treatments and fitness.<br />

Spread over four floors and covering a staggering 3,300 square<br />

meters, the enormity and grandeur will take your breath away. The<br />

ethos of the spa is to integrate a holistic outlook with a luxury<br />

beauty experience. There are 17 treatment pods, a futuristic lounge,<br />

state-of-the-art gym, nail studio and a Daniel Galvin hair salon.<br />

Most dramatic of all is the 'thermal floor', where there is a black mosaic<br />

steam room, a steel swimming pool and an invigorating vitality pool.<br />

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

COWORTH PARK SPA<br />

»Ascot, Berkshire<br />

Coworth Park is a 70-room luxury country house hotel and spa set in<br />

240 acres of picturesque Berkshire parkland just 45 minutes from<br />

central London and 20 minutes from Heathrow airport. The Spa at<br />

Coworth Park is an architectural wonder, with its upper floor taking in<br />

breathtaking views of the surrounding English parkland. The Spa’s Living<br />

Roof is a garden of thyme, lavender, chamomile and other fragrant herbs<br />

that are all used for the Spa’s natural treatments, with a range of 100%<br />

organic treatments available along with other luxurious product brands.<br />

Built over two floors the upper floor has 8 treatment rooms<br />

(including 2 doubles), a manicure/pedicure salon and relaxation rooms.<br />

Whilst on the lower ground level there is a gym and indoor pool with<br />

glass walls leading on to a sun terrace. And if you feel peckish after a<br />

dip in the pool, you can enjoy a healthy bite in the Spa restaurant.<br />

LEARN MORE: www.coworthpark.com/spa<br />

OCTOBER - NOVEMBER 20<strong>12</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 />

THE HERB HOUSE SPA<br />

AT LIME WOOD HOTEL<br />

» New Forest, Hampshire<br />

LEARN MORE: www.limewoodhotel.co.uk<br />

RAGDALE HALL<br />

»Melton Mowbray, Leicestershire<br />

Located in the rolling Leicestershire countryside, Ragdale Hall combines<br />

state-of-the-art facilities with the charm of traditional Victorian architecture<br />

to create one of the most luxurious and relaxing health spas in the<br />

country. Whether you are looking for total relaxation, me-time and pampering<br />

or to kick-start a healthier lifestyle, Ragdale Hall is the perfect<br />

choice. Feel the fantastic therapists work their magic in one of the 60<br />

treatment rooms, or why not enjoy a unique dry flotation therapy. Their<br />

great selection of spa days and spa breaks include something for everyone,<br />

and offer a wide range of spa treatments to suit every need.<br />

The spa has won a steady stream of awards over the last ten years,<br />

many of which have been voted for by previous guests. So why not relax,<br />

unwind and rejuvenate at one of the ultimate health spa resorts in<br />

England, where you’ll be truly pampered from the moment you arrive.<br />

LEARN MORE: www.ragdalehall.co.uk<br />

30 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong><br />

Opened in 2010, the Herb House Spa is the latest addition to the<br />

boutique country house hotel Lime Wood, in the heart of the<br />

New Forest. Spread over 22,000 square feet, the spa is dedicated to<br />

natural wellbeing and inspired by its forest surroundings, offering<br />

an assortment of holistic treatments from organic brands, and wet<br />

and thermal facilities with forest views. The Herbery, a beautiful<br />

rooftop garden, offers an ideal setting for pre or post-spa<br />

meditation and contemplation amid the tranquillity of the forest.<br />

The elegant, simple layout offers a haven with meditation<br />

spaces and secluded seating overlooking the forest. The<br />

experience is enhanced by the imaginative use of touch and smell<br />

to stimulate the senses, incorporating an extraordinary variety of<br />

herbs which can also be found in the healthy dishes and infusions<br />

available in ‘Raw & Cured’, the Herb House Spa’s own food bar.


<strong>Fertility</strong> Plus offers a bespoke complete fertility service in the heart<br />

of London. We are ethical and unique as we offer a fixed price<br />

package for a full range of infertility investigations and fertility<br />

treatments to couples, same sex-couples and single women.<br />

We offer the following<br />

fertility treatments:<br />

ovulation induction<br />

intra-uterine insemination (IUI)<br />

using partner’s sperm<br />

intra-uterine insemination (IUI)<br />

using sperm donor<br />

in-vitro fertilisation (IVF)<br />

intra-cytoplasmic sperm injection (ICSI)<br />

sperm freezing<br />

surgical sperm recovery<br />

egg freezing<br />

egg donation<br />

surrogacy<br />

embryo donation<br />

for detailed information please visit our website<br />

www.fertilityplus.org.uk


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

P C O S<br />

Polycystic Ovary Syndrome or PCOS is often called the ‘thief of womanhood’<br />

because of the devastating effect the symptoms can have on a woman’s<br />

appearance and self-esteem. PCOS is one of the leading causes of fertility<br />

problems in women. Here, PCOS charity, Verity, explains all about this<br />

complex disorder that affects millions of women in the UK and worldwide.<br />

POLYCYSTIC OVARY SYNDROME<br />

PCOS<br />

explained<br />

What is Polycystic Ovary Syndrome (PCOS)?<br />

Polycystic ovary syndrome is the name given to a condition in<br />

which women with polycystic ovaries also have one or more<br />

additional symptoms. The condition was first described in 1935 by<br />

Doctors Irving Stein and Michael Leventhal, and for many years it<br />

was known as the Stein-Leventhal syndrome.<br />

The term ‘polycystic ovaries’ describes ovaries that contain many<br />

small ‘cysts’ (about twice as many as in normal ovaries) and are<br />

usually no bigger than 8 millimetres each and are egg-containing<br />

follicles that have not developed properly. These are not cysts as<br />

you may imagine them to be; they don’t cause pain and aren’t<br />

harmful to you (so no surgical removal is needed) and they don’t<br />

lead to ovarian cancer.<br />

Polycystic Ovary Syndrome (PCOS) Facts:<br />

• it affects millions of women in the UK and worldwide<br />

• it runs in families<br />

• is one of the leading causes of fertility problems<br />

• has long term health risks<br />

• can affect quality of life and self esteem<br />

What causes PCOS?<br />

Each woman with PCOS is different, and you don’t have to have all<br />

or even most of the symptoms to have the condition. Some women<br />

may only have a couple of symptoms that are mild, while others<br />

may have a wider range of symptoms that affect her more severely.<br />

The cause of PCOS in not fully understood, though it is<br />

commonly accepted now that PCOS runs in families. It may be that<br />

there are several causes, which could explain why different women<br />

have such different symptoms.<br />

What they do know, is that the symptoms of PCOS are associated<br />

with abnormalities in the hormones that control your menstrual<br />

cycle. All women produce testosterone from their ovaries, however<br />

if you’re a woman with PCOS, you will typically produce higher than<br />

average amounts. It’s this excess testosterone that results in many<br />

of the symptoms, such as excess hair and hair loss.<br />

It is also thought that another hormone – insulin – may be<br />

involved in the development of PCOS. Many women with PCOS<br />

have been found to have a condition known as insulin resistance,<br />

and it seems that these high levels of insulin affect the ovaries,<br />

contributing to the abnormal hormone environment.<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

33


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

PH CE OA SL T H & F E R T I L I T Y<br />

What are the symptoms and how is it diagnosed?<br />

Symptoms usually start in adolescence, although some women do not develop them<br />

until their early to mid twenties, and can include one of more of the following:<br />

WHAT<br />

IS<br />

VERITY?<br />

• irregular periods, or a complete lack of periods<br />

• irregular ovulation, or no ovulation at all<br />

• unwanted facial or body hair (hirsutism)<br />

• oily skin and/or acne<br />

• thinning hair or hair loss from the scalp (alopecia)<br />

• weight problems – being overweight, rapid weight gain, difficulty losing weight<br />

• depression and mood swings<br />

PCOS is usually diagnosed using a combination of an ultrasound scan to check for<br />

polycystic ovaries and blood tests to detect hormonal abnormalities. Your doctor<br />

should also check your blood pressure level and, if you are overweight, your blood<br />

sugar level. Once a diagnosis has been made, your doctor may refer you to a specialist<br />

– usually a gynaecologist (a doctor specialising in caring for a woman’s reproductive<br />

system) or an endocrinologist (a doctor specialising in the hormonal system).<br />

“<br />

PCOS can be treated but treatments<br />

cannot currently offer a ‘cure’ for PCOS,<br />

so they tend to be aimed at managing the<br />

symptoms, if you are trying to get pregnant<br />

and are not ovulating, your doctor<br />

will refer you to a fertility specialist<br />

and there are a number of treatments<br />

available to help stimulate ovulation. ”<br />

What are the health risks and can it be treated?<br />

There are two clear risks to health that women with PCOS must be aware of. These<br />

are the risk of developing cancer of the womb lining (endometrial cancer), and the<br />

risk of developing diabetes in middle age (type 2 diabetes) which also puts you at an<br />

increased risk of developing cardiovascular disease.<br />

PCOS can be treated but medical treatments cannot currently offer a ‘cure’ for<br />

PCOS, so they tend to be aimed at managing the symptoms. For example, if you are<br />

trying to get pregnant and are not ovulating, your doctor will refer you to a fertility<br />

specialist and there are a number of treatments available to help stimulate ovulation.<br />

Or, if your primary concern is treating excess facial and body hair or acne, you<br />

might be referred to a dermatologist to look at the most suitable treatments for you.<br />

The good news is that many of the symptoms and the health risks can be<br />

managed successfully without medical intervention, through good nutrition,<br />

exercise and adopting a generally healthy lifestyle.<br />

VERITY<br />

THE PCOS SELF HELP GROUP<br />

Verity is the UK’s only charity for women<br />

with polycystic ovary syndrome (PCOS), and<br />

provides information and support for women<br />

with PCOS and their loved ones. It was<br />

founded in 1997 and is run entirely by a<br />

team of volunteers. In addition to publishing a<br />

range of information booklets covering all<br />

aspects of the condition, Verity runs twice<br />

yearly conferences where delegates get the<br />

chance to hear from some of the UK’s<br />

foremost PCOS experts.<br />

The charity also publishes In Touch, a biannual<br />

members newsletter full of the latest<br />

news, information and research on PCOS.<br />

Verity also provides advocacy, awareness<br />

and education to the healthcare profession<br />

through PCOS UK, Verity’s medical education<br />

arm, that was established in 2005.<br />

For more information on Verity and PCOS<br />

please visit our website, blogs and foums at<br />

www.verity-pcos.org.uk<br />

The PCOS Diet Plan<br />

- Hillary Wright, £13.99<br />

PCOS And Your <strong>Fertility</strong><br />

- Colette Harris & Theresa Cheung<br />

£9.99<br />

The PCOS Workbook<br />

- Angela Grassi & Stephanie Mattei<br />

£18.99<br />

34 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


Questions About<br />

Your <strong>Fertility</strong>?<br />

We Have Answers.<br />

About Boston IVF<br />

A global leader in cutting-edge fertility treatments, Boston<br />

IVF compassionately assists individuals and couples achieve<br />

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at Harvard Medical School, we are one of America’s most<br />

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Cutting Edge Treatments<br />

Our new Frozen Donor Egg Program allows for patients<br />

to perform a cycle within 1-2 months! Donors have already<br />

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cycle at a time that works best for you.<br />

Other Services Include:<br />

• IVF with Donor Egg<br />

• Gender Selection<br />

• Same Sex Couple Options • <strong>Fertility</strong> Preservation<br />

• Gestational Surrogacy • Array CGH (superior to PGD)<br />

Your Personal Doctor<br />

Dr. Moragianni is a Clinical Instructor at<br />

Harvard Medical School and Director of the<br />

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She speaks Greek, French, Italian and Albanian.<br />

International Concierge Service<br />

Dr. Moragianni is personally available to all of her patients via<br />

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

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

Winter is never the best time of year, especially in the UK. Temperatures<br />

drop and the days get shorter and our energy levels can be low.<br />

Luckily fertility expert Emma Cannon is on hand to serve up<br />

some hearty dishes perfect for the upcoming months that not only<br />

taste delicious but will also promote and protect your fertility.<br />

winter<br />

warmers<br />

PEAR CRISP WITH<br />

ALMONDS AND WALNUTS<br />

Of all the fruits, pears are the most phlegm clearing and of all the<br />

nuts almonds and walnuts do the same job. This makes a great<br />

breakfast as well as a hearty, but healthy, pud<br />

INGREDIENTS:<br />

• 4 pears, ripe but firm<br />

(cored, peeled and sliced)<br />

• 200g (1 cup) ground almonds<br />

• 90g ( ¾ cup) walnuts<br />

• 1 vanilla pod<br />

(halved and scraped)<br />

• 30ml (2 tbsp) lemon juice<br />

METHOD:<br />

1. Preheat the oven to 215 degrees C (425 F).<br />

• 30g (2 tbsp) butter, chilled<br />

(plus a little more for baking)<br />

• 2–4 tbsp of agave syrup, or 4-6<br />

tbsp brown sugar (depending<br />

on desired sweetness)<br />

• 100 ml (3/8 cup) water<br />

• ½ teaspoon salt<br />

2. In a large pan, over medium to high heat, melt 1 tbsp butter then<br />

add the pears and vanilla.<br />

3. Sauté for a minute or two and then add 1 to 2 tbsp of agave, or<br />

2 to 3 tbsp of sugar, followed by half the water. Sauté for a few<br />

minutes more; the pears should caramelize a bit, and then add<br />

the rest of the water. When the pears are lightly golden brown<br />

and the liquid is syrupy take them off the heat and set aside.<br />

4. Add the ground almonds to a mixing bowl with the salt. Stir.<br />

Cube 15g (1 tbsp) butter into tiny pieces and add them to the<br />

ground almonds.<br />

5. Add 1 or 2 tbsp of agave, or 2 to 3 tbsp of sugar, to the almond<br />

and butter, mix together with your hands, lightly crumbling it<br />

between your fingers until you have a nice crumbly mixture.<br />

6. Crush the walnuts gently with a rolling pin – it’s helpful to keep<br />

them in a bag as you do this – you don’t want powder but a nice<br />

variety of different sized pieces. Add the walnuts to the mixing<br />

bowl and stir in.<br />

7. Place the pear mixture in a 20cms square (8" x 8"), or a 23cms<br />

(9") round baking dish, or individual Pyrex bowls and add the<br />

almond and walnut mixture – covering evenly and pressing it<br />

around the edges with your fingers. Dot the top with little<br />

slivers of butter.<br />

8. Bake for 15–18 minutes, until the crisp top is brown and the<br />

pear mixture is bubbling. Remove from the oven and let sit for 20<br />

minutes before serving.<br />

Makes 6 servings<br />

36 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


OCTOBER - NOVEMBER 20<strong>12</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 />

CHICKEN MINESTRONE<br />

WITH ADZUKI BEANS<br />

It can also be made without the chicken as a vegetarian option. The<br />

red adzuki beans will turn the outside of the chicken pieces a deep<br />

pinkish purple while cooking.<br />

INGREDIENTS:<br />

• 8 skinless and boneless<br />

chicken thighs<br />

• 200g (1 cup) adzuki beans,<br />

soaked overnight<br />

• <strong>12</strong>0g (1 cup) peas<br />

• 110g (1 cup) green beans<br />

• 3 small carrots, chopped<br />

• 70g (1 cup) rinsed, chopped kale<br />

• 2 onions, sliced<br />

• 8 large or <strong>12</strong> small garlic cloves,<br />

peeled and halved or crushed<br />

• 3 bay leaves<br />

• ½ tsp ground turmeric<br />

• ½ tsp ground allspice<br />

• ½ tsp cayenne pepper<br />

• 2 tsp dried rosemary<br />

• 2 tsp dried thyme<br />

• 1½ tsp dried basil<br />

• 1½ tsp dried oregano<br />

• 2 tsp sea salt (less if using<br />

stock or bouillon – add to taste)<br />

• 2½ pints (6 cups) chicken stock<br />

chicken or vegetable bouillon,<br />

• Olive oil<br />

METHOD:<br />

1. Drain and rinse the beans and set aside. Slice the chicken thighs<br />

into large chunks – 2 or 3 per thigh.<br />

2. Add 2 or 3 glugs of olive oil to a large stockpot on high heat. Add the<br />

chicken pieces so that each piece touches the bottom of the pot<br />

when the oil is hot – to sear the meat. After a minute or two turn<br />

each piece with tongs, letting them sear on the other side. Take off<br />

the heat and remove the chicken pieces from the pot and set aside.<br />

3. Returning the pot to the heat, add the garlic, onions and sauté for<br />

a couple of minutes then add the peas, green beans, carrots and<br />

kale, with some more olive oil if you like. Add all the herbs and<br />

spices while stirring to lightly sauté while still on a high heat.<br />

4. Add the stock and the adzuki beans and bring to a boil with the lid<br />

on. After 5 minutes, add the chicken pieces and any liquid with them.<br />

Bring to a boil again and simmer for 40 minutes with the lid on.<br />

5. Remove the lid and increase the heat to reduce the liquid – for<br />

another 10 to 20 minutes, depending on how thick you want the<br />

soup. Season to taste and serve with toasted bruschetta or crostini.<br />

Makes 4 large bowls or 8 small ones<br />

SLOW-ROASTED<br />

LEG OF LAMB<br />

This is one of my life saving recipes. I usually make it when I have<br />

people staying and want to join in the fun without being tied to the<br />

kitchen sink. Lamb and rosemary are the greatest of companions in<br />

the kitchen. Lamb is actually considered the most heating of meats<br />

which is why it is often served with mint or yoghurt which are<br />

cooling so off set some of the heating effects of lamb, which is<br />

desirable in countries such as Greece. For this recipe we are going<br />

all out on the warmth for winter.<br />

INGREDIENTS:<br />

• 1 leg of lamb<br />

• 4-6 large potatoes, scrubbed and thickly sliced<br />

• 1 onion, thinly sliced<br />

• 6-8 cloves of garlic, peeled and sliced<br />

• A few twigs of rosemary<br />

• About 600ml stock<br />

(use half stock and half dry white wine if you prefer)<br />

METHOD:<br />

1. Preheat the oven to 200c/180 fan.<br />

2. Make little incisions all over the lamb and push the slivers of<br />

garlic into each hole followed by a little twig of rosemary. Season<br />

the lamb with salt and pepper.<br />

3. Grease the casserole with a little butter and layer the potatoes and<br />

onions at the bottom of the dish, season with a little salt and pepper.<br />

Pour the stock over the top of the potatoes to just cove them and sit<br />

the lamb on top of the potatoes. Pop the casserole into the oven.<br />

4. Roast for about 15-20 mins on this high temperature (200c/180<br />

fan) until the casserole and the contents are piping hot.<br />

5. Turn the oven temperature down to 140c/<strong>12</strong>0 fan and continue to<br />

roast for about 200c/180 hours until the lamb flakes away from the<br />

bone and the potatoes are crisp on the top and moist underneath.<br />

38 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</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


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

C H O O S I N G A C L I N I C<br />

Spoilt for Choice<br />

With hundreds of fertility clinics in the UK and abroad, choosing a clinic<br />

that is right for you can be a daunting process. We chat with Paul Serhal<br />

from the Centre of Reproductive and Genetic Health who explains about<br />

success rates and what to consider when choosing a clinic to match your needs.<br />

In your opinion, what should couples and people<br />

considering IVF look for when choosing a clinic?<br />

There are many factors which must be considered; choosing the<br />

right fertility clinic will have an effect one way or another on the<br />

rest of your life. I think the most important factor for patients has to<br />

be how comfortable they feel with the clinic they choose. This isn’t<br />

just how comfortable the chairs are, but how the patients are<br />

welcomed by the staff, cared for by the nurses, the confidence to ask<br />

their consultant any question they have, not just in the consultation<br />

but calling in at any time during the week.<br />

I have always maintained that the best advice about which clinic<br />

to go to always comes from personal recommendations such<br />

as friends or family as they tell you exactly how it is, or from<br />

testimonials from actual couples that have benefitted from the<br />

clinics services. At the Centre for Reproductive and Genetic Health<br />

(CRGH) we are proud that from our latest patient satisfaction<br />

survey, we found that 84% of our patients would highly recommend<br />

us to friends or family, with over half of all our new patients each<br />

month being personal patient to patient referrals.<br />

Articles relating to choosing clinics often mention<br />

'success rates' can you explain what these are?<br />

For patients without recommendations from friends or family,<br />

success rates are another good way to benchmark clinics and help<br />

form a decision. As the availability and publication of success rates<br />

has increased we are certainly seeing more and more patients<br />

choosing clinics based on success rates alone.<br />

The CRGH has one of the best success rates in the UK, and<br />

unlike other clinics we never turn any patient away. The 2010 data<br />

on the HFEA website show our success rates for live births per<br />

treatment cycle started for the under 35 age group as 50.2%,<br />

against a London average of only 35.46% and a national average of<br />

32.5%. Our leading success rates are consistent across all HFEA<br />

data, with our IVF success rates for the 35-37 and >37 years age<br />

groups and IUI success rates equally outperforming our London<br />

neighbours and national colleagues.<br />

We achieve such rates by investing heavily in the quality of our staff<br />

and the latest equipment, facilities and technology available to make<br />

sure that we’re always able to go that extra mile for our patients.<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

41


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

H E A L T H & F E R T I L I T Y<br />

With such a large difference in published results,<br />

why do success rates vary from clinic to clinic?<br />

Success rates are affected by so many factors it’s truly<br />

impossible to list them all here. In my opinion, however, there<br />

are four key factors which have a significant impact on the<br />

success rates of clinics.<br />

The first point is the academic interests and involvement of<br />

the clinic. This is particularly important as the field of fertility<br />

medicine is developing so quickly, just a few months out of the<br />

loop can have huge effects on keeping ahead of the curve.<br />

At the CRGH many of our staff are practising academics at<br />

University College London and we have regular meetings solely to<br />

review new research and discuss whether our practice would<br />

benefit from adopting any of these new methods.<br />

Secondly, it is the attention to detail in the clinic. <strong>Fertility</strong><br />

treatments of any kind are extremely specialist and the chances<br />

of success of a treatment can be affected by the smallest change,<br />

such as the acidity of the medium embryos are stored in.<br />

“<br />

Even though IVF funding has<br />

picked up, a lot of PCTs will only<br />

pay for one cycle of IVF per couple<br />

per lifetime. So patients have<br />

to make sure that their one and<br />

only funded opportunity has<br />

the highest chance of success. ”<br />

Thirdly is the responsiveness of the clinic to patients needs.<br />

Some clinics are only open on certain days, or only for certain<br />

times and as such critical tests are left for another day or two,<br />

or sometimes patients cycles are artificially changed so that the<br />

patient ‘needs’ a test it falls on the best day for the clinic. These<br />

things may not seem important but they can have a profound<br />

effect on the chance of success. I have always ensured that our<br />

clinic is open and available to patients whenever is clinically<br />

best for them, that’s why we’re only closed three days per year<br />

and our doctors have an emergency unit mobile should any of<br />

our patients need to contact us urgently.<br />

Finally, patients must be treated as individuals. Some clinics<br />

use very prescriptive practices, sending each patient for IVF even<br />

if a different treatment would be more suitable. We make sure<br />

that every woman’s treatment plan is personally tailored, this,<br />

along with our close monitoring of results helps us ensure that<br />

we are able to give each patient the very best chance of success.<br />

With so many success rates published how can I see<br />

what success rates are relevant to what I need?<br />

Generally if a clinic has success rates to be proud of then they<br />

will prominently display them on their website or publish them in<br />

their printed literature. Alternatively, the HFEA website gives a<br />

complete rundown of every clinics success rates.<br />

With rising rates for private fertility treatment,<br />

do many clinics treat NHS patients?<br />

All clinics that treat NHS patients will make it clear on their<br />

website. We treat couples and individuals referred to us from the<br />

NHS and run a satellite partnership with one of the world's largest<br />

NHS hospitals, University College London Hospitals, where the<br />

CRGH undertakes all the complex IVF work on their behalf. We<br />

also accept NHS patients directly and have begun to see a lot<br />

more NHS patients directly due to the NHS funding constraints.<br />

You mention funding contraints, and it is<br />

frequently reported in the news, can you explain?<br />

In simple terms, the NHS is running out of money so the<br />

Primary Care Trusts (PCTs) are commissioning fewer and fewer<br />

services. Even though IVF funding has picked up, a lot of PCTs will<br />

only pay for one cycle of IVF per couple per lifetime. So patients<br />

have to make sure that their one and only funded opportunity has<br />

the highest chance of success. Patients are looking to be treated<br />

where the success rates are the highest, and hence we have more<br />

patients coming through our doors. We’re delighted with this<br />

because our mission ever since starting was not about being a<br />

private business, but being able to help as many people as we can.<br />

If we have narrowed down our choice of clinic,<br />

what are the next step in the process?<br />

I would recommend visiting the clinics you are interested in<br />

before making a final decision. Most clinics hold open evenings.<br />

We do this once a month where prospective patients are given a<br />

tour of the unit, a small presentation on fertility treatments<br />

followed by an extensive question and answer session.<br />

Once a patient is happy with the feel of the clinic it’s very simple<br />

from there. They book an initial consultation with a consultant to<br />

discuss possible fertility treatments. It is difficult to summarise<br />

a treatments process, as there are so many different options<br />

available, but any clinic will be willing to tell you everything you<br />

need to know about your relevant fertility plan. However, if<br />

the patient isn’t completely clear of the next steps for them after<br />

the first consultation this is the time to raise questions.<br />

Paul Serhal is the Medical Director of the Centre for Reproductive<br />

and Genetic Health, one of the most successful private fertility<br />

clinics in the UK. For more information on the clinic and the service<br />

they offer please visit www.crgh.co.uk<br />

42 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


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

N A T U R A L O P T I O N S<br />

Trying to conceive?<br />

The path to parenthood for<br />

many can be easy, as nature<br />

takes it course, but unfortunately<br />

this is not the case for everyone<br />

and some need a helping hand.<br />

The question is, what options<br />

are out there to increase your<br />

chances of conceiving?<br />

MOST WOULD AGREE THAT THE BEST STARTING POINT TO<br />

conceive is to look for the closest to a natural conception, something<br />

that can be done in the privacy of your own home. There are many<br />

options for this depending on the stage of your journey. Below we<br />

describe what option is best for you at the correct time, the cost of<br />

use and the science behind the product.<br />

the right time on the days indicated, this can provide a good<br />

prediction of your likely date of ovulation (and so most fertile<br />

time). As with the simpler LH tests, ovulation is only predicted but<br />

not confirmed so your doctor will often recommend a blood test<br />

seven days after ovulation or the body basal temperature chart to<br />

confirm if ovulation took place.<br />

OPTION 1<br />

BOOTS PREGNANCY TEST KIT<br />

COST – £10 A MONTH<br />

LENGTH OF TIME TRYING TO CONCEIVE - 0 TO 3 MONTHS<br />

If you have been trying to get pregnant for only a few months, there is<br />

no need to worry, as conception does take time. A pregnancy test is<br />

all you need at this stage. It is most commonly used when a woman<br />

starts trying to conceive. These test kits measure the hormone<br />

‘human chorionic gonadotropin’ (hCG) which increases in your urine<br />

a few days after conception. An at-home pregnancy test measures<br />

this reliably if tested on the day that your period should be due.<br />

OPTION 2<br />

FIRST RESPONSE OVULATION TEST KIT - 5 TESTS<br />

COST – £25 A MONTH<br />

LENGTH OF TIME TRYING TO CONCEIVE - 3 TO 6 MONTHS<br />

If it doesn’t ‘just happen’ within the first three months, the next thing<br />

to try is usually an LH (luteinizing hormone) test. The First<br />

Response Ovulation LH tests measure the surge in the luteinizing<br />

hormone (LH) in your urine, which usually happens 1-3 days before<br />

ovulation. Testing regularly from about the 10th day after the start<br />

of your period helps you identify when you are most fertile. These<br />

kits are best for those who have just started trying to conceive or<br />

have been trying for less than six months, where an indication of<br />

when to try to conceive is all that is required.<br />

OPTION 3<br />

CLEARBLUE FERTILITY MONITOR<br />

COST – £15 A MONTH (PLUS INITIAL £100)<br />

LENGTH OF TIME TRYING TO CONCEIVE - 6 TO <strong>12</strong> MONTHS<br />

A ClearBlue <strong>Fertility</strong> Monitor is for those who have been trying to<br />

conceive naturally for over 6 months without success. This<br />

monitor helps test for the LH surge as well as oestrogen levels,<br />

prompting the user when to test and remembering their<br />

measurements from cycle to cycle. Provided that tests are taken at<br />

OPTION 4<br />

DUOFERTILITY<br />

COST – £49 A MONTH FOR 9 MONTHS (PLUS INITIAL £149)<br />

LENGTH OF TIME TRYING TO CONCEIVE - OVER ONE YEAR<br />

Once you pass the <strong>12</strong>-month threshold of trying to conceive, your<br />

doctor will diagnose you with infertility. It is important to<br />

understand that this does not mean you are incapable of<br />

conceiving without intervention, and unless a specific cause of<br />

infertility is identified, there is every chance that you will get<br />

pregnant naturally.<br />

LH tests are not recommended for infertile women, due to the<br />

high incidence of hormonal irregularities that interfere with the LH<br />

hormone tests. You can still get a reliable indication of ovulation by<br />

measuring your body basal temperature.Unfortunately, this must be<br />

measured at the same time before you get up every single day for<br />

accurate results, and even then can be a challenge to interpret. Body<br />

basal temperature does not predict ovulation, so you cannot use<br />

this method to plan when to make love, but it does confirm that you<br />

did ovulate.<br />

Combining the best of the others options, but with a price to<br />

match, is the Duo<strong>Fertility</strong> system. Designed specifically for infertile<br />

couples and with a comparable success rate to IVF, Duo<strong>Fertility</strong><br />

combines prediction and confirmation of ovulation with expert<br />

analysis of your data and, most importantly, someone you can talk<br />

to about every aspect of infertility, including the emotional side. The<br />

button- sized underarm sensor listens to your body, the fertility<br />

experts work out what it all means for you, and they can help you<br />

(and your doctor) understand exactly what is going on.<br />

£50 OFF! YOUR DUO FERTILITY MONITOR<br />

EXCLUSIVE TO FERTILITY ROAD READERS!!<br />

Simply enter ‘FERTILITYROAD20<strong>12</strong>’ at the checkout<br />

at www.duofertility<br />

OCTOBER - NOVEMBER 20<strong>12</strong> www.fertilityroad.com<br />

| WWW.FERTILITYROAD.COM |<br />

43<br />

43


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conceive couples for a natural conception or guide them to<br />

early medical support if they show signs of reduced fertility.


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 a baby for over a<br />

year now with no success. I am really worried that a<br />

termination when I was younger might be the cause. Is there<br />

any truth in my fears or am worrying for nothing.<br />

If you have had normal periods since having the termination then it<br />

is highly unlikely that you have anything to worry about. In about 16%<br />

of terminations the patients can be left with Ashermans Syndrome<br />

which is scarring and adhesions of the uterus caused by damage to the<br />

area during the termination. However if this was the case you are<br />

likely to have had light or absent periods since. I see more women who<br />

are emotionally traumatised by earlier miscarriage than those who<br />

have been left with any physical damage. Many women are not<br />

emotionally upset by terminations but some women are for many<br />

years. Trying to become pregnant can, in some women, trigger feelings<br />

of guilt and if this is the case it can be useful to address these feeling.<br />

I have been advised that I should cut out all caffeine<br />

from my diet to improve my chances with IVF, Does<br />

this include decaf Coffee, and are there any other foods or<br />

drinks that I should avoid?<br />

Unfortunately studies do suggest that caffeine does delay conception<br />

in both men and women. Decaf can be used to help you reduce<br />

the amount of caffeinated coffee in your diet but then I suggest you<br />

eliminate that as well. decaf also contains unhelpful elements even<br />

with the caffeine removed. Instead drink herbal teas such as nettle and<br />

mint tea or almost any of the herbal teas that are available now. I<br />

would also reduce saturated fats, increase your vegetable intake and<br />

try to eat 4 smaller meals equally spaced throughout the day, rather<br />

than leaving long periods between meals. Sugar and alcohol are known<br />

to make your blood sugar levels unstable so cut these out of the diet as<br />

much as possible, that said a small glass of organic wine with food will<br />

not help and might increase libido. Eat as natural a diet as possible;<br />

butter instead of margarine and home cooked food instead of processed<br />

package food. Try to avoid buying foods wrapped in plastic as it's<br />

a good idea to reduce our exposure to soft plastics which can leak<br />

compounds that can upset our delicate hormone system. However, do<br />

try and relax and enjoy food, it is after all one of life's great pleasures.<br />

My Doctor has advised me that acupuncture might<br />

help with me being able to conceive naturally. Even<br />

though I am not great with needles, what kind of acupuncture<br />

should I be looking for and does it hurt?<br />

Acupuncture can indeed help you conceive and hats off to<br />

your doctor for being so progressive. Many of my patients are<br />

now referred to me by medical Doctors and it is great to see such<br />

a change in attitude. Look for practitioners who are registered<br />

with the British Acupuncture Council and who have a special<br />

interest in <strong>Fertility</strong>. Don't worry about the needles, they are hair<br />

thin and much less painful than you might imagine. Most people<br />

really grow to love the sensation that they get from having<br />

acupuncture as well aiding fertility it has an extremely relaxing<br />

effect and one that patients say helps them manage anxiety and<br />

stress which can play a huge part in those trying to conceive.<br />

USEFUL INFORMATION<br />

»WWW.ASHERMANS.ORG<br />

»WWW.ACUPUNCTURE.ORG.UK<br />

»WWW.EMMACANNON.CO.UK<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |<br />

45


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 />

Friend of <strong>Fertility</strong> <strong>Road</strong> and campaigner, Sarah Johnson has a<br />

busy lifestyle at the moment, appearing on TV, being interviewed<br />

on the radio and posing for newspaper and magazine photo<br />

shoots, this all sounds glamorous but in reality it is just one<br />

woman's fight towards changing the IVF postcode lottery policy,<br />

here Sarah shares and updates here story of her tireless quest<br />

and her ultimate goal of achieving her dream of becoming a mum.<br />

Sarah’s<br />

Story<br />

very month I dread that time!<br />

letter from<br />

My body so desperately wants<br />

a child it tricks my mind with<br />

pregnancy symptoms even if<br />

I am a few days late with my<br />

period. Yet, for that very slight moment, I<br />

hold on to that small<br />

the heart<br />

glimmer of hope, but<br />

sadly month after month, year after year I<br />

am left devastated by that negative pink<br />

line on that pregnancy test.<br />

» How it all started<br />

My struggles started at the tender age of<br />

fifteen where days were taken off from<br />

school on a regular monthly basis due to<br />

the crippling pains of my menstrual cycle.<br />

I lived like this until I was eighteen when I<br />

was finally referred to the hospital and<br />

diagnosed with Polycystic Ovarian Syndrome<br />

(PCOS) which affects the ovaries and causes<br />

irregular periods or no periods at all.<br />

A few more years passed of frequent<br />

visits to the GP and the hospital, various<br />

tests, ultra sound scans and so many blood<br />

tests I was diagnosed with another condition<br />

called Endometriosis which is the abnormal<br />

growth of cells (endometrial cells) similar to those that form the<br />

inside of the uterus, but in a location outside of the uterus. These<br />

are most commonly found on the ovaries, the Fallopian tubes, outer<br />

surfaces of the uterus or intestines, and on the surface lining of the<br />

pelvic cavity.<br />

I was admitted for laser laparoscopy surgery to laser the parts of<br />

the endometriosis which had attached itself to my bowel and other<br />

internal organs. A few more years down the line I was then told that<br />

I had fibroids which are non cancerous growths of the womb that<br />

can cause heavy periods, abdominal swelling and urinary problems.<br />

I found that all my problems went hand in hand with each other and<br />

were quite similar in that they all caused me unbearable pain.<br />

» Falling in love<br />

I finally met that special someone, Levi, in October 2005 and he<br />

eventually became my husband in December 2009. I explained from<br />

the start about the conditions I suffered and if he wanted us to start<br />

a family then we would need to do so sooner rather than later as I<br />

would need a helping hand.<br />

We attended our local fertility clinic at St Mary’s Hospital in<br />

Portsmouth and have went through all the various tests and<br />

procedures to basically be told by our consultant that for us to<br />

conceive we would need IVF which literally means “fertilisation in<br />

glass” giving the familiar term “test tube baby”. The consultant went<br />

on to explain during the IVF process, eggs are removed from the<br />

ovaries and fertilised with sperm in the laboratory.<br />

46 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


treatment. The NICE guideline states that<br />

up to three cycle of IVF should be available<br />

to woman aged between 23-39, those who<br />

have an identifiable cause of infertility and<br />

those who have had more than three years<br />

of fertility problems.<br />

In March 2011 I contacted my local<br />

newspaper, The Portsmouth News explaining<br />

that there are many people across the UK<br />

who do not meet the criteria for IVF or<br />

simply because of the area that they live<br />

in (known as the “Postcode Lottery”) and that<br />

I had fallen victim to this. I asked if they<br />

would be interested in featuring a story of<br />

this nature and that I had also started an<br />

online petition in the hope of eventually<br />

raising this issue in Parliament.<br />

“<br />

Heartbroken and devastated and thinking<br />

at that very moment your whole life is over,<br />

how are you supposed to carry on? What are<br />

you supposed to do? Instead of taking this<br />

The fertilised egg is later placed back in<br />

to the woman’s womb. My husband and I<br />

hoped that we would have IVF and would<br />

finally become pregnant and we would be<br />

close to having the family that we dreamed<br />

of. How simple did he make that sound.....?<br />

But it wasn’t that simple as we were<br />

told the devastating news that because my<br />

husband had a child from a previous<br />

relationship we were not eligible for any<br />

free treatment on the NHS and our only<br />

recourse was to seek private treatment at a<br />

cost of £5000 a time.<br />

The consultant explained we could try<br />

and get a loan or if we owned our own house,<br />

remortgage to raise the money. This was<br />

certainly not an option and why would we<br />

want to get ourselves in debt when bringing<br />

a baby in to the world and supporting it<br />

through it's life is certainly not cheap.<br />

» Starting the fight:<br />

Heartbroken and devastated and thinking at<br />

that very moment your whole life is over,<br />

how are you supposed to carry on? What<br />

are you supposed to do? Instead of taking<br />

this lying down, I decided to fight.<br />

Firstly I looked to the National Institute<br />

for Health and Clinical Excellence (NICE)<br />

which published guidance on fertility<br />

» Media interest:<br />

They agreed to feature my story and as<br />

they delved more in to this issue with their<br />

research they found that the Portsmouth<br />

Primary Care Trust (PCT) had only funded<br />

four rounds of IVF treatment in the past<br />

four years and fourteen cases that were<br />

put forward for funding were all refused.<br />

Decision making regarding the amount<br />

of funding is made by the local PCT and<br />

the Department of Health has stated that<br />

all PCTs, in the long term, should provide<br />

the full three cycles of IVF as set out in the<br />

NICE guidelines but because these are not<br />

mandatory each PCT is left to make up its<br />

own rules regarding funding. The story ran<br />

in April 2011 and included a link so members<br />

of the public could sign the petition.<br />

I decided to contact my local councillor<br />

Mike Hancock CBE MP to see if there was<br />

any way in which he could help. He replied<br />

that he would take this up with the Health<br />

Minister. I received a reply from Anne Milton<br />

MP the Parliamentary Under Secretary of<br />

State for Public Health appreciating my<br />

concern that people feel about having<br />

equal access to infertility services and<br />

the impact that it can have on individuals<br />

and couples and that it would encourage<br />

all commissioners to take account of<br />

the NICE guidelines although they are<br />

recommendations and are not obligatory.<br />

» Contacting the Government:<br />

I was told to forward my own application<br />

for IVF treatment which I did but was<br />

informed they were unable to approve<br />

funding as it would only be funded if the<br />

couple do not have a living child from their<br />

relationship or any previous.<br />

lying down, I decided to fight. ” 47<br />

OCTOBER - NOVEMBER 20<strong>12</strong> | WWW.FERTILITYROAD.COM |


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 />

»<br />

Letters bounced back and forth between<br />

my MP, GP, Health Minister, Chairman of<br />

the NHS Trust and myself but still they<br />

refused to fund me. I could however put<br />

forward my case as an exceptional circumstance<br />

but would still need to meet their<br />

strict criteria.<br />

» Lights, camera, action!<br />

A television programme, on BBC1, came to<br />

light during this time called Postcode Lottery<br />

which highlighted the issue of IVF on the<br />

NHS and how the postcode stipulated your<br />

eligibility in accessing treatment. I decided<br />

to contact them with details of my campaign<br />

and my fight through my infertility journey,<br />

we filmed back in October 2011 and it was<br />

aired nationally in March 20<strong>12</strong>.<br />

As always because this was about<br />

fertility, this still received criticism with<br />

people claiming that infertility is not a<br />

disease and that we would be taking money<br />

from cancer and heart disease patients.<br />

Infertility is a medical condition and through<br />

no fault of my own, have I asked to suffer?<br />

Then in December 2011 whilst reading<br />

a copy of my local newspaper a story had<br />

been printed about a couple winning a<br />

legal fight to receive funding for IVF<br />

treatment. Like my husband and I, they had<br />

been trying to conceive for a number of<br />

years but due to the fact that the husband<br />

had a child from a previous relationship<br />

they too were refused funding. The couple<br />

were then represented by a fertility lawyer<br />

who won their case for them. I felt really<br />

angry as to why were they allowed funding<br />

and I wasn’t. I decided to see the MP who<br />

helped put the couple in touch with the<br />

fertility lawyer.<br />

Unfortunately we could not receive help<br />

and so it was left to me to try and push my<br />

petition forward in the hope of collecting<br />

the 100,000 or more signatures so that the<br />

subject could once more be put before<br />

Parliament for discussion in the hope that<br />

they would change this harsh criteria and<br />

ridiculous postcode lottery.<br />

More recently I have just filmed for a<br />

documentary series for Chinese television<br />

entitled What we didn’t know about the<br />

West. This is the first time that the Chinese<br />

have commissioned a foreign broadcaster<br />

»SIGN SARAH’S PETITION!!!<br />

SEND A MESSAGE TO THOSE THAT CAN<br />

CHANGE THE CRITERIA OF WHO SHOULD<br />

AND SHOULD NOT RECEIVE TREATMENT.<br />

“<br />

Going through this journey<br />

you realise that you are not<br />

alone and there are so many<br />

more people out there just<br />

like yourself who are affected.<br />

I have met some wonderful<br />

people along the way, some of<br />

who have turned in to friends. ”<br />

to make western style television for their own channels. It looked at<br />

our western healthcare and the availability of assisted reproductive<br />

treatments funded by our NHS. Presented by China expert Hugo de<br />

Burgh I was lucky enough to tell my infertility story, explain my<br />

views and what I hoped to achieve from my campaign. This is being<br />

broadcasted during one of their largest film festivals in October 20<strong>12</strong><br />

with an audience likely to be over 600 million and I feel honoured<br />

that I could be a part of this.<br />

» And finally:<br />

Going through this journey you realise that you are not alone<br />

and there are so many people out there just like yourself who are<br />

affected. I have met some wonderful people along the way, some of<br />

who have turned into friends. Recently I have teamed up with a great<br />

lady called Julie who like me is going through her own fertility journey.<br />

She has helped me immensely in posting out paper petitions,<br />

contacting local businesses to see if we could promote the petition<br />

outside their premises, giving advice on any useful information that<br />

she comes across and just being there if I ever need to talk. We have<br />

contacted Professor Robert Winston, Denise Robertson the agony<br />

aunt from This Morning, who told us that she thinks this is all very<br />

wrong and suggested that we should contact Rights of Woman.<br />

There is only so much that I can do and I rely greatly on the help<br />

of others. At the end of the day I’m just a very small fish in a big bowl<br />

and I need your help. Everyone complains about not meeting the<br />

criteria or that they have been refused due to the area they live in but<br />

if we don’t all sing from the same hymn sheet and raise 100,000<br />

signatures then we will never be able to raise this issue in Parliament.<br />

Together we can do this. Please find details below to sign the petition.<br />

Sarah decided to start the petition to campaign for women<br />

like herself that have been refused and penalised with 1.<br />

Not meeting IVF criteria and 2. The Postcode Lottery.<br />

Sarah's goal is to persuade the Health Ministers, Government and<br />

Primary Care Trusts to change their views and the way they make<br />

their decisions on which postcode should be allowed treatment. The<br />

criteria needs to be changed and cases assessed individually so that<br />

everyone has the chance to become a parent and not just a statistic.<br />

To sign the petition please visit www.gopetition.com and<br />

search Change the Rules on IVF and Stop the Postcode Lottery<br />

or visit gopetition.com/petition/43913.html<br />

48 | WWW.FERTILITYROAD.COM | OCTOBER - NOVEMBER 20<strong>12</strong>


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

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Pop superstar Rihanna honours<br />

beloved grandmother’s memory<br />

with fertility goddess tattoo<br />

Bajan songstress Rihanna recently sent waves amongst the music industry<br />

and the world when she revealed her titillating new tattoo in a provocative<br />

photo to her Twitter followers. With her hands covering her breasts, she<br />

showed off the artwork of a winged Egyptian goddess, the 24-year-old singer’s<br />

new body art pays tribute to her late grandmother, Gran Gran Dolly, who died<br />

of cancer earlier this year.<br />

Isis, the goddess of motherhood and fertility, was worshipped as the perfect<br />

mother and wife of Egypt, as well as the patron of nature, magic and fertility,<br />

and was the friend of slaves, sinners, artisans, and the downtrodden.<br />

© Twitter/@Rihanna<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 | OCTOBER - NOVEMBER 20<strong>12</strong>


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