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EUROPE'S NO.1 FERTILITY MAGAZINE<br />

ISSUE <strong>09</strong> | FEBRUARY – MARCH 2012 £3.95/€4.95<br />

YOUR PATH TO PARENTHOOD<br />

WWW.FERTILITYROAD.COM<br />

FERTILITY ROAD MAGAZINE<br />

THE TIME IS NOW<br />

The best time to<br />

start your family<br />

•<br />

•<br />

W W W. F E R T I L<br />

I T Y R O A D.C O M<br />

WINTER<br />

BLUES??<br />

Take a break<br />

in the Sun....<br />

Courteney Cox on<br />

Family, Friends<br />

and <strong>Fertility</strong><br />

ISSUE <strong>09</strong><br />

WWW.FERTILITYROAD.COM<br />

COOKING TO CONCEIVE OVARIAN TISSUE FREEZING HYPNOSIS


Introducing Sophia!<br />

Courtesy of the Conception Kit ®<br />

For many couples, the Conception Kit is helping to<br />

turn dreams into reality. The Conception Kit is a new<br />

option that helps you conceive in the privacy and<br />

relaxed environment of your home. In fact, 1 in 4<br />

couples have successfully conceived whilst using the<br />

Conception Cap. 1 Available without prescription, the<br />

Conception Kit is a revolutionary fertility aid that,<br />

compared to many treatments, is affordable and<br />

convenient. It is a use-at-home product that naturally<br />

puts the choice of conception back in your hands and<br />

which could help lead to a little miracle of your own.<br />

For more information, visit www.conceptionkit.co.uk<br />

helping little miracles happen<br />

Conception Kit<br />

®<br />

1. Data on file Code: CKFRMA2112 2011 Rev0


FERTILITY ROAD<br />

CONTENTS<br />

In this issue...<br />

12<br />

20<br />

26 44<br />

12 GETAWAYS TO GET PREGNANT<br />

Not a fan of the winter weather, we’ve found a couple of<br />

sizzling hot destinations guaranteed to relax and make<br />

you want to get it on under the sun.<br />

16 MAN IN THE MIRROR<br />

Are men really concerned about not being able to father<br />

children? We’ve got the lowdown on how your man ticks.<br />

20 FRIEND, COUGAR & MUM<br />

Cougar Town star Courteney Cox, talks about her struggles<br />

with infertility, and how never giving up paid off in the end.<br />

26 THE TIME IS NOW<br />

When is the right time to have a baby? We discuss when<br />

the best time is to start your family.<br />

48 BEHIND OVARIAN TISSUE FREEZING<br />

Infertility pioneer Dr. Silber explains the science behind<br />

the relatively new procedure of freezing ovarian tissue.<br />

ALSO IN THIS ISSUE:<br />

NUTRITION:<br />

<strong>Fertility</strong> Expert Emma Cannon whips up some tasty dishes<br />

perfect to keep you nice and warm during the cold months<br />

HYPNOSIS:<br />

Leading Cognitive Hypnotherapist Russell Davis explains<br />

how hypnosis can help you whether trying to conceive<br />

naturally or undergoing treatment.<br />

LETTER FROM THE HEART:<br />

Dawn from South Africa retells her story full of challenges,<br />

failed IVF treatments, insomnia, and her fairy tale ending.<br />

www.fertilityroad.com<br />

03


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.


•<br />

•<br />

ISSUE <strong>09</strong> | FEBRUARY – MARCH 2012 £3.95/€4.95<br />

ISSUE <strong>09</strong><br />

WWW.FERTILITYROAD.COM<br />

FERTILITY ROAD<br />

CONTRIBUTORS<br />

Introducing the <strong>Fertility</strong> <strong>Road</strong> panel of journalists and experts…<br />

FERTILITY ROAD<br />

ISSUE <strong>09</strong> FEBRUARY – MARCH 2012<br />

WWW.FERTILITYROAD.COM<br />

EUROPE'S NO.1 FERTILITY MAGAZINE<br />

YOUR PATH TO PARENTHOOD<br />

FERTILITY ROAD MAGAZINE<br />

W W W. F E R T I L<br />

I T Y R O A D.C O M<br />

Courteney Cox on<br />

Family, Friends<br />

and <strong>Fertility</strong><br />

ISSUE <strong>09</strong> – FEBRUARY–MARCH 2012<br />

Group Publisher:<br />

Jeff Crockett<br />

Managing Editor:<br />

Giorgio Severi<br />

Business Advisor:<br />

Alessandro Severi<br />

Contributors:<br />

Dawn Blank, Emma Cannon,<br />

Oriane Chausiaux, Dr. Said Daneshman,<br />

Russell Davis, Dr. Sherman Silber<br />

Art Editor:<br />

Damian Browning<br />

Interim Sales Manager:<br />

Ms. J Watson<br />

European Sales:<br />

Susan Calatayud, Pier Minole<br />

Accounts Manager:<br />

Jennifer Gardner<br />

Legal Advisor:<br />

W Burson & Co.<br />

Client Liason Officer:<br />

Debbie Hanson<br />

Printed in the UK by:<br />

The Magazine Printing Company<br />

using only paper from FSC/PEFC suppliers<br />

www.magprint.co.uk<br />

Advertising Enquiries:<br />

sales@fertilityroad.com<br />

Contact details:<br />

<strong>Fertility</strong> <strong>Road</strong> Magazine<br />

Suite 318, Building 50,<br />

Argyll <strong>Road</strong>, London SE18 6PP<br />

Tel: 020 3556 3767<br />

Email: info@fertilityroad.com<br />

www.fertilityroad.com<br />

WWW.FERTILITYROAD.COM<br />

THE TIME IS NOW<br />

The best time to<br />

start your family<br />

Follow us on Twitter<br />

www.twitter.com/fertilityroad<br />

WINTER<br />

BLUES??<br />

Take a break<br />

in the Sun....<br />

COOKING TO CONCEIVE OVARIAN TISSUE FREEZING HYPNOSIS<br />

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

In this copy we hear about Courteney Cox’s rocky<br />

road to parenthood, throughout it all never giving<br />

up on her dream and where perseverance finally<br />

paid off. We’ve found some great places to kick<br />

start 2012 and beat the winter months, and we<br />

learn about Ovarian Tissue Freezing from Dr. Sherman Silber.<br />

Don’t forget to add a note in your diary for the 18th and 19th May,<br />

as the <strong>Fertility</strong> World Show is back, this time at London Earl’s Court.<br />

Once again, we will have Doctors, <strong>Fertility</strong> experts and a great line<br />

up of specialist speakers ready to answer all your questions. So why<br />

not make it a date, we would love to see you there!<br />

Also we are excited to announce that our fantastic magazine is now<br />

available for FREE online at www.<strong>Fertility</strong><strong>Road</strong>.com so check it out!<br />

Until next time – stay warm, relax and enjoy our magazine.... Giorgio<br />

OUR WRITERS...<br />

OUR FERTILITY EXPERTS...<br />

Emma Cannon practises complementary therapies and acupuncture<br />

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

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

Emma Cannon Ltd and author of The Baby-Making Bible and You and<br />

Your Bump. www.emmacannon.co.uk<br />

Dr. Sherman Silber M.D is a renowned pioneer in microsurgery and<br />

infertility and is considered one of the world’s leading authorities<br />

on fertility treatments. He is the author of three medical textbooks,<br />

five best-selling books, and has published more than 200 scientific<br />

papers on human infertility and reproduction. www.infertile.com<br />

Dawn Blank is the co-founder of South African based Gift ov life, which is<br />

one of the largest and most reputable egg donation agencies in the Southern<br />

Hemisphere. She consults on sex selection and IVF, and is mother to two<br />

small IVF miracles. Check out page 44 to read her path to parenthood.<br />

Dr. Said Daneshman M.D completed his residency at UCLA Medical<br />

Center. His research focused on the effect of female age on ovarian<br />

reserve. Currently, as The <strong>Fertility</strong> Center of Las Vegas’ practice director,<br />

his special interest lies in developing protocols for patients undergoing IVF.<br />

Oriane Chausiaux is one of the fertility experts on the team and the Chief<br />

Scientific Officer. Oriane has completed her PhD. in infertility at the<br />

University of Cambridge, and has been involved with infertility research<br />

since 2001. Her expertise is mainly in endocrinology-related infertility.<br />

Russell Davis is a Cognitive Hypnotherapist and the founder of The<br />

Fertile Mind fertility hypnosis programs and has personal experience of<br />

double infertility. Russell has helped couples all over the UK get pregnant<br />

whether through natural conception or fertility treatment such as IVF.<br />

www.fertilityroad.com<br />

05


FERTILITY ROAD<br />

NEWS<br />

The latest developments from the fertility world<br />

SUNNY BREAK MAY<br />

BE ALTERNATIVE TO IVF<br />

New research has recently been published in the European Journal of<br />

Endocrinology suggesting that a sunny holiday might just be what the<br />

Doctor should order to couples struggling to conceive naturally.<br />

In the reports, the researchers from the Medical University of Graz in<br />

Austria explain that Vitamin D, what we produce when we lie in the sun,<br />

also helps boost levels of the female sex hormones progesterone and<br />

oestrogen, regulating menstrual cycles and making conception naturally<br />

much more likely. Future Dads can also increase their levels of the male<br />

sex hormone testosterone by lying in the Sun as Vitamin D also plays a<br />

vital part in the healthy development of each sperm, thus increasing his<br />

sex drive. So why not check out our fabulous ‘Time Away for Two’ breaks<br />

on page 12, and who knows, you might just come back pregnant!<br />

Infertility itself is not very funny but when life hands you lemons,<br />

make some fertile lemonade, according to Naomi, who having<br />

had 4 rounds of IVF before conceiving knows this subject well,<br />

her witty blog in which she finds the humorous side to infertility,<br />

offers loads to read with regular updates, add this to your<br />

favourites for a guaranteed giggle. www.999reasonstolaugh.com<br />

A 30P PILL A<br />

DAY COULD BE<br />

THE ANSWER<br />

TO GETTING<br />

PREGNANT?<br />

Research carried out at University College in London, has<br />

revealed that a pill bought over the counter, at £10 for a<br />

month’s supply, can seriously improve your chances of<br />

falling pregnant. The pill, Vitabiotics Pregnacare<br />

Conception, contains folic acid, Vitamin B, Vitamin<br />

E, Vitamin C, Zinc and Selenium, which the<br />

scientists say are all nutrients which increase your<br />

fertility, and your chances of conceiving naturally.<br />

Pregnacare-Conception can be found at<br />

Boots and all other leading pharmacies or<br />

alternatively on line at Amazon.com<br />

If you don’t know about <strong>Fertility</strong> Friends,<br />

it’s certainly worth a visit when you have a<br />

spare 5 mins. The main aim of this website is<br />

to provide support and friendship to those<br />

affected by all forms of infertility, the effects<br />

of assisted conception, pregnancy loss,<br />

the up’s and down’s of pregnancy and<br />

parenting itself. <strong>Fertility</strong> Friends is run<br />

entirely by volunteers, who monitor the<br />

forums that cover every conceivable<br />

(pardon the pun) area you could imagine,<br />

with 350 boards (and counting) this site<br />

has over 400,000 visitors a month all<br />

using the forums, galleries and chat rooms.<br />

06<br />

fertility road | february - march 2012


FERTILITY ROAD<br />

NEWS<br />

The latest developments from the fertility world<br />

CLINICS IGNORE<br />

MEN’S FERTILITY<br />

A recent story tells about a couple in England who had 3<br />

rounds of IVF, several painful procedures and the removal of<br />

a fallopian tube unnecessarily have provoked some debate<br />

from the UK’s leading male health doctors, questioning why<br />

IVF clinics tend to focus on women’s fertility issues, with little<br />

attention paid to men’s problems. “Most clinics don’t even<br />

employ a male fertility specialist”, they say<br />

Dr. Rees from the Royal Hampshire County Hospital in<br />

Winchester went on to explain “the majority of fertility<br />

clinics are gynaecology-led, where the emphasis is placed<br />

on investigating the female partner only”<br />

So before embarking on any fertility treatment roads, make<br />

sure that all tests on your partner’s sperm have been completed<br />

– you could end up saving yourselves thousands!!!<br />

An Artificial testicle could solve male infertility say scientists in<br />

California who hope to become the world’s first to develop a<br />

‘sperm-making biological machine’ that will produce viable sperm,<br />

allowing infertile men the chance to conceive. The fertility device<br />

is expected to be completed within the next five to seven years.<br />

BABIES AND<br />

COUNTING!!<br />

The South East <strong>Fertility</strong> Clinic (SEFC), in Kent, is<br />

proud to announce that they will be holding a big<br />

party for all the parents and children later on in<br />

the year to help celebrate the birth of their 1000th<br />

baby. SEFC opened its doors in January 2007 at<br />

the practice, built to cater for the needs of couples<br />

hoping to become parents and has over 70 years<br />

of joint experience working in the field of fertility.<br />

TWIN BIRTHS RISE!<br />

A government report in the US was released last<br />

month, revealing that the rate of twin births has<br />

risen by 76% since the 1980s, especially amongst<br />

older women. The real reasons why mothers in their<br />

30s are more likely to have twins than younger or<br />

older women have yet to be discovered, but experts<br />

are speculating that the dramatic increase is due<br />

to women concentrating on their careers first and<br />

choosing to start a family at a later age.<br />

08 fertility road | february - march 2012


FERTILITY ROAD<br />

EVENTS<br />

The World Congress of<br />

Gynaecological Endocrinology<br />

7 - 10 March 2012 – Florence, Italy<br />

The International Society of Gynaecological Endocrinology,<br />

and their friends, will be running their 15th annual reunion<br />

in beautiful Florence this year, organised over four days and<br />

split into lectures, debates and interactive sessions.<br />

For more information please visit www.isge2012.com<br />

Now FREE to<br />

view online!<br />

• FREE ENTRY TO FERTILITY ROAD READERS •<br />

<strong>Fertility</strong> World Show<br />

18 - 19 March 2012<br />

– London, Earls Court, UK<br />

<strong>Fertility</strong> World in association with <strong>Fertility</strong> <strong>Road</strong> is billed as<br />

“The essential event for anyone considering fertility treatment”<br />

So if you are planning to start a family and having<br />

problems getting pregnant, then a visit to the <strong>Fertility</strong> World<br />

Show will provide you with all the help, information and<br />

advice you need to get you on the road to having your baby.<br />

The <strong>Fertility</strong> World Show will provide you with an excellent<br />

opportunity to meet and discuss your requirements<br />

with a host of hospitals, clinics and consultants specialising<br />

in fertility issues. You will also have a chance to attend a<br />

programme of seminars by industry experts covering a host<br />

of fertility issues and topics including:<br />

• Maximising your chances of getting pregnant<br />

• Choosing a fertility clinic<br />

• Going overseas for fertility treatment<br />

• How the NHS can help with fertility costs<br />

• Same sex fertility treatment<br />

• The donor and surrogacy route<br />

• Natural methods to boost your fertility<br />

• <strong>Fertility</strong> information resources<br />

Visit www.fertilityroad.com/events to book your FREE TICKET<br />

visit <strong>Fertility</strong><strong>Road</strong>.com<br />

and you can flip through the<br />

magazine from cover-to-cover


FERTILITY ROAD<br />

CELEB NEWS<br />

<strong>Fertility</strong> news amongst the flashbulbs<br />

Khloé Kardashian has talked openly about her<br />

fertility issues, her sister Kourtney (left) is<br />

already mum to Mason born in 20<strong>09</strong> and is<br />

currently pregnant with her second child<br />

A-LIST<br />

FAMILY<br />

MATTERS<br />

Khloé Kardashian has made no<br />

secret of the fact that she’s<br />

ready to start a family with<br />

husband Lamar Odom, and the<br />

couple has been upfront about possible<br />

fertility issues. But as for reports that she<br />

is currently seeking fertility treatment in<br />

her new adopted hometown of Dallas,<br />

Khloé wants to set the record straight.<br />

“Because there is so much speculation<br />

here is my statement... I am not at this time<br />

in my life considering any type of fertility<br />

treatments. If and when I do, I will shout it<br />

from the rooftops but for now it’s in God’s<br />

hands,” she wrote on Twitter.<br />

While Khloé is “trying very hard” to get<br />

pregnant, there’s no word on what options<br />

the 27-year-old and her hubby are considering.<br />

But shortly after their two-year anniversary<br />

in the autumn of 2011, Lamar –<br />

who recently joined the Dallas Mavericks<br />

– said they were working hard on adding to<br />

their family. “We’re on it right now,” he<br />

said. “And we’re having fun trying.”<br />

Meanwhile superstar parents Beyonce<br />

and Jay-Z (below) made big headlines<br />

across the globe with the arrival of their<br />

baby, Blue Ivy Carter, in January this year.<br />

The excited couple released a joint statement<br />

saying Blue ‘was delivered naturally<br />

at a healthy 7 lbs and it was the best experience<br />

of both of our lives.’<br />

The celebrity couple added, “Her birth<br />

was emotional and extremely peaceful, we<br />

are in heaven. We are so grateful to everyone<br />

for all your prayers, well wishes, love<br />

and support”<br />

The pop superstars reportedly spent a<br />

staggering $1.3 million for pricey renovations<br />

to an exclusive recovery area at one of<br />

Manhattan’s swankiest hospitals - including a<br />

bulletproof door to their room, $1 million<br />

on a custom built Mercedes van and a<br />

baby crib reported to have set Jay-Z back a<br />

cool $20,000.<br />

Celebs close to the couple have sent their<br />

congratulations via twitter, with Beyonce’s<br />

sister, Solange Knowles, tweeting “she is the<br />

most beautiful girl in the world” while close<br />

friend Gwyneth Paltrow tweeting “Welcome<br />

to the world Blue, we love you already!”<br />

‘Auntie’ Kelly Roland is also said to be<br />

enamoured with the three-week-old baby;<br />

“She’s absolutely beautiful!” Kelly gushed<br />

to E! Online, “And I say that with such a<br />

10 fertility road | february - march 2012


© Twitter / Mariah Carey / Dembabies.com<br />

huge grin, I’m so excited!!” Kelly also thinks the world should<br />

watch out for the future superstar, “She was on her dad’s<br />

record Glory! So yeah, she’s gonna be musical.”<br />

And who could blame her – with parents like that!<br />

Back in the UK, there was also cause for celebration last<br />

month as Amanda Holden finally returned home with her<br />

second daughter Hollie Rose on the 23rd January 2012.<br />

She’s absolutely beautiful!<br />

I say that with such a huge grin,<br />

I’m so excited!! She was on her<br />

dad’s record Glory! So yeah,<br />

she’s gonna be musical.<br />

- Kelly Rowland on Blue Ivy Carter arrival<br />

The Britain’s Got Talent<br />

judge, who almost died giving birth,<br />

suffering from massive blood loss because of a haemorrhage<br />

due to a pre-existing condition, which resulted in Amanda fighting<br />

for her life in a ‘critical condition’. A close friend of Amanda<br />

said: “Despite the trauma she has been through she has never<br />

been happier and feels now her life, and her family is complete.<br />

A statement released through Amanda’s agent Alison Griffin<br />

said: “We are delighted that Amanda is now home. She and<br />

her husband Chris would like to thank everyone who was in-<br />

volved in her care for their amazing skill and dedication, and<br />

also thank everyone who sent kind thoughts and wishes.”<br />

And Finally – Mariah Carey shared an adorable holiday card<br />

of the ‘dem babies” first Christmas! Posted on the kids’ website,<br />

the cards shows Monroe being cuddled by Santa and her doting<br />

mom, and Moroccan poses for the camera with a big smile.<br />

“Ms. Monroe & Moroccan Scott’s first Christmas!!” Mariah<br />

tweeted. In another pic, her hubby Nick wears a Santa cap<br />

and poses with Father Christmas, and the final picture is of Mr.<br />

Claus himself, sitting by a cosy fire. Mariah struggled to fall<br />

pregnant, but insists that her pregnancy was all down to daily<br />

acupuncture and stress relieving massages.<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


FEATURE | getaways to get pregnant<br />

WORDS | GIORGIO SEVERI<br />

12 fertility road | february - march 2012


While Britain cuddles together<br />

and prepares to face the<br />

coldest February in recorded<br />

history, we’ve found a couple<br />

of sun-kissed locations that<br />

will ensure you and your<br />

partner spend some quality<br />

time for two, to relax, unwind<br />

and get intimate.<br />

Chromata / Santorini, Greece<br />

The beautiful island of Santorini is located in the middle of the Greek<br />

islands in the Aegean Sea. It is, along with Mykonos and Crete, the most<br />

famous holiday destinations in Greece and offers a short trip and great<br />

weather in February and March for those of us who want to escape the<br />

British winter. Santorini is essentially what remains of an enormous volcanic<br />

explosion dating back 3,600 years and which created the current geological<br />

caldera; a giant central lagoon, surrounded by 980 ft high steep cliffs on<br />

three sides. Set at the pinnacle of the caldera’s rim and perched on the side<br />

of the cliffs in the picturesque village of Imerovigli, the Chromata Hotel has<br />

the most breathtaking views of the volcano and the Aegean Sea. New chic<br />

interior design brings new meaning to boutique living as does the sublime<br />

infinity pool and the gourmet restaurant – you’ll never want to leave!<br />

Learn More: www.chromata-santorini.com / +30 22860 23227<br />

www.fertilityroad.com<br />

13


FEATURE | getaways to get pregnant<br />

Four Seasons Marrakech / Morocco<br />

Snake charmers sit outside refined palaces, riotous marketplaces<br />

sell all kinds of wares, and the mysterious Medina (old<br />

town) contains nearly two miles of secret passages. The Atlas<br />

Mountains make a thrilling day trip, while city sights include<br />

tombs, souks, and mosques. Marrakech has a Mediterranean<br />

climate so spring is the ideal time to visit. Nestled in 40 acres<br />

of beautiful Moorish gardens, the newly-built Four Seasons<br />

Marrakech designed in a contemporary style, is just a short<br />

walk from the bustling Medina. Private cabanas, complete<br />

with comfortable couches and over-sized lounges, are dotted<br />

around the two large swimming pools and provide the perfect<br />

place to spend a relaxing day. Or head to the impressive spa<br />

for a little indulgence and enjoy an invigorating treatment!<br />

... and if you want to stay in this country!<br />

Wallett’s Court Hotel / Dover, Kent<br />

For those of us who don’t mind the cold (yes, there are some of us<br />

out there!) why not book a cosy spa weekend away at Wallett’s<br />

Court Hotel. This is an historic 4 star country house hotel with an<br />

award winning restaurant and luxury health spa nestled in the<br />

heart of White Cliffs Country, just ninety minutes from the city of<br />

London, and 10 minute drive from the center of Dover.<br />

With stunning four-poster bedrooms in the old manor and<br />

contemporary rooms in converted Kentish barns set in acres of beautiful<br />

landscaped gardens. With an array of massage therapy, body &<br />

beauty treatments, the ‘Garden of England’ Spa at Wallett’s Court<br />

will provide much-needed rejuvenation. Unlike so many other spas<br />

of today, the ‘Garden of England Spa’ is small, intimate and inviting,<br />

allowing therapists to focus on providing personal service in a<br />

soothing atmosphere – perfect for a weekend away for two.<br />

Learn More: www.fourseasons.com/marrakech / (212) 524 359 200<br />

Learn More: www.wallettscourthotelspa.com / +44 01304 852 424<br />

14 fertility road | february - march 2012


Innovative concept of private<br />

fertility care on Harley Street<br />

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

Harley Street consultation rooms. We are ethical and unique as we<br />

offer a FIXED PRICE package for a full range of fertility investigations<br />

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

Our packages include:<br />

• IVF at £5750 all inclusive of medications<br />

• Mild IVF at £5050 all inclusive of medications<br />

• ICSI at £6450 all inclusive of medications<br />

We offer:<br />

• One-on-one consultant led care<br />

• To beat the open wallet policy of Harley Street so that you<br />

know what you are getting for the money you invest<br />

• Extensive experience of cutting edge technology<br />

Please visit our website for further details and information<br />

www.fertilityplus.org.uk


FEATURE | male fertility<br />

16 fertility road | february - march 2012


WORDS | CARRIE DUNN<br />

Think that your man is obsessed with work?<br />

Think again. If a recent survey is to be believed,<br />

it’s probable that the thought occupying his<br />

mind is whether he’s able to father children.<br />

Yes, men are more concerned<br />

about quality of their sperm<br />

than the quality of their career<br />

trajectory – and 14 per cent of<br />

them rate their fertility as their number one<br />

priority in life.<br />

So it’s unsurprising that when a problem<br />

is found with a man’s fertility, the news can<br />

affect him deeply.<br />

But if you find yourself in a similar situation<br />

with your partner, don’t expect to be<br />

able to second-guess his reaction – there is<br />

no textbook response to this kind of news.<br />

“Nobody wants to find a problem, and<br />

reactions range from being shocked and<br />

upset to relief that a cause of the infertility<br />

has been identified,” says Emma Cannon,<br />

founder of Harley Street practice A<br />

Healthy Conception.<br />

Though a diagnosis of infertility is difficult<br />

for anyone to deal with, she thinks that<br />

women tend to cope better with the news<br />

simply because they decide to take an active<br />

part in dealing with their condition.<br />

“As a rule, but by no means in all couples,<br />

women find diagnosis of a problem in<br />

themselves easier to manage and accept<br />

than men do. Women are generally better<br />

at making positive changes to improve<br />

their fertility; I think it is fair to say that<br />

they are more motivated.”<br />

It’s easy to conclude that a diagnosis of<br />

infertility affects a man’s concept of his<br />

own masculinity which in turn affects his<br />

behaviour – and quite often this seems to<br />

be the case.<br />

“I think for some men the semen analysis<br />

is a ‘measure of manhood’ and therefore it<br />

can be a real setback if it is poor,” agrees<br />

Cannon. “Interestingly, women often report<br />

that they would rather the problem had<br />

been with them as emotionally the situation<br />

would have been easier to deal with.”<br />

“This kind of news will have a big impact<br />

on any man,” concurs psychologist Trudy<br />

Hill from the Susie Ambrose Clinic, “and<br />

many studies have shown that involuntary<br />

childlessness in men has a big impact on<br />

mental health, self-esteem and many other<br />

areas. Masculinity and fertility are linked<br />

equally as much as femininity and fertility;<br />

they are linked by our biology, by our nature<br />

and through the concept of evolution and<br />

sexual selection as we select the mate most<br />

likely to give us healthy children and be<br />

able to care or provide well for them. They<br />

are also linked through our society, through<br />

our media and our social norms.”<br />

No wonder there is still, unbelievably,<br />

such a stigma around male infertility.<br />

Women with conditions preventing them<br />

from conceiving are likely to discuss their<br />

endometriosis or fibroids or polycystic<br />

ovaries with their friends and get sympathy;<br />

men with a low sperm count won’t confide<br />

in their friends because of all the laddish<br />

jokes they’ve swapped concerning poking<br />

fun at others ‘firing blanks’ in the past. And<br />

yet men can suffer terrible psychological<br />

pressure after their diagnosis, and need<br />

support and understanding.<br />

Mark (not his real name) agrees. “I feel<br />

worthless for not being able to get the job<br />

done the natural way,” he says. “I feel like<br />

we have to go through all these procedures<br />

because I’m not man enough.”<br />

Jane found her husband reacting in a<br />

similar way. “He definitely feels he’s less of<br />

a man because he’s unable to have children,”<br />

she says. “He feels as though he has let<br />

me down, even though of course he hasn’t,<br />

and even if I’d known about our fertility<br />

problem before we got married, I still<br />

wouldn’t have done anything differently.”<br />

If your man is horribly hurt by the<br />

diagnosis, you’re bound to want to talk to<br />

him about it, particularly to reassure him<br />

that you still love him and wouldn’t change<br />

him for anyone in the world – but broaching<br />

that tricky topic is probably easier said<br />

than done.<br />

“Men are less at ease with discussing<br />

emotions,” says Hill bluntly. “Men and<br />

women, while equal, are still very far<br />

apart. Not only has our biology evolved<br />

differently but we have also been socialised<br />

differently. From a biology viewpoint,<br />

some would go as far as to say that men<br />

are actually less comfortable having strong<br />

emotions than women full-stop, let »<br />

www.fertilityroad.com<br />

17


FEATURE | male fertility<br />

alone discussing them. Some research, for example,<br />

shows that men’s immune systems<br />

and cardiovascular systems take longer<br />

to recover when experiencing extreme<br />

emotion than a woman’s does. That is to<br />

say, men have health consequences when<br />

exposing themselves to severe emotion.”<br />

If that’s true, then it’s no wonder men<br />

may find it difficult to discuss their feelings<br />

on infertility.<br />

Hill sees an evolutionary basis to men’s<br />

unease with emotional issues:<br />

“Discussing emotions is not something<br />

that is hard-wired into the male psychology<br />

the way it is with females,” she says.<br />

“We can guess this from evolution – the<br />

man feeling upset, angry, scared and<br />

wanting to sit and talk about it will have<br />

been less efficient at hunting successfully if<br />

he was unable to turn his emotions off and<br />

get on with the task at hand. We can also<br />

now, with modern-day technology, confirm<br />

this by looking at brain functioning. There<br />

is some evidence to suggest that male and<br />

female brains are wired differently. In men,<br />

emotions are compartmentalised into a<br />

particular area and are usually linked to<br />

action – not communication centres. In woman<br />

the boundaries are much less obvious and<br />

activity as a reaction to emotion can be<br />

seen in many centres and is usually linked<br />

with communication. So when a woman is<br />

under emotional stress she usually likes to<br />

talk about it; when a man is under emotional<br />

stress he likes to stop talking and<br />

find ways to start ‘doing’.”<br />

Kelly has a husband who refuses to<br />

discuss how he feels about his diagnosis of<br />

infertility, or even put potential courses of<br />

action that might improve their chances of<br />

conception into practice. “He just doesn’t<br />

feel the need to talk about it, for whatever<br />

reason,” she explains. “He relies on the doctor’s<br />

opinion for everything involving his health<br />

anyway, so I’ve had to be the proactive one<br />

when it comes to our infertility too.”<br />

Sarah has a similar problem with her<br />

partner, so she avoids talking to him about<br />

it unless he specifically raises the subject.<br />

“I don’t want to make him feel worse and<br />

talk about babies and infertility rarely,<br />

even though I think about it all the time,”<br />

she confesses. “When he brings it up we<br />

discuss it, but not usually any other time.”<br />

So how should women in the same situation<br />

as Kelly and Sarah deal with their<br />

need to communicate?<br />

Much of infertility is not absolute and there<br />

are things that the man can do to improve<br />

the situation. When he is told this he feels<br />

more in control. When we feel in control we<br />

feel less stressed – and we cope better.<br />

“Never use the word ‘should’ – don’t use<br />

it to attack your partner about lifestyle<br />

issues,” advises Cannon. “Try to let him<br />

come round to things in his own time without<br />

trying to fix it for him. Conclusions that<br />

he makes himself will have more meaning.”<br />

It sounds surprising, but Hill also reveals:<br />

“Many men struggle facing up to infertility<br />

and in many couples the women opt to tell<br />

the outside world the problem is theirs.”<br />

That might not be the best option for<br />

you, but it’s completely understandable<br />

that you might feel you want to protect<br />

your man’s wounded pride as part of your<br />

effort to fix as much as you can for him.<br />

If your partner still isn’t keen on sharing<br />

how he’s feeling, Hill recommends Sarah’s<br />

strategy of leaving him to it for the time<br />

being – hard though it may be for you.<br />

“The best thing you can do is to understand<br />

his desire to keep quiet and give him some<br />

space,” she says. “Then when you do talk it<br />

through the emotion will be slightly less raw.<br />

In addition, a good opening will be to try and<br />

talk from a practical angle to start with.”<br />

That means looking at those possible<br />

lifestyle options that could improve your<br />

chances of conception, and talking them<br />

through – but remembering not to push<br />

your opinions on him too strongly, which<br />

may come across as unhelpful nagging.<br />

“The extent to which a man is affected<br />

will depend usually on how in control of<br />

the situation he feels,” concludes Hill.<br />

“Remember, much of infertility is not<br />

absolute and there are things that the man<br />

can do to improve the situation. When he<br />

is told this he feels more in control. When<br />

we feel in control we feel less stressed –<br />

and we cope better.”<br />

18 fertility road | february - march 2012


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FEATURE | celebrity<br />

WORDS | GIORGIO SEVERI<br />

As a successful TV and movie actress and with<br />

a beautiful 7-year-old daughter, you would<br />

think Courteney Cox has it all, but it was only<br />

through pain and loss that she was able to achieve<br />

her life-long ambition of becoming a mother.<br />

uperstar Courteney Cox has graced our screens for almost 20 years,<br />

first playing the neurotic Monica Geller on the popular sitcom Friends, and<br />

now, more recently, Jules Cobb, a divorced woman in her forties facing the<br />

challenges and pitfalls of life’s next chapter, in ABC’s hit Cougar Town.<br />

Being a mother has been something that Courteney has been desperate to achieve<br />

from a very young age, “I used to want to have 8 kids. It was such a fantasy of mine<br />

when I was younger because my mother, who was an only child, had 4 kids. Now,<br />

looking back, I don’t how she did it. I think the baby part – like waking up early – is<br />

hard. Really hard and I have nothing but admiration for her”<br />

On Friends, the characters of Monica and Chandler, played by Matt Perry,<br />

struggled with fertility issues. Like many real-life couples, the fictitious friendsturned<br />

spouses work together to try and understand where their problem with<br />

conceiving may lie.<br />

Off-screen, Courteney has always been very open about her private life, from her<br />

turbulent 10 year marriage and eventual split last year from ex hubby David<br />

Arquette, to their many struggles with infertility that echo her Friends character.<br />

Courteney told People Magazine in 2003 “I get pregnant easily, but I have a hard<br />

time keeping them!!” The couple went through multiple miscarriages and failed<br />

fertility treatments before they found out that Courteney was in fact suffering »<br />

20 fertility road | february - march 2012


»<br />

www.fertilityroad.com<br />

21


FEATURE | celebrity<br />

I had a baby at 40, and my body will<br />

never be the same again. I gave birth<br />

to Coco two days before my birthday.<br />

I just couldn’t believe I finally had a kid,<br />

I was so frightened because I didn’t<br />

know what to do with her.<br />

from Antiphospholipid Syndrome, an autoimmune disorder that<br />

causes blood clotting and eventual pregnancy loss.<br />

Most women have no idea about it until they suffer a miscarriage.<br />

It is worth looking into if you have had a miscarriage as it<br />

can be easily treated with blood thinners.<br />

In an interview with Barbara Walters in 2003, the couple<br />

openly discussed how they hoped that their child would have<br />

David’s “creativity and mind” and Courteney’s “strength and<br />

beauty” and although they said that they were willing to also<br />

consider adopting a child, Courteney added “I really want David’s<br />

genes so I think I would try a surrogate before adoption”<br />

On her fertility issues she told USA Today “We’re not panicked<br />

about it. A lot of times people say as soon as you relax you’ll have<br />

a kid. I’m not going to worry about it.’’<br />

As Courteney approached her 39th birthday, it was announced<br />

that the couple would try IVF one last time, though well aware<br />

that time was against her “It’s a well know fact” she told People<br />

Magazine, “that after a certain age you have a much less chance<br />

with this kind of fertility treatment working.”<br />

A little time after their announcement, Courteney<br />

fell pregnant, and this time it was a success, and on<br />

June 13th 2004, the ecstatic couple welcomed their<br />

daughter, Coco Riley Arquette, into the world.<br />

The name Coco came from a compromise between<br />

her and David. Because of her southern<br />

routes, she wanted to call her daughter Courteney<br />

Cox, following herself, and her mother. However,<br />

David is half Jewish and it is against Jewish tradition<br />

to name a child after a living relative. So the<br />

name came from the nickname Courteney’s friends<br />

had for her mother while she was growing up. They<br />

called her Mama Coco.<br />

Coco is now a lively seven-year-old, and Courteney<br />

has never hidden the fact that she struggled<br />

with motherhood admitting that with all the fertility<br />

treatments and the birth at such a late age took<br />

its toll on her figure.<br />

She says, “I had a baby at 40, and my body will<br />

never be the same again. I gave birth to Coco two<br />

days before my 40th birthday. I just couldn’t believe<br />

I finally had a kid and I was frightened as I didn’t<br />

know what to do with her. Things only get harder<br />

the older you get.”<br />

Despite this, in an interview with OK<br />

Magazine, Courteney opened up about her wish for<br />

more children;<br />

“We’re not trying again yet. We’re just revving<br />

up the engines,” she said. “I’m only ready ‘cause<br />

time’s a-ticking. If I was 34, I’d wait another year,<br />

because I like those three-to-four years gaps. I want<br />

Coco to be helping me with the next one. One child<br />

is hard. Two is gonna probably harder.”<br />

In an interview on the Bonnie Hunt Show, David<br />

said he and his wife were very serious about having<br />

another baby; “I don’t know, I mean, it takes a lot<br />

for us to do it so maybe adoption this time” David<br />

said, “Listen, I like practicing as much as possible,<br />

but it’s really hard work and I’m exhausted.”<br />

But, in November of 2010 the couple announced their split,<br />

however this has done nothing to dampen the bond between the<br />

pair and their daughter Coco. Courteney told the press about her<br />

relationship with David;<br />

“He’s my favourite person in the world. He’s my best friend.<br />

No matter what happens in our future, he will always be my very<br />

best friend.”<br />

Only time will tell if Courteney decides to add to her family,<br />

but for the mean time, both her and David are loving being parents<br />

to little Coco. “She’s a little messy so that’s on my side” David<br />

beams, but she is also very strong-willed which is very Courteney-like.<br />

We got her a flute recently and she is walking around,<br />

jammin’ a lot, she’s a proper little Jethro Tull”<br />

Indeed, perhaps even Coco herself isn’t always clear about her<br />

parents’ dynamic lately. In one interview, David gushed of his<br />

daughter: “She’s the light of my life!”<br />

Overhearing, an excited Coco turned to her mum and said<br />

“He’s talking about you!”<br />

“No,” Courteney said, correcting her. “Dad’s talking about you!”<br />

22 fertility road | february - march 2012


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FEATURE | the time is now?<br />

26 fertility road | february - march 2012


<strong>Fertility</strong> <strong>Road</strong> examines the factors<br />

behind what can amount to the<br />

biggest deliberation of them all...<br />

When is the right time to have a baby? Is there a<br />

definitive answer? Should finance and career be<br />

the deciding factors over age, relationship status,<br />

or health and fitness? Is it wiser to have a baby in<br />

Wyour late teens when your energy levels are supposedly at their<br />

peak and you’ve youth and vitality on your side, or is being an<br />

older mum with life experience and perhaps more financial stability<br />

beneficial? Or is there, in reality, never a ‘perfect’ time other than<br />

when feels right for you? Our cross section of mums would suggest<br />

the latter may be the nearest thing to the truth...<br />

The Teen Mum<br />

Britain’s high rate of teen pregnancy and birth makes for perpetual<br />

news stories and ‘shock’ statistics, despite the government’s own<br />

data typifying an overall trend towards later childbearing. Since<br />

1971, the average age of mothers at childbirth in England and<br />

Wales has increased by three years from 26.2 to 29.1, and over the<br />

past decade, the average age of women at the birth of their first<br />

child has risen by one-and-a-half years to reach 27.1. Teenage<br />

pregnancies though, have also increased, with figures released in<br />

20<strong>09</strong> showing a rise for the first time in five years, with conception<br />

rates among girls increasing from 40.9 per 1,000 in 2006 for those<br />

aged 15-17, to 41.9 per 1,000 in 2007.<br />

Jo has two children, her first pregnancy was unexpected at 17,<br />

her second planned at 24. She is now 31 and has no regrets over<br />

being a young mum.<br />

“I had my first baby when I was just 17, and it isn’t something I’d<br />

particularly wish on my own daughters, but on reflection it has<br />

worked out very well for me. I now have a 14-year-old who sometimes<br />

gets mistaken for my sister, and because I am still young<br />

enough to remember being a teenager, I feel much more able to<br />

empathise with her. As a result we have a very close relationship,<br />

and she feels able to share her problems with me quite openly.”<br />

But some aspects of pregnancy came as quite a shock to Jo<br />

– particularly the lasting effect it had on her physically:<br />

“My first pregnancy really left its legacy – I am covered in stretch<br />

marks all over my body. I was always under the illusion that young<br />

skin was stretchy and supple, but apparently that doesn’t equal no<br />

stretch marks! My stomach, waist and hips are seriously scarred.<br />

“I can’t say I particularly enjoyed being pregnant, either. First<br />

time round I was sick a lot - pretty much after every meal for the<br />

first four months. The second time I was actually only sick half a<br />

dozen times, but felt a hideous nausea throughout and was permanently<br />

exhausted. I was commuting two hours a day to work,<br />

and by the time I got home in the evening I would be shattered,<br />

with a pounding headache. Being so young, I didn’t have any »<br />

MUMS’ WORDS<br />

I chose to have kids at 27 and<br />

30, and it proved a huge novelty<br />

amongst my friends at the time –<br />

most of them are just trying now<br />

in their late 30s. We hadn’t had<br />

a chance to develop a lifestyle<br />

before we had kids so didn’t<br />

have so much to miss when<br />

they were little. PATRICIA, 40<br />

www.fertilityroad.com<br />

27


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web: www.nordicalagos.org


FEATURE | the time is now?<br />

real pregnancy problems though – and clearly I am quite fertile -<br />

with my second baby, I came off the pill and was pregnant a<br />

month later, before I’d really even got used to the idea of trying.”<br />

Having devoted her late teens and twenties to pregnancy and<br />

babies, Jo feels in some ways that she is now ‘over’ motherhood:<br />

“Being single at the moment, I haven’t given a lot of thought to<br />

a third baby. Part of me would really like to do it again, if just to<br />

correct all the mistakes I feel I made first and second time around,<br />

and to do it all with a more ‘grown-up’ hat on. And then I think<br />

of the exhaustion of pregnancy, those awful early months with a<br />

newborn and no sleep, and I don’t think I could face it again.<br />

When I was younger I had a lot more energy and enthusiasm. I<br />

almost feel now like I am coming out the other side of parenthood<br />

- I’ve been a parent for nearly 15 years now - and I’m not<br />

sure I could start again. I would never say never though. I’m still<br />

young and who knows where my life might be five, or even 10<br />

years from now?”<br />

“But I never ruled out having my own babies. I always figured<br />

that one day I would, and that day came when I was 30 and my<br />

hormones kicked in. I suddenly realised that I desperately wanted<br />

a baby. One of my elder sisters who was childless by choice<br />

told me just to ignore the feelings and they would go away!<br />

I knew in my heart though that it was more than just hormonal:<br />

I really wanted a baby.”<br />

After much consultation with her husband, Lindsay finally felt<br />

ready to begin trying to conceive at the age of 33.<br />

“By the time I was 33 I knew for sure that having a baby really,<br />

really mattered to me, so we started trying. I thought I’d just<br />

get pregnant, you know? But it didn’t happen. A year went by<br />

and still nothing. Two years passed. I wanted us to go and get tested<br />

but my husband was really reluctant. Even though<br />

he said that he was up for starting a family,<br />

it either had to just happen or it wasn’t<br />

meant to be. »<br />

© Lev Dolgatshjov / iStockphoto.com<br />

The Motherhood Delayers<br />

Throughout the 1990s, ‘having it all’ almost become the phrase<br />

with which to parody the working mum – the woman who had<br />

her career and her kids. But for all those who skipped<br />

effortlessly from birthing pool to boardroom,<br />

there was another breed emerging – the<br />

motherhood delayers – those who made<br />

sure their life and careers were in good<br />

order before embracing pregnancy.<br />

Lindsay, now 40, delayed motherhood<br />

in favour of a career until her<br />

30th birthday, when Mother Nature<br />

and the tick of her biological clock<br />

took over.<br />

“I never wanted to have kids in my<br />

20s, not at all. My 20s were for study,<br />

my career, having fun, going to parties.<br />

I got married at 24, and my husband had two<br />

children from a previous relationship whom<br />

I adored, so in a way I got to have my cake<br />

and eat it whatever. I was a part-time parent<br />

to two great kids without having to sacrifice<br />

my time or my job – it was wonderful!<br />

MUMS’ WORDS<br />

Someone once told me that<br />

if you wait until you can afford to<br />

have children you will never have<br />

them. We kept that in mind and<br />

it is so true. JULIE, 29<br />

www.fertilityroad.com<br />

29


FEATURE | the time is now?<br />

“This was rather heartbreaking for me, worrying that maybe I was<br />

missing out on a baby for something that actually could be quite<br />

insignificant and easily fixable. But I’d never know. I went once to<br />

the doctor who was really unhelpful and very condescending -<br />

along the lines of ‘well if your husband won’t get tested too there’s<br />

really not any point’. I was too embarrassed to go again.<br />

“Finally after nearly five years of trying for a baby, my husband<br />

was made redundant. It was the final straw. I just threw up my<br />

hands and said ‘right, that’s it. I give up. This just is never going to<br />

happen.’ Then I almost immediately fell pregnant. But I knew in<br />

my heart that something was wrong. I went for the 12-week scan<br />

and sure enough, it was a ‘missed’ miscarriage. The baby had<br />

probably died around the five or six-week mark but it was still<br />

‘there’. I was devastated, thinking, ‘well this is it, that took five<br />

years and now I’m 37. I don’t really have another five years.’ However,<br />

miraculously, I got pregnant again almost straight away and<br />

had my baby boy, Daniel, a month after my 38th birthday. Just<br />

hours after the birth, my husband sat holding his new son in his<br />

hands. He looked up at me and said: ‘Let’s have another one!’”<br />

The Multi-Decade Mum<br />

You’d assume those who eschew the 2.4 children trend and add to<br />

their families throughout their fertile lives would have the ‘what<br />

age is best?’ debate neatly sewn up. Not so - Jackie, now 37, had<br />

her first baby at 29, then three more in her 30s. Her last baby was<br />

born last year when she was 36 – but she now wishes she’d begun<br />

motherhood earlier:<br />

“I was 29 when I had my first baby. Now that I have four, I<br />

really wish I had had them earlier and not listened to the negative<br />

comments about how hard it is as a young mum. For some reason,<br />

when I was younger there was a part of me that felt I would never<br />

be able to have kids – a lack of confidence I guess. We had friends<br />

who’d had fertility problems and we lived through that with them,<br />

so we never took anything for granted. Our first baby took two<br />

attempts, but the others all happened immediately! With my last<br />

baby, I was hugely aware that 35 was somehow the ‘cut off’ point,<br />

but again, I had no problems.”<br />

“Despite wishing I had started my family earlier, having my<br />

babies was actually the best career move I have ever made -<br />

having the children gave me the kick I needed to get out of office<br />

life and do what I had always wanted to do in starting my own<br />

business. I didn’t want to leave my children with childminders so<br />

knew I just had to get on with it and get the work in.”<br />

MUMS’ WORDS<br />

I think that the best age to<br />

have a baby is the age you’re at<br />

when you have one! My family<br />

is all terribly fecund, so it came<br />

as a huge shock when I found<br />

that I didn’t get pregnant at the<br />

drop of the hat. In fact it took five<br />

years. So instead of having my<br />

family in my early 30s I didn’t get<br />

started until my late 30s. LISA, 39<br />

© Evelin Elmest / iStockphoto.com<br />

30 fertility road | february - march 2012


AGE AND<br />

FERTILITY<br />

THE<br />

FACTS<br />

Women are born with around 1 million eggs in<br />

their ovaries, yet by the time puberty kicks in,<br />

this has already dwindled to around 300,000,<br />

and, amazingly, only about 300 are released<br />

over the course of a woman’s fertile years. As a woman ages, the<br />

egg quality ages too, making them less viable for successful and<br />

healthy fertilisation.<br />

Teens...<br />

With youth on your side, your late teens and early twenties are<br />

biologically the ideal time to have a baby, but many women<br />

will still be in education or in the early stages of a career, so<br />

practically, and financially, the timing isn’t always right, even if<br />

the biology is...<br />

Twenties...<br />

With the average age for first time birth for women in the<br />

UK being 27, the late 20s are seemingly the ideal time to<br />

become pregnant. However, although these years are generally<br />

considered the time at which a woman reaches her fertile peak,<br />

studies by scientists at the National Institute of Environmental<br />

Health Sciences in North Carolina, and the University of Padua<br />

in Italy, have indicated that female fertility actually<br />

declines before the age of 30.<br />

Beyond...<br />

Many fertility clinics in the UK treat women into their 50s using<br />

stored embryos or donor eggs. The Human Fertilisation and<br />

Embryology Authority (HFEA) states patients can now store their<br />

embryos until they have reached 55. Although there is no official<br />

upper age limit for IVF, clinics do have to justify their treatment<br />

– with the interest of the baby being priority.<br />

The chances are...<br />

Good general health and fitness, along with a sensible diet,<br />

minimal alcohol intake and a smoke-free environment are all<br />

the obvious pointers for becoming pregnant and maintaining a<br />

healthy and hassle-free pregnancy, but what else can a woman do<br />

to increase her fertility and chances of conception?<br />

Have more sex - sounds obvious, but as a woman only has a<br />

few fertile days each month, the more sex you have, the more<br />

chances you have of conceiving.<br />

Relax - Scientists at Emory University, in Atlanta, Georgia,<br />

discovered that women with high levels of the stress hormone<br />

cortisol stopped ovulating and were therefore unable to conceive.<br />

Watch your weight - being underweight or overweight can<br />

disrupt ovulation and your menstrual cycle.<br />

Check your partner’s undies - tight pants are not conducive<br />

to healthy sperm – overheating can lower sperm production, so<br />

go for loose fitting boxers over posing pouches!<br />

© Rosemarie Gearhart / iStockphoto.com<br />

Thirties...<br />

Egg deterioration increases the likelihood of fertility<br />

issues in your 30s, and doctors acknowledge that<br />

women of 35 and over should seek advice<br />

sooner rather than later if they are experiencing<br />

problems conceiving. Despite this, studies show that<br />

the highest fertility rates in England and Wales are<br />

attributed to women in their 30s. (Office for National<br />

Statistics research, England and Wales: 112.3 live births<br />

per 1,000 women aged 30 to 34.)<br />

Forties...<br />

The risk of miscarriage and foetal abnormalities<br />

increases with age, and the deterioration of egg quality<br />

is rapid throughout the forties – however, many<br />

women will still fall pregnant. Concern should<br />

centre around maintaining the pregnancy and<br />

foetal health.<br />

www.fertilityroad.com<br />

31


SCIENCE | ovarian stimulation<br />

The Science behind<br />

When considering Ovarian Stimulation, it is important to be aware<br />

of the risks and side effects that such a procedure carries. Dr. Said<br />

Daneshmand from The <strong>Fertility</strong> Center of Las Vegas takes time out<br />

to explain the science behind the treatment and what you should know.<br />

I<br />

t is an unfortunate fact that most human eggs are not<br />

viable, and are genetically flawed from the outset. Therefore,<br />

ovarian stimulation is often essential in order to<br />

obtain the many eggs needed to stand a good chance of a<br />

successful IVF cycle.<br />

However, ovarian stimulation can have serious side effects.<br />

In some women, ovarian stimulation can cause the development of<br />

a large number of follicles, often 20 or more, and sometimes<br />

more than 50. In those patients with so many follicles, the usual<br />

“trigger” with hCG might bring on significant risk of ovarian<br />

hyperstimulation syndrome (OHSS).<br />

The presence of hCG causes the follicles to release estradiol<br />

and progesterone which are essential for sustaining a pregnancy,<br />

but also another hormone called VEGF. OHSS results when<br />

there is too much VEGF in the system. The human bloodstream<br />

has natural barriers to the effects of VEGF, in the form of inert<br />

receptors that bind VEGF. This is ample protection when there<br />

are one or two follicles making VEGF, but can be overwhelmed<br />

when there are 20 or more follicles.<br />

This excess of VEGF can cause the capillaries to “leak” fluid,<br />

and this fluid then accumulates in the stomach and around the<br />

lungs. This loss of fluid concentrates the blood and this in turn<br />

can impair critical organ function.<br />

OHSS can be painful and, in rare cases, life-threatening. Patients<br />

often complain of abdominal bloating, nausea, shortness of<br />

breath and Hospitalisation is common in severe cases. Patients<br />

32 fertility road | february - march 2012


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Ovarian stimulation can have<br />

serious side effects. In some<br />

women, ovarian stimulation<br />

can cause the development<br />

of a large number of follicles,<br />

often 20 or more, and<br />

sometimes more than 50.<br />

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develop a higher risk of blood clots and may need anti<br />

coagulation therapy. This is a serious complication and<br />

requires vigilant monitoring and treatment. While hCG is<br />

effective at maturing the eggs, it has a long half-life, and a<br />

single injection of hCG can act on the ovaries for 10-12 days,<br />

perhaps longer. This gives developing OHSS the chance to<br />

progress. During my medical training at UCLA, we used to<br />

cancel embryo transfers (cryo-preserving embryos for later<br />

transfer) to avoid the risk of OHSS and this is still a viable option.<br />

Also, by sustaining the follicles for so long, an injection<br />

of hCG allows the follicles to remain viable until even more<br />

hCG may be produced from an implanted embryo.<br />

When OHSS arises from an hCG trigger injection, it’s<br />

called “early onset OHSS”. OHSS arising from the hCG from<br />

implanted embryos is called “late onset OHSS”, because it<br />

occurs somewhat later in the cycle.<br />

The best way to avoid OHSS, while still obtaining a large<br />

batch of eggs, is to trigger with a medication besides hCG.<br />

Fortunately, there is a family of drugs that can be substituted<br />

for hCG. These drugs, which include Leuprolide, Buserelin,<br />

Triptorelin, and Synarel, are known as “GnRH agonists”.<br />

Triggering with an agonist will cause the patient’s pituitary<br />

to immediately release a hormone called LH to mature the<br />

eggs. In fact, LH is the same hormone that matures the egg<br />

in natural ovulation.<br />

We have used agonists to trigger ovulation for many<br />

years in hundreds of high-responder patients with as many<br />

as 84 follicles and with estradiol levels approaching 80,000<br />

pmol/l, with no significant OHSS yet. Brief, mild cases are<br />

still possible in our experience.<br />

There are other measures to reduce the risk of OHSS, but<br />

none has proved nearly as effective as the agonist trigger<br />

at eliminating OHSS while still offering a good chance of<br />

success. However, that chance of success relies on a proper<br />

protocol for luteal support for the agonist trigger.<br />

The agonist trigger is also firmly established as a very<br />

effective option for egg donors. Egg donors are often young<br />

high responders with significant OHSS risk, and the agonist<br />

trigger removes one of the major potential reasons for cycle<br />

cancellations in donor IVF.<br />

Dr. Said Daneshmand is based at The <strong>Fertility</strong> Center of Las<br />

Vegas. For more information about Ovarian Hyperstimulation<br />

syndrome and other relatable articles, please visit<br />

www.fertilitycenterlv.com<br />

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FEATURE | nutrition<br />

WORDS | EMMA CANNON<br />

Boosting your fertility always helps towards conception success and can<br />

be easily achieved by eating the right foods. <strong>Fertility</strong> expert Emma Cannon,<br />

provides some simple yet delicious recipes to help optimise your chances.<br />

34 fertility road | february - march 2012


On the whole we are all much more aware these<br />

days as to just how important our diet really is.<br />

Clearly, this is a positive trend, as a good diet<br />

provides the building blocks for good health and<br />

long lasting life. More than that, foods can even<br />

be used to address some conditions and also gives people a great<br />

tool to enrich their lives.<br />

While debates and discoveries about what constitutes the<br />

healthiest diet to go on, something is often missing from all the<br />

discussion, and that’s the importance of our digestion. Even the<br />

benefits of the most impeccable diet can be seriously diluted by a<br />

faulty digestive system.<br />

So when I think about food, I don’t only think about the<br />

individual elements of the meal I think about how easy it is to<br />

digest. On the whole cooked food is preferable to raw food in<br />

terms of digestive function. However, I do think it is important to<br />

have an element of raw food in the diet; this can be seeds or nuts<br />

as well as some salads.<br />

Problems can arise when whole meals are made up of uncooked<br />

vegetables, vegetables juices and cold salads; these foods are hard<br />

on the digestion and although on paper they appear to have more<br />

nutrients it is much harder for the body to absorb them. In the<br />

case of fruit and some vegetable juices they are what I call ‘overly<br />

nutritious’ and when you take away the roughage you are just left<br />

with the sugar (this is particularly true of fruit juices).<br />

I believe it is better to eat the whole food as nature intended<br />

and don’t forget that fire was one of mans greatest discoveries and<br />

is what sets us apart from our furry four legged friends. The<br />

occasional glass of vegetable juice or wheatgrass is fine, but don’t<br />

be tempted to replace food with juices for any length of time.<br />

If I can persuade you to do one really healthy thing for your<br />

diet, it would be to introduce chicken soup and to get yourselves<br />

into the practice of making chicken stock. If you really can’t face<br />

doing this then buy the ready prepared ones, organic, in plastic<br />

tubs in super markets. Use the stock as a base for great soups or<br />

tasty risottos.<br />

Warm and Spicy Rice Pudding – Serves 2<br />

A warming and Yin nourishing dish perfect for Yin/Yang balance.<br />

This is also delicious in hot weather after being chilled in the fridge<br />

for a couple of hours.<br />

Ingredients<br />

• 600ml milk<br />

• 3 cloves<br />

• 1 tsp ground ginger<br />

• ½ tsp ground cardamom<br />

• ¼ tsp ground cinnamon<br />

• 4 level tbsp maple or agave syrup<br />

• 8 heaped tbsp Arborio risotto rice<br />

1. Heat the milk over a high heat, then stir in all the other ingredients.<br />

2. When the mixture begins to boil, reduce to a very low simmer,<br />

give it a stir and put the lid on.<br />

3. Keep an eye on it for about 20 minutes or until the rice is cooked<br />

and it looks like rice pudding, stirring every now and then.<br />

4. Turn off the heat and let it sit for another 20 minutes, then<br />

remove the cloves and serve.<br />

Chicken Stock<br />

To make six pints of stock (the idea here is to make a clear Chinese<br />

style stock which can be frozen and used for various meals later)<br />

Ingredients<br />

• 1 whole organic/free range uncooked chicken<br />

• 6 pints of water<br />

• 75g ginger peeled and cut into strips<br />

• 2 spring onions<br />

• 5 fat cloves of garlic, un-skinned<br />

• ½ tsp salt<br />

1. Place the chicken in a large saucepan. Cover with the water then<br />

add the ginger, garlic and salt.<br />

2. Simmer gently for up to 6 six hours, periodically skimming off the<br />

fat that rises to the surface with a slotted spoon. If the stock boils<br />

it will become cloudy and the idea is to end up with a clear stock.<br />

It may be necessary to add more water during the simmering<br />

period to maintain the quantity of liquid.<br />

3. Strain the stock through a fine sieve and keep the best bits of<br />

meat for use in the soup.<br />

4. Allow to cool and then freeze for later use.<br />

Chicken Noodle Soup – Serves 4<br />

Ingredients<br />

• 2 pints of stock<br />

• 55g of cooked chicken<br />

• 1 tbsp light soy sauce<br />

• 1–2 tbsp dry sherry or rice wine<br />

• 1–2 tbsp fish sauce (according to taste)<br />

• 4 spring onions, chopped<br />

• 1 tsp of sesame oil<br />

• 1–2 red chilli, chopped and de-seeded (remove if you are still<br />

having night sweats and some babies don’t like chilli breast milk)<br />

• 100g mange tout<br />

• 100g baby corn<br />

• 3 pak choi<br />

• 2 tbsp chopped coriander<br />

• Dried or fresh noodles »<br />

www.fertilityroad.com<br />

35


FEATURE | nutrition<br />

1. Bring a large pan of boiling water to the boil<br />

and add pak choi, mange tout and baby corn.<br />

Bring back to the boil and blanch for 1 minute,<br />

remove from pan and place to one side.<br />

2. Heat the stock (do not boil) and add the chilli,<br />

coriander, spring onions, soy sauce, fish sauce,<br />

sherry or rice wine, and sesame oil. Simmer<br />

gently for 10 minutes then add the baby corn.<br />

3. Simmer gently for a further 3 minutes or so<br />

and then add the remaining vegetables for a<br />

further 2 minutes.<br />

4. Cook the noodles separately. When ready<br />

place them into some soup bowls and pour<br />

the soup on top and serve.<br />

Finally garnish with the coriander.<br />

Tray-baked ratatouille with brown rice<br />

– Serves 2 hungry people<br />

This recipe is really simple and yet doesn’t require a great deal<br />

of effort and is so tasty. The ratatouille is also good served with<br />

grilled chicken breast or lamb chops for an extra protein kick.<br />

Ingredients<br />

• 1 aubergine<br />

• 1 red pepper<br />

• 1 red onion<br />

• 2 bay leaves<br />

• 4 cloves of garlic<br />

• 1 sprig of rosemary<br />

• Extra virgin olive oil<br />

• Red wine vinegar<br />

• 4 or 5 fresh organic tomatoes<br />

(or, preferably, 12–15 organic cherry tomatoes)<br />

Preheat oven to 200 degrees (Fan 180)<br />

1. Slice aubergine into 2-cm chunks and chop the pepper<br />

into similar size pieces. Slice the red onion into wedges.<br />

Put all the vegetables into a roasting tray with the rosemary,<br />

bay leaves, garlic (de-skinned, left whole and bashed with<br />

a pestle), plenty of olive oil, a splash of red wine vinegar,<br />

freshly ground pepper, sea salt and the tomatoes.<br />

2. Toss all the vegetables together and roast for 30 minutes,<br />

check and toss again, bake for another 10 minutes until<br />

veggies soft and the onion is slightly caramelized.<br />

3. Serve with brown rice and creme fraiche or plain yogurt<br />

mixed with lemon juice and chopped fresh parsley.<br />

Emma Cannon is the best-selling author of The Baby-Making<br />

Bible and You and Your Bump and has her own clinic in<br />

London specialising in fertility, ivf support and pregnancy.<br />

For more delicious fertility boosting recipes, please visit<br />

www.emmacannon.co.uk/emma/recipes<br />

Images on this page © Roger Cannon Photography<br />

36 fertility road | february - march 2012


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Q&A | emma cannon<br />

EXPERT<br />

WITNESS<br />

WITH<br />

EMMA<br />

CANNON<br />

<strong>Fertility</strong> expert and best-selling author,<br />

Emma Cannon takes time out to address<br />

fertility related concerns sent in by readers<br />

via the <strong>Fertility</strong> <strong>Road</strong> website. If you would<br />

like Emma’s advice on a fertility matter,<br />

please email info@fertilityroad.com<br />

Q<br />

We have been trying for a baby for three months now<br />

and I have still not fallen pregnant, I was thinking that<br />

I would have fallen pregnant by now. I lead a very<br />

healthy life, I don’t smoke, I exercise regularly, and I have not<br />

illnesses. How long should I wait before I need to get worried?<br />

– Sarah, 26, Rochester<br />

A<br />

As long as you are having plenty of sex regularly throughout<br />

the month (sex 3 times a week throughout the month<br />

and during your fertile time every other day; so in a 28 day<br />

cycle sex every other day from day 9) and your cycles are regular<br />

you wont need to worry for a while yet. In normally ovulating<br />

women it is considered normal for it to take up to a year. I think it<br />

is important not to over look your partners health; you tell me you<br />

are healthy etc but you tell me nothing about your partner and this<br />

really does take two.<br />

Along your fertility journey make sure that you are both involved<br />

and not just you; it’s important that you both look after yourselves as<br />

it is the health of both parents that determine the health of the child.<br />

If you are not pregnant in 3 months you could go and see your GP,<br />

although they may not be concerned at this point at least you will<br />

have made the first steps. Try not to let the anxiety grow with every<br />

passing month, try to use the time to focus on being as healthy and<br />

fit as you can be for the important job ahead of you.<br />

38 fertility road | february - march 2012


Q<br />

I have always suffered from irregular period cycles<br />

and am worried that this might go against me as I<br />

am trying to conceive. Is there cause for concern?<br />

– Amy, 30, Leeds<br />

Acupuncture is a<br />

really great therapy<br />

for regulating periods<br />

A<br />

Irregular periods can make it harder to conceive since it is<br />

harder to pin point your most fertile window than if you<br />

had a cycle that was the same length every month. You will<br />

want to rule out that there is not an underlying medical condition<br />

causing the cycle to become irregular; for example thyroid problems<br />

or PCOS. Make sure that you are leading a regular lifestyle and<br />

that you are not skipping meals, or drinking too much alcohol.<br />

Drinking even a small amount of alcohol on an empty stomach can<br />

wreck havoc on the hormones and can disrupt the menstrual cycle.<br />

Frequent flying can also disrupt the regularity of your cycle and<br />

I even have a patient who says the minute the weather turns cold<br />

her periods are delayed. Acupuncture is a really great therapy for<br />

regulating periods but do also work with your medical practitioner<br />

(GP or consultant) to make sure there is nothing serious going on.<br />

Q<br />

My wife is embarrassed to tell anyone that we are<br />

going through IVF, not even our families. I want to<br />

be able to tell her there’s nothing to be ashamed of<br />

and we could actually benefit from the family’s moral support.<br />

What do you recommend? <br />

– David, 34, Stafford<br />

A<br />

This is such an individual thing; I once had a patient<br />

that had a baby through IVF and she told me that only<br />

her husband, me and the IVF doctor knew he was an IVF<br />

baby. This is rare and most people are more open about it than<br />

this but it is difficult and people have their own reasons for<br />

wanting to keep it to themselves and I think those wishes need<br />

to be discussed and respected. If your wife is not telling people<br />

due to shame then I think this needs to be addressed by a counsellor<br />

to make sure there are not any underlying issues here. I<br />

would also add that family do not always act as moral support<br />

and sometimes with the best will in the world they make things<br />

worse. Maybe this is at the root of your wive’s resistance.<br />

Q<br />

Does having intercourse twice a day during my<br />

‘window’ increase my chances of falling pregnant?<br />

– Shelly, 27, Leighton<br />

A<br />

I must congratulate you on your enthusiasm and I would<br />

never want to discourage anyone from such committed<br />

baby-making but I will say the following. Generally every<br />

other day around the fertile window is fine and aim to have sex<br />

three times a week in general. Of course if both of your libidos are<br />

up to twice a day then I would have to say go for it but, and it’s a<br />

big but, you both need to be into it and it is not healthy to have one<br />

nagging the other to have ‘baby-making ‘ sex, it needs to be the<br />

right kind of sex and that is sex that both of you want and not<br />

just to make a baby. I see more problems caused by one partner<br />

(normally the man) feeling he is being used to make a baby and<br />

feels his partner does not want him for him anymore just for a<br />

baby. So be careful. From a medical point of few if he has low<br />

sperm count twice a day would be too much.<br />

Q<br />

I suffered an ectopic pregnancy when I was 21.<br />

I am now trying to fall pregnant with my husband,<br />

but it isn’t happening, could the ectopic pregnancy<br />

be stopping me conceive?<br />

– Helen, 35, Dublin<br />

A<br />

One of my aims with patients who have had ectopic<br />

pregnancy is to try and avoid another one. You do not say<br />

if you had a tube removed because of it or if both tubes<br />

are patent (functioning correctly and clear of any obstruction). In<br />

answer to your question an ectopic pregnancy can leave you with a<br />

weakness in that area and the significance of this in relation to your<br />

fertility will very much depend on severity. I think you would do<br />

best do discuss this with your GP as it will be very individual. In<br />

general tubal or ectopic pregnancies are caused by the following:<br />

• kinks, blockages and obstructions of the tube due to<br />

scarring following infection.<br />

• poor protection of the lining of the fallopian tube by secretions<br />

• excessive mucus<br />

• muscular tension of the tubes<br />

I find acupuncture to be a very effective way of preventing ectopic<br />

pregnancies and in the 17 years I have been in practice I have<br />

only had 3 patients receiving acupuncture that have had ectopic<br />

pregnancies. More research is needing in this area but an audit by<br />

a fertility clinic also found that women who had acupuncture with<br />

IVF had no ectopic pregnancies after embryo transfer.<br />

Emma Cannon is the author of The Baby-Making Bible and has<br />

her own clinic in London specialising in fertility, ivf support and<br />

pregnancy. For more information visit www.emmacannon.co.uk<br />

www.fertilityroad.com<br />

39


FERTILITY ROAD<br />

FERTILITY IN SPAIN, THE BEST CHOICE<br />

Thousands of children conceived<br />

under the Mediterranean sun.<br />

The “Instituto Murciano de Fertilidad” (IMFER) was created in Murcia,<br />

South of Spain, in 1998. We offer different treatments that are<br />

customized to your case: we perform all the assisted reproduction<br />

techniques authorized by the Spanish law. IMFER has gradually grown<br />

to offer you the best service: we are now a medium size clinic with a<br />

staff of 20 people, but we have not lost the spirit that we have always<br />

instilled in our relationship with the patient: we take care of you in a<br />

personalized and friendly way.<br />

“We think that patients who undergo a<br />

fertility treatment do not only need the<br />

most advanced technology, but also<br />

consistent support along the whole process”<br />

says Umberta Pennaroli, head of international coordination<br />

department at IMFER clinic.<br />

Every year IMFER assists many overseas patients who want to undergo<br />

a fertility treatment. In order to provide a better service, IMFER offers<br />

a department devoted exclusively to them.<br />

The two international coordinators will be in charge of following<br />

your case, replying to your questions and solving your doubts at any<br />

time. Through permanent contact by phone or email, they will act as<br />

liaison between you and the medical team, supporting you in each<br />

phase of the treatment.<br />

“Many of our overseas patients come to our<br />

clinic for treatments that have long waiting<br />

list in their country, such as egg donation”<br />

says Sarah Noëson, international coordinator.<br />

Egg donation in Spain<br />

In Spain egg donation is a legal, totally anonymous and confidential<br />

procedure. In order to maximize your chances, at IMFER all the eggs<br />

produced by a donor in one cycle are assigned exclusively to a recipient.<br />

With the aim to facilitate the development of the treatment and<br />

the arrangements for your stay here, we will do our best to adjust to<br />

your time availability. Normally you can undergo embryo transfer about<br />

2-3 months after the first consultation. In some cases there is also the<br />

possibility of a first consultation by video-conference or by phone.<br />

Improving rates with latest technologies<br />

At IMFER we think patients must be considered as a whole, which is<br />

why we do not only apply the most advanced technology – such as IMSI<br />

(Intracytoplasmic Morphologically-Selected Sperm Injection), SET (Single<br />

Embryo Transfer) and vitrification of both oocytes and embryos, among<br />

others – but also recur to traditional techniques such as acupuncture.<br />

IMFER is one of the few clinics in Spain to propose IMSI, a technique<br />

especially useful in infertility cases caused by male factor. This<br />

high-resolution imaging system allows selecting unaltered sperms,<br />

thus, offers better results in pregnancy rates and, at the same time,<br />

reduces the risk of miscarriages.<br />

Also, IMFER uses egg and embryo freezing by means of vitrification.<br />

This process avoids the formation of ice crystals that may tear the cell<br />

and lead to its death during the freezing/thawing process.<br />

The clinic has just relocated to state-of-the-art facilities, in order to<br />

improve the quality of the services without losing the personal and<br />

warm contact we have with our patients.<br />

For more info, visit www.IMFER.com or call us on +34 968/28 28 66<br />

and ask for Umberta. IMFER, Av. de los Pinos no5, 300<strong>09</strong> Murcia, Spain<br />

Visit us at <strong>Fertility</strong> World, Earls Court, London - 18 &19 May 2012


FERTILITY ROAD | Duo<strong>Fertility</strong><br />

Research Review :<br />

YOU PROBABLY<br />

DON’T NEED IVF<br />

(and neither did half<br />

of those who used it!)<br />

Infertility can be a physically and emotionally draining. So when presented with<br />

the latest, most expensive and most invasive clinical process to help you conceive,<br />

your natural reaction can be to remortgage the house and find the best clinic you<br />

can. Sadly, or perhaps happily, this may be completely the wrong approach.<br />

V<br />

ery few players in the assisted reproduction industry<br />

have any incentive to demonstrate when such expensive<br />

and invasive methods are NOT needed, and for whom<br />

the same outcome could be achieved with a less invasive<br />

and expensive option. When the NHS tries to talk about this sort of<br />

thing, everyone assumes it’s just another cost-cutting measure with,<br />

paradoxically, demands to widen access to these invasive and<br />

expensive treatments.<br />

A recently published study on a new fertility service called<br />

Duo<strong>Fertility</strong> provides an interesting, and somewhat surprising,<br />

analysis. The team at Duo<strong>Fertility</strong> set out to answer what they<br />

thought was quite a simple question. How many patients who<br />

went through IVF, actually needed it? The results were really<br />

quite surprising.<br />

The study included 242 women using Duo<strong>Fertility</strong>, who had<br />

already been through a cycle of IVF/ICSI, or qualified for IVF/ICSI<br />

under the UK NHS (NICE) guidelines. The study excluded men with<br />

sperm count


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FERTILITY ROAD | Origin International <strong>Fertility</strong> Centre<br />

INTELLIGENT PROFILE<br />

ORIGINAL<br />

AND<br />

INDIA’S<br />

FINEST...<br />

There are many clinics around the world offering low<br />

cost, high quality treatment with good success rates,<br />

but a major part of travelling abroad so as to breathe<br />

life into your fertility dreams is about connecting with<br />

those you will trust and confide in on such an emotional journey.<br />

The Origin International <strong>Fertility</strong> Centre, based near Mumbai,<br />

already has a reputation for clinical excellence, offering a vast<br />

range of services from IVF, egg donation, surrogacy and sperm<br />

banking, through to embryo donation, laser hatching, blastocyst<br />

transfer and vasectomy/tubectomy reversal. But outside of the<br />

scientific achievements that have led Origin to be rated in the top<br />

15 clinics worldwide, this family-based operation prides itself on<br />

a quality of care that far outperforms the norm.<br />

It’s a benefit aided by using the expertise and experience of<br />

British doctors within the practice, but additionally through the<br />

knowledge of leading specialists such as Dr Sandeep Mane.<br />

“When I completed my training at the Royal College in London<br />

I realised I was equipped with skills that would find use 7,000<br />

miles away in my homeland. It was then I decided to return to<br />

India to set up The Origin International <strong>Fertility</strong> Centre. I had the<br />

drive and the qualifications to realise this ambition, and I have<br />

trained over 15,000 doctors across the world.”<br />

Having trained in the UK, the irony of Dr Mane returning to<br />

Mumbai to treat British patients is not one that is lost, but the<br />

simple facts are that treatment abroad has become a fantastically<br />

cost-effective way for couples to realise their ambitions of starting<br />

or extending their family.<br />

And a family operation The Origin International <strong>Fertility</strong> Centre<br />

is with Sandeep’s wife, Dr Rajashree Mane, a key figure and pillar<br />

of strength at the centre. Her feminine insight, communication<br />

and counselling skills and specialist knowledge provide the<br />

perfect backdrop that transforms a medical research centre into a<br />

friendly, caring treatment facility.<br />

And the vision of the practice has always been clear – to offer<br />

quality care to patients, to impart professional and communication<br />

skills to doctors, to conduct research to improve healthcare for<br />

women and, in general, to create opportunities to serve society.<br />

It is a thorough blueprint that spells out a passion for expert<br />

diagnosis and treatment, combined with a backdrop of stress<br />

management sessions and relaxation therapies such as meditation<br />

and yoga. It means that those who visit the 10,000-sq ft Origin<br />

<strong>Fertility</strong> do so to undertake treatment that offers an overall body<br />

and mind cleansing process.<br />

The jewel in Dr Sandeep Mane’s crown of achievements is his<br />

nomination for the Bharat Jyoti Award in 2008, which places him<br />

on a pedestal as other luminaries in his field such as Mother<br />

Theresa, while the clinic has also been profiled on BBC world<br />

news as one of the fastest growing clinic in surrogacy services.<br />

But at their heart, the aims remain simple, even with over<br />

1,000 operations having been performed in the first two years<br />

since the clinic opened.<br />

“Our work is different to that of others, because we are always<br />

looking to treat the mind along with the body,” Sandeep Mane<br />

continues. “We have many unhappy couples arrive having gone<br />

through various stages of what can be a painful process. Some<br />

come with a very defeatist attitude and having lost all confidence<br />

that their childlessness is something that can be cured. But with<br />

care, understanding, sensitivity, and some of the world’s leading<br />

technology, The Origin International <strong>Fertility</strong> Centre really is<br />

making dreams come true.”<br />

For more information email info@theoriginfertility.com or<br />

head for The Origin International <strong>Fertility</strong> Centre’s website at<br />

www.theoriginfertility.com<br />

www.fertilityroad.com<br />

43


READER STORY | letter from the heart<br />

LETTER<br />

FROM THE<br />

HEART:<br />

DAWN’S<br />

STORY<br />

This issue’s Letter from the Heart tells<br />

the story of South African couple<br />

Dawn and Greg, who having<br />

already conceived a son through<br />

IVF, wanted to add a daughter to<br />

their family, here Dawn talks about<br />

the PDG processes, the heart ache<br />

of failed IVF, sleepless nights and<br />

how her dream finally came true.<br />

‘‘<br />

Longing for a second child came as a complete surprise<br />

to me. We had a gorgeous one year old IVF miracle<br />

son and having a second child was not a possibility or<br />

even desire that my husband and I had discussed.<br />

Given that I was in my late 30’s and Greg in his late 40’s, and we<br />

had the child we longed for, might have meant the end of our<br />

child making story.<br />

Greg’s immediate reaction to my broodiness was “are you<br />

mad!” I left it at that until he brought up the subject again a<br />

few days later “Ill only consider another child IF it’s a girl.” It<br />

was not quite the response I had anticipated since neither of us<br />

had ever had a preference for a boy or girl with our first child,<br />

but I was happy to go along with his wishes, as I dearly wanted<br />

another baby!<br />

A girl it is then!<br />

Given that I was an only child and because Greg and I are much<br />

older parents, I felt that by having two children, they would<br />

always have each other in a way that I never had as a child and<br />

they could be a source of companionship and family for each<br />

other. Greg’s perspective was slightly different. He comes from<br />

a family of four; two boys and two girls. Besides the obvious<br />

blessing of the “pigeon pair” he did not want to precipitate the<br />

competition he knows comes with two children of the same sex<br />

in one family.<br />

Being a goal-orientated achiever I wasted no time setting out<br />

to accomplish the making of our daughter with much<br />

excitement! The fact that I was Co-Founder of Gift ov life fertility<br />

agency meant that I already had a working relationship with all<br />

the leading fertility clinics in South Africa. I had never however<br />

44 fertility road | february - march 2012


had cause in the past, to investigate the possibility or options<br />

relating to sex selection in South Africa.<br />

Investigating all of our options<br />

Knowing that we would have to have IVF again in order to<br />

conceive I learnt that there are two methods for selecting the<br />

sex of a child. The first, commonly referred to as “spinning the<br />

sperm,” attempts to separate the male and female sperm (yes,<br />

it’s the man that determines the sex!) However, this method<br />

does not assure you of a preferred sex, but rather increases your<br />

chances of a certain sex conception.<br />

After a basic sperm analysis, and given Greg’s predominantly<br />

male sperm cells, our chances of conceiving a girl, with this<br />

method, were very low. Greg, being a stock trader and racehorse<br />

punter by profession, was less than impressed at these odds!<br />

On further investigation I discovered that there was another<br />

method for sex selection which, provided Greg could produce a<br />

female embryo, was 100% accurate at determining the sex of<br />

the embryo/s. This method is known as pre-implantation<br />

genetic diagnosis (PGD.) Whilst many clinics have the<br />

technology and skill resources to perform PGD for genetic<br />

testing, I discovered that there is only one clinic in South Africa,<br />

who was willing to do PGD for sex selection. PGD for sex<br />

selection is a very controversial topic today I know, and is not<br />

allowed in many countries including the UK. It didn’t take long<br />

before Greg was sold and our IVF cycle to produce Ella (we had<br />

named our daughter to be) was booked.<br />

The IVF journey begins<br />

During the IVF process, once our eggs and sperm had been put<br />

together for fertilisation in the laboratory, PGD involved removing<br />

a single unspecilailised cell when the embryos had divided to<br />

form about 5 cells. The DNA of the cell from an embryo was<br />

tested to ascertain whether the embryo was an X or Y chromosome<br />

like a female or male embryo. We had 8 embryos on day 2 and<br />

so the testing began. As we waited with anticipation as each<br />

embryo was tested and the embryologist called me to confirm<br />

the sex of each embryo…boy..boy..boy..boy..boy..boy..boy and<br />

boy. We could not believe it! Not a single female embryo!<br />

The laboratory embryologist explained that they had never<br />

seen such a male dominance, especially as we had attempted<br />

to separate sperm prior to fertilisation in order to maximise<br />

the chances of a female embryo. In the end only 2 embryos<br />

were strong enough and we chose to freeze them rather than<br />

transfer them to my uterus. The Doctor suggested we prepare<br />

for the rare occurrence where a man does not have the X<br />

chromosome and thus is unable to produce a girl.<br />

Preparing for the worst<br />

I had, during the IVF process, become as motivated for a daughter<br />

as Greg had been. As we discussed the next round of IVF planned<br />

to commence, we explored the possibility that a girl may not be<br />

possible. It was Greg who suggested we put a male embryo back<br />

in the embryo transfer if we again had no female embryos. He<br />

said given our infertility battle, perhaps we don’t have the luxury<br />

of selecting the sex of a second child and we should take what we<br />

get. He had become as excited as me about a second baby. I was<br />

now adamant that it would take more than one “failed” attempt<br />

to end my desire for a daughter called Ella.<br />

And so the second round of IVF began<br />

This time, there was less optimism when on the day after<br />

fertilisation I received the call to advise that we had only one<br />

embryo. They asked whether we would like to perform the PGD<br />

test on it, as testing can sometimes damage a healthy embryo. I<br />

asked them to go ahead and test it. When I received a call a few<br />

hours later to advise us that it was a female embryo, the<br />

embryologist was as surprised an excited as I was! What were<br />

the chances after 8 males that this one would be a female??<br />

That night, we lay in bed and we couldn’t believe our luck.<br />

Good news arrives unexpectedly<br />

The embryo continued to develop over the next 4 days. The day<br />

before embryos transfer my specialist called me to manage my<br />

expectations. Given my history of stage 3 endometriosis and the<br />

reduced odds of a single embryos transfer, he suggested we<br />

don’t get our hopes up too high.<br />

The 12 days wait before the pregnancy test was fraught with<br />

fears, excitement, doubts and sleepless nights. The day before I<br />

was due to have the pregnancy test at the clinic I did a home<br />

pregnancy test – I just could not wait!<br />

It was negative and the reality of our hopes and dreams were<br />

shattered. The next day, I took our son with me for the test at the<br />

clinic. It was my way of letting myself down gently for the news I<br />

was sure would follow. We still had our darling son and I found<br />

comfort in that miracle. The nurse came through to me as I awaited<br />

the test result. She looked at our son and said “You are going to<br />

have a little sister!” I sobbed in disbelief as I called Greg.<br />

Pregnancy Scares and sleepless nights<br />

My pregnancy was not without its challenges. I threatened to<br />

miscarry at 6 and 27 weeks. I gained 28 kgs as I was pumped<br />

full of hormones to help me carry her to term. She arrived<br />

perfectly healthy at 38 weeks. We had, against all odds, become<br />

proud parents of our darling daughter Ella. As I write this article<br />

she sits next to me watching her favourite program, Noddy. She<br />

is now 19 months old and the princess of all our dreams.<br />

Dawn Blank is the co-founder of South Africa’s foremost egg<br />

donation agency, Gift ov life. Visit www.giftovlife.com for more<br />

information about Gift ov life UK, or email uk@giftovlife.com<br />

www.fertilityroad.com<br />

45


FERTILITY ROAD<br />

GUIDES/ HYPNOSIS<br />

Helping you plan for every stage of your journey...<br />

WORDS | RUSSELL DAVIS<br />

YOUR<br />

FERTILE<br />

MIND<br />

Russell Davis is a Cognitive Hypnotherapist and<br />

along with his wife tried for 10 years to conceive<br />

and recognises the pain, grief, anger, hopelessness,<br />

and all the other emotions experienced on the path<br />

to parenthood, he believes the power of the mind,<br />

can affect the progress of becoming pregnant.<br />

Mind-body link<br />

As you probably know, reproduction is one of the most delicate<br />

systems in our body. Your mind can affect your ability to get pregnant<br />

on multiple levels. The hypothalamus in your brain helps<br />

regulate hormone levels as well as impacting the pituitary and<br />

adrenal responses which produce and regulate the level of stress<br />

hormones in your body. Changes to these responses can have dramatic<br />

affect on the delicate cocktail of hormones necessary for<br />

ovulation, fertilisation, fallopian tube functioning and even successful<br />

implantation of the egg.<br />

Research<br />

There is also a growing amount of research on the positive affect<br />

hypnosis and mind-body programs can have on fertility. A recent<br />

study lead by Alice Domar at Boston IVF studied 100 women<br />

undergoing IVF treatment. 52% of the women who completed<br />

the mind-body program were successful compared to 20% of the<br />

control group.<br />

Another study of 185 woman by Professor Levitas of Soroka<br />

Hospital Israel found that 28% of the women who were hypnotised<br />

for the embryo transfer during IVF treatment became pregnant,<br />

compared to 14% of the women in the control group.<br />

How it can help you<br />

Hypnosis can help you whether trying to conceive naturally or<br />

undergoing treatment. It can help you let go of things such as<br />

negative beliefs, stress or fear of not ever being fulfilled that<br />

could be holding you back from getting pregnant.<br />

There is no denying infertility can be highly stressful. One<br />

study has demonstrated that the stress levels in infertile women<br />

are equivalent to women suffering from AIDS or cancer. No-one<br />

tells them just to relax! Unlike relaxation methods, which can<br />

give you periods of respite, hypnotherapy can let go of the underlying<br />

causes of your stress, your thinking about your situation.<br />

Hypnotherapy also goes beyond letting go of these negative<br />

things which can be impacting your chances of success. Hypnosis<br />

can positively utilise the mind-body link and actively guide your<br />

unconscious mind to what you want. Again there is research demonstrating<br />

how your mind can positively change your biology.<br />

In one such study by the Learner Institute in 2003 a group of<br />

volunteers visualised exercising their little finger over a period of<br />

12 weeks. Their muscle strength had improved by 35% and continued<br />

improving to 40% four weeks after the study and training<br />

had ended - without lifting a finger! I have witnessed remarkable<br />

changes such as ovaries that were not responding to traditional<br />

treatment start releasing eggs.<br />

Get Started<br />

The Fertile Mind® fertility hypnosis programs use the latest hypnosis<br />

techniques which are short, relaxing and enjoyable. There<br />

are separate programs for natural and assisted conception as well<br />

as one for male fertility. See www.thefertilemind.net and explore<br />

how hypnotherapy could be helping you.<br />

Russell Davis as helped many couples to become pregnant using<br />

Cognitive Hypnotherapy. He is the founder of The Fertile Mind®<br />

fertility hypnosis programs and a National Council of Hypnotherapy<br />

(NCH) <strong>Fertility</strong> Special Advisor. www.thefertilemind.net<br />

READER OFFER! <strong>Fertility</strong> <strong>Road</strong> readers get an exclusive 25%<br />

discount from all The Fertile Mind® products by using the discount<br />

code ‘FR01’ in the checkout. Offer expires 31 March 2012.<br />

46 fertility road | february - march 2012


FERTILITY ROAD<br />

BOOKS<br />

Our review of the latest fertility titles…<br />

The Two Week Wait<br />

- Sarah Rayner<br />

Out March, £12.99<br />

A writer with a gift for conveying raw<br />

emotions and the intricacies and subtleties<br />

of relationships between family and<br />

friends, Sarah Rayner’s The Two Week Wait<br />

is a moving page-turner about two very<br />

different women each yearning for the<br />

same thing: a child of their own.<br />

After a health-scare, Brighton-based Lou<br />

is forced to confront the fact her time to<br />

have a baby is running out. She can’t imagine<br />

a future without children, but her partner,<br />

Sofia, doesn’t seem to feel the same<br />

way, and she’s not sure if she could go it<br />

alone. Meanwhile up in Yorkshire, Cath is<br />

longing to start a family with her husband,<br />

Rich. No one would be happier to have a<br />

child than Rich, but Cath is infertile. Little<br />

aware their fates are intimately linked, could<br />

these two strangers help one another out?<br />

A story about hope, love, family and<br />

the joy and resilience of friendship, The Two<br />

Week Wait sees Cath and Lou battle prejudice<br />

and fear, question who they are as women<br />

and ultimately find their purpose in life.<br />

*Available exclusively from Waterstone’s<br />

throughout February 2012<br />

The Infertility Workbook:<br />

A Mind-Body Program to<br />

Enhance <strong>Fertility</strong>, Reduce<br />

Stress, and Maintain<br />

Emotional Balance<br />

- Barbara Blitzer<br />

Out now, £19.99<br />

If you and your partner have struggled<br />

with fertility issues, you’re well aware of<br />

the emotional rollercoaster of confusion,<br />

frustration, and disappointment that infertility<br />

can bring. This book offers a comprehensive<br />

set of mind-body techniques<br />

you can use to help improve fertility from<br />

the comfort of your home and make the<br />

most of IVF or other fertility treatments.<br />

The stress reduction exercises, coping<br />

strategies, and simple lifestyle changes in<br />

this book have been shown by research to<br />

improve fertility and increase pregnancy<br />

rates. During the program, you’ll develop<br />

the skills you need to make peace with<br />

your body, let go of your fears, and help<br />

increase your chance of pregnancy.<br />

The Infertility Workbook offers a downto-earth<br />

practical approach, and following<br />

the techniques mentioned will assist<br />

in healing, stress relief, and emotional<br />

balance and will also inspire those struggling<br />

to build their family.<br />

The Infertility Cleanse:<br />

Detox, Diet and Dharma<br />

for <strong>Fertility</strong><br />

- Tami Quinn & Beth Heller<br />

Out now, £12.99<br />

New clinical research suggests that gut<br />

health, chronic inflammation, and environmental<br />

toxins may be the root cause of<br />

infertility. In their new book, The Infertility<br />

Cleanse, authors Beth Heller and Tami<br />

Quinn offer women who are trying to conceive<br />

a new, supportive cleansing program.<br />

The hands-on manual, split into three<br />

parts, features step-by-step guidelines including<br />

fertility yoga, a healing nutrition<br />

program and stress-reduction techniques,<br />

all designed to cleanse the body, mind and<br />

spirit in preparation for pregnancy.<br />

The book utilises a wide range of<br />

cleansing methods starting from traditional<br />

disciplines with everything purposely<br />

created for women who are trying to conceive<br />

both naturally and/or with assisted<br />

reproduction plans and leans heavily on<br />

the latest scientific research into the<br />

impact of diet, stress and lifestyle on<br />

fertility, offering all women a natural,<br />

holistic approach to readying the womb<br />

for a child. Also includes a DVD of 75<br />

minutes of fertility yoga exercises.<br />

WIN!<br />

We have copies of the above titles to give away to 15 lucky winners, drawn at random.<br />

To enter, simply email your name and contact number to competitions@fertilityroad.com,<br />

stating your top two preferences of books. Entry closes on 20 March 2012.<br />

www.fertilityroad.com 47


SCIENCE | ovarian tissue freezing<br />

The Science behind OVARIAN<br />

TISSUE FREEZING<br />

<strong>Fertility</strong> pioneer, Dr. Sherman Silber of The Infertility Center of St. Louis<br />

gives us the lowdown on the science behind Ovarian Tissue freezing,<br />

A<br />

successful case of human ovarian tissue transplantation<br />

between monozygotic (MZ) twin sisters discordant for<br />

premature ovarian failure (POF) was first reported in<br />

2005. Menstrual cycles resumed after 4 months, and<br />

spontaneous pregnancy occurred after the second ovulation, leading<br />

to the birth of a healthy child.<br />

Subsequently, a consecutive series of seven more successful cases<br />

was reported for a total of eight, all demonstrating ovulatory cycles<br />

with normalized FSH levels. Spare ovarian cortical tissue from the<br />

donor ovary was cryopreserved for future grafting as a backup in<br />

case the first transplant became depleted of follicles and ceased to<br />

function. In a ninth case a different technique was used, microvascular<br />

transplantation of a whole ovary, and this too led to a prompt<br />

return of normal cycles, pregnancy by natural conception, and the<br />

delivery of a healthy child. Thus far, 15 pregnancies and 12 healthy<br />

babies have resulted from these cases, none of whom required<br />

immunosuppression.<br />

Normal serum FSH and regular menstrual cycles returned by<br />

5 months after surgery in all cases, both fresh and frozen. Fifteen<br />

spontaneous pregnancies were established leading to twelve<br />

healthy live births. All three frozen tissue transplants conceived<br />

spontaneously, one delivered, and two were ongoing. Oocyte<br />

survival with slow freezing was 42% and after vitrification it rose<br />

to 89%. Ovarian transplantation in humans is a robust procedure,<br />

even after cryopreservation, vitrification might prove to be more<br />

effective than slow freezing. In the case of the twins, we now<br />

have evidence of long-term ovarian function, suggesting that a<br />

substantial reserve of follicles survives in fresh cortical grafts<br />

despite being subjected to lengthy ischemia compared with<br />

vascular transplantation.<br />

We have also found that slow freezing may cause significant loss<br />

of oocyte viability but with the vitrification technique for cryopreservation<br />

there is no oocyte loss. Therefore, the freezing and<br />

grafting of ovarian tissue for preservation of fertility in cancer<br />

patients has now been perfected and should be routinely practiced.<br />

The Cryopreservation procedure<br />

For slow freezing, after enucleating medullary tissue with a<br />

scalpel dissection, the cortex was pared down manually to an<br />

ultrathin translucent shell with a thickness of less than a millimeter.<br />

Tissue for cryopreservation was divided into multiple strips and<br />

transferred to cryovials after equilibration and then cooled at a<br />

controlled rate. Thawing was achieved quickly by agitating the<br />

vials in a warm water bath.<br />

48 fertility road | february - march 2012


Ovarian transplantation in<br />

humans is a robust procedure,<br />

even after cryopreservation,<br />

vitrifi cation might be more<br />

effective than slow freezing<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 to preserve their potential<br />

for having children genetically related to them rather than<br />

resorting to eggs from an unrelated donor or adoptions,<br />

which are not always available or desirable.<br />

While pediatric patients may not understand the full<br />

implications of cancer treatment for future parenthood, fertility<br />

preservation is equally important for them, as they do not<br />

have the option of using IVF technology for oocyte or embryo<br />

banking. Another indication for fertility preservation is ageing,<br />

particularly for women with a family history of POF, but also<br />

for those with normal ovaries who are increasingly postponing<br />

childbearing.<br />

The uterus does not seem to play a significant role in this<br />

age-related decline, as evidenced by the high pregnancy rates<br />

in women of advanced reproductive age who use oocytes<br />

donated by younger women.<br />

Whereas the twin series involved histo-compatible donor<br />

tissue instead of an autograft, and healthy individuals rather<br />

than cancer patients, this is the largest series of ovarian<br />

transplants to date with the largest number of pregnancies<br />

and live births. It provides rare information for guiding fertility<br />

preservation practices and counseling patients about the<br />

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

of spare biopsy tissue were approved by the Ethics Review<br />

Committee and the Institutional Review Board of St. Luke’s<br />

Hospital, and both donors and recipients gave their written<br />

informed consents.<br />

Dr. Sherman Silber is based at The Infertility Center of St. Louis,<br />

Missouri. For more information about his procedures<br />

please contact the center on (314) 576-1400 or visit<br />

www.infertile.com<br />

YOU ARE READING<br />

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FERTILITY ROAD |<br />

not forgotten<br />

Happy Chinese New Year! On the 21st January 2012<br />

millions of people celebrated the start of spring<br />

and the New Year both in Asia and throughout the<br />

world. Chinese culture considers the Year of the<br />

Dragon as the luckiest of the Chinese lunar years,<br />

bringing luck in love, business and babies. It is also<br />

believed that babies born this year will be blessed<br />

with good fortune, strength and intelligence, and<br />

will thrive in all aspects of life as they engage in<br />

marriage, career and building a family.<br />

Dragons are revered for their grandeur, fearlessness<br />

and self-sufficiency and are the only non-living<br />

animal of the Chinese zodiac system highlighting<br />

just how special they are. To be born in the year<br />

of the Dragon certainly seems to have caused a<br />

stir and maybe even a baby boom, as increases<br />

in fertility treatments have shown growth around<br />

the globe — with as much as a 250% increase in<br />

business from Chinese couples wishing to conceive<br />

and deliver in the Year of the Dragon.<br />

Neither this publication nor its contents constitute an explicit endorsement by Vibration Media 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 Vibration Media. This publication is not intended to be exhaustive. While every effort has been made to ensure accuracy,<br />

Vibration Media 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 Vibration Media unless otherwise stated. Reproduction in whole or in part without written permission is strictly prohibited.<br />

50 fertility road | february - march 2012


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