12.06.2018 Views

Fertility Road Issue 04

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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

ISSUE <strong>04</strong> | JANUARY / FEBRUARY 2011 £3.95/€4.95<br />

YOUR PATH TO PARENTHOOD<br />

ZITA<br />

WEST<br />

EXCLUSIVE<br />

READER<br />

Q&A<br />

WWW.FERTILITYROAD.COM<br />

DOWN'S<br />

SYNDROME<br />

The tests explained<br />

NEW YEAR<br />

NEW YOU<br />

Fitness, health<br />

and fertility<br />

“Having children<br />

Jo Joyner<br />

ISSUE<br />

is a gift”<br />

<strong>04</strong> WWW.FERTILITYROAD.COM<br />

COOKING TO CONCEIVE CO-PARENTING FERTILITY CONSULTANTS


FERTILITY ROAD<br />

CONTENTS<br />

In this issue...<br />

46<br />

24<br />

37<br />

Cover image © Brendan O’Sullivan/ScopeFeatures.com<br />

52<br />

16 NEW YEAR, NEW YOU<br />

How to ensure you get the most out of your<br />

New Year fertility pledge<br />

20 DOWN’S SYNDROME<br />

<strong>Fertility</strong> <strong>Road</strong> puts some numbers behind the science<br />

to explain the testing procedure in full<br />

24 JO JOYNER<br />

The Eastenders star speaks exclusively to <strong>Fertility</strong> <strong>Road</strong><br />

in a full-length interview that reveals her path to parenthood<br />

37 EXPERT WITNESS: ZITA WEST<br />

The UK’s leading fertility expert answers your questions<br />

in her regular <strong>Fertility</strong> <strong>Road</strong> slot<br />

40 FAMILY AND CO.<br />

Hazel Davis examines the growing trend<br />

of challenging the traditional family model<br />

ALSO IN THIS ISSUE:<br />

FERTILITY ROAD SCIENCE:<br />

Genetic counselling, Cranial osteopathy<br />

CONSULTANTS FOR CONCEPTION:<br />

Behind-the-scenes with Lotus Blossom<br />

NUTRITION:<br />

Cooking to conceive with Dr Marilyn Glenville<br />

CELEBRITY WORLD:<br />

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

www.fertilityroad.com<br />

03


The Zita West<br />

Clinic<br />

The The Zita West Clinic is is the the<br />

UK’s largest integrated<br />

clinic for for reproductive<br />

health, combining<br />

the the latest medical<br />

thinking with expert<br />

complementary treatments.<br />

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

midwives, nutritional therapists and and<br />

complementary practitioners help help hundreds<br />

of of couples to to get get pregnant, both both naturally and and<br />

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

previously for for months and and years without success.<br />

We We also also help help many more, who who are are going through IVF, IVF, to to<br />

improve their chances of of success through expert preparation<br />

and and support.<br />

<strong>Fertility</strong>, conception, pregnancy and and birth are are whole-body<br />

events and and an an integrated approach to to preparing for for them can, can,<br />

we we believe, pay pay dividends, helping to to improve not not just just your your<br />

fertility, but but your your pregnancy and and the the long long term health and and<br />

potential of of your your baby too. too.<br />

How we can help:<br />

• • Just Just decided to to try? try?<br />

Boost your your fertility and and improve your your pregnancy<br />

• • Want to to know how how fertile you you are? are?<br />

Take Take our our tailor-made fertility MOT MOT<br />

• • Finding it it difficult to to get get pregnant?<br />

Identify and and help help resolve your your problem<br />

• • Planning on on having IVF? IVF?<br />

Help Help increase your your chances of of success<br />

• • If If IVF IVF fails fails<br />

Help Help with with next next steps. How How to to move on on<br />

• • Suffering from recurrent miscarriage?<br />

Help Help to to find find a way a way through<br />

Services we we offer:<br />

• • Gynaecology • • Nutrition • • Counselling<br />

• • Midwifery • • Acupuncture • • Massage<br />

• • Embryology • • Hypnotherapy • • Fitness<br />

Zita Zita West Clinics Ltd Ltd<br />

37 37 Manchester Street, London W1U W1U 7LJ 7LJ<br />

Tel Tel 0207 0207 224 224 0017 0017 Fax Fax 0207 0207 224 224 0062<br />

www.zitawest.com<br />

TO TO MAKE AN AN APPOINTMENT: 020 7224 0017<br />

Top foods to eat to<br />

boost your fertility!<br />

A healthy weight and well-balanced diet for both<br />

men and women before you conceive will boost<br />

your fertility, ensure you are at the best of your<br />

health during pregnancy and make sure that you<br />

have the energy you will need when your baby<br />

finally arrives.<br />

Laura McLoughlin,<br />

Tesco Diets Nutritionist<br />

What’s important?<br />

Folate<br />

Why? Helps prevent neural tube defects in your developing<br />

baby. Foods: A 400mcg daily folic acid supplement, leafy<br />

green veg, beans and citrus fruits.<br />

Iron<br />

Why? Boots your iron stores to prepare for increased iron<br />

needs during pregnancy. Foods: Red meat, pulses, dried<br />

fruits and leafy green vegetables.<br />

Vitamin C<br />

Why? Improves iron absorption in your stomach and boosts<br />

immunity. Foods: Citrus fruits, kiwi fruits, berries, peppers<br />

and leafy green vegetables.<br />

Calcium<br />

Why? Essential for your baby’s development and helps to<br />

protects mother’s bones. Foods: Dairy, leafy green veg, dried<br />

fruit, sesame seeds, beans and chickpeas.<br />

Alcohol<br />

Cutting it out will boost fertility, remove any alcohol related<br />

risks when you do get pregnant and limit your intake of<br />

“empty” calories for a healthy weight.<br />

Special Offer for <strong>Fertility</strong> Readers! 2 weeks<br />

extra free*<br />

If you are looking to follow a healthy, balanced diet, we offer 16<br />

personalised diet plans and support from nutritionists to help<br />

you every step of the way. To find out more and get 2 weeks<br />

extra free go to www.tescodiets.com/fertility today.<br />

*10 weeks for the price of 8 at a cost of £2.99 per week. To avail of this offer you must go<br />

through www.tescodiets.com/fertility<br />

2<br />

D<br />

w


ISSUE <strong>04</strong> | JANUARY / FEBRUARY 2011 £3.95/€4.95<br />

<strong>04</strong> WWW.FERTILITYROAD.COM<br />

FERTILITY ROAD<br />

CONTRIBUTORS<br />

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

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

YOUR PATH TO PARENTHOOD<br />

ZITA<br />

WEST<br />

EXCLUSIVE<br />

READER<br />

Q&A<br />

COOKING TO CONCEIVE CO-PARENTING FERTILITY CONSULTANTS<br />

ISSUE <strong>04</strong> - JANUARY / FEBRUARY 2011<br />

Group Publishers:<br />

Jeff Crockett, Giorgio Severi<br />

WWW.FERTILITYROAD.COM<br />

DOWN'S<br />

SYNDROME<br />

The tests explained<br />

NEW YEAR<br />

NEW YOU<br />

Fitness, health<br />

and fertility<br />

“Having children<br />

ISSUE<br />

Jo Joyner is a gift”<br />

Welcome to the new issue of <strong>Fertility</strong> <strong>Road</strong>, Europe’s number one<br />

fertility magazine. First things first, how are the New Year’s resolutions<br />

going? Well, if they’re less ‘going’ and more ‘gone’, remember that<br />

getting yourself in the best physical and emotional shape for starting<br />

a family is an ‘all year round’ task! So to help you retain momentum,<br />

we’ve put together an extensive guide that will not only offer advice<br />

on what pledges to make, but will aim to solve the bigger problem -<br />

namely, how to stick to them!<br />

We’ve got brilliant interviews with Jo Joyner and our resident fertility<br />

expert, Zita West, and present the usual cross-section of features,<br />

encompassing everything from the issues surrounding Down’s<br />

Syndrome to the emotional plusses and minuses of co-parenting.<br />

<strong>Fertility</strong> <strong>Road</strong> aims to inform and inspire in a way that is direct, honest<br />

and empathetic, whilst breaking down the science by being written in<br />

good old-fashioned plain English. So we hope you’ll enjoy the issue, and<br />

look forward to seeing you again in two months... James Evans, Managing Editor<br />

Business Advisor:<br />

Alessandro Severi<br />

Managing Editor:<br />

James Evans<br />

Contributors:<br />

Kelly Rose Bradford, Hazel Davis,<br />

Carrie Dunn, Andy Greeves, Siobhan O’Neill,<br />

Johanna Payton, Cathryn Pugh, Zita West<br />

OUR WRITERS...<br />

OUR EXPERT...<br />

Zita West is a renowned expert in her field, having successfully assisted<br />

thousands of couples through the trials and challenges of conception.<br />

Zita writes exclusively for <strong>Fertility</strong> <strong>Road</strong>, answering an array of reader<br />

questions and concerns, imparting the kind of knowledge that sees her<br />

regarded as the UK’s leading light in pregnancy and fertility.<br />

Art Editor:<br />

Damian Browning<br />

Interim Sales Manager:<br />

Ms. J Watson<br />

European Sales:<br />

Susan Calatayud, Pier Minole<br />

Public Relations:<br />

Edith Collins<br />

Legal Advisor:<br />

W Burson & Co.<br />

Client Liason Officer:<br />

Debbie Hanson<br />

Printed by:<br />

Buxton Press<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 8316 8923<br />

Email: info@fertilityroad.com<br />

www.fertilityroad.com<br />

Follow us on Twitter<br />

www.twitter.com/fertilityroad<br />

Hazel Davis lives with her partner and two dogs in West Yorkshire. She writes<br />

on a variety of topics for The Guardian, The Independent, Daily Mail, Financial<br />

Times, Practical Parenting, Early Years and the music press. She has a particular<br />

interest in lesbian and gay parenting and fertility issues and sings in a choir.<br />

Andy Greeves is based in Dorset and works as Marketing & PR Officer for<br />

the Bournemouth-based Anglo-European College of Chiropractic. His interest<br />

in fertility issues stems from his mother Janet, who is alternative medicine<br />

practitioner, so Andy has heard many happy pregnancy stories as a result!<br />

Siobhan O’Neill is a mum to five-year-old Una and 11-month Aoife. As a writer<br />

she specialises in features about parenting, health and nutrition. As a mum she<br />

specialises in cuddles, snotty noses and messy dinner times. She has written on<br />

the rollercoaster that is parenthood and pre-parenthood for a variety of titles.<br />

Johanna Payton is a journalist, author and broadcaster who has been writing<br />

about fertility, pregnancy and parenting since her son, Eliott, was born six years<br />

ago. Her features have been published everywhere from Grazia to Maternity &<br />

Infant magazines. She has conducted interviews whilst changing nappies!<br />

Kelly Rose Bradford is a writer for the Daily Mail and Daily Express, and a<br />

specialist in parenting and family matters. A huge fan of babies, home-birthing<br />

and cloth nappies, she does not however weave lentils or hug trees. Kelly is<br />

mum to seven-year-old William.<br />

Carrie Dunn is a freelance journalist who has written for publications including<br />

The Times, The Guardian, The Independent, Cosmopolitan and Pregnancy Baby<br />

and You. When she’s not writing, she will be found at the theatre, at the<br />

cricket, or playing World of Warcraft!<br />

www.fertilityroad.com<br />

05


Thinking<br />

about<br />

starting<br />

a family?<br />

Specially formulated for women who are trying for a baby.<br />

You’ve stopped smoking, given up alcohol and are eating healthily - but what else can be<br />

done to prepare your body for conception? Vitabiotics’ Pregnacare®, the UK’s leading<br />

pregnancy supplement, has developed Pregnacare® Conception to provide advanced<br />

nutritional support when trying for a baby. The unique formula contains 21 micronutrients<br />

to help support conception and reproductive health in women, including the specific<br />

nutrients inositol, l-arginine, n-acetyl cysteine and folic acid (400mcg). NEW Pregnacare<br />

His & Her Conception dual pack also includes Wellman® Conception for your partner’s<br />

reproductive health.<br />

Visit Pregnacare.com/conception for tips and advice when trying for a baby.<br />

Britain’s leading<br />

supplements<br />

for specific life stages<br />

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

NEW<br />

for men<br />

Wellman® Conception<br />

provides a specific<br />

combination of vitamins,<br />

minerals, Lycopene, MACA and<br />

amino acids to help maintain<br />

male reproductive health.


FERTILITY ROAD<br />

NEWS<br />

The latest developments from the fertility world<br />

Baby born from embryo<br />

frozen for over 10 years<br />

© www.worldwidefeatures.com<br />

Lisa and Adrian Shepherd from Willenhall, West Midlands, are<br />

celebrating the unlikely birth of their third child, Ryleigh – who<br />

is a triplet despite being born 11 years later after her two sisters.<br />

The Shepherds had twins Megan and Bethan in August 1999<br />

after a successful course of IVF treatment. The couple had initially<br />

hoped to give birth naturally following their wedding in 1994, but<br />

Lisa was diagnosed with endometriosis and polycystic ovarian<br />

syndrome, preventing the possibility of natural conception.<br />

At the time of Megan’s birth, the couple opted to keep 12<br />

of Lisa’s healthy embryos frozen with a view to a possible<br />

pregnancy in the future. It was at the start of 2008 that Lisa<br />

and Adrian made the decision to try for another baby, a move<br />

backed by their children. Nearly two years on, Ryleigh Shepherd<br />

was born on November 20, 2010, weighing in at 7lb 10oz.<br />

Funding for the couple’s IVF treatment was provided by<br />

Walsall Primary Care Trust. After 18 months on a waiting list, they<br />

were referred to Midland <strong>Fertility</strong> Services in nearby Aldridge.<br />

Lisa, who is a 37-year-old hotel sales manager, recently spoke to<br />

the media about her delight at the birth of baby Ryleigh.<br />

And as she explained to the Birmingham Mail, Megan and<br />

Bethan are equally ecstatic at having a little sister.<br />

“Both girls were all for us trying for another baby and they adore<br />

their little sister,” she said. “They are like two extra mums.<br />

“We knew there was a good chance the IVF treatment<br />

wouldn’t be successful and we tried to prepare for that. We’re<br />

absolutely delighted at the birth of Ryleigh.”<br />

Amazingly, there are cases of embryos being used successfully<br />

after being frozen for as long as 20 years. A 42-year-old woman<br />

in the US gave birth to a baby boy last October after her embryo<br />

had first been stored in 1990.<br />

TIGHT<br />

RESTRICTIONS<br />

ON HUMAN<br />

EMBRYO<br />

RESEARCH<br />

COULD BE<br />

LIFTED<br />

The UK’s leading medical advisory body<br />

NICE (National Institute for Health and<br />

Clinical Excellence) has published a review<br />

of rules and regulations that govern medical<br />

research in this country. Many scientists have<br />

complained of a ‘red tape’ culture in research,<br />

which they believe is halting or delaying<br />

various medical advancements being made.<br />

Health Secretary Andrew Lansley says<br />

he supports NICE’s suggestions for the<br />

introduction of a new body which will speed<br />

up applications by scientists to conduct research and also make Britain a more attractive venue for drug companies and other<br />

organisations to carry out trials. NICE proposes the creation of the Health Research Agency, which would be a so-called ‘onestop-shop’<br />

for scientists seeking to gain approval for research. The current system sees researchers having to contact various<br />

NHS trusts for permission to recruit patients, which can delay progress by months.<br />

Crucially, the NICE report calls on tight restrictions on human embryo research to be lifted. The review suggests ditching the current<br />

‘special status’ embryos, which would reduce the lengthy application and consultation process in place currently. The current status<br />

can make it difficult for research to be approved in the first place, with permission only granted if work is deemed to be “necessary<br />

for the health of humankind”.<br />

The ‘Rawlins Review’ also recommends that the new agency takes over the current responsibility of the Human Fertilisation<br />

and Embryology Authority and Human Tissue Authority, which are set to be disbanded. Andrew Lansley told the House of<br />

Commons that: “National regulation and local governance of health research are too complex and scattered across too many<br />

different bodies. The government welcomes the report and will consider carefully how to implement its recommendations.”<br />

www.fertilityroad.com<br />

07


FERTILITY ROAD<br />

NEWS<br />

The latest developments from the fertility world<br />

‘HOW MANY<br />

EMBRYOS<br />

SHOULD I<br />

TRANSFER?’<br />

Andy Greeves explores<br />

IVF’s age old dilemma<br />

Deciding on how many embryos to transfer during IVF<br />

remains the most difficult decision for patients and<br />

doctors alike throughout a treatment cycle.<br />

If numbers alone counted for anything, then the<br />

choice between returning one or two embryos would be a no<br />

brainer. Implanting two embryos almost doubles the chance<br />

of having a baby to 42% likelihood, compared to just 27%<br />

likelihood if only one is transferred*.<br />

The early years after IVF’s development in 1978 saw the birth<br />

of many twins and triplets, as doctors transferred multiple embryos<br />

wherever possible in patients to increase the chances of pregnancy.<br />

Sadly, many subsequent multiple births posed problems for both<br />

mother and babies alike.<br />

We now know that twins and triplets born through IVF are far<br />

more likely to arrive prematurely than single babies and, in the<br />

case of multiple births, at least one baby is likely to weigh less than<br />

5lbs. Premature birth and low birth weight can lead to lifelong<br />

health problems for some babies and, at worse, can prove fatal.<br />

Clinics in the UK are permitted by law to transfer no more than<br />

two embryos and some countries across Europe, including<br />

Finland and Sweden, only allow single embryo transfer. Despite<br />

measures to limit the number of multiple births through IVF<br />

because of the implications, the number of women that give birth<br />

to twins or more stands at one in five across Europe.<br />

In 2003, the Human Fertilisation and Embryology Authority<br />

(HFEA) estimated that 126 IVF babies who died during that year<br />

would have survived had they been singleton babies. A study, led<br />

by Yacoub Khalaf of Guy’s Hospital, London, in 2007, found that<br />

IVF can be just as effective with one embryo as two.<br />

Khalaf allowed embryos to develop in culture for five days,<br />

rather than the usual three days, before transfer to the womb.<br />

Nearly 200 Guy’s Hospital patients were treated using the method<br />

with nearly 100 births. The chances of clinic patients having a<br />

successful pregnancy rose from the national average of 35% to<br />

41% in Khalaf’s under-35 patients, while he reduced the multiple<br />

pregnancy rate from 37% to 19%.<br />

“It is a myth that single embryo transfer has to lower the success<br />

rate,” Khalaf commented at the time. “If you select the right patients,<br />

and use blastocyst transfer, it can be just as good. We believe firmly<br />

that a twin pregnancy is not an ideal outcome. People think it is two<br />

for the price of one, but the risks are real and we see heartache time<br />

after time. I would encourage every clinic to look at our results.”<br />

Despite Khalaf and the HFEA’s findings, transferring more than<br />

one embryo into the womb remains commonplace in fertility clinics<br />

in the UK. Indeed, it is estimated that 90% of treatment cycles<br />

in Britain involve the transfer of two embryos. The overriding<br />

assumption amongst patients and medical professionals seems to<br />

remain ‘two is better than one’ as far as embryo transfer goes.<br />

A study recently published in the British Medical Journal has<br />

again brought in to question the safety of multi-embryo transfer<br />

for mother and babies. The research pooled the results of 1,367<br />

women across Europe, who took part in trials comparing single<br />

embryo with double embryo transfer.<br />

While the trial saw an increase in the number of babies born<br />

through double embryo transfer compared to single (42% v<br />

27%), it also emphasised the problems that can arise through<br />

double embryo transfer.<br />

In total, 30% of babies born in this trial from double embryo<br />

transfer were born prematurely compared to just 13% of single<br />

embryo transfer IVF babies. After taking natural factors like the<br />

mother’s age and weight into account, the risk of prematurity in<br />

double embryo transfer rose to 33%. 28% of babies were also<br />

born using double embryo transfer, while only 8% of single embryo<br />

babies were.<br />

Many experts, including fertility scientists Peter Braude at<br />

King’s College, London, and William Ledger of Sheffield University,<br />

are calling on the UK government to outlaw double embryo<br />

transfer in IVF treatment. Mohamed Taranissi, Medical Director<br />

of the Assisted Reproduction and Gynaecology Centre (ARGC) in<br />

London, disagrees however. Taranissi believes that banning double<br />

embryo transfer would reduce the number of twins born<br />

through IVF only slightly, but would significantly reduce the<br />

number of babies born through the technique overall.<br />

For the average couple using IVF, the debate over double embryo<br />

transfer compared to single embryo transfer can be confusing.<br />

While opinion as to which technique to use remains divided, what<br />

should be remembered is that pregnancy rate is only one aspect to<br />

think about when weighing up your options. The health and wellbeing<br />

of mother and babies is an equally vital consideration.<br />

* Figures from McLernon DJ, Harrild K, Bergh C et al (2010) ‘Clinical effectiveness<br />

of elective single versus double embryo transfer: meta-analysis of individual patient<br />

data from randomised trials’.<br />

08 fertility road | january - february


FERTILITY ROAD<br />

FERTILITY FINDS<br />

The latest gadgets, gismos, applications and supplements…<br />

Pregnancy Companion iPhone App<br />

The Pregnancy Companion iPhone App is the first all-encompassing iPhone application<br />

for women expecting a new baby. It’s beautifully designed, and organised in a very fun,<br />

easy to use way that will inform and enlighten you on your path to parenthood.<br />

Pregnancy Companion is written and designed by two board-certified<br />

obstetricians with over 25 years of experience and more than 8,000<br />

deliveries. It offers week-by-week illustrated updates on developmental<br />

changes in you and your baby, a built-in calendar, extensive answers<br />

to pregnancy-related questions and ‘at-a-glance’ lists of what to<br />

expect and prepare for during different stages of your pregnancy.<br />

There’s also information about nutrition, drugs, safety, weight,<br />

plus alternative therapies; and for when the big moment arrives,<br />

comprehensive lists detailing what to buy for your baby. This all-inone<br />

app is available now.<br />

PRODUCT<br />

OF THE<br />

MONTH<br />

Price 65p from iTunes or visit www.pregnancycompanionapp.com<br />

First Response<br />

- Early Result Pregnancy Test<br />

The First Response Early Result<br />

Pregnancy Test enables you to get your<br />

result quicker than you would with any<br />

other pregnancy kit. It is so sensitive that<br />

most pregnant women have enough of<br />

the pregnancy hormone, hCG (human<br />

chorionic gonadotropin), to be detected<br />

as early as six days before the day of<br />

your missed your period. First Response<br />

detected hormone levels consistent with<br />

pregnancy in 62% of women six days<br />

before the day of missed period, and in<br />

78% of women five days before. For early<br />

alert, First Response is true to its name!<br />

Price 2-pack for £7 from all good chemists<br />

Kush<br />

- Breast Support<br />

The Kush Breast Support is now available<br />

in the UK following its launch in the US.<br />

Kush is used as a non-invasive comfort<br />

and support in the breast area for<br />

women with C-Cup or larger breasts<br />

(both natural breasts and implants)<br />

and who sleep on their sides. Kush is<br />

suitable for pregnant and breastfeeding<br />

women, and is endorsed by US plastic/<br />

reconstructive surgeon Dr Peter L Tucker,<br />

MD, and chiropractic physician Henry E<br />

Rice. Kush is available in three sizes and<br />

seven colours.<br />

Price £29.99 plus p&p from<br />

www.thekushcompany.com<br />

The Diet Plate<br />

- Portion control made easy<br />

It is well documented that carrying too<br />

much weight can affect fertility, though<br />

Diet Plate is portion control made easy.<br />

After all, being the right weight for your<br />

height will give you the best chance<br />

possible of becoming pregnant or getting<br />

onto the NHS list for IVF treatment. Diet<br />

Plate is a weight management solution<br />

consisting of a portion control plate and<br />

bowl, in female, male and child versions,<br />

which is calibrated to give you the right<br />

proportions of food groups and just the<br />

right amount of calories.<br />

Price £21.99 plus £3.99 p&p from<br />

www.thedietplate.com<br />

10 fertility road | january - february


FERTILITY ROAD<br />

NEWS<br />

‘SAVIOUR<br />

SIBLING’ IVF<br />

THERAPY USED<br />

FOR THE FIRST<br />

TIME IN UK<br />

Anine-year-old girl from the UK, born with a rare<br />

form of anaemia known as ‘Fancomi’, has been<br />

saved from the life-threatening disease through<br />

the use of IVF.<br />

The girl was born with Fancomi anaemia, after<br />

inheriting it from her parents who were unknown carriers<br />

of the faulty gene. She developed bone marrow failure as a<br />

result. A worldwide search was unsuccessful in trying to find<br />

her a suitable bone barrow donor and tests on her older<br />

brother proved that he was unsuitable.<br />

The family, who wish to remain anonymous, discovered<br />

that embryos could be screened to find a potential suitable<br />

donor match for the girl. Doctors at the Care Clinic in Nottingham<br />

did exactly that and after overcoming selected legal hurdles,<br />

the couple were able to proceed with the birth of a so-called<br />

‘saviour sibling’.<br />

Upon the birth of their new baby boy, doctors stored<br />

umbilical cord blood - which contains stem cells and recently<br />

collected bone marrow - from him to give to his sister. The girl<br />

is recovering in hospital at Addenbrooks in Cambridge and is<br />

expected to be back at school in the near future.<br />

This case is a first in the UK. In 2003, Michelle and Jayson<br />

Whitaker from Derbyshire travelled to the United States to<br />

carry out the same practice as British law prevented it at the<br />

time. They needed a ‘saviour sibling’ to prevent the death of<br />

their son, who also had a dangerous form of anaemia.<br />

Simon Fishel, Managing Director of the Care Clinic, told The<br />

Guardian: “We are delighted at this outcome for this family. This<br />

is absolutely a positive life-giving medicine... Many specialists<br />

do not know that this procedure is available in Britain – patients<br />

are told to have more children and that with luck one might be<br />

a suitable donor, or they are told they have to go abroad.”<br />

The clinical procedure cost £10,000, which was paid for by<br />

the couple’s local primary care trust.<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<br />

iV<br />

to<br />

sp<br />

h<br />

o<br />

an<br />

re<br />

Ke<br />

IN<br />

in<br />

S<br />

an<br />

th<br />

A<br />

m<br />

V<br />

w<br />

ne<br />

D<br />

a<br />

sm<br />

IV


FERTILITY ROAD | Duo<strong>Fertility</strong><br />

AS EFFECTIVE AS<br />

IVF, AT A FRACTION<br />

OF THE COST<br />

Exciting new research offers renewed hope<br />

to couples wanting a natural pregnancy…<br />

<strong>Fertility</strong> <strong>Road</strong> readers who are considering IVF would<br />

have been very interested in some amazing research from<br />

Duo<strong>Fertility</strong> that hit the headlines at the end of 2010.<br />

A paper presented at the prestigious 2010 World<br />

Association of Reproductive Medicine Annual Congress revealed<br />

99 couples using Duo<strong>Fertility</strong> who had either previously undergone<br />

IVF or who were awaiting their first IVF procedure, demonstrated<br />

pregnancy rates after six months of use that were as good as a<br />

cycle of IVF, and at a fraction of the cost. Not surprisingly, this<br />

was picked up by the national media and widely reported, as the<br />

implications are potentially exciting, both for couples with fertility<br />

problems and for the NHS.<br />

One particularly interesting part of the research was that pregnancy<br />

rates in older women (age 37 and over) appeared to be higher<br />

with Duo<strong>Fertility</strong> than with IVF. This may be due to the reduced<br />

physiological stress of using Duo<strong>Fertility</strong> compared to hormonal<br />

downregulation and stimulation induced during a cycle of IVF.<br />

A further interesting finding was that women with secondary<br />

infertility (namely, women who had previously had one or more<br />

child) also had significantly higher pregnancy rates with Duo<strong>Fertility</strong><br />

than with IVF (28.5% compared to 21.5% for a cycle of IVF). This<br />

may be, in part, because Duo<strong>Fertility</strong> maximises the chances of<br />

natural conception, which of course relies on the couple being at<br />

least partially fertile. In the case of secondary infertility, more often<br />

than not, fertility is likely to have already been proven.<br />

This research is particularly encouraging in light of the length of<br />

time taken for the typical UK couple to receive NHS-funded IVF -<br />

three years (for cases of unexplained infertility).<br />

It means couples can use Duo<strong>Fertility</strong> whilst<br />

waiting for IVF with their chances of conceiving<br />

being at least as good as for the IVF procedure<br />

itself. Duo<strong>Fertility</strong> is also considerably less<br />

invasive and less stressful compared to a cycle<br />

of IVF, and much less costly.<br />

Duo<strong>Fertility</strong> was developed by Cambridge<br />

University scientists who invented a new way<br />

to detect and analyse the physiological<br />

parameters that determine when a woman is<br />

most fertile up to a week in advance, as well<br />

as confirming that ovulation has occurred.<br />

Because it is fully automated it cuts out the<br />

need for time-consuming measuring. Better<br />

still, by removing any human error it provides<br />

extremely accurate results even in women with<br />

irregular cycles or with hormone-imbalance<br />

conditions like PCOS.<br />

At the heart of the unique Duo<strong>Fertility</strong><br />

approach is a tiny sensor worn under the arm as<br />

a patch. This minute sensor takes thousands of<br />

precise readings throughout the day. Every few<br />

days this data is downloaded to the handheld<br />

reader at the touch of a button and fertile<br />

days can be seen up to a week in advance. The<br />

reader can also be plugged into a computer,<br />

allowing your complete fertility cycle to be<br />

seen on screen – including fertile days and<br />

confirmation of ovulation.<br />

Every time you download data to your computer,<br />

it downloads securely to the Duo<strong>Fertility</strong><br />

<strong>Fertility</strong> Centre where it is analysed by Duo<strong>Fertility</strong>’s team of<br />

highly-qualified fertility consultants. This means every Duo<strong>Fertility</strong><br />

customer has access to fertility experts who know their fertility<br />

cycle in great detail and can act as fertility coaches to provide<br />

invaluable, personalised help and support. Every user also receives<br />

a comprehensive fertility report which provides detailed insights<br />

into their fertility cycle. This should prove invaluable in discussing<br />

fertility with doctors and specialists.<br />

So confident are the makers of Duo<strong>Fertility</strong> in their system that<br />

they offer a ‘get pregnant in 12 months or your money back’<br />

guarantee, subject to standard conditions (see product information<br />

for more details). So the best-case scenario is that you could soon<br />

be enjoying a natural pregnancy as Duo<strong>Fertility</strong> is proven to be at<br />

least as effective as IVF at a fraction of the cost. Duo<strong>Fertility</strong>’s<br />

team of highly qualified fertility consultants will be pleased to<br />

answer your questions - why not get in touch now?<br />

Duo<strong>Fertility</strong> is available direct from the company via their website.<br />

<strong>Fertility</strong> <strong>Road</strong> readers will not only enjoy individual support from a highlyqualified<br />

fertility expert, but should also be eligible for the unique<br />

Duo<strong>Fertility</strong> money-back guarantee. www.duofertility.com/FertRd<br />

The help and support you need to get pregnant - naturally<br />

12 fertility road | january - february


FERTILITY ROAD<br />

CELEB NEWS<br />

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

A-LIST<br />

FAMILY<br />

MATTERS<br />

Paying someone to put little<br />

needles in you may seem crazy,<br />

but Mariah Carey swears that<br />

she has acupuncture to thank<br />

for her twin pregnancy.<br />

After a miscarriage in 2008, 41-year-old<br />

Carey and husband Nick Cannon have<br />

struggled to get pregnant again. Recently,<br />

she has been taking the hormone Progesterone<br />

to boost fertility and increase her chances<br />

of carrying a pregnancy to full term, and has<br />

combined that with Chinese medicine.<br />

That has meant daily acupuncture treatments<br />

“all over her body,” reveals Cannon.<br />

“I think it helped her quite a bit, because it<br />

was a good de-stressor.” Carey confirms<br />

that it helped her to relax: “I was getting<br />

acupuncture, like, once a day at least. It<br />

was on a schedule, everything. For the first<br />

time in my life, I spent time in one place.”<br />

In fact, Carey credits last issue’s cover<br />

star Celine Dion – also a Chinese medicine<br />

devotee - for prompting her to try acupuncture<br />

to help her get pregnant. “Celine was<br />

talking about acupuncture. I used to get<br />

acupuncture, and I had<br />

never thought of it<br />

with regards to the<br />

‘trying to conceive’<br />

situation,” she says.<br />

Whatever you think of alternative medicine<br />

(and irrespective of the fact medical experts<br />

are yet to find scientific evidence to suggest<br />

that it makes a difference to the chances of<br />

a pregnancy succeeding or not), it certainly<br />

seems to have worked for them – they’re<br />

having twins this spring. Seeing his wife’s<br />

face when they learned the treatments had<br />

worked “was priceless,” Cannon says. “We<br />

definitely cried. We still cry all the time. It’s<br />

an emotional journey.”<br />

Another journey of a different kind<br />

reached its culmination on Christmas Day,<br />

when rock legend Sir Elton John and husband<br />

David Furnish became the parents<br />

of a baby born to a surrogate mum from<br />

another woman’s donor egg in the USA.<br />

According to friends, the couple have<br />

agreed that they will be equal parents, and<br />

will not be announcing which of them is the<br />

biological father, though they may tell little<br />

Zachary if the question arises in the future.<br />

They had previously looked into adopting<br />

two HIV-positive babies from the Ukraine,<br />

but were blocked because the country does<br />

not recognise same-sex marriage, so instead<br />

they are now putting their efforts into<br />

finding the boys another loving home.<br />

14 fertility road | january - february


The pair said, via a spokesperson: “We<br />

are overwhelmed with happiness and joy<br />

at this very special moment. Zachary is<br />

healthy and doing really well, and we are<br />

very proud and happy parents.”<br />

And it appears that Elton and David have<br />

been seeking advice on parenting from<br />

celebrity friends who faced their own fertility<br />

issues - Sarah Jessica Parker and her husband<br />

Matthew Broderick, who had their toddler<br />

twins Marion and Tabitha by a surrogate<br />

mother. “Sir Elton and David had become<br />

extremely interested in surrogacy by the<br />

time they spoke to Sarah and Matthew,” a<br />

friend of the couple said. “Even so, they<br />

were able to give them an insight into how<br />

they coped with a high-profile surrogacy -<br />

both the ups and the downs.”<br />

Singer Ricky Martin is another with<br />

twins by a surrogate – he had his twin<br />

boys Matteo and Valentino via surrogacy<br />

in 2008, and has been talking about how<br />

fatherhood has changed him.<br />

“When you are young you are open to<br />

taking risks and are not afraid of anything,”<br />

he says. “Now my priorities are<br />

different. I have children and they are the<br />

most important thing in my life.”<br />

He loves being a parent so much that<br />

he’s now considering extending his family.<br />

“Even though I started with surrogacy,<br />

adoption is probably my next step,” said<br />

the 38-year-old, who had considered adopting<br />

a child before the birth of his babies.<br />

And it seems actor Neil Patrick Harris<br />

and his partner David Burtka are the latest<br />

to welcome twins born via surrogacy. The<br />

How I Met Your Mother star announced the<br />

Neil Patrick Harris & David Burtka<br />

IVF can be stressful for the woman with<br />

all the hormone injections and procedures.<br />

When the fi rst attempt didn’t work, I said to<br />

Penny, ‘Don’t worry, we’ll keep trying’<br />

- Rod Stewart<br />

birth of Gideon Scott and Harper Grace by<br />

tweeting that: “All of us are happy, healthy,<br />

tired, and a little pukey.” He’s since revealed:<br />

“We found an egg donor anonymously<br />

through a hilarious process of looking at<br />

people’s profiles, and then an amazing<br />

surrogate who had helped same-sex couples<br />

before. And then we inserted two eggs,<br />

one with my sperm, one with David’s<br />

sperm and they both took.”<br />

Model and former Strictly Come Dancing<br />

star Penny Lancaster announced at the end<br />

of last year that she and husband Rod<br />

Stewart needed three cycles of IVF to get<br />

them pregnant again.<br />

Stewart says: “IVF can be stressful for<br />

the woman with all the hormone injections<br />

and procedures. When the first attempt<br />

didn’t work, I said to Penny, ‘Don’t worry,<br />

we’ll keep trying’.”<br />

The pair are already parents to a little<br />

boy, Alastair, and had tried for two years<br />

to give him a brother or sister. They’re now<br />

expecting a baby in March and Lancaster<br />

says: “Our son’s happiness made all the IVF<br />

treatments worthwhile.”<br />

But not everyone ends up with a happy<br />

end result, and it unfortunately seems that<br />

the considerable and sometimes unrelenting<br />

pressures of IVF were enough to bring<br />

about the end for Katie Price and husband<br />

Alex Reid.<br />

Katie said recently, “It is a struggle. My<br />

hormones are up and down and I don’t like<br />

needles. My body’s gone through too much.<br />

I know I’m lucky to have three beautiful<br />

children, and if we aren’t successful in our<br />

IVF attempts then we’ll adopt.”<br />

But Alex’s apparent desperation to father<br />

through IVF appear to have loaded excessive<br />

strain on the marriage. He had stated that<br />

having babies (up to four) were the first<br />

thing on his mind when he married the<br />

former model.<br />

www.fertilityroad.com<br />

15


FEATURE | health<br />

WORDS | RICHARD ALDHOUS AND ANDREW LOOSELY<br />

16


There has never been a better time to<br />

really get your body in perfect fertile shape.<br />

New Year’s resolutions often fall by the<br />

wayside because there is no definite end<br />

goal. But improving your body health and<br />

wellbeing for the specific purpose of being<br />

in the best possible shape for conception,<br />

means potentially laying the foundations<br />

for a pledge or resolution that is significantly<br />

more real and long-lasting than the Atkins<br />

diet or a trip to the gym. And the reward?<br />

Well, let’s just say it will change your life…<br />

Even the most important and determined<br />

New Year’s resolutions can fail, and more<br />

often than not it’s because a person’s<br />

willpower finds itself dragged down and<br />

beaten into submission.<br />

Simply, to maintain willpower, you need to maintain<br />

focus. If you are clear in your ambitions and have a<br />

path that is obstacle-free and inviting, then you’re<br />

giving yourself the best chance of achieving your goals.<br />

Of course, temptation will always present itself – we<br />

wouldn’t be human without this emotion – but given<br />

the right planning, it can be pushed to the background<br />

if your drive and determination is secure and certain.<br />

To make that possible we’ve subverted the infamous<br />

Seven Deadly Saviours to Seven Definitive Saviours.<br />

First, we’ll leave Andrew Loosely, author of The Ultimate<br />

<strong>Fertility</strong> Guide, to present his collection of New Year<br />

fertility tips. Then we’ll describe a further seven ways<br />

that will ensure you know how to stick to your pledges.<br />

And if you’re flicking through this issue a few months<br />

down the line, don’t let the fact that the year has<br />

already started put you off, because good fertility<br />

health and habits can be commenced at any time - it<br />

just requires courage, conviction, and a constant belief<br />

that you will achieve your aims…<br />

»<br />

www.fertilityroad.com<br />

17


FEATURE | health<br />

SEVEN NEW YEAR<br />

FERTILITY TIPS<br />

BY ANDREW LOOSELY<br />

If you’re looking to have a baby in 2011, then this is a great time<br />

to start making some resolutions to help increase your chances<br />

of successful pregnancy.<br />

Life generally tends to be a bit calmer after the hectic<br />

Christmas celebrations so it’s a little easier to start reflecting on<br />

areas in your life that you could change.<br />

To help get you started I’ve listed the seven most important<br />

tips for increasing your chances of successful pregnancy whilst<br />

helping your body get in shape quickly.<br />

Follow these tips as often as you can to improve your chances<br />

of successful pregnancy.<br />

1. Eliminate Stress<br />

The number one contributing factor to infertility is stress. Avoid<br />

it if and where possible, or change the way you approach it.<br />

Persistent low-grade stress is the most harmful. Try to take some<br />

time out for yourself every day and allow yourself periods where<br />

you relax completely and calm your mind down so that you feel<br />

at ease. Literally empty your mind of things to do, let it go quiet<br />

and just drift. You could do this in the bath or just sitting down<br />

somewhere peaceful and without interruptions.<br />

Do this every day and you’ll quickly notice a difference in how<br />

you feel. Try some simple meditation or fertility hypnosis CDs too.<br />

2. Quit Smoking<br />

We all know that smoking is bad for us but when it comes<br />

to fertility issues its negative effects are even more<br />

profound. Smoke decreases the oxygen level in your blood<br />

and so less oxygen is carried to your cells. Without a good<br />

supply of oxygen they cannot work properly. If your<br />

body doesn’t work at its optimum level then, it<br />

follows, you will reduce your fertility success too.<br />

3. Reduce Alcohol Intake<br />

Ideally, you should stop consuming alcoholic drinks at least two<br />

months before actively trying for a baby.<br />

There are many issues with alcohol when thinking about<br />

improving fertility. One aspect is that it weakens your body’s<br />

energy due to it being a poisonous substance. This means that<br />

your body has to work extra hard to get rid of the waste from the<br />

alcohol and this uses up more energy. The more energy you use,<br />

the less energy there is for other functions within the body, and<br />

so the reproductive system becomes less efficient.<br />

4. Avoid Pain Relief Drugs<br />

A recent study at Oxford University has shown that pain relief<br />

drugs stop ovulation and therefore reduce the chances of<br />

conception. Where possible, move to natural pain relief and use<br />

treatments such as acupuncture to treat the cause of the pain.<br />

5. Stay Warm<br />

Keep your lower back, lower abdomen, legs and feet warm at all<br />

times. Wear plenty of clothes so the skin in this area feels warm to<br />

touch. This is a powerful principle of Oriental medicine and it works<br />

very well. The reason for this is that when the lower abdomen and<br />

lower body become colder, the blood cannot circulate as efficiently<br />

through this area and the blood supply to the uterus is also impeded.<br />

This normally results in pain at the beginning of your period.<br />

Keeping these areas warm allows the blood to circulate more<br />

freely and more efficiently to the uterus, which increases the<br />

success rate of implantation.<br />

6. Go Organic<br />

Eat organic food where possible, particularly meat, to avoid harmful<br />

pesticides and growth hormones that upset your natural hormone<br />

balance. Sadly, our food and water today is quite contaminated and<br />

many people are not aware that this is a contributing factor towards<br />

unexplained infertility.<br />

Our bodies absorb the growth hormones in non-organic meat and<br />

this causes our own hormone levels to come out of balance. This<br />

negatively affects the reproductive system and reduces the chances<br />

of pregnancy.<br />

Our bodies are simple and need natural and clean foods that<br />

are not laden with synthetic, manmade chemicals. Eat organically<br />

to redress the balance.<br />

7. Reduce Carbs<br />

Try to reduce your intake of simple carbohydrates<br />

- flour-based foods such as pasta and bread.<br />

These products convert to sugar rapidly in the<br />

body and cause problems with your blood sugar<br />

level, which affects your insulin level. This is linked to<br />

Polycystic Ovarian Syndrome and of course diabetes, along<br />

with other issues relating to infertility or conception problems.<br />

All vegetables contain carbohydrates (but a complex<br />

type which are good for you). Just eat lots<br />

of vegetables, particularly green leafy ones<br />

and some red and white meat too, for a<br />

completely natural and balanced meal.<br />

18 fertility road | january - february


5. Rate Your Progress<br />

Mentally ‘download’ progress every couple of days, and<br />

again at the end of each week. Go back to your original<br />

aims and ensure that you are where you want to be.<br />

If you are falling behind, construct a plan so that you<br />

are able to catch up. While it’s important not to be too<br />

harsh on yourself, the reality is that you are the only<br />

person who can really help you achieve what you want.<br />

6. Offer Yourself Rewards<br />

Your resolutions may be depriving you of some things<br />

you have come to know and enjoy, but that shouldn’t<br />

prevent you from giving yourself a pat on the back in<br />

other ways. List a set of potential incentives, and award<br />

yourself one at the end of each significant milestone.<br />

The tips on the previous page should help you avoid the more damaging<br />

factors in your environment and lifestyle. However, knowing what to<br />

improve and being able to stick to it are two very different things. Here is<br />

our guide to ensuring you can maintain to your new regime:<br />

1. Be Ambitious<br />

The glass is always half full, and positive thinking will do your fertility hopes<br />

no harm at all. Think big, picture your ultimate aims, and always come back<br />

to that image when you feel things might be going against you. Dreams and<br />

aspirations are inspiring and the things that motivate us to get out of bed each<br />

morning. Write these down and discuss them with a partner or friends.<br />

7. Talk to Others<br />

In 2011, the global communication angles are greater<br />

than ever. Support is available at every turn, with people<br />

spread all across the world experiencing similar emotions<br />

to yours. Always be willing to reach out and share your<br />

experiences. While the empathy is undoubtedly good for<br />

others, it is ultimately the most rewarding for yourself.<br />

2. Take It One Step at a Time<br />

While it’s important to be ambitious, you must be realistic at the same time. The<br />

best way to achieve this is to segment your hopes so that you can tackle them<br />

in bite-sized chunks. Create action steps and address each one individually –<br />

what do you need to do to overcome this; where and how will you begin?<br />

3. Set a Time<br />

It’s human nature to let things drift, so be determined and<br />

stubborn in setting yourself deadlines which need to be<br />

adhered to. You need to constantly remind your subconscious<br />

that this is a set process of goal-setting and goal-hitting.<br />

4. Chart Your Progress<br />

The best way to record and interpret your efforts is to note down your<br />

progress at every step. Create lists, charts, graphs… whatever works for you,<br />

but ensure you keep material up-to-date as a constant reminder of the<br />

journey you are on.<br />

FOR MORE INFORMATION:<br />

To find out more about The Ultimate <strong>Fertility</strong> Guide,<br />

visit www.naturalfertilityexpert.com<br />

TELL US<br />

ABOUT YOUR<br />

EXPERIENCES:<br />

We’d be delighted to hear how your New Year’s resolutions go this year. No<br />

matter what stage of the process you are at, our readers would love to share in<br />

your experiences along the way. If you’d be interested in documenting your year<br />

ahead, please write in to <strong>Fertility</strong> <strong>Road</strong> magazine at editor@fertilityroad.com<br />

www.fertilityroad.com<br />

19


FEATURE | Down’s Syndrome<br />

It’s a fear of every parent-to-be, where a single additional<br />

chromosome can make a life-changing difference. Hazel Davis<br />

breaks down the science behind the Down’s Syndrome tests...<br />

You’ve been trying for what feels like 100 years to<br />

have a baby. When you finally make it the elation is<br />

indescribable. You did it. You got there! But as any<br />

parent will tell you, the fertility worry was nothing<br />

compared with every other worry to come - screening being the first.<br />

If you’re over 35, chances are your doctor or midwife will have<br />

talked to you about the possibility of screening for Down’s Syndrome.<br />

Down’s syndrome is defined by the presence of an extra<br />

chromosome (number 21). Around one in every 500 babies is<br />

born with Down’s Syndrome.<br />

Many parents-to-be decide not to take the tests at all and accept<br />

whatever hand fate deals them. Others want the test for peace of<br />

mind and others will make a big decision based on the results.<br />

Anyone who’s ever endured the tests (this author being no<br />

exception) will know that they can be a veritable minefield of<br />

confusion and panic. The sonographer will tell you that they are<br />

“only an indication” and so you gravitate towards forums populated<br />

by people who toddle on with scare stories and (invariably) lower<br />

nuchal fold measurements than yours. Now and again someone will<br />

wander on and say, casually, “Of course all my scans were fine and<br />

I now have a healthy, happy Down’s Syndrome baby”. Gulp.<br />

A nuchal translucency (NT) test is a screening test that estimates<br />

the risk of your baby having Down’s Syndrome. Diagnostic tests,<br />

such as CVS or amniocentesis, will give you a definite diagnosis<br />

(though these carry a small risk of miscarriage).<br />

The NT scan looks at the collection of fluid under the skin at the<br />

back of the baby’s neck. It’s usually measured between 11 and 13<br />

weeks (after 14 weeks this excess fluid may have been absorbed).<br />

Many Down’s Syndrome babies have been shown to have an increased<br />

amount of fluid. An NT measurement of up to 2mm is considered<br />

normal at about 11 weeks and up to about 2.8mm by 13 weeks<br />

and six days. The NT normally grows in proportion with the baby.<br />

Currently the NT scan is only offered routinely in some NHS<br />

antenatal clinics. Very few hospitals offer the NT scan combined<br />

with the blood test. Those that do often don’t factor in the nasal<br />

bone (tests have showed that the presence of a nasal bone<br />

decreases the risk of Down’s Syndrome).<br />

Professor Howard Cuckle is Adjunct Professor of Obstetrics and<br />

Gynaecology, Columbia University, New York, USA, Emeritus<br />

Professor at the School of Medicine at the University of Leeds and<br />

director of Genome Ltd (Leeds Screening Centre). He has been<br />

doing Down’s Syndrome screening for 20 years and testing in the<br />

first trimester for the last decade.<br />

He says, “We like to use as many markers as possible and there are<br />

around 20 or 30 of these, some of which only have a small benefit.<br />

Our policy is that if you can afford it, why not use them all?”<br />

The most powerful marker is the nuchal translucency (NT)<br />

thickness but, says Professor Cuckle, “all of the markers are relatively<br />

poor, it’s just that NT is the best. You make progress by<br />

combining them.”<br />

20 fertility road | january - february


words | Hazel Davis<br />

© Science Photo Library<br />

The old wives’ tale is that only older mothers<br />

give birth to Down’s Syndrome babies but, says<br />

Professor Cuckle, age is the worst marker of all. The<br />

risk does increase exponentially with age but on its<br />

own it’s not enough. The risk associated with age,<br />

he explains, is probably to do with aging female sex<br />

cells. “You use up your best cells first and you have a<br />

diminishing pool of cells as you get older”.<br />

Next to the NT measurement, the strongest markers<br />

are the biochemical markers. The strongest of these<br />

being PAPP-A (pregnancy-associated plasma protein<br />

A) and free-beta hCG. And it’s these which are used in<br />

the combined test along with the AFP and uE3 (slightly weaker<br />

markers). In a foetus with Down’s Syndrome, PAPP-A levels are<br />

roughly halved, hCG levels are doubled, the NT is increased by<br />

two thirds and AFP and uE3 are reduced by a quarter. All these<br />

things, says Professor Cuckle, vary independently of each other<br />

and have to be added together to make any sense.<br />

Studies have shown that these biochemical markers can<br />

vary according to a number of factors. For example, serum<br />

marker levels tend to be decreased in heavier women and<br />

increased in lighter women. AFP levels tend to be about<br />

20% higher, free ß-hCG levels about 10% higher and PAPP-A<br />

levels about 60% higher in Afro-Caribbean women than in<br />

Caucasian women.<br />

The old wives’ tale is that only<br />

older mothers give birth to Down’s<br />

Syndrome babies but age is the worst<br />

marker of all. The risk does increase<br />

exponentially with age but on its<br />

own it’s not enough.<br />

Free-beta-hCG levels tend to be about 10% higher and uE3<br />

levels about 10% lower in women who have become pregnant<br />

as a result of IVF compared with non-IVF pregnancies. AFP and<br />

uE3 levels tend to be low in women with insulin dependent<br />

diabetes mellitus and PAPP-A and free-beta-hCG levels tend to<br />

be about 20% lower, with inhibin levels about 60% higher in<br />

women who smoke.<br />

At the Leeds Screening Centre, Professor Cuckle and his<br />

colleagues have developed a Contingent Screening Test, whereby<br />

if the results are abnormal then you stop there and have a CVS.<br />

If they’re normal then there’s no point doing any more. This is<br />

thought to be cost effective and also allows prospective parents to<br />

be reassured in the first trimester.<br />

»<br />

www.fertilityroad.com<br />

21


FEATURE | Down’s Syndrome<br />

around the same time with the NHS test<br />

suggesting I had a 1:15 chance of Down’s<br />

Syndrome and the private scan indicating a<br />

1:42,000 chance. The shock of the different<br />

results aside, I was so relieved I had gone<br />

for the second scan otherwise I may have<br />

made a rash decision.”<br />

However, Professor Cuckle warns against<br />

having two tests. “If you’ve had an abnormal<br />

result, ‘regression to the mean’ (if a variable<br />

is extreme on its first measurement, it will<br />

tend to be closer to the average on a second<br />

measurement) means that you’re likely to<br />

get a better result the second time, even in<br />

the same lab. It’s really best to use all that<br />

information together.”<br />

And you have to weigh up exactly what<br />

you’re going to do with all this information<br />

when you get it. If whether your baby has<br />

Down’s Syndrome has no bearing on how<br />

you continue your pregnancy is it worth<br />

putting yourself through unnecessary<br />

stress ‘just so you know’? If you are going<br />

to make life-changing decisions based on it,<br />

then you (and your partner) need to be very<br />

clear on them before you embark. How you<br />

felt before pregnancy could differ radically<br />

once you have been carrying for 10 weeks.<br />

And then there’s the effectiveness of the<br />

scans and people giving the scans. Position<br />

of the foetus is important when measuring<br />

the NT, says Professor Cuckle, and should<br />

not be too close to the uterine wall as this<br />

can cause confusion. Where the sonographer<br />

puts the electronic callipers and how<br />

they measure is also important. Moreover,<br />

nuchal fluid comes and goes and can have<br />

completely gone by 14 weeks.<br />

“There is a degree of subjectivity in a<br />

screening test too,” says Professor Cuckle.<br />

“NHS screening is routine stuff but private<br />

screening is usually done by foetal specialists<br />

and use more markers.”<br />

Which begs the question, what’s the<br />

point of having a scan which doesn’t look<br />

at all the markers? Well, says Professor<br />

Cuckle, “it’s better than not doing anything”.<br />

However, he does feel the NHS needs to<br />

improve its service: “At the moment they<br />

should be doing more contingent screening.<br />

More advanced ultrasound (such as checking<br />

for nasal bone) or some more biochemistry<br />

is needed.”<br />

As anyone who’s had these tests will<br />

know, once you’re in the system it’s hard to<br />

relax. Professor Cuckle agrees, “It’s like<br />

There is a degree of subjectivity in a<br />

screening test, NHS screening is routine<br />

stuff but private screening is usually done by<br />

foetal specialists and use more markers.<br />

having leaky gutters in your house. They<br />

may not have been a problem for 10 years<br />

but once you know about them you wish<br />

you’d never started. Most people offered<br />

these tests take them, then if they get a<br />

positive (for Down’s) result they start to<br />

worry and have an invasive procedure<br />

which turns out to be negative. Then they<br />

wish they’d never bothered. You’re bound<br />

to feel it was never worth doing.”<br />

Five months pregnant Kelly Baker, 34,<br />

from Huddersfield, had a high nuchal fold<br />

reading (3.3mm) at her NHS combined<br />

test scan. “The sonographer said it was<br />

higher than she would like but to wait for<br />

the blood results. Because I couldn’t bear the<br />

thought of waiting two weeks to find out, I<br />

went for an additional private combined<br />

test. The two sets of results came back<br />

Thirty-seven-year old Cheshire-based mumto-be<br />

Sarah Swinton thinks that testing<br />

can add unnecessary stress when it’s not<br />

needed. “I took all the tests I possibly could.<br />

I was given a very high chance of Down’s<br />

Syndrome so, after weeks and weeks of<br />

worry I had an amniocentesis which turned<br />

out to be fine and now I have a healthy<br />

baby boy. I am angry with myself for having<br />

any of the tests and wish I had just had<br />

faith instead.”<br />

What is clear is that, much like every<br />

other aspect of pregnancy and parenting,<br />

what is right for one couple may not be<br />

right for another, but presenting yourself<br />

with as many options as possible is<br />

undoubtedly the best thing – only then<br />

can you move forward with confidence<br />

and, where allowed, contentment.<br />

www.fertilityroad.com<br />

23


FEATURE | celebrity<br />

words | Andy Greeves<br />

24 fertility road | january - february


POSITIVE<br />

MOTHERLY<br />

ATTITUDE<br />

Two years ago Jo Joyner was at a difficult junction on the<br />

‘<strong>Fertility</strong> <strong>Road</strong>’, having discovered that IVF was her and partner<br />

Neil Madden’s only viable means of having a baby of their own.<br />

The couple’s determination and positive thinking during an<br />

emotion period was to be rewarded with two little miracles – twins<br />

Edie and Freddie – who were born in December 2009. <strong>Fertility</strong> <strong>Road</strong><br />

talks exclusively to the EastEnders actress about her IVF journey.<br />

© Brendan O’Sullivan/ScopeFeatures.com<br />

From an early age, Jo Joyner learned there was<br />

real value in the old saying that ‘strength comes<br />

through adversity’.<br />

“When I was a child, my father was diagnosed<br />

with leukaemia,” she recalls. “It was a very scary time<br />

for the family, but what strikes me looking back is his<br />

determination to get better. My father is a very practical<br />

and logical businessman and the last person that you<br />

would think would trust ‘blind faith’. When he was ill<br />

though, that’s exactly what he did. He adopted this mental<br />

approach where he constantly thought and talked about<br />

how he was going to get better.<br />

“He pulled through and is now fit and well. I have to<br />

say I took a lot from his positive mental approach, even<br />

though I was only a kid.”<br />

Within minutes of meeting Jo, it’s obvious that the<br />

influence of father Peter has had more than just a passing<br />

impact on her life. The actress radiates warmth and remains<br />

upbeat even when discussing difficult personal issues,<br />

most notably her and her husband’s difficulties in starting<br />

a family of their own.<br />

“We had been trying to get pregnant for a number of<br />

years but from the outset, we knew it would be difficult,”<br />

says Jo.<br />

“Neil had a problem with one of his testicles which<br />

was injured during childhood, and that was a potential<br />

obstacle from the start.<br />

“After a few years when I was struggling to conceive, we<br />

went along to see a specialist to look into the problem<br />

further. After a number of tests we were given the news<br />

that IVF would be our only option if we wanted to have a<br />

baby of our own. While we were fairly clued up on the<br />

possible problems we may have been facing, you never<br />

expect someone to turn around and tell you that your<br />

only option is to have IVF treatment.”<br />

The news was tremendously upsetting. Jo contemplates<br />

back over the vast array of emotions the couple went<br />

through in the immediate aftermath of being told of their<br />

limited childbirth options.<br />

“The news was difficult to take. We were obviously both<br />

frightened and deflated, as a couple, but you carry with<br />

you as well individual emotions, thoughts, and feelings.<br />

You fight through problems together, but there is a lot of<br />

self-contemplation, definitely. My husband held the belief<br />

that he would be able to change the problem we had, that<br />

everything would be alright and that we wouldn’t need<br />

IVF. I, on the other hand, realised we would absolutely<br />

have to go down the IVF path if I wanted to get pregnant.<br />

I was resigned to that fact right from the start.”<br />

After receiving the news in August 2008, Jo and Neil<br />

began looking for more information on the issues of fertility<br />

and IVF. What struck them was the lack of material available<br />

on the subject, along with a raft of misassumptions that<br />

people often made. »<br />

www.fertilityroad.com<br />

25


FEATURE | celebrity<br />

“I remember looking for a publication like<br />

<strong>Fertility</strong> <strong>Road</strong> during my initial experiences<br />

with IVF but to no avail,” she recalls. “I couldn’t<br />

believe how difficult it was to find anything<br />

on the topic of fertility, bar Robert Winston’s<br />

fantastic books. Everything else was formal<br />

material that was available from the NHS and in<br />

the fertility clinics. Obviously nobody approaches<br />

this as a light-hearted topic, but I would have<br />

welcomed something like this magazine back then,<br />

something that feels a lot more personable and real.<br />

“Another thing that struck me in the<br />

early stages was how much people assume<br />

they know about fertility issues and how,<br />

most of the time, this knowledge is completely<br />

wide of the mark. I think there is<br />

an over-assumption, even in the medical<br />

profession, that fertility issues always lie<br />

with the women. In this case and so<br />

many others, they can lie with the man,<br />

or even both partners.<br />

“At the time, I remember a number<br />

of people saying things like, ‘you are very<br />

young to have IVF’. I found such comments<br />

very frustrating. You have IVF treatment because it is a physical<br />

requirement and that is irrespective of your age at the time.<br />

There is a general misconception and prejudice that IVF is only<br />

for women who were ‘too busy’ to have a baby in their twenties<br />

or thirties, and that women over 40 are the only ones that have<br />

it. Of course, that is complete nonsense and it would be good if<br />

there was greater understanding of the real<br />

reasons for needing IVF.<br />

“Lots of people also say to me that now<br />

I’ve had a baby through IVF I should be able<br />

to conceive naturally. That’s another misunderstanding,<br />

because while pregnancy can<br />

improve conditions like Endometriosis and<br />

Polycystic Ovary Syndrome, it was not the<br />

solution for the problem Neil and I had.<br />

“Of course, I just smile politely when people<br />

say these kinds of things. You don’t want to go<br />

in to the finer details of the issues we had.”<br />

Christmas 2008 was a significant moment<br />

in Jo and Neil’s journey. By now, the couple had made decisions<br />

regarding their next move as far as IVF and the potential of<br />

starting a family.<br />

“It was decided around then that we would be pursuing IVF in<br />

the New Year. That Christmas was one of hope and positivity as<br />

we focused on what we could achieve over the next 12 months.<br />

For many years I’d longed to do the simple family things at Christmas<br />

like putting stockings out for my little ones. I felt robbed of<br />

that in a way. I remember standing at the top of our garden and<br />

talking to Neil about how 2009 would be a lucky year for us.<br />

“We threw a massive party at the end of 2008 as we’d made the<br />

conscious decision this was the last year we would be able to throw<br />

an ‘adult gathering’, and the following year we’d have a baby to<br />

look after instead. That felt like a seminal moment.”<br />

Of all dates, it was Mothers’ Day in 2009 when Jo underwent her<br />

first IVF treatment at London’s Lister Hospital. As she was childless<br />

and under 35 at the time, she qualified for<br />

treatment on the NHS. With a long waiting list,<br />

the couple opted for private treatment though<br />

as both believed time was of the essence.<br />

At the start of their journey, Jo and Neil<br />

agreed they would only use IVF up to a<br />

certain point and were open to adoption if<br />

they were ultimately unable to have children<br />

of their own.<br />

“We had discussed adoption and agreed<br />

that we didn’t have to have ‘mini me’s’. Neil<br />

and I said that we would have a few attempts<br />

at the IVF treatment and if it didn’t<br />

work, we would look to adopt instead. I<br />

think it’s always important to go into these<br />

things with a number of plans – we had<br />

these, and we were comfortable.<br />

“I had seen examples on the internet where<br />

women appeared to lose sight of quite what<br />

they were doing, either because the process<br />

was so long, or through hormonal imbalances<br />

and the flux of emotions experienced through<br />

the IVF process. There were women I’d read<br />

about who were on their eighth or ninth treatment<br />

cycle. Neil and I knew from the outset that wasn’t for us.<br />

“We talked about the fact there was a one in three chance of<br />

our treatment being successful. Therefore, we needed to have a<br />

few attempts to guarantee we’d done everything in our powers<br />

for me to try to get pregnant. After three attempts though, I was<br />

adamant that I would stop the treatment and adopt instead.<br />

There is a general misconception<br />

and prejudice that IVF is only for women<br />

who were ‘too busy’ to have a baby in<br />

their twenties or thirties, and that women<br />

over 40 are the only ones that have it.<br />

Of course, that is complete nonsense.<br />

“I told Neil that he would have to be strong and would need to<br />

remind me that if I got caught up in the emotion and hormonal<br />

train of thought that three attempts were what we agreed and I<br />

had to stick to that.<br />

“I think I’m quite a logical thinker and I didn’t want anything<br />

to cloud what I believed was an informed decision that both Neil<br />

and I had made.”<br />

Despite having had her fertility treatment privately, Jo says<br />

she would have been more than happy to undergo IVF on the<br />

NHS had it been available sooner. She believes IVF to be a right<br />

that should be open to wide range of women, not just the few,<br />

and is perplexed at the cuts to UK fertility services in 2010.<br />

“The budget restraints on the NHS have been very drastic.<br />

There are certain trusts now which only administer IVF treatment<br />

to women exclusively between the ages of 30 and 35.<br />

Some don’t even offer treatment at all.<br />

»<br />

26 fertility road | january - february


Your passport<br />

to pregnancy<br />

• Pregnancy rates in excess of 70%<br />

• Safe treatment with NHS Consultants<br />

• Clinical Governance<br />

• Excellent donor quality<br />

• Minimum 10 egg guarantee<br />

• No hidden costs<br />

• Anonymity<br />

Egg Donation<br />

We will provide you with<br />

information on the donor<br />

and their immediate families:<br />

• Age<br />

• Hair Colour<br />

• Weight<br />

• Education<br />

• Previous pregnancy<br />

• Body build<br />

• Eye Colour<br />

• Profession<br />

• Country of origin<br />

IVF/PGD<br />

• IVF/ICSI<br />

• PGD (Preimplantation<br />

Genetic Diagnosis)<br />

Our Donors<br />

Our donors are mostly from<br />

Slavic backgrounds and are all:<br />

• Young (20-30 yrs)<br />

• Fertile<br />

• Highly educated<br />

• Healthy<br />

• Intellectual<br />

• Fully screened<br />

CYPRUS IVF CENTRE<br />

• ISO 9001 Accredited<br />

• Over 3000 IVF/ICSI cycles per year<br />

• Over 70% success rate<br />

• PGD available<br />

• English Consultant Nurse in charge<br />

• UK Trained Counsellor and Staff<br />

• State of the art unit in private general hospital<br />

www.ukcfa.co.uk Tel: 075 90 44 39 97


FEATURE | celebrity<br />

Jo with Eastenders on-screen fiancé Greg played by Stefan Booth<br />

“Offering treatment to a very tight age range is very disappointing.<br />

Again, we see a stereotypical attitude emerging<br />

here. The message that is being sent out is that women aged<br />

under 30 are too young to decide that they want a family, and<br />

that those over 35 are ‘past it’. That’s a dreadful message.”<br />

Jo underwent an IVF treatment known as ICSI (intra-cytoplasmic<br />

sperm injection), which works by injecting a single<br />

sperm cell directly in to an egg. She has vivid memories of her<br />

emotions and feelings during the process, one that, thankfully,<br />

would result in the birth of twins Edie and Freddie.<br />

“The years that we went through prior to going down<br />

the IVF route were a million times more scary than the IVF<br />

procedure itself,” she says. “I’ve always been something of a<br />

control freak and the IVF treatment at least offered the hope<br />

that I could shape my own destiny. If I followed what I was<br />

meant to do, we had a chance of me getting pregnant, whereas<br />

there was no chance beforehand.<br />

“I’m not a particularly squeamish person, but of course<br />

no-one really likes needles. I did the short protocol and from<br />

what I understand now, I think I went down the best route.<br />

Diabetics have to inject themselves every day, as do people<br />

with other illnesses. After a while, it just becomes a part of<br />

your routine.<br />

“Towards the end of the process, you do start to feel a bit<br />

like a junkie, albeit with none of the perks! You’re like a human<br />

pin cushion, injecting yourself and having various blood tests.<br />

After a while that can become painful. All along the process<br />

though, you keep thinking ‘I’m doing this because I have to’.<br />

That helps you keep focused, despite the hardship.<br />

“I don’t think I ever got worried about the physical<br />

or emotional aspects of injecting myself, until the<br />

very final day I had to do it when I totally fell apart.<br />

I think I’d bottled everything up and often when<br />

you see the end in sight with something, suddenly<br />

the raw emotion comes out. My husband had to do<br />

my last injection, but that was my only major issue<br />

throughout the process.”<br />

It was around nine weeks after finishing the treatment<br />

that the couple were told the magical news that<br />

Jo was pregnant. As her father had taught her decades<br />

ago, the power of positive thinking was to prove crucial<br />

to the actress in securing another happy outcome.<br />

“I did a lot of positive thinking throughout the<br />

process; I suppose you could almost call it visualisation.<br />

I remember after the initial IVF treatment, I’d<br />

sit in the bath and picture my embryos dividing. I<br />

had positive thoughts about the embryos being<br />

strong, about everything working as it should; it<br />

was quite empowering in a way.<br />

“I’m a big believer in the power of the mind and<br />

think you can make yourself ill through negative<br />

thinking as much as you can help make yourself<br />

well through positive reflection.”<br />

Another source of positivity for Jo throughout the<br />

experience was her husband Neil.<br />

“Neil was absolutely fantastic throughout the entire<br />

process. He was very supportive and we needed<br />

each other to come through it, as it was hard going at times.<br />

“He felt helpless in some respects and kept saying ‘I wish I<br />

could take a hit [injection] for the team’. In usual circumstances,<br />

it is difficult for a man to watch his partner go through pregnancy,<br />

as there is the obvious pain and discomfort associated.<br />

It’s a situation where men have to take a bit of a backseat and<br />

that can be very worrying for them.<br />

“Going down the IVF line is like having a protracted labour<br />

in a way, as every step is hard for the man watching on and<br />

there’s rarely a let-up in that.<br />

“Neil had these feelings of helplessness but was a rock for<br />

me. Hopefully I was able to support him too.”<br />

After a few months, Jo and Neil’s pregnancy delight was<br />

doubled when they received news they were due to become<br />

parents to twins.<br />

“It’s a bizarre thing to say, but I had this real gut feeling we<br />

were going to have twins. I went along for the ultrasound scan<br />

and so it proved. There were two little faces showing up on the<br />

screen, although worryingly only one heartbeat at the time.<br />

“We were told about Disappearing Twin Syndrome, where<br />

basically one foetus suddenly aborts at the early stage of the<br />

pregnancy. Apparently this is quite a common phenomenon<br />

in both normal and IVF pregnancies. We had to go back for<br />

another scan a few weeks later to see if we were going<br />

to have one child or two. I remember having this utter<br />

confidence in the time leading up to the scan that we were<br />

on for twins and I was right.<br />

“It wasn’t until we finally had this second ultrasound scan<br />

(after 12 weeks) that it was confirmed we would be having<br />

© BBC<br />

28 fertility road | january - february


Jo with co-star Lisa Millett in the new three-part BBC comedy Candy Cabs.<br />

© BBC/Splash Media Tv<br />

Having children really is a gift,<br />

and it does involve frustration and<br />

heartache, but I promise the rewards<br />

are worth it many times over.<br />

twins. That feeling of real adulation, which you’d usually get at the<br />

start of a normal pregnancy, suddenly came over me. I think you<br />

do a lot of holding your breath throughout the IVF process and you<br />

are always taught to be cautious. In the whole experience, this was<br />

the first time we could really let go a bit and celebrate.”<br />

Jo worked on EastEnders up until the 33rd week of her pregnancy.<br />

“I was happy to keep moving and working as I was in good<br />

health,” she smiles. “It was only really four or five weeks before<br />

the birth that I really felt like I had to calm things down. People<br />

ask me how I managed to learn lines during this time, but that<br />

was a doddle. The real challenge was managing to stay on my feet<br />

on set while waddling around like a duck!”<br />

Despite 14 weeks of morning sickness, which she describes<br />

as being like “a three-month hangover,” Joyner did not seek any<br />

alternative therapies to assist with the side effects of IVF or the<br />

pregnancy.<br />

“I didn’t use complementary therapies, unless you<br />

count burgers and other junk food! To be fair though, I<br />

was working through most of my pregnancy and it was<br />

probably only a lack of time that prevented me from<br />

exploring alternative treatments. I know they can help<br />

a lot of people.”<br />

On December 7, 2009, Jo gave birth to Edie and<br />

Freddie by Caesarean section in a two-hour labour.<br />

Both twins were healthy, though weighing in slightly<br />

below the average weight for newborns at 5lb 11oz and 6lb 11oz<br />

respectively. The family have just spent their second Christmas<br />

together and already Jo is noticing that the twins have distinct<br />

personality traits.<br />

“They are like chalk and cheese, they really are,” she jokes.<br />

“Edie is a typical girl and is very precise and neat in everything<br />

she does. She likes to be quite independent and tries to do things<br />

for herself, whereas Freddie sits there with his mouth open and<br />

expects everyone to run around looking after him! You can really<br />

see their personalities coming out – it’s hilarious, but ultimately<br />

very special, and we know how lucky we have been.<br />

“Having children really is a gift, and it does involve frustration<br />

and heartache, but I promise the rewards are worth it many times<br />

over. People should always stay positive and believe that things<br />

will work, because you never know what difference that positive<br />

attitude can have...”<br />

www.fertilityroad.com<br />

29


FEATURE | travelling for treatment<br />

Travelling for treatment:<br />

FERTILITY<br />

CONSULTANTS<br />

30 fertility road | january - february


Why putting your faith in recognised experts could be the<br />

most important decision you make…<br />

While the age of the internet and email<br />

has made our lives easier to a degree<br />

that would have been unimaginable<br />

some 20 years ago, it has at the<br />

same time brought with it a mass of information that,<br />

at times, makes the pursuit of clarity considerably<br />

more difficult.<br />

And while we’ll undoubtedly accept any source – be<br />

that online or anywhere else – when looking up the<br />

weather forecast or the latest films at the cinema, in<br />

the case of fertility, it’s essential not only that the<br />

information we’re given is concise, understandable and<br />

relevant, but that we can invest the same kind of trust<br />

in it that will be shown in us by our offspring.<br />

It is for that reason, and many others, that more and<br />

more people suffering the problems of infertility are<br />

employing the services of fertility consultants.<br />

All across the world, these specialists work to break<br />

down complicated and overwhelming choices that<br />

In general, how big is the<br />

fertility consultancy industry?<br />

In the US, where we are based, the infertility industry<br />

is a $4billion a year industry. The need for patient advocacy<br />

has grown substantially over the past decade. I also<br />

find that with more choices, advanced technology and<br />

greater resources, clients are willing to pay costs upfront<br />

as they understand that by streamlining the journey<br />

through egg donation and surrogacy, they can save substantial<br />

costs, valuable time and emotional energy.<br />

What are the typical concerns<br />

that people come to you with?<br />

Situations vary, but typically in egg donation, clients<br />

are seeking that special candidate that suits their criteria,<br />

shares similar qualities, or matches ethnic backgrounds<br />

and intelligence.<br />

In surrogacy arrangements, my clients are typically<br />

seeking a candidate who they feel they can develop a<br />

I went through my own infertility<br />

struggle. I really had to navigate the ups<br />

and downs of the infertility process alone,<br />

and I was totally overwhelmed, lost,<br />

emotionally and physically spent, and just<br />

knew there had to be a better way…<br />

- Mindy Berkson, Lotus Blossom Consulting<br />

need to be made throughout the infertility journey,<br />

offering guidance and support at a time when their<br />

expertise is needed most.<br />

<strong>Fertility</strong> consultants work to guide a way through<br />

the confusing statistics and excessive costs, while at<br />

the same time helping families over the emotional<br />

stumbling blocks that often present themselves. With a<br />

fantastic and established network of physicians, agencies<br />

and legal specialists, the aim is to leave clients in a<br />

controlled and calm frame of mind – after all, aren’t<br />

those the best conditions in which to conceive?<br />

We chatted to Mindy Berkson, creator of Lotus Blossom<br />

Consulting, about the role of the assigned fertility expert<br />

in 2011, and found out the real reasons behind why<br />

and how an increasing number of patients are putting<br />

their faith in the consultation process…<br />

strong bond with and is someone they feel able to<br />

trust; one who is committed to the process and perhaps<br />

has her family’s support and encouragement throughout<br />

her journey.<br />

With IVF, most of my clients want to understand the<br />

whole process - what questions they should be asking<br />

their physicians, IVF success rates and how to emotionally<br />

and financially deal with the situation.<br />

International clients are always concerned about<br />

the US healthcare system and how to identify health<br />

policies to help mitigate financial risk factors.<br />

Do you have a ‘typical’ client?<br />

My typical clients are women who have consciously<br />

chosen to delay childbearing for advanced education<br />

and career, and having found the right partner, »<br />

www.fertilityroad.com<br />

31


You could be wrong; so wrong about conception challenges,<br />

about the right remedies and the possibilities at your disposal.<br />

At Nordica <strong>Fertility</strong> Centre, Lagos we see a child as the<br />

greatest gift that life can bestow; it brings the most<br />

exquisite joy that one will ever know.<br />

That’s why we help couples believe, conceive, and deliver<br />

this great gift. All you may ever say is ‘thank you’ as you<br />

break down in tears of pure joy at the sight of your baby<br />

We are Nordica <strong>Fertility</strong> Centre, Lagos.<br />

• Comprehensive Gynaecological Assessment • Endoscopic Surgery • In Vitro Fertilization • Surgical Sperm Retrieval • Egg Donation<br />

• Artificial Insemination • Embryo Donation • Laser Assisted Hatching • Sperm Donation • Intracytoplasmic Sperm Injection<br />

Contact Details:<br />

• 106 / 108 Norman Williams Street, Ikoyi, Lagos.<br />

Tel: 01-4617023-4, 01-4610858, 08037360870,<br />

08030778074, 0808NORDICA, Fax: 01-4610858.<br />

• 6, Turton Street, Off Commercial Ave, Sabo-Yaba,<br />

Lagos. Tel: 01-7913537, 01-7744893<br />

• 5 Erhuvwu Club Street, Off Summit <strong>Road</strong>, by Havilla<br />

Hotels Asaba, Delta State. Tel: 056-871371<br />

email: info@nordicalagos.org<br />

web: www.nordicalagos.org<br />

It’s time to say “ahhhh”<br />

SOMETHING YOU CAN DO EVERY SINGLE DAY<br />

TO HELP SUPPORT YOUR FERTILITY JOURNEY.<br />

Egg Donation Agency<br />

Professional<br />

International<br />

Egg Donor<br />

Services<br />

www.circlebloom.com<br />

www.baby2mom.co.za


FEATURE | travelling for treatment<br />

they then have trouble conceiving. I also have several clients<br />

- both single men and single women, as well as same sex couples<br />

- choosing to explore their own family building options.<br />

What is the process?<br />

There is no set process that I follow as each of my consultations<br />

are customised to meet the needs of each couple. My style, just as<br />

it would be with many other consultants, is to be very hands on,<br />

and I spend a considerable amount of time getting to know<br />

my clients before making referrals and gathering appropriate<br />

resources for each situation. One consistency that I find with all<br />

my clients is that throughout our work together we address<br />

the financial, physical and emotional aspects associated with<br />

exploring surrogacy, egg donation and IVF treatment in general.<br />

How do you gather the information<br />

in order to pass it on to clients?<br />

I found my passion for this industry based on my personal<br />

experience through infertility, but I truly built my niche company<br />

through my deep-seeded background in venture capital. I used<br />

this experience to build strong strategic alliances with egg donor<br />

and surrogate recruiting agencies nationwide, creating mutually<br />

beneficial referral sources with physicians and cultivating relationships<br />

with attorneys, insurance agents, financial and estate<br />

planners and immigration attorneys nationwide.<br />

These positive and fruitful relationships have enabled me to<br />

build networks and teams of unbiased professionals all across the<br />

US to offer my clients the best resources all under one umbrella.<br />

What quality control mechanisms<br />

do you have in place?<br />

The most relevant and important quality control mechanism<br />

that I have in place is my ability to vet the recruiting agencies<br />

that I drive significant business to. I require each agency to put<br />

exclusive clauses in their agency contracts. These clauses (exclusive<br />

to LBC clients) state that if, when selected, the surrogate or egg<br />

donor does not pass psychological or medical clearance, then the<br />

agency will refund LBC clients the agency fee. Without these<br />

clauses, I am not willing to work with an agency, as I feel they<br />

should always stand behind their recruited candidate.<br />

This core value has enabled me to:<br />

• work closely with top notch recruiting agencies<br />

• exponentially expand the pool of available egg donor<br />

and surrogate candidates for my clients<br />

• match close to criteria, especially difficult to identify<br />

ethnic donors<br />

• match both surrogates and egg donors typically within<br />

a timeframe of less than two weeks<br />

• mitigate financial risk factors often inherent in agency contracts<br />

What are the advantages of<br />

going to a consultancy rather<br />

than a fertility specialist direct?<br />

<strong>Fertility</strong> specialists are medical professionals. It is important to<br />

get a diagnosis and a treatment plan from a reproductive endocrinologist.<br />

With this plan, resources for egg donation, surrogacy<br />

and all the ancillary pieces then need to be accomplished prior to<br />

beginning a treatment plan.<br />

In my experience, it is essential to carefully build the foundation<br />

financially, physically and emotionally as the process tends<br />

to be overwhelming.<br />

Most clients do not know what questions to ask and, of course,<br />

this limits the knowledge they gain to make informed medical<br />

choices. It is important to set parameters for treatment and also a<br />

budget that includes the end family building goal.<br />

These important decisions comprise realistic expectations,<br />

help to maximise the chance of success and minimise financial<br />

expenditure. This is the information and education that I<br />

provide for my clients in helping them accomplish their pathway<br />

to parenthood.<br />

What other services do you provide?<br />

The services of a consultant are very comprehensive and individualised<br />

to meet the needs of each client, from beginning to birth.<br />

The vast majority of my practice is supporting surrogacy<br />

arrangements which may also include using an egg donor. My<br />

work involves identifying a candidate to meet criteria in a state<br />

that supports friendly surrogacy laws, researching and garnering<br />

various insurance policies or plans to help mitigate financial<br />

risk, and working to analyse this coverage to meet my client’s<br />

individual risk adversity. I also work closely with financial and<br />

estate planners to set a plan to pay for treatment costs.<br />

Simultaneously, I liaise with attorneys to establish the framework<br />

that needs to be drafted in contracts. While the vast majority<br />

of my work is accomplished prior to embryo transfer, I am<br />

available to facilitate and address any issues that may arise during<br />

the pregnancy and after the birth.<br />

How successful has the consultancy been?<br />

My consultancy has been very successful with annual growth<br />

exceeding 30% in year three, 45% in year four and, last year,<br />

growth exceeded 55% from the previous year. In addition, I have<br />

helped to conceive over 440 babies and over 70 percent of my<br />

clients have delivered, or are currently pregnant. At this very<br />

present moment, I have 48 clients expecting.<br />

What are the core values that you hold?<br />

My values have always been to identify the best unbiased resources<br />

that suit my clients’ individual needs - for example, a particular<br />

diagnosis may lead me to refer one physician over another.<br />

Another example is in planning and preparing for a surrogacy<br />

arrangement, whereby I will only share profiles of candidates from<br />

states where I know I can get my client’s name on the birth certificate<br />

at birth or shortly thereafter. Important factors that may affect this are<br />

if the couple is legally married, if it’s a same-sex arrangement, or<br />

whether the embryos created donor gamete.<br />

It seems that the age of the fertility consultant is now, in the US<br />

and globally. The internet is a fantastic resource for sourcing an appropriate<br />

consultant who can assist with many of the demands outlined<br />

above. For more information on Lotus Blossom Consulting,<br />

head to www.lotusblossomconsulting.com<br />

www.fertilityroad.com<br />

33


FERTILITY ROAD | IVF New Jersey<br />

INTELLIGENT PROFILE<br />

MAKING<br />

LITTLE<br />

MIRACLES<br />

COME<br />

TRUE<br />

Starting a family can be one of life’s greatest gifts,<br />

but the complex nature of conception is often<br />

not thought about until there is a problem.<br />

What should a woman do to maximise her<br />

chances of becoming pregnant, and at what point should<br />

she see a doctor?<br />

According to Dr. Susan Treiser MD, PhD and Co-Director<br />

of IVF New Jersey, a full service fertility centre, women<br />

need to be proactive. Dr. Treiser and her team have helped<br />

thousands of patients from around the world achieve their<br />

dream of becoming parents through the latest fertility<br />

treatments. And that’s no surprise, seeing as IVF New<br />

Jersey has among the highest success rates in the United<br />

States according to the Centre for Disease Control.<br />

Latest breakthroughs include in vitro fertilization (IVF)<br />

with Intra Cyto Plasmic Sperm Injection (ICSI) for male<br />

infertility. Normally, a man would need a set amount of<br />

sperm to complete in vitro fertilization successfully. With ICSI,<br />

doctors can now use a very small quantity of sperm – or biopsy the<br />

testicles and then use the sperm they collect to do the procedure. Dr.<br />

Treiser explains, “This was such a great discovery for men having<br />

fertility problems. In the past, a minimum number of sperm were<br />

needed, and if men could not create that amount then they could<br />

not succeed with in vitro which made options limited.”<br />

For infertility in women who are often older, where egg quality<br />

and quantity has diminished, using an egg donor with their<br />

husband’s sperm is another option. This procedure allows women<br />

to actually carry their baby through a pregnancy.<br />

“Often, the experience of carrying the pregnancy means so much<br />

to the future mother that using an egg donor is the best solution,”<br />

says Dr. Treiser.<br />

A Gestational Carrier, often referred to as a surrogate mother, is<br />

another option for women who have had their uterus removed, or<br />

have a medical condition that does not allow them to carry a<br />

pregnancy, but still have functioning ovaries. In this situation, the<br />

women’s eggs and the husband’s sperm would be implanted into the<br />

Gestational Carrier. The child is therefore totally genetically linked<br />

to the parents, and the foetus is not linked to the carrier at all.<br />

Same sex couples also have more options, according to Dr. Treiser,<br />

“We are working with same sex couples and in the past we could<br />

only use donor sperm. Now males can use an egg donor and their<br />

own sperm, and females can use donor sperm.”<br />

IVF New Jersey also offers an egg freezing programme. Egg<br />

preservation can be thought of as an insurance policy for women<br />

who know that one day they want children, but who are presently<br />

without a partner or simply not ready for a baby.<br />

IVF New Jersey offers state-of-the-art treatment in a private,<br />

comfortable environment only minutes from New York City. They<br />

strive to provide first-class service without a first-class fee.<br />

IVF NJ has four convenient locations<br />

in Short Hills, Somerset, Hamilton,<br />

and Freehold, New Jersey, and<br />

patient monitoring is also available<br />

in New York City. For additional<br />

information please call<br />

1-800-IVFNJ-44 or visit<br />

www.ivfnj.com<br />

34 fertility road | january - february


Visit the <strong>Fertility</strong> World Show - 15 - 16 April 2011, London Olympia<br />

Visit Visit Visit the the <strong>Fertility</strong> the <strong>Fertility</strong> World World Show Show - - 15 - 15 - 15 - 16 - 16 - April 16 April April 2011, 2011, London London Olympia<br />

Olympia<br />

Trying for a baby?<br />

Trying for a a baby?<br />

Problems getting pregnant?<br />

Considering fertility treatment?<br />

Save Save £5<br />

£5<br />

£5<br />

Save £5<br />

Save £5<br />

Book Book your<br />

your<br />

Book Book your<br />

ticket ticket<br />

your<br />

your<br />

now<br />

now<br />

ticket ticket<br />

now now<br />

now<br />

Book your<br />

ticket now<br />

If you are planning to start a family but are having difficulties<br />

If you If If getting you you are If are you are planning pregnant, are planning to to<br />

then start to start to you a start family a a must family a but family visit but but are are<br />

the but are having <strong>Fertility</strong> are having having difficulties<br />

World difficulties Show<br />

getting getting on 15 getting pregnant, - 16 pregnant, April then then<br />

at then Olympia you then you you must you must London visit must visit visit the the visit - the <strong>Fertility</strong> the the one <strong>Fertility</strong> stop World World exhibition Show World Show Show for<br />

on on 15 on 15 - 15 on 16 -- 16 15 April 16 - April 16 at April at Olympia at Olympia at Olympia London London London - the -- the the one - one the one stop stop one stop exhibition stop exhibition for<br />

for for<br />

for<br />

all the help, advice and information you need to have a baby.<br />

all all the all the the help, all the help, advice help, advice advice and and and information and information you you you need you need to need to have to have to a have baby.<br />

a a baby.<br />

a baby.<br />

IVF fertility clinics from the UK and abroad<br />

- IVF -- IVF IVF & - fertility IVF & fertility & fertility clinics clinics clinics from from the from the the UK UK the UK and and and UK abroad<br />

and abroad<br />

abroad<br />

Talks from leading fertility experts<br />

- Talks -- Talks - from Talks from leading from leading leading fertility fertility fertility experts<br />

experts<br />

experts<br />

- Natural and and - Natural - Natural - Natural and and complementary and complementary treatments<br />

treatments<br />

- One-to-one -- - One-to-one advice advice<br />

advice advice from from<br />

from<br />

fertility from fertility<br />

fertility fertility experts<br />

experts<br />

experts<br />

Seminars Seminars include:<br />

include:<br />

n Maximising n n Maximising your your chances your chances of of getting of of getting of getting pregnant<br />

pregnant<br />

n Choosing n n Choosing a fertility a a fertility a fertility clinic<br />

clinic<br />

clinic<br />

n Going n Going n overseas Going overseas for for for fertility for for fertility fertility treatment<br />

treatment<br />

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

costs<br />

costs<br />

n Same n Same n sex Same sex sex fertility sex fertility fertility treatment<br />

treatment<br />

n The n The The ndonor The donor and donor and and surrogacy and surrogacy route<br />

route<br />

route<br />

n Natural n Natural n Natural methods methods to to boost to to boost to your boost your fertility<br />

your fertility<br />

fertility<br />

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

resources<br />

Save Save Save £5 £5 £5 on on £5 on entry on entry entry book book book your your your tickets tickets at<br />

at at at<br />

at<br />

www.fertility-world.co.uk<br />

In association In In In<br />

In association<br />

association with<br />

with with<br />

with<br />

with<br />

In association with<br />

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

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

<strong>Fertility</strong> World World is World<br />

World a<br />

World is part is a a part part of<br />

is<br />

is a<br />

is a of<br />

part<br />

part of<br />

of<br />

of<br />

part of<br />

DestinationHealth<br />

More More More info info info at: at: at: www.fertility-world.co.uk


Maxi-Cosi Pebble<br />

Group 0+ (0-13 kg)<br />

Maxi-Cosi Pearl<br />

Group 1 (9-18 kg)<br />

One IsoFix base<br />

Two car seats<br />

Three years and more<br />

of fun together<br />

FamilyFix Base<br />

Groups 0+ and 1<br />

(0-18 kg)<br />

Maxi-Cosi FamilyFix Collection. From Pebble to Pearl, this IsoFix system grows along with your child. The Maxi-Cosi<br />

FamilyFix Collection is revolutionary in the field of car seat safety and convenience. Thanks to the unique IsoFix system, you’ll<br />

be set for years to come. This is because both the new Maxi-Cosi Pebble baby seat and the new Maxi-Cosi Pearl child seat for<br />

children up to 3.5 years old, fit on the Maxi-Cosi FamilyFix Base! You can attach the car seats to the Maxi-Cosi FamilyFix Base in<br />

a split second. And you can place your child in the Maxi-Cosi Pebble or Pearl just as quickly thanks to the open belt design. An<br />

ingenious light and sound signal lets you know that you can travel safely with your child. So all you have to do now is make great<br />

plans and head out to discover the world together. Enjoy. Maxi-Cosi<br />

www.maxi-cosi.com


Q&A | zita west<br />

EXPERT<br />

WITNESS<br />

WITH<br />

ZITA WEST<br />

We’ve once again asked our resident<br />

fertility expert Zita West to answer<br />

questions sent in by readers to the<br />

<strong>Fertility</strong> <strong>Road</strong> website. If you have a<br />

question you’d like answered in the<br />

next issue, why not get in touch?<br />

Q<br />

Hi there - we have been trying for a baby for<br />

three months now and I have still not fallen<br />

pregnant. I was thinking that I would be well on<br />

the way to pregnancy by now, so am wondering how long<br />

we should wait. I am 27, and have led a drama-free life.<br />

– Amy, 27, from Winchester<br />

A<br />

At 27 you are still young. On average it can take a<br />

couple six months to conceive. What you and your<br />

partner can do is look at your lifestyle and, if required,<br />

make changes in terms of your diet, weight, alcohol<br />

intake and exercise.<br />

Furthermore, to help increase your chances of conception,<br />

it is good to have an understanding of your fertile time.<br />

Many young women that I see at the clinic - especially those<br />

who have been on the pill for a long time - do not have a<br />

great understanding of their cycle. It is important to note<br />

your cervical secretions and understand that your fertile<br />

window is six days in total - five days leading up to ovulation<br />

and one day after.<br />

Also, the sperm can survive inside of you three to five days,<br />

so if you are having sex at least three times a week you are<br />

ensuring that there is enough sperm in the fallopian tubes. If<br />

you are still not pregnant after another three or four months it<br />

may be worthwhile having a check-up with your doctor.<br />

www.fertilityroad.com<br />

37


Q&A | zita west<br />

Q<br />

My friend has just undergone a successful pregnancy<br />

via IVF and was blessed with triplets. I know that<br />

the chances of having twins is a lot higher, and<br />

wondered if the chances of having triplets or more is just as<br />

high. I am going to be starting IVF shortly, and would love the<br />

chance to have triplets.<br />

– Dana, 30, from Sittingbourne<br />

A<br />

A twin pregnancy is hard on many women and has its<br />

risks. And the health risks for a triplet pregnancy are even<br />

higher for you and your babies.<br />

Many IVF clinics are now putting only one embryo back after<br />

transfer to reduce the risk of a twin pregnancy. It is much safer for<br />

you and your pregnancy to have one embryo put back at a time.<br />

Don’t underestimate the difficulties you will encounter if you are<br />

pregnant with triplets.<br />

Q<br />

My husband and I are just about to start the IVF<br />

process and are very excited. I am however somewhat<br />

‘glass half empty’ at the moment having experienced<br />

a year of physical problems - everything from persistent viral<br />

illnesses to pulled hernias. I am feeling fragile at a time when<br />

I need to be strong. How can I shake this mental barrier that<br />

seems to have developed out of physical problems?<br />

– Kirsty-Anne Butler, 37, Croydon<br />

A<br />

Your mindset and mental preparation is very important<br />

when it comes to preparing for IVF. You need to decide,<br />

given the physical problems you have encountered this<br />

year, whether you are physically ready to begin an IVF cycle,<br />

and that your relationship is stable.<br />

I understand that at 37 you might feel like you are running<br />

out of time, but it may be worth while waiting a couple of<br />

months - which isn’t long in the scheme of things - to ensure<br />

that you’re not physically run down. Ultimately, you need to be<br />

emotionally strong before embarking on a cycle.<br />

Also look at your diet and ensure that you are getting adequate<br />

vitamin D for a healthy immune system. To overcome<br />

your fragile state of mind think about meditation, visualisation,<br />

yoga and therapies such as hypnotherapy or acupuncture,<br />

which may help you to relax and strengthen your mindset.<br />

A twin pregnancy is hard on<br />

many women and has its risks.<br />

And the health risks for a triplet<br />

pregnancy are even higher for<br />

you and your babies.<br />

And ensure that you are getting adequate rest - never underestimate<br />

the power of a good night’s sleep to get the body and mind<br />

back on track.<br />

Q<br />

I am now about to max out a third credit card in<br />

pursuit of IVF success. It has become an addiction<br />

and a part of my life I don’t want to have to admit<br />

might never be fulfilled, but I don’t feel as though I can stop.<br />

Is my debt (£20,000) normal, or to be worried about?<br />

– Vera Olatunde, 36, Birmingham<br />

A<br />

I’m always concerned when I hear that a couple are<br />

putting IVF on their credit cards as this can often create<br />

more anxiety and stress, which is not healthy for the<br />

mind or body. You need to discuss with your IVF doctor what<br />

your chances of success are as you may have underlying issues<br />

that are affecting you from having a successful cycle. It’s never<br />

worth getting into debt.<br />

If you have any questions for our Expert Witness please visit<br />

www.fertilityroad.com<br />

Zita West has given specialist fertility<br />

and pregnancy advice for over 25 years, as<br />

a midwife, an acupuncturist, a nutritional<br />

advisor and as an author and consultant.<br />

She has also written numerous books on fertility<br />

and pregnancy, with her latest title - Zita West’s<br />

Guide to <strong>Fertility</strong> and Assisted Conception - now available.<br />

For more information on Zita, her London clinic or books,<br />

visit www.zitawest.com<br />

More<br />

ABOUT<br />

ZITA<br />

WEST<br />

38 fertility road | january - february


We have over 1,700 Egg Donors and<br />

caring Surrogates across the United<br />

States and Canada available now.<br />

200 of our Egg Donors are repeat Donors.<br />

We do not charge a fee to view our<br />

Donor/Surrogate database.<br />

Because a high percentage of our clients are<br />

from foreign countries we have options for<br />

insurance offered through a reputable company.<br />

We do not collect any money until your Donor<br />

or Surrogate passes her medical screening.<br />

We work with all types of Intended<br />

Parents – Married, Single, Straight or Gay.<br />

We work closely with the finest IVF<br />

Centers all over the United States.<br />

We offer the Lowest Cost International<br />

Surrogacy Packages in the U.S. and Canada.<br />

1225 San Elijo <strong>Road</strong>, San Marcos, CA 92078 (760) 798-2265<br />

www.extraconceptions.com


FEATURE | co-parenting<br />

WORDS | HAZEL DAVIS<br />

The laws for same-sex parenting changed last year. Ring out the bells.<br />

But what if you’re in a happy same-sex couple but still want a father or<br />

mother-figure in your child’s life? For some gay couples, the obvious<br />

answer is co-parenting.<br />

Co-parenting can involve two, three or four parents<br />

who wish to have a child together. In a co-parenting<br />

agreement each parent shares responsibility for the<br />

child’s upbringing. It means that gay or single men<br />

who wish to become fathers can serve more of an active parental<br />

role than just being a sperm donor. It also means that lesbian<br />

couples can have a male figure in their child’s life.<br />

But, as with anything outside ‘the norm’, the process can be<br />

fraught with difficulty.<br />

One of the most important factors to consider is who the legal<br />

parent of the child is. In UK law the birth mother will always be<br />

listed as one of the child’s legal parents. But the second parent<br />

can vary according to whether the mother is single or in a civil<br />

partnership. If you’re to be the second parent, there are measures<br />

you can take.<br />

Anne-Marie Hutchinson OBE is a solicitor specialising in surrogacy<br />

and assisted birth law at Dawson Cornwall. She thinks it’s<br />

important to get this straight before conception.<br />

“Agree what your respective roles will be before you start the<br />

whole process,” she says, “both in parental responsibility and<br />

financial responsibility terms”. It’s worth bearing in mind that<br />

no agreement before birth is binding but, says Hutchinson, “a<br />

properly constructed agreement will carry some weight (unless<br />

an exceptional event takes place like the sperm donor didn’t disclose<br />

something important like an illness or criminal history).”<br />

An unmarried father will not have paternal rights unless he is<br />

named on the birth certificate (as from 2003) or is granted those<br />

rights by the legal parent. If he later applies, the court will apply<br />

the ‘best interest’ and this can be time-consuming, so it’s better to<br />

work this out beforehand. It’s worth bearing in mind that the<br />

mother can apply for maintenance, a lump sum or even a property<br />

settlement from the father if he is an unmarried father.<br />

It’s advisable, says Hutchinson, for the parents to make a will<br />

and decide what to do with any inheritance. If the agreement<br />

is that the legal father isn’t going to make provision then it’s<br />

important to leave a note stating this in the event of any claim.<br />

40 fertility road | january - february


The civil partners of the legal parents have no rights<br />

over the child but they can be acquired by a Parental<br />

Responsibility Agreement conferred by the legal<br />

parents. If they aren’t civil partnered and are cohabiters,<br />

the child needs to have lived with them for 12 months<br />

before a claim can be made.<br />

Hutchinson says that, though not legally an issue,<br />

it’s a good idea to decide at this stage things like<br />

religion, whether all parents agree on matters of<br />

education, etc. “It just irons out difficulties later on.”<br />

Or, she adds, “You may have a new co-parent joining<br />

in at a later date so you should state what status any future<br />

parents would have. It’s not romantic but it’s very important.”<br />

Simon Craddock is a partner specialising in family at Brethertons<br />

solicitors. He says, “I had a case where the parent with<br />

day-to-day care of the child was not the biological parent. This<br />

led to a court dispute as the biological parent wished to impose<br />

their rights as the only parent with parental responsibility. To<br />

complicate matters further there was an international element.<br />

This created difficulties as the child was living abroad with the<br />

non-biological parent.”<br />

The key to avoiding problems like this, agrees Craddock, “is<br />

for the couple at the outset to define how they are going to hold<br />

parental responsibility. This is normally by way of a shared residence<br />

order/adoption.”<br />

The key to avoiding problems is<br />

for the couple at the outset to define<br />

how they are going to hold parental<br />

responsibility. This is normally by way of<br />

a shared residence order/adoption.<br />

Often the immediate joy that a newborn child brings, together<br />

with the understandable fatigue, means that going to a lawyer to<br />

cement such arrangements is often seen as unnecessary, costly<br />

and may create doubts about the relationship. Such planning,<br />

however, says Craddock, “will save a lot of long-term heartache<br />

for some unlucky couples who separate.”<br />

For many gay men, co-parenting is the best answer.<br />

Rob Spriggs is a 43-year-old musician from London. He is father<br />

to two-year-old Matilda whom he ‘shares’ with Matilda’s birth<br />

mother Ella and her partner Kate.<br />

“I have known I was gay from about the age of six,” he says,<br />

“but I didn’t come out until I was 25. Part of this was because<br />

I always wanted children. It never occurred to me that it would<br />

be possible to have children in my position.”<br />

»<br />

www.fertilityroad.com<br />

41


A Caring Approach<br />

to Egg Donation<br />

Physician-recommended Beverly Hills Egg Donation continues<br />

to be one of the most highly regarded egg donor agencies<br />

in the industry.<br />

Our “one agency fee until you’re pregnant policy“, in-person<br />

donor screenings and weekly cycle updates have made us one<br />

of the most successful egg donation agencies in the world.<br />

All ethnicities<br />

Well screened<br />

donors<br />

Doctor<br />

recommended<br />

Specialized<br />

assistance<br />

for international<br />

clients<br />

Professionals providing personal<br />

care to clients – worldwide<br />

To learn more, visit www.bhed.com<br />

or call us at US (310) 601-3132.


FEATURE | co-parenting<br />

CORION<br />

FERTILITY<br />

CLINIC<br />

The Corion <strong>Fertility</strong> Clinic is a state of<br />

the art clinic in Mumbai, India, known<br />

for its excellence in donor egg IVF and<br />

gestational surrogacy with a success<br />

rate of more than 70% for Donor Egg<br />

Surrogacy, and more than 50% for IVF<br />

cycles with Surrogacy.<br />

We talked for about three years before<br />

doing anything and maybe we shouldn’t<br />

have waited so long, but you do really need<br />

to make sure you communicate.<br />

The clinic is also renowned for being LGBT<br />

friendly and offers its services to single<br />

as well as gay and lesbian parents.<br />

Dr. Kaushal Kadam is the Medical<br />

Director of Corion and has been running<br />

the Surrogacy programme for the last<br />

five years. With her wealth of knowledge<br />

and her empathic approach, she has<br />

helped many patients from all over the<br />

world return home with a family.<br />

You can find out more about the Corion<br />

<strong>Fertility</strong> Clinic at the website below,<br />

alternatively, write to Dr. Kadam at<br />

drkaushi@gmail.com. As she says, "At<br />

Corion, our patients are taken lovingly<br />

'from Conception to Cradle'."<br />

www.corionfertilityclinic.com<br />

Rob met Kate 10 years ago and became good friends with her and<br />

her then-partner. They approached him and asked him if he was<br />

interested in having a child with them. “I said yes and it was going<br />

to be something we’d look at in the future,” says Rob. The couple<br />

split and it never really happened. Kate met Eleanor and after<br />

some time together considered a family and asked Rob again. Kate<br />

was going to be the carrier but medical complications and two<br />

years of trying meant that Ella ended up being the birth mother.<br />

The trio didn’t enter into the decision lightly. Says Rob, “We went<br />

to a gay parenting support group for six months just to thrash the<br />

idea about. We really wanted to make sure it was a good idea and we<br />

didn’t want to ruin our own relationship. I also didn’t, at the time,<br />

know any children of gay parents and how it would affect the child.”<br />

Rob’s partner of 11 years, who is based in Leeds, came along to<br />

some counselling sessions when he was in the capital too though he<br />

didn’t want the same level of involvement as a parent. Says Rob, this<br />

was tricky to negotiate but they eventually managed: “I think Dennis<br />

wasn’t sure where he’d fit into the arrangement and he maybe thought<br />

I was being coerced but eventually he saw what it meant to me.”<br />

Rob’s involvement in his child’s life is such that he was present at<br />

the birth, lived with the couple for a month before Matilda was born<br />

and until recently when he moved, was just a 10 minute walk away.<br />

“It was good for us as a family to be a unit,” he says. “Obviously it<br />

had its difficulties but it did work. It was amazing to be there all<br />

the time and if I had just come in for some of the week I would<br />

have felt like an intruder.” Now Matilda stays with him two nights<br />

a week and they do things together as a family at weekends.<br />

Rob, Kate and Ella drew up a parenting agreement. “We knew<br />

it wasn’t legally binding,” says Rob, “but we all signed it. We put<br />

in all the stuff we could possibly think of, we looked at other<br />

people’s and went online.”<br />

What’s clear is that if the couple breaks up, everyone will<br />

remain part of Matilda’s life. But there still remains a blurred area<br />

for the non-birth parent.<br />

Says Rob, “The law’s really good for single-sex couples but I am on<br />

the birth certificate as the father. Kate isn’t. If she was to adopt<br />

Matilda, which we have discussed, then I would have to relinquish<br />

my role as parent. That’s a tricky one to deal with.”<br />

One of the most beneficial things for the family has been their<br />

regular monthly parenting meetings. Says Rob, “It sounds a bit silly<br />

but communication is key. We talk about everything; what’s been<br />

good, what’s been difficult. Everything. It really helps clear the air.”<br />

He recommends that to any prospective co-parents, and counselling.<br />

“If you can involve someone else in the discussions then<br />

it’s really helpful.”<br />

Talking is key, he says, “Some of it is of no use at all. We talked<br />

for about three years before doing anything and maybe we<br />

shouldn’t have waited so long, but you do really need to make<br />

sure you communicate.”<br />

For Rob, Kate and Ella, the arrangement has worked really well<br />

and they are planning to have a second child: “It’s really the most<br />

amazing thing I have ever done and I am so grateful.” »<br />

www.fertilityroad.com<br />

43


FEATURE | co-parenting<br />

TAKE<br />

PRIDE<br />

Erika from Pride Angel, a dedicated<br />

resource for matching sperm donors,<br />

egg donors and co-parents<br />

worldwide, explains the dos and<br />

don’ts of choosing a reputable<br />

sperm donor website.<br />

Sperm donor websites are increasing in popularity with<br />

many people now searching for a sperm donor or<br />

co-parent online. This has been fuelled by the shortage<br />

of donors within the UK, along with many NHS authorities<br />

cutting back on IVF treatment, and many trusts refusing to fund<br />

treatment for single and lesbian couples. Are these websites really<br />

a health risk or a personal choice that could benefit the welfare of<br />

any future children and parents?<br />

Using a known sperm donor<br />

There has been a social and cultural shift in recent times towards<br />

women wishing to meet a known donor. Some may say this is<br />

because of high fertility costs, or maybe the shortage of donors.<br />

Others state it is because women are thinking of their children’s future<br />

in that they would rather personally meet a likeminded individual<br />

who is happy to stay in touch as an uncle-type figure, omitting the<br />

longing of their child to meet an unknown donor. There has been<br />

extensive research to show that children who know the identity of<br />

their donor and the truth about their conception from an early age<br />

are more secure with their own identity as they become adults.<br />

Anonymity law and future children<br />

The change to the anonymity law in 2005 was certainly a positive<br />

thing for donor-conceived children, allowing them to trace the<br />

identity of their donor at the age of 18. However, we are still to really<br />

discover the effect this will have on the thousands of children who<br />

may be wanting to meet their biological father in the future. They<br />

may find that the donor is simply not interested in being contacted.<br />

There is also the worry that the donor may not be the kind of<br />

person the mother would wish for their child to meet - after all,<br />

she may have only received basic details such as height and eye<br />

colour by which to choose her donor originally.<br />

There is also the real concern of genetic attraction<br />

which especially affects parents and children who have<br />

never met before adulthood. The effect of this could be<br />

potentially catastrophic.<br />

When these effects do come to the forefront in the<br />

year 2023 - 18 years after the new law was introduced in<br />

2005 - will it be decided that children were better off not<br />

really getting this information? Would it not therefore be far<br />

better for donor-conceived children to have known of their<br />

donor from the beginning?<br />

Websites working alongside fertility clinics<br />

Sperm donor websites assist in the much needed recruitment<br />

of donors, and help bring together co-parents and the creation<br />

of alternative families in a way in which clinics are less able.<br />

By working alongside the authorities and regulated clinics, websites<br />

can therefore provide a much needed service, providing<br />

they are educating their users about any health risks and legal<br />

considerations.<br />

A spokesman for the HFEA is advising people to only use sperm<br />

donor websites which direct their users to a licensed clinic, ensuring<br />

that complete health screening is completed and that a record of<br />

the donor’s name is kept on file.<br />

Choosing a reputable sperm donor website<br />

When choosing to use a sperm donor website to find a donor<br />

or co-parent it is important to ensure that they are providing the<br />

necessary health screening and legal advice, as well as directing<br />

users to regulated fertility clinics for treatment.<br />

Pride Angel is one of the leading worldwide connection sites,<br />

with over 4,500 members, primarily aimed at the gay and lesbian<br />

community. They are dedicated to providing quality information<br />

regarding health screening and fertility law in a user-friendly way.<br />

All our profiles are continually screened to ensure users are<br />

not offering ‘natural insemination’ or requesting an ‘anonymous’<br />

donor. Nor is payment for donations allowed to be offered or<br />

requested. If any donor attempts to contact more than 10 different<br />

recipients, an email is automatically sent, highlighting the ‘no<br />

more than 10 lives birth law’ in the UK.<br />

We are committed to providing a user-friendly service, whilst<br />

ensuring that we do everything within our power to make it a<br />

safer environment for our members. We also offer email support<br />

for users requiring help and further information.<br />

Users should never consider using a donor who offers natural<br />

insemination, even if they offer artificial insemination as well. The<br />

health risks of such ‘promiscuous’ donors is too great.<br />

Unfortunately, there remain a number of connection services<br />

that do not monitor profiles and restrict messages, encouraging<br />

prolific donors. These factors are really important to consider<br />

when choosing a connection service to find a known donor<br />

or co-parent.<br />

Good sites provide the ultimate gift without which co-parenting<br />

arrangements would not happen, while many lesbian couples<br />

and gay men would not have the chance to experience the joys<br />

of parenthood.<br />

For more information regarding finding a co-parent, health<br />

screening, home insemination and fertility law visit and<br />

register for FREE at www.prideangel.com.<br />

44 fertility road | january - february


FERTILITY ROAD | California <strong>Fertility</strong> Partners<br />

INTELLIGENT PROFILE<br />

A PARTNERSHIP<br />

THAT COUNTS...<br />

For many, the prospect of travelling abroad to combine the<br />

promise of raising a family with the opportunity to relax<br />

is an exciting one. And with the first considerations<br />

always being quality, care and professionalism, many<br />

believe that the US offers something that cannot be found elsewhere.<br />

Certainly, when you have a clinic that boasts 25 years experience<br />

yet is based in the sun-drenched, fashionable and fantastically<br />

cultural city of Los Angeles, it is a combination that is really<br />

quite unique.<br />

To enable a couple to truly envelop themselves in a life-changing<br />

trip means slipping into an environment that heightens the senses,<br />

offers a distraction from the scientific and emotional stresses, and<br />

provides an experience that is truly one to remember.<br />

With that in mind, California <strong>Fertility</strong> Partners firmly believe that<br />

they have cracked the combination code. It’s a clinic that undertakes<br />

extensive surrogacy and egg donor options, and one that has<br />

always focused attention on the lesbian and gay parenting market,<br />

calling upon experience at the highest level of family planning.<br />

For Dr. Guy Ringler, one of the co-partners of the practice, and<br />

recipient of the American <strong>Fertility</strong> Association’s Visionary Award<br />

for 2010, believes the clinic’s Los Angeles base represents something<br />

rather special.<br />

“Patients arriving in Los Angeles from around the globe will find<br />

an exciting cosmopolitan city with something to offer everyone.<br />

From the mountains to the seashore, the area provides a physically<br />

beautiful landscape, the finest in art, music, shopping, restaurants,<br />

and a creative community filled with passionate people from many<br />

diverse backgrounds.<br />

“But it’s our longstanding reputation for excellence and a<br />

commitment to providing high quality care in a personalised and<br />

caring environment that makes us stand out. In short, it’s important<br />

to work with people who care about you and<br />

your success. We do that, always.”<br />

Dr. Ringler’s attention to detail and commitment<br />

to providing the highest quality of care possible<br />

results in some of the highest pregnancy rates<br />

possible today. Factors such as the young age of<br />

egg donors, closely monitored ovarian stimulation,<br />

thorough screening of gestational carriers,<br />

excellent culture conditions, and meticulously<br />

conducted embryo transfers all contribute to his<br />

high level of success.<br />

It’s thanks to this that Dr. Ringler has been<br />

able to help gay patients from around the world<br />

achieve their dream of having children through<br />

his care.<br />

“The acceptance of gay parenting in our society<br />

continues to improve,” he continues. “Twenty<br />

years ago the path to parenthood for gay men<br />

was uncharted and there were few resources<br />

available to help individuals find their way.<br />

“Today, thanks to the work of many dedicated<br />

professionals in the fields of reproductive law,<br />

reproductive medicine, and support organisations,<br />

there are established treatment protocols and<br />

legal foundations to allow all individuals the<br />

opportunity to build families.”<br />

Dr. Ringler and his colleagues work with<br />

some of the finest egg donor, sperm donor, and<br />

surrogacy agencies in the United States. All candidates undergo<br />

extensive medical, psychological and genetic screenings before<br />

treatment calendars are planned.<br />

That’s why California <strong>Fertility</strong> Partners has been one of the<br />

leading centres for reproductive medical care in the United States<br />

for over 25 years. And it explains too why the base’s physicians<br />

and scientists are internationally recognised for their expertise,<br />

not to mention a reputation for providing the highest quality and<br />

personalised care.<br />

Guy continues, “As societal acceptance evolves, the demand for<br />

high quality reproductive care by gay men and women increases in<br />

the United States and around the world. All patients at California<br />

<strong>Fertility</strong> Partners find an atmosphere of warmth and caring from<br />

their initial visit until graduation to their obstetrician.<br />

“Each patient is assigned to their own specially trained nurse to<br />

help guide them through the treatment process and to assist in<br />

communication between all parties. An organised team of caring<br />

professionals at all levels helps to ensure the finest care and the<br />

best treatment outcome.<br />

“At California <strong>Fertility</strong> Partners all exams and procedures are performed<br />

by your physician, not a technician or someone unfamiliar<br />

with your case. This sets us apart from other centres and allows for<br />

greater attention to detail and continuity of care. It’s this edge,<br />

along with a fantastic outer environment, that really makes us a<br />

perfect choice for couples.”<br />

To find out more, call California <strong>Fertility</strong> Partners on 001 310 828<br />

4008, contact Dr. Ringler directly at GRingler@aol.com or head to<br />

www.californiafertilitypartners.com<br />

www.fertilityroad.com<br />

45


FEATURE | nutrition<br />

WORDS | DR MARILYN GLENVILLE PHD<br />

Since there are recognisable and widely published links between good eating and<br />

good health, we asked leading nutritionalist Marylin Glenville to showcase for us<br />

two recipes that are packed full of nutrients and perfect for male and female fertility.<br />

46 fertility road | january - february


One of the most important nutrients for fertility is zinc.<br />

It is vital for the health and maintenance of the<br />

reproductive hormones in men and women. It is<br />

found in high concentrations in the sperm, being<br />

used to make the outer layer and tail.<br />

A number of ingredients in these two recipes contain good amounts<br />

of zinc including salmon, lentils, onions, beetroots and seaweed.<br />

The salmon and walnuts also contain good levels of Omega 3<br />

fats which are important for fertility. Omega 3 fats can prevent<br />

blood from clotting inappropriately and so can be beneficial to<br />

women who have problems with implantation or recurrent<br />

miscarriage. For men, semen is rich in prostaglandins, hormonelike<br />

substances produced from these fats. Research has shown that<br />

men who have problems with abnormal sperm tend to have lower<br />

than normal levels of beneficial prostaglandins.<br />

Good levels of antioxidants are important for healthy eggs and<br />

sperm and especially important if the woman is over 35, as<br />

antioxidants can help with improving the quality of the eggs.<br />

Antioxidants such as beta-carotene, vitamin E, zinc and selenium<br />

are high in all the coloured vegetables included in these recipes<br />

including carrots, sweet potatoes and beetroots, and there are also<br />

antioxidants in the sesame seeds and garlic.<br />

The B vitamins including folic acids are important for fertility, as<br />

well as having a healthy baby. In these two recipes they are found<br />

in the sweet potatoes, seaweed, salmon, lentils and parsnips.<br />

One of the most important<br />

nutrients for fertility is zinc. It’s vital<br />

for the health and maintenance<br />

of the reproductive hormones<br />

for men and women.<br />

The seaweed flakes are a ‘super food’ in that they contain good levels<br />

of certain trace minerals including zinc, manganese, chromium and<br />

selenium, as well as macro minerals such as calcium, magnesium,<br />

iron and iodine. If you buy the flakes they are easy to use and can<br />

be sprinkled on rice, pasta or porridge.<br />

My recommendation is always to buy organic where possible<br />

and then you do not need to peel the root vegetables - they can just<br />

be washed. Many of the nutrients are concentrated under the skin<br />

so you get more goodness from those foods. But in addition, you<br />

are reducing your exposure to xenoestrogens (‘foreign oestrogens’)<br />

from the pesticides used in the growing of the vegetables which<br />

can have a negative effect on fertility for both men and women.<br />

As you can see, with just two delicious recipes you can be making<br />

a big impact on your fertility by providing many of the fertilityboosting<br />

nutrients that your body needs to help you conceive. »<br />

www.fertilityroad.com<br />

47


FEATURE | nutrition<br />

HERBED QUINOA SALAD WITH<br />

ROASTED VEGETABLES – SERVES 4-6<br />

SEARED SALMON WITH GREMOLATA<br />

– SERVES 4<br />

© Christine Bailey<br />

This is aromatic herb flavoured quinoa topped with sweet roasted<br />

vegetables and a garlic herb dressing. Dubbed the ‘supergrain’,<br />

quinoa is an excellent protein-rich, gluten-free grain and makes<br />

a delicious alternative to rice or couscous. This is a perfect Mediterranean<br />

inspired dish, wonderful for picnics and packed lunches.<br />

Why not top it with a little herb Greek yogurt for added effect?<br />

• 180g/6oz/generous ¾ cup of quinoa grain<br />

• 500ml/16floz/2 cups of homemade vegetable stock,<br />

or use a vegan low salt bouillon powder<br />

• 2 sweet potatoes, peeled and cut into chunks<br />

• 2 courgettes thickly sliced at an angle<br />

• 2 red onions, cut into large chunks<br />

• 2 red, 2 yellow peppers, cut into quarters<br />

• Freshly ground black pepper<br />

• 1-2 garlic cloves, crushed<br />

• 6 tbsp of olive oil<br />

• A handful of chopped basil leaves<br />

Yogurt dressing<br />

• 150ml Greek yogurt<br />

• 2 tsp of lemon juice<br />

• 1 tbsp of chopped basil leaves<br />

1. Place the quinoa and bouillon powder in a pan and cover with<br />

the water. Bring to the boil then simmer covered on a low heat<br />

for 15 minutes. Take off the heat and leave to stand for a further<br />

10 minutes.<br />

2. Mix together the oil and garlic.<br />

3. Heat the oven to 200°C, gas mark 6. Place the vegetables in a<br />

large roasting tin and drizzle over half the oil. Season with a little<br />

black pepper and roast for 40 minutes until the vegetables are<br />

tender and slightly charred.<br />

4. Make the yogurt dressing by mixing together the yogurt, lemon<br />

juice and chopped basil. Season to taste.<br />

5. Break up the quinoa with a fork and spoon on to a serving platter.<br />

Place the roasted vegetables on top and drizzle over the remaining<br />

garlic oil. Scatter with basil leaves and top with a little herb yogurt.<br />

Gremolata is an Italian mixture of parsley, lemon zest and garlic. It<br />

is a wonderful punchy flavouring for fish dishes, quick to prepare<br />

and full of antioxidants. This works perfectly with oily fish such as<br />

salmon but is equally delicious drizzled over vegetables.<br />

Storage: Prepare the gremolata in advance and store in the fridge until<br />

required. Leftover salmon can be kept in the fridge for one or two days.<br />

• Large handful of fresh flat leaved parsley, finely chopped<br />

• Juice and grated zest of 1 lemon<br />

• 2 cloves of garlic, crushed<br />

• 3 tbsp olive oil<br />

• 4 salmon fillets, with skin<br />

• 8 red and yellow cherry tomatoes, halved<br />

1. Mix together the parsley, lemon juice and zest, garlic and 2 tbsp<br />

of oil in a bowl.<br />

2. Pour a little oil over the salmon fillets and season with black<br />

pepper. Heat a frying pan until hot. Sear the salmon, skin–side<br />

down for 2-3 minutes until golden. Turn over and cook for a<br />

further 4-5 minutes until cooked through.<br />

3. Place the tomatoes in a bowl and coat with a little of the<br />

gremolata. Spoon on to a serving plate and top with the salmon.<br />

Drizzle the remaining gremolata over the salmon.<br />

Dr Marilyn Glenville PhD is the UK’s leading nutritionist<br />

specialising in women’s health. She is the Former President of<br />

the Food and Health Forum at the Royal Society of Medicine<br />

and the author of a number of internationally bestselling<br />

books including Getting Pregnant Faster, Fat around the Middle<br />

and The Natural Health Bible for Women.<br />

Dr Glenville works in a gynaecology clinic in London and also<br />

in Tunbridge Wells. If you are interested in a consultation, you<br />

can contact Dr Glenville’s clinic on 0870 5329244, or by email<br />

at health@marilynglenville.com.<br />

For more information go to www.marilynglenville.com<br />

www.fertilityroad.com<br />

49


INTRODUCING...<br />

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

<strong>Fertility</strong> <strong>Road</strong> is proud and excited to announce<br />

that we have partnered up with the Destination<br />

Health Show in London Olympia on the April 15<br />

and 16 2011 to bring you <strong>Fertility</strong> World, where<br />

we have a dedicated area of the show discussing<br />

all matters of fertility and conception.<br />

As a visitor to the show you<br />

will be surrounded by some<br />

of the leading clinics from<br />

around the world who<br />

specialise in fertility<br />

treatments, with experts<br />

on hand to answer your<br />

every question.<br />

<strong>Fertility</strong> In partnership World withis a part of<br />

coming April 2011.<br />

BOOK<br />

TODAY<br />

SAVE<br />

£5<br />

DestinationHealth


<strong>Fertility</strong> <strong>Road</strong> is also running the ‘<strong>Fertility</strong> <strong>Road</strong><br />

Seminar Theatre’, where doctors and fertility<br />

experts will offer free group discussions<br />

and talks throughout the day...<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 for boosting fertility<br />

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

So make sure you put us in your diary, and we look forward<br />

to meeting you at the show! For more information please visit<br />

www.destinationhealth.co.uk or www.<strong>Fertility</strong><strong>Road</strong>Show.com<br />

or contact us on info@fertilityroad.com - 0208 316 4323<br />

HOW TO GET TO<br />

FERTILITY WORLD<br />

LOCATION<br />

Olympia 2, Hammersmith <strong>Road</strong>,<br />

London W14. Olympia is located<br />

in the centre of London on<br />

Hammersmith <strong>Road</strong>, near<br />

High Street Kensington<br />

BY UNDERGROUND<br />

District Line service from Earls<br />

Court to Kensington Olympia<br />

BY TRAIN<br />

Kensington Olympia is serve<br />

by a daily shuttle service from<br />

Clapham Junction to Willesden<br />

and the Connex South Central<br />

Service from Gatwick to Rugby.<br />

BY BUS<br />

Olympia is served by routes 9,<br />

9a, 10, 27, 28, 49 & 391. All stops<br />

within easy walking distance.<br />

BY TAXI OR CAR<br />

Olympia is easily accessible<br />

from Central London and the<br />

West End. Parking is available<br />

(charged by the hour).


FERTILITY ROAD<br />

GUIDES/ SUPPLEMENTS<br />

Helping you plan for every stage of your journey...<br />

WORDS | CATHRYN PUGH<br />

WHAT<br />

SUP?<br />

Taking supplements before<br />

and while you are trying<br />

to conceive can boost your<br />

chances of having a healthy baby.<br />

Scientific research has shown that male and female fertility<br />

can be increased through the use of supplements. Many<br />

experts also agree that even a so-called ‘healthy diet’<br />

may not contain the nutrients we require. For women,<br />

hormonal balance is important for regular ovulation and taking<br />

supplements can ensure you have normal menstrual cycles,<br />

which will increase the chances of conception. For men, healthy<br />

sperm formation, quality and motility are central to reproductive<br />

wellness and male fertility.<br />

Many supplements are packaged up in fertility support formulas<br />

such as Sanatogen or FertilAid, of which there are different types<br />

for men and women. Most have the same basic ingredients – zinc,<br />

selenium and other vitamins - which all play an important role<br />

in fertility.<br />

Zinc is the nutrient that has been analysed the most in relation<br />

to conception, as it is necessary for a woman’s body to attract and<br />

hold the reproductive hormones oestrogen and progesterone. It<br />

also improves the quality of a man’s sperm. A zinc deficiency can<br />

cause chromosome changes in both a woman and her partner,<br />

leading to reduced fertility and an increased risk of miscarriage.<br />

Vitamins C and E are powerful antioxidants and vitamin E in<br />

particular has been linked with an increase in fertilisation rates for<br />

couples undergoing IVF treatment, when the man has taken it.<br />

Studies show that vitamin C enhances sperm quality, protecting<br />

sperm and the DNA within it from damage. Some research has<br />

indicated that certain types of DNA damage in the sperm can make<br />

it difficult to conceive in the first place, or it can cause an increased<br />

risk of miscarriage if conception does take place.<br />

Long known to safeguard the health of the unborn baby, by<br />

reducing the risk of spinal cord defects and premature labour, Folic<br />

Acid which is a form of vitamin B, is now thought to also aid<br />

conception. A study involving more than 18,000 women in the<br />

US showed those who took it regularly had a 40% lower risk of<br />

suffering problems producing eggs - the second biggest cause of<br />

female infertility. In fact, all of the B vitamins are essential to get<br />

the body ready for conception. Research has shown that giving B6<br />

to women who have trouble conceiving increases fertility and vitamin<br />

B12 has been found to improve low sperm counts.<br />

Another supplement that improves the quality of a man’s sperm is<br />

the antioxidant, selenium. It maximises sperm formation and makes<br />

them stronger. It also benefits women, as it helps to protect their<br />

body from highly reactive chemical fragments called free radicals.<br />

For this reason, selenium can prevent chromosome breakage, which<br />

is known to be a cause of birth defects and miscarriages.<br />

In addition to nutrient supplements, herbal treatments are aimed<br />

at restoring hormone imbalances, and encouraging ovulation if it is<br />

not occurring. The herb of choice for increasing fertility is Agnus<br />

Castus or ‘Chasteberry’. In one study, 48 women diagnosed with<br />

infertility took Agnus Castus daily for three months. Seven of them<br />

became pregnant during that time and 25 of them regained normal<br />

progesterone levels. It is particularly helpful for those women with<br />

high prolactin levels, because it stimulates the proper functioning of<br />

the pituitary gland which controls the hormones.<br />

However, Agnus Castus is not recommended for everyone. If you<br />

are using drug treatments or going through assisted conception<br />

(such as IVF) don’t take any herbs unless they are recommended by<br />

a qualified practitioner.<br />

The important thing to remember is that there are numerous<br />

supplements that couples can take to try to boost their fertility, but<br />

treatment plans do need to be adjusted to suit your individual<br />

needs. It also takes at least three months for immature eggs to<br />

mature enough to be released during ovulation, and the same<br />

amount of time for sperm cells to develop ready to be ejaculated.<br />

This means that when trying to improve your fertility, you need to<br />

start taking supplements and looking after yourself properly at<br />

least four months before conceiving.<br />

52 fertility road | january - february


Free <strong>Fertility</strong> Report by Dr Marilyn Glenville PhD<br />

The UK’s leading nutritionist specialising in fertility care and women’s health.<br />

Now you can dramatically increase your chances of getting<br />

pregnant, staying pregnant and having a healthy baby, naturally.<br />

Trying to conceive, going through IVF or having problems staying pregnant,<br />

Dr Glenville’s free <strong>Fertility</strong> Report will show you which nutrients can boost<br />

fertility for both men and women. Based on scientific evidence this report<br />

will give you a 3 month programme, showing you how simple nutritional<br />

and lifestyle changes can help improve fertility, prevent miscarriages and<br />

aid IVF success rates.<br />

Your free report will show you how certain nutrients can:<br />

• Boost your fertility<br />

• Increase your chances of conceiving naturally<br />

• Reduce miscarriage risk<br />

• Improve the quality of eggs for women over 35<br />

• Increase sperm count, motility<br />

and the number of normal sperm<br />

• Improve your health before conception<br />

• Increase IVF success rates<br />

• Help you have a healthy baby<br />

In a scientifi c study, over 80% of couples who have used Dr Marilyn Glenville’s methods conceived naturally and had healthy babies.<br />

To claim your free report email: info@marilynglenvilleclinics.com<br />

Call 08705 329 244 and quote ref: SFR111<br />

www.marilynglenville.com<br />

<br />

Array CGH – CARE’s revolutionary<br />

approach to screening the<br />

chromosomes of eggs or<br />

embryos before IVF<br />

<br />

greatly improve birth rate per embryo transferred<br />

minimize the incidence of miscarriage and birth<br />

defects caused by chromosome irregularity<br />

reduce the incidence of multiple pregnancies<br />

whilst maintaining a high live birth rate<br />

Array CGH for IVF was pioneered at CARE,<br />

who remain at the forefront of this technology


The Journey of lifetime to emBIO Athens.<br />

The Journey of a lifetime to emBIO Athens.<br />

Anonymous egg donors are available for immediate treatment.<br />

Anonymous The best fertility egg experience donors provided are available through the for latest immediate reproductive techniques treatment.<br />

The best fertility experience and a personal provided doctor through patient the relationship.<br />

latest reproductive techniques<br />

and a personal doctor patient relationship.<br />

A<br />

www.ivf-embryo.gr<br />

Free www.ivf-embryo.gr<br />

phone online consultation<br />

Free<br />

learn<br />

phone<br />

about<br />

online<br />

fertility<br />

consultation<br />

options<br />

learn about fertility options<br />

Address: 77, Ethnikis Antistaseos Str., 152 31 Halandri, Athens, Greece, Τel.: +30 210 6774178, Fax: +30 210 6774037<br />

e-mail: paraschos@ivf-embryo.gr<br />

Address: 77, Ethnikis Antistaseos Str., 152 31 Halandri, Athens, Greece, Τel.: +30 210 6774178, Fax: +30 210 6774037<br />

e-mail: paraschos@ivf-embryo.gr<br />

Add


FERTILITY ROAD<br />

GUIDES/FINANCE<br />

Helping you plan for every stage of your journey...<br />

Clinical trials<br />

You may be eligible to participate in clinical trials. These trials are<br />

closely monitored by doctors and are one great way to get in on<br />

treatments that you might otherwise not be able to afford. Speak<br />

to both your insurance company and to your fertility specialist<br />

about possible options.<br />

Using the experience of others<br />

It has never been easier to gain insight and intelligence from other<br />

people, thanks to the internet. Financing fertility does require a lot<br />

of research, but talking to others who have undergone infertility<br />

treatment can be done quickly and effectively, and may lead to<br />

some considerable savings along the way.<br />

While financing fertility is undoubtedly difficult to plan, it can<br />

also be notorious to stick to, particularly when the emotional<br />

lure of a family means the heart overrides the head.<br />

But if you can agree on a timeframe and points along the<br />

path that you won’t go past, then the aspect of financing for<br />

fertility need not be the scary monster that it is sometimes<br />

portrayed as. Here are some key guidelines…<br />

Budget<br />

You’ll budget for the roof over your head, for food, travel and<br />

holidays, and fertility should be the same. Of course, costs will<br />

largely depend on the type of treatment and fertility testing<br />

involved and you won’t know what really lies ahead until you<br />

see a fertility specialist in order to understand what treatment is<br />

necessary and the fees involved. Such fees would involve those<br />

associated with fertility tests, diagnostic (advanced) procedures,<br />

fertility medications, fertility procedures for male-factor fertility<br />

and assisted reproductive procedures, and don’t rule out additional<br />

sums, such as hospital fees, consultation costs, plus screening<br />

charges prior to infertility treatment.<br />

Your fertility specialist may be able to refer you to an appropriate<br />

financial counsellor.<br />

Financial Assistance<br />

It is important to perform research and look into any financial coverage<br />

or assistance that may be available to you. Something like IVF<br />

is rarely covered by insurance options, but rather than assume that<br />

avenues are blocked, it’s worth researching the possibilities.<br />

Some health insurance policies cover selected fertility procedures<br />

but not others – for instance, many health insurance plans will help<br />

finance aforementioned fertility test costs and diagnostic procedures,<br />

but only about a quarter of all insurance plans will cover ART.<br />

And for couples worried about the added cost of multiple births,<br />

some insurance schemes will pay out in the instance of twins,<br />

triplets or even greater numbers arriving into the world.<br />

Using the NHS or going private?<br />

The NHS offers couples seeking infertility treatment one fertility<br />

financing option. However, there are certain eligibility criteria<br />

that couples must meet in order to get funding from this type of<br />

infertility insurance.<br />

As ever though, waiting lists are a big issue, along the speed of<br />

supplementary and additional procedures. In addition, infertility<br />

coverage that will be available under the NHS will largely depend<br />

on the criteria presented by the respective Primary Care<br />

Trust in the region. This, in turn, means that fertility financing by<br />

the NHS still largely varies, and is dependent largely on location.<br />

It is because of this that about three quarters of infertile couples<br />

choose to go private.<br />

But the NHS is looking to more stringently implement the guidelines<br />

set forth by NICE (National Institute for Clinical Excellence),<br />

which ensure that patients will be offered up to three cycles of IVF<br />

or ICSI on the NHS, if they fulfil the following criteria:<br />

• The woman is aged between 23 and 39 years of age<br />

at the time of treatment.<br />

• Either partner has had fertility problems for three years or more.<br />

• Either partner has a diagnosed infertility problem such<br />

as a blocked fallopian tube or an absence of sperm.<br />

Partial treatment coverage by the NHS can still decrease fertility<br />

costs significantly, as well as other treatment fees. This means that<br />

there could be a significant decrease in the total cost of infertility<br />

treatment packages including the cost of fertility drugs, scans and<br />

consultations. With NHS funding, infertility treatment costs are<br />

typically reduced by £1,000 to £2,500.<br />

Reach out to family and friends<br />

Family help is often the solution for many couples. If you are comfortable<br />

doing so, express your financial difficulties and your needs<br />

with family members. Know your facts before you do - including<br />

how much money you would need for fertility treatments, and for<br />

what length of time. Then, see if anyone is willing to help. But<br />

remember, the price of fertility treatment is only ever a rehearsal to<br />

the forthcoming costs of raising children!<br />

www.fertilityroad.com<br />

55


FERTILITY ROAD<br />

GUIDES/ ALTERNATIVE<br />

Helping you plan for every stage of your journey...<br />

But take note, self-fertility to the reproductive organs must only<br />

be performed before pregnancy and not during your period, and<br />

techniques must be done correctly, so it’s worth reading up in<br />

detail or taking expert advice on exactly how it will benefit you,<br />

because everybody reacts differently.<br />

The recognised massage techniques<br />

in self-fertility massage are as follows<br />

• Chi Nei Tsang<br />

• Deep Tissue Massage<br />

• Myofacial Release<br />

• Acupressure<br />

• Reflexology<br />

• Castor Oil Therapy<br />

MY<br />

MASSAGE<br />

THERAPY<br />

Massage is one of the best natural remedies to<br />

eliminate those feelings of stress and anxiety so<br />

associated with fertility, and has been scientifically<br />

proven to trigger the release of endorphins – the<br />

body’s natural pleasure providers.<br />

Even gentle stroking can be used to produce feelings of comfort<br />

and wellbeing, while a deeper massage can help you to relax,<br />

affecting positively body systems so as to control heart rate, blood<br />

pressure, respiration and digestion.<br />

Relaxation – and the reduction of stress hormones such as<br />

cortisol and norepinephrine, which weaken your immune system<br />

– is crucial in the battle to maintain a body that is in its best<br />

fertile state, and massage is a great way to restore peace of mind<br />

throughout a potentially fraught time in your life.<br />

<strong>Fertility</strong> massage (as shared massage or self-massage) encompasses<br />

several complex massaging techniques, the combination<br />

of which can have a tremendously beneficial effect in terms of<br />

increasing blood flow and nutrients to the organs, mainly due to a<br />

freeing of tissues that can become overgrown and cause obstructions,<br />

for instance in the fallopian tubes.<br />

It can also help relieve symptoms that result from a painful<br />

menstrual cycle, not to mention the knock-on effects of cysts,<br />

fibroids and endometriosis.<br />

Many women report immediate positive after-effects, though<br />

given that you are putting your body through a cleansing period,<br />

there can result complaints in terms of a slightly heavier period,<br />

soreness, or increased bowel movements. But in the grander<br />

scheme of things, these are merely indicators that your body is<br />

ridding itself of old adhesions, clogged matter and blood clots.<br />

There are a number of oils typically associated with fertility,<br />

including clary sage, lavender and tea tree. You should always<br />

seek advice before using an oil though given potential allergies or<br />

There are a number of oils<br />

typically associated with fertility,<br />

including clary sage, lavender<br />

and tea tree. You should always<br />

seek advice before using an oil<br />

though given potential allergies<br />

or breathing complaints.<br />

breathing complaints, and oils should always be diluted in a carrier<br />

oil such as apricot kernel oil, sunflower oil or sweet almond oil.<br />

More and more alternative oils have come onto the market<br />

over the course of the last decade, each aimed at different areas<br />

of the body and each providing varying levels of impact and<br />

relief, depending upon your requirements. These range from the<br />

use of basil (an invigorating fragrance that helps in staying alert<br />

and clearing the mind), to ginger zingiber (a traditional Chinese<br />

remedy that has a warming effect and aids digestion) to neroli<br />

(AKA orange blossom, which is calming and soothing during<br />

times of stress), or good old-fashioned rose (known as the ‘queen<br />

of oils’ for its affinity to the female system and sweet floral aroma).<br />

Finding the right oil is essential in creating a massage therapy<br />

that works for you and your circumstances. There are countless<br />

reference sources available, but remember to consult expert<br />

advice at whatever stage of the fertility journey you are at, to<br />

ensure that you choose something that is tailored to you, and will<br />

offer maximum therapeutic impact.<br />

56 fertility road | january - february


HARLEY STREET FERTILITY CENTRE<br />

MAURITIUS<br />

HAVE YOUR TREATMENT AND HOLIDAY ON A TROPICAL ISLAND!<br />

<strong>Fertility</strong> Problems?<br />

Having difficulty in conceiving?<br />

Repeated IVF failures?<br />

Why not enjoy the sunshine and<br />

beautiful beaches in Mauritius while<br />

having your fertility treatment in total<br />

confidentiality?<br />

Why pay more in Europe, when you can<br />

have the same expertise and<br />

technology including a 10-day holiday<br />

in a tropical paradise?<br />

The Centre is headed by Dr Rajat Goswamy,<br />

FRCOG, who has been providing IVF<br />

treatments since 1982 in UK and is renowned<br />

for innovations in IVF, Ultrasound and Keyhole<br />

surgery. He and his international team have<br />

been providing fertility treatments on the<br />

island since 2002.<br />

The Centre takes great care in providing a high<br />

standard of services using the latest<br />

techniques, in a caring, relaxed and supportive<br />

environment maintaining privacy and dignity.<br />

Harley Street <strong>Fertility</strong> Centre<br />

Address : Georges Guibert Street Floréal<br />

Telephone : (230) 686 2525 - Fax : (230) 697 85 72<br />

Email : hsfcmauritius@intnet.mu<br />

The Centre provides a wide spectrum of <strong>Fertility</strong><br />

treatments including:<br />

• IVF - In Vitro Fertilisation<br />

• ICSI - Intra Cytoplasmic Sperm Injection<br />

• Assisted Hatching<br />

• Testicular Sperm Extraction<br />

• Aneuploidy screening<br />

Success rates at the Centre for these treatments<br />

have been consistently above 40 %<br />

• Laparoscopic Surgery for<br />

Endometriosis<br />

and Polycystic Ovaries (PCO)<br />

• Hysteroscopic Surgery for fibroids, polyps, and<br />

intra-uterine rine adhesions<br />

These keyhole surgical procedures are<br />

performed at<br />

Fortis Clinique Darné.<br />

Pregnancy rates following these procedures match<br />

those obtained with the artificial reproductive<br />

techniques listed above.<br />

For further information about us, and on treatment<br />

packages which include hotel accommodation, visit<br />

our website : www.harleystreetfertility.comww.harleystreetfertility.comw


SCIENCE | genetic counselling<br />

WORDS | AMY VANCE<br />

GENETIC<br />

COUNSELLING<br />

EXPLAINED<br />

Amy Vance, MS, GCC, and founder<br />

of Bay Area Genetic Counselling<br />

explains the importance of genetic<br />

counselling and family history risk<br />

assessment for ovum donors.<br />

What is Genetic Counselling?<br />

Genetic counselling is the process of helping people understand<br />

and adapt to the medical, psychological and familial implications<br />

of genetic contributions to disease. This process integrates:<br />

• Interpretation of family and medical histories to assess<br />

the chance of disease occurrence or recurrence.<br />

• Education about inheritance, testing, management,<br />

prevention, resources and research.<br />

• Counselling to promote informed choices and adaptation<br />

to the risk or condition.<br />

• The purpose of the genetics consult for ovum donors<br />

• Ovum donors are typically screened through the use of a<br />

family history questionnaire as part of their profile, usually<br />

focusing only on first degree relatives and grandparents.<br />

The majority of questionnaires omit half-siblings, nieces,<br />

nephews, aunts, uncles, and cousins.<br />

Most gamete donor programmes do not utilise genetic counselling<br />

services for family history risk assessment (hereafter called genetic<br />

risk assessment, or GRA) and do not obtain a three generation<br />

pedigree (family history). If a donor has a positive genetic test result,<br />

many donor agencies do not refer for genetic counselling and do not<br />

adequately address the implications for the donor and her family.<br />

The benefits to intended parents<br />

Having a thorough review and interpretation of the family medical<br />

history helps ensure that intended parents have not only complete<br />

information but also interpretation of potential risks to their offspring.<br />

A copy of the family tree is provided to the intended parents for<br />

their records. For a couple using an anonymous gamete donor,<br />

this may be the most detailed information they receive about the<br />

medical history of their offspring’s family.<br />

Sometimes there is new information that comes up during the<br />

genetics consult that was not elicited by the profile, or there is<br />

a genetic test result on the donor which is positive. These are<br />

difficult circumstances that, on occasion, lead to the intended<br />

parent deciding not to go forward with the donor. Knowing this<br />

information prior to a pregnancy and having the opportunity to<br />

make decisions accordingly is important.<br />

Risk assessment includes:<br />

• Donor’s pregnancy history<br />

• Donor’s health history<br />

• Family history of mental retardation or birth defects<br />

• Personal or family history of stillbirth/miscarriage/<br />

neonatal death<br />

58 fertility road | january - february


ISSUE <strong>04</strong> | JANUARY / FEBRUARY 2011 £3.95/€4.95<br />

<strong>04</strong> WWW.FERTILITYROAD.COM<br />

Specific conditions occur<br />

more commonly in different<br />

ethnic groups. All are inherited in<br />

an autosomal recessive fashion,<br />

both parents have to be carriers<br />

for the same condition in order<br />

to have an affected child.<br />

Why is ethnicity important?<br />

In almost every population or ethnic group, certain genetic<br />

conditions occur more frequently than in the general population.<br />

Once a genetic mutation occurs in an individual or population,<br />

it is conserved from generation to generation over many<br />

years as people mate and marry with partners from the same<br />

geographic region or racial background as themselves. Specific<br />

conditions occur more commonly in different ethnic groups. All<br />

are inherited in an autosomal recessive fashion, meaning that<br />

both parents have to be carriers for the same condition in order<br />

to have an affected child. The only way to know if someone is a<br />

carrier for a recessive disorder is to have carrier screening.<br />

Why don’t all ovum donors have<br />

a genetic risk assessment?<br />

There are currently no regulations requiring a genetics consultation/family<br />

history risk assessment for ovum donors. In<br />

my practice I have attempted to promote awareness and<br />

utilisation of the GRA for ovum donors.<br />

WANTED<br />

FREELNACE<br />

ADVERTISING<br />

SALES EXECUTIVE<br />

VIBRATION MEDIA<br />

KEY OBJECTIVES<br />

To sell display advertising from your home over or other<br />

location within one (or more, if required) of Vibration Media’s<br />

titles/projects. Working to volume and revenue targets,<br />

the role involves selling direct to clients and to advertising<br />

agencies. The role-handler is expected to working within<br />

the framework of targets and publishing deadlines, actively<br />

source new revenue streams, and positively represent both<br />

Vibration Media and it’s corresponding commercial brands<br />

at all times to build strong relationships.<br />

We are always looking for enthusiastic people to join us.<br />

If you feel that you can add to our success and want to be<br />

appreciated for your effort, send a CV and a brief overview of<br />

what you believe you can add to info@vibrationmedia.co.uk<br />

WWW.VIBRATIONMEDIA.CO.UK<br />

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

In summary, family history risk assessment for ovum donors<br />

by a genetic counsellor using a three generation pedigree<br />

provides enhanced information to the ovum donor programme<br />

to allow them to better screen their donors. It allows recipient<br />

couples to make informed decisions about potential genetic<br />

risks prior to donor selection and pregnancy and allows them to<br />

take advantage of technology such as PGD. It enhances the<br />

quality of service that is provided to the intended parent. At<br />

this time, some donor agencies do provide a GRA for matched<br />

donors. This information may be collected and provided to<br />

the IVF doctor for review with the intended parent or sometimes<br />

it is provided to the intended parent.<br />

Intended parents can empower themselves by asking their<br />

donor agency/IVF centre whether a GRA has been performed,<br />

and whether they can obtain a copy for their records. If a<br />

GRA has not been performed, intended parents can<br />

request that this occur. If more intended parents see the<br />

value in the GRA and request that it be done, it may become<br />

standard practice in the future.<br />

Bay Area Genetic Counselling provides risk assessment to<br />

gamete donors and all couples undergoing IVF at Zouves<br />

<strong>Fertility</strong> Centre. Contact Amy at amy@bayareagc.com or by<br />

calling 001 415 453 4384 www.bayareagc.com<br />

YOUR PATH TO PARENTHOOD<br />

ZITA<br />

WEST<br />

EXCLUSIVE<br />

READER<br />

Q&A<br />

WWW.FERTILITYROAD.COM<br />

DOWN'S<br />

SYNDROME<br />

The tests explained<br />

NEW YEAR<br />

NEW YOU<br />

Fitness, health<br />

and fertility<br />

“Having children<br />

ISSUE<br />

Jo Joyner is a gift”<br />

COOKING TO CONCEIVE CO-PARENTING FERTILITY CONSULTANTS<br />

ADVERTISE<br />

HERE!<br />

CALL US ON<br />

+44 (0)208 316 4323<br />

OR E-MAIL US AT<br />

ADVERTISING@FERTILITYROAD.COM


PensThatCommunicate_Fertily<strong>Road</strong>_Advert-HalfPage:Layout 1 14/7/10 12:07 PM Page 1<br />

Promote Your Clinic<br />

with <strong>Fertility</strong> Pens<br />

Looking for something different?<br />

Break through the marketing clutter with a new and<br />

innovative range of 3D promotional pens.<br />

The new range provides marketers with a quirky<br />

alternative to keeping your brand top of mind.<br />

Whilst most pens simply promote a company or brand<br />

name, their ever evolving range of pens, like our Floating<br />

Action Retro or 3D Miniature Character Pens, take this one<br />

step further to truly bring your brand to life.<br />

Your logo here<br />

rASK<br />

about PVC<br />

coasters to<br />

promote your<br />

clinic<br />

rADD<br />

your logo<br />

&<br />

CUSTOMIZE<br />

the colours<br />

LONDON<br />

7 Royalty Studios, 105 Lancaster <strong>Road</strong><br />

Notting Hill, London W11 1QF<br />

E dani@pensthatcommunicate.com<br />

P +44 (0) 79 57 302 419<br />

POSTAL<br />

PO Box 634 Surry Hills, NSW 2010 Sydney Australia<br />

M +61 418 442 350<br />

F +61 2 8078 0126<br />

E luke@pensthatcommunicate.com<br />

Check out our full range of promo products at<br />

www.pensthatcommunicate.com


SCIENCE | osteopathy<br />

THE GOVERNING<br />

BODY<br />

Osteopathy is the treatment of muscles, ligaments, nerves<br />

and joints in assisting the body’s natural healing ability.<br />

It involves gentle, manual techniques in order to ease<br />

pain, reduce swelling and improve mobility. It can<br />

also alleviate backaches during pregnancy, emotional problems,<br />

exhaustion, impotence, infertility, and menstrual pain along.<br />

Cranial osteopathy, concentrated on the skull, has in the past<br />

been reserved for helping babies and children after the experience<br />

of birth, or those of other ages suffering skull injuries. Yet increased<br />

research into alternative therapies suggests that this technique<br />

could have huge benefits for couples looking to start a family.<br />

Cranial osteopaths work on detecting stress points, releasing<br />

energy from these areas in order to bring about relief. This subtle<br />

type of osteopathic treatment uses gentle techniques to release<br />

stresses within the body and the head. It uses the body’s ‘Involuntary<br />

Motion’ - a rhythmical shape change present in body tissue.<br />

All types of osteopathic therapists are trained to feel subtle<br />

body motions and they can easily locate areas where there are<br />

restrictions or congestions.<br />

Osteopathy in preconception<br />

There are many specialist osteopaths, and the best of those will<br />

quote up to a 25% success rate for treatment leading to an overcoming<br />

of fertility problems. The belief is that your body can be<br />

slightly twisted and misaligned, something which can make muscles<br />

‘catch’ on arteries, thereby blocking the flow of blood and hormones.<br />

Of course, many women do fall pregnant despite these twists<br />

and catches, but for others, unexplained infertility has been<br />

alleviated. And even those who don’t fall pregnant can find that<br />

unbalanced hormones and misalignments in something like the<br />

neck can have effects on longstanding pains in the body.<br />

Osteopathy and acupuncture<br />

Osteopathy and acupuncture are both closely linked in that one is<br />

said to lead naturally to the other, due to the shared relationship<br />

and movement of the body and blood flow, something that can be<br />

obstructed by posture and alignment.<br />

Evidence suggests that there is a strong connection through the<br />

middle of the body which can become unaligned through childhood<br />

illness, accidents or stress. If uncorrected, it can exacerbate problems<br />

in other areas of the mid-line, most notably the pelvis, where the<br />

reproductive system is based. This is why people with infertility<br />

issues are likely to notice positive changes through this therapy.<br />

And remember, osteopathy can be either on the area or via the<br />

use of cranial point contact, which realigns the plates of the skull.<br />

Osteopathy for mothers<br />

A mother slowly adapts to carrying 20lbs of baby, water and<br />

placenta during pregnancy, and this obviously places a great strain<br />

on the body that can manifest itself in a number of different ways.<br />

Osteopathic treatment has, for some patients, been shown to<br />

alleviate stresses in the following ways:<br />

• In helping the body cope with the increasing weight<br />

of the baby and fluid.<br />

• In preparing the mother for the demands of labour.<br />

• In assisting the mother’s recovery after the pregnancy and delivery.<br />

• In helping to limit the pressure of post-birth lifting, carrying and<br />

general strains on the spine and pelvis at a time when the body<br />

is fragile and trying to adapt back to its pre-pregnancy state.<br />

• In helping to reduce other aches and pains, plus Sciatica<br />

and Symphysis Pubis Dysfunction<br />

Finding a good Osteopath<br />

As always, word of mouth is one of the best ways to source any<br />

specialist, particularly when it comes to alternative therapies.<br />

Otherwise, consult an official body such as the General Osteopathic<br />

Council.<br />

A good osteopath will recommend abandoning treatment if<br />

the patient does not feel any considerable improvement after<br />

three or four sessions, though a large percentage of patients<br />

report impressive benefits throughout all stages of the fertility<br />

and pregnancy progress.<br />

www.fertilityroad.com<br />

61


READER STORY | letter from the heart<br />

‘‘<br />

LETTER<br />

FROM THE<br />

HEART:<br />

PALI’S<br />

STORY<br />

Pali Panesar, 39, had 13 cycles<br />

of IVF before surrogacy provided<br />

her dream result…<br />

I<br />

am<br />

39 and my husband, Swarn, is 42, and the path to<br />

parenthood has been a 12-year journey for us, but one<br />

that finally gave us a happy ending in 2010.<br />

Right back at the start, around the time of the Millennium,<br />

we tried as couples do, each month hoping for the right<br />

result and expecting everything to click. A year or so passed, and<br />

with nothing happening we realised it was time to visit our GP.<br />

Our inability to fall pregnant was unexplained, and the longer it<br />

went on the further away my dream of three children seemed<br />

to become. I had a couple of procedures, a laparoscopy and a<br />

hysteroscopy, but with nothing really prevailing.<br />

We had to move on, so went private and took our first IVF<br />

cycle when I was 31. We were hopeful and positive that it would<br />

produce a good number of eggs. I had quite a large dropout rate<br />

but still had quite a few to transfer.<br />

Nothing happened the first time, but on cycle number three I<br />

actually did fall pregnant, only to suffer a heartbreaking miscarriage<br />

at 11 weeks. I picked myself back up again and continued along<br />

the road taking different treatments and, after cycle eight, changed<br />

clinics from where I had been in Harley Street, visiting Cyprus and<br />

north India, yet continued to encounter negative results.<br />

It was tough going. After so many disappointments, the idea<br />

of surrogacy came along, as did adoption. I had got to the point<br />

where I thought ‘I just cannot physically do any more’. Anyone<br />

who has been through this will know the emotions involved –<br />

the time off work, the trauma, the depression, each time believing<br />

and hoping. I was long past the point of my dream scenario of<br />

wanting three children; just one would be a blessing.<br />

After attending meetings about adoption we didn’t think<br />

we were ready to jump onto that ladder. Given that my<br />

husband and I are Indian, the adoption agency made it clear<br />

that they would rather place babies with parents who have their<br />

similar cultural and religious background. We felt we were at a<br />

disadvantage because there are very few Indian babies in the<br />

UK who come up for adoption.<br />

The idea of international adoption actually led us on to<br />

thinking about surrogacy. We’d ruled it out before but now<br />

weren’t so sure we should. We did a bit of soul-searching and<br />

answered a few honest questions. I think that has to be done,<br />

whoever you are. You have to ask yourself what you are prepared<br />

to do, and what lengths you are willing to go to in order to<br />

achieve it. Of course, there are so many questions, and you can’t<br />

expect to have all of the answers all of the time, but with the<br />

support of our families we felt this was right for us.<br />

62 fertility road | january - february


We started our research, and India seemed the best option. The<br />

internet was brilliant for giving us a broad cross-section, with<br />

specialist sites such as www.surrogacy.co.uk offering a really<br />

good handle on what surrogacy is about, the mindset involved,<br />

and what goes into it. A number of the American sites were<br />

useful, while the British Embassy in India’s online resource<br />

issues a paper that serves to answer a lot of queries.<br />

We spoke to a few clinics and got the lowdown - it was pretty<br />

much the same thing everywhere. But then we were pointed in<br />

the direction of the The Origin <strong>Fertility</strong> clinic in Mumbai. It was<br />

a new clinic, just three years old, but owners Dr Mane and<br />

his wife were educated and had practised in the UK. Now<br />

even though I’m of Indian blood, I’m a UK-born citizen, and I<br />

know that communication across languages and cultures can<br />

sometimes be difficult. I knew that I couldn’t take that chance<br />

whereby we lost the ability to communicate properly with our<br />

specialists. Using Origin cleared that obstacle.<br />

I actually work in a healthcare company so, in addition, I<br />

knew Origin were affiliated with all the correct bodies in the<br />

UK, and I was happy to put my faith in them.<br />

In some parts of India they believe that the practitioner<br />

knows everything, and that is that. It’s not an attitude that I<br />

could live with given how personal IVF is. In the UK we have<br />

freedom of speech and we can ask questions of the practitioner<br />

at every step along the way - that’s the way we work. If<br />

someone tells you to take three tablets a day, you need to have<br />

the right to ask them why. But Mumbai is very modern, and<br />

the clinic was very Western in its approach. Our consultant<br />

spoke perfect English, his standards were very British, and he<br />

Dr Mane shapes his team based<br />

on his own values. He gave me<br />

and my situation so much time and<br />

listened to everything that I wanted.<br />

operated with a complete set of standards that had to be<br />

followed by everyone he affiliated with. It was such a relief.<br />

And when, after my initial emailed enquiry, Dr Mane picked up<br />

the phone to discuss my situation, I was amazed – what consultant<br />

rings you back from just an email? It was amazing! We had a<br />

conversation for an hour, and given that I was, that day, on my way<br />

out to India for an unconnected matter, I arranged to make a<br />

diversion so that I could visit the clinic. I was still in a big mess<br />

emotionally, and cried a lot when I spoke to them, but we talked<br />

around all the different things. By the end of my visit though I was<br />

convinced I would take my cycle there. We were back on the road.<br />

That was in November 2009, and in February of last year we<br />

went out and did the cycle, using my eggs and a surrogate<br />

mother. It went very well and we were fortunate in that we now<br />

have beautiful twin boys, Ariyan and Jaiden. Although there<br />

were small complications during the pregnancy, everything was<br />

managed fantastically - I couldn’t have hoped for a better end.<br />

Immediately after the procedure, and not knowing what was<br />

going to happen, I remember writing in Origin’s guestbook that<br />

no matter what happened, it was the best treatment cycle I’d<br />

ever had. The attention to detail was incredible and it was<br />

all about my circumstances, not those of others who had<br />

done identical treatments.<br />

Dr Mane shapes his team based on his own values. He gave<br />

me and my situation so much time and listened to everything<br />

that I wanted, to the point that when the twins were due. He<br />

and our surrogate allowed us to be present at the birth.<br />

It was a perfect end to a long journey. To do 13 cycles was<br />

unlike me - I’m not an obsessive person, but with hindsight, I<br />

realise how much I wanted it. We felt as if we had<br />

everything else we needed in life, yet this was the<br />

one missing piece of the jigsaw. We wouldn’t have<br />

forgiven ourselves if we hadn’t done everything<br />

within our power to try to fulfil our dreams.<br />

The support we’ve had away from the clinic was<br />

incredible as well - I’ve got very loving sisters and<br />

they were a pillar of support for me. At times I<br />

couldn’t even talk because it was so close to home,<br />

though through the heartache and the counselling,<br />

I’ve learned that your problems aren’t as bad as you think they<br />

are – you have other things in life and sometimes you need to sit<br />

up and make sure you look at the bigger picture. It’s easy to say<br />

that after the event, and at the time you feel as though you’re a<br />

failure, but it is true.<br />

Infertility is a disability but it isn’t an obvious one. Sometimes<br />

I’d wish that the consultant would come out and give a definite<br />

reason as to why I couldn’t hold on to a pregnancy, but that was<br />

never there. As long as you get to the point though where you<br />

accept you have to try a different route, and as long as you’re<br />

willing to attempt everything that’s within your reach – from<br />

IVF to Chinese herbs and Indian potions – then do so, because<br />

you never know what might happen... and the rewards are better<br />

than you could ever imagine.<br />

The Origin International <strong>Fertility</strong> Centre<br />

Opp Hiranandani Meadows, Off Pokhran Rd 2, Thane (W) 400610,<br />

Mumbai, India. Tel: 0091-22-21712345/40, Fax: 0091-22-21712341<br />

info@theoriginfertility.com - www.theoriginfertility.com<br />

www.fertilityroad.com<br />

63


HEALTHY NATION 2011 – 2-4 MARCH 2011 – KIEV, UKRAINE<br />

The Second International Medical Tourism exhibition comprises<br />

both the tour life & new life that demonstrate trends in the<br />

medical services market in Ukraine and abroad.<br />

Healthy Nation is supported by Cabinet of Ministers, Ministry of Foreign Affairs, Ministry of<br />

Health, Ministry of Tourism, etc. in Ukraine. The event is the part of the Concept-State<br />

targeted social program Healthy Nation during 2009-2013 years! The program targets<br />

the rise in living standards of Ukrainian nation and its longevity.<br />

Each section of the exhibition includes vast scientific program: seminars and conferences,<br />

master classes of domestic and foreign experts in 11 modern conference halls that can each<br />

accommodate upto 500 delegates, and located in the International Exhibition Center.<br />

The event is obligatory to visit for most of the doctors, specialists and officials in the<br />

healthcare and related fields due to the imperatives of Ministry of Health of Ukraine<br />

and profile Associations.<br />

EMAIL: INFO@TREEX.COM.UA<br />

WWW.TREEX.COM.UA<br />

SUBSCRIBE TO FERTILITY<br />

ROAD TODAY AND SAVE!<br />

<strong>Fertility</strong> <strong>Road</strong> is Europe’s number one fertility magazine, aimed at guiding women and men on the<br />

path to parenthood. Its lifestyle-feel is a breath of fresh air in an industry sometimes obsessed with<br />

science, and in each issue we offer you the stories behind top celebrity names, plus advice, information<br />

and stimulating features from some of the UK’s most accomplished fertility writers, tackling issues<br />

ranging from health, diet, finance and travel, through to law, exercise and same-sex parenting.<br />

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

YOUR PATH TO PARENTHOOD<br />

ZITA<br />

WEST<br />

EXCLUSIVE<br />

READER<br />

Q&A<br />

ISSUE <strong>04</strong> | JANUARY / FEBRUARY 2011 £3.95/€4.95<br />

WWW.FERTILITYROAD.COM<br />

DOWN'S<br />

SYNDROME<br />

The tests explained<br />

NEW YEAR<br />

NEW YOU<br />

Fitness, health<br />

and fertility<br />

We showcase the latest developments and present your heartfelt and often optimistic stories.<br />

SUBSCRIBE NOW! You can subscribe by emailing subscriptions@fertilityroad.com or by following<br />

the ‘Subscribe Now’ link online at www.fertilityroad.com. Alternatively cut out this form and send<br />

it in the post to the address listed, attaching a cheque or postal order for the relevant amount.<br />

Yes, I would like to subscribe to <strong>Fertility</strong> <strong>Road</strong> magazine<br />

3 issues for £10.35 6 issues for £18.30 p&p is free Mobile No<br />

Your Details:<br />

Email<br />

“Having children<br />

is a gift”<br />

Jo Joyner<br />

ISSUE<br />

SUBSCRIBE<br />

TODAY<br />

AND SAVE<br />

<strong>04</strong> WWW.FERTILITYROAD.COM<br />

COOKING TO CONCEIVE CO-PARENTING FERTILITY CONSULTANTS<br />

£££’s<br />

Name<br />

Address<br />

Signature<br />

Date<br />

Post code<br />

To receive great offers, news, products and service information<br />

from <strong>Fertility</strong> <strong>Road</strong>, via email and SMS please tick this box<br />

Send subscriptions to:<br />

<strong>Fertility</strong> <strong>Road</strong> magazine, Suite 318, Building 50, Argyll <strong>Road</strong>, Royal Arsenal, Woolwich, London, SE18 6PP.<br />

64 fertility road | january - february


FERTILITY ROAD<br />

BOOKS<br />

Our review of the latest fertility titles…<br />

Fit for <strong>Fertility</strong><br />

- Michael Dooley<br />

Out now, £6.95<br />

One in six couples have problems conceiving<br />

and many more suffer the pain of miscarriage.<br />

Much of the advice they’re given is<br />

misleading or negative and IVF is often<br />

presented as the only option. In fact, it’s<br />

been shown that an integrated approach<br />

to fertility treatment can achieve the same<br />

success rates as IVF, without medical intervention,<br />

worry and expense.<br />

This is Michael’s approach and is based<br />

on his hugely successful Fit for <strong>Fertility</strong><br />

programme that combines changes to lifestyle,<br />

good nutrition and complementary<br />

therapies. Fit for <strong>Fertility</strong> will allow the<br />

reader to self diagnose and tailor their<br />

programme according to their needs.<br />

His Poundbury Clinic in Dorset also offers<br />

fertility retreats – call 01305 262626.<br />

The Everything ® <strong>Fertility</strong> Book<br />

- Nicole Galan, RN<br />

Out now, £10.99<br />

Infertility can be a frustrating and heartbreaking<br />

disorder compounded by complicated<br />

treatments and so-called miracle cures<br />

on the market. In The Everything® <strong>Fertility</strong><br />

Book, couples can find the medical and<br />

holistic information they need to conceive<br />

and bear a happy, healthy child all in one<br />

convenient guide.<br />

It includes information on the side effects<br />

of the latest fertility drugs, yoga exercises<br />

that aid fertility, birth rates associated with<br />

various treatments and coping methods for<br />

dealing with loss.<br />

With this guide, getting pregnant doesn’t<br />

have to be a stressful process. Armed with<br />

knowledge and reassurance, couples will<br />

be ready to make the choices that work<br />

best for them.<br />

The <strong>Fertility</strong> Diet<br />

- Jorge Chavarro, Walter<br />

Willett and Patrick Skerrett<br />

Out now, £17.99<br />

The <strong>Fertility</strong> Diet reveals the latest scientific<br />

findings from The Nurses’ Health<br />

Study II, confirming that diet has a major<br />

impact on fertility. It is based on eight recent<br />

studies which comprise one of the<br />

largest and longest-running investigations<br />

into women’s health in America.<br />

The study, for which approximately<br />

18,000 nurses trying to become pregnant<br />

provided extensive information about their<br />

diets, lifestyles, health, reproductive histories<br />

and personal lives, has revealed some<br />

major surprises, and this book documents<br />

them in detail.<br />

The <strong>Fertility</strong> Diet reveals that what you<br />

eat and how active you are can definitely<br />

stack the reproductive deck in your favour.<br />

The Ultimate <strong>Fertility</strong> Guide<br />

- Andrew Loosely<br />

naturalfertilityexpert.com<br />

For the first time, after nine years of treating<br />

couples for fertility issues, Andrew Loosely<br />

reveals his successful fertility secrets. He<br />

explains the most important aspects for<br />

preparing your body for conception and<br />

some of the common elements that may<br />

be stopping you from having a baby.<br />

In a simple step-by-step programme, you<br />

will discover how to take control of your<br />

fertility plus learn some of the treatments<br />

that Andrew uses to produce a current success<br />

rate of 79% positive pregnancy in his clinics.<br />

Andrew strongly believes that to allow<br />

your body to conceive there are seven key<br />

areas that need to be in place. These are<br />

revealed to you in this detailed guide.<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 February 28, 2011.<br />

www.fertilityroad.com 65


FERTILITY ROAD |<br />

not forgotten<br />

It’s April 1955, and in an Apache Indian reservation north of Tucson, Arizona, in the United States, a 13-year-old<br />

girl is the centre of a gathering to celebrate her coming of age.<br />

She is called Little Cornflower, and is the latest in a long line of subjects who have had rites carried out,<br />

stemming from the legend of the famous White Painted Woman, an Apache Goddess.<br />

The four-day ceremony, conducted under the desert skies, welcomes townsfolk from all around, each<br />

bringing gifts of food. Little Cornflower is accompanied by her sponsor, a woman appointed by her family who<br />

has trained her in the rituals for many months. At one points she is blessed by the shaman, or medicine man. Her<br />

hair is sprinkled with pollen, the symbol of fertility, and she kneels on the sacred white deer rug.<br />

The US government actually made this ceremoney illegal from the start of the 1900s, and it stayed that way<br />

until the publication of the American Indian Religious Freedom Act in 1978.<br />

Neither this publication nor its contents constitute an explicit endorsement by Vibration Media, or by LRN Media, of the products or services mentioned in advertising or editorial content. The editorial<br />

content in this publication does not necessarily represent policies or recommendations of Vibration Media or LRN Media. This publication is not intended to be exhaustive. While every effort has been<br />

made to ensure accuracy, neither Vibraton Media nor LRN Media shall have any liability for errors or omissions. Readers who have questions should consult their healthcare providers or other competent<br />

sources of information and guidance. © All copyright Vibration Media unless otherwise stated. Reproduction in whole or in part without written permission is strictly prohibited.<br />

66 fertility road | january - february


iCandy pear multi-mode system<br />

Growing with your family...<br />

Over 20 practical combinations in 1 Patent Pending<br />

www.icandyworld.com


COST – LOW / SUCCESS – HIGH / WAITING – NIL<br />

CHOICE OF DONOR AND SURROGATES – MAXIMUM<br />

Helping dreams come true!<br />

At The Origin International <strong>Fertility</strong> Centre we’re proud to be able to offer<br />

the expertise and experience of British doctors, working with the world’s best<br />

fertility technology. Our clinic, already the largest in India, is rated in the top<br />

15 worldwide and, as well as being fully air-conditioned, offers WiFi throughout.<br />

The clinic was featured in the BBC World News due to it’s popularity.<br />

Surrounded by the intense cultural draw of Mumbai, The<br />

Origin International <strong>Fertility</strong> Centre is a brilliant<br />

destination for tourists... and for parents-to-be.<br />

Services under<br />

one roof include:<br />

IVF/ICSI<br />

Egg Donation<br />

Surrogacy<br />

Sperm Banking<br />

Embryo donation<br />

Laser Hatching<br />

Blastocysts Transfer<br />

Embryo Freezing<br />

Male factor treatment<br />

Vasectomy/Tubectomy reversal<br />

Advanced Laparoscopy to<br />

treat Fibroids, Endometriosis,<br />

Tubal disease, Polycystic Ovaries<br />

Advanced Hysteroscopy to treat Polyps,<br />

Septum, Adhesions, Tubal disease<br />

The Origin Centre • Opp. Hiranandani Meadows • Off Pokhran Rd No 2 • Thane (W)-400610 • Mumbai • INDIA,<br />

tel: 02079936377, 00912221712345/40 • fax: 00912221712341 • email: info@theoriginfertility.com<br />

www.theoriginfertility.com

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!