When the Path to Parenthood is Not Linear
March 26, 2009 by Mindy Berkson · Leave a Comment
We understand that sometimes the pathway to parenthood is not linear. As frustrating as this is, reality requires us to make difficult choices and explore paths that we never imagined. Coming to terms with using a third party candidate can be a complicated and overwhelming process. In my experience, when clients can reach a comfort zone in selecting a candidate who meets close to their ideal criteria, the process becomes much more palatable.
So where does one begin the search? Some clinics provide in house egg donor recruiting programs. These programs tend to be small and often consist of only local donors. Due to their size, supply does not often meet demand and wait lists to select a candidate tend to be long. The agency route is another avenue. Agencies often have larger pools of available candidates, but weeding through profiles to identify ideal candidates can be time consuming and overwhelming.
Explore your resources. As an Infertility Consultant my focus is to advocate for the intended parents. Through carefully established strategic alliances with agencies nationwide, the consultants at Lotus Blossom Consulting have access to vast pools of qualified and available surrogate and egg donor candidates. Our match time is typically less than two weeks. We deliver to your email box targeted profiles to specifically meet your ideal criteria. There is no limit to the number of profiles you will have to choose from. The goal is to identify a candidate that appropriately suits your needs. But in addition, Lotus Blossom Consulting closely screens the agencies. We drive business only to agencies that are willing to include special clauses in their contracts for our client, which ensures that your financial risk factors will be mitigated in the event that a candidate does not pass your physician’s medical screening. This is one of our commitments to you in working as your advocate.
With our help, the complicated process becomes less overwhelming. Our very personalized touch and direct guidance in what to seek in an ideal candidate enables clients to focus their energies and emotions on other aspects of the cycle. Having the confidence to move through third party reproduction comes with knowing that you selected the right candidate, within a timeframe that is consistent with your course of treatment, and a budget that suits your financial reserves.
The journey through infertility need not be a fearful or overwhelming adventure. Identifying support, resources and guidance can save valuable time, preserve emotional well being and help to optimize the resources for your treatment cycle while minimizing the overall financial expenditure for the end family building goal. Being proactive in building the foundation for multiple cycles is simply acting prudent.
Patient Advocacy in Preserving Fertility
March 19, 2009 by Mindy Berkson · Leave a Comment
I am so honored to have the opportunity to sponsor a very special film entitled In The Family at the Women’s Resource Fair in Evanston Illinois. This very powerful and moving documentary eloquently displays and affords so many BRCA gene victims with education and information on a topic that is all too often stigmatized and avoided because it is too painful to discuss.
I believe the quote “…information really is a blessing. It’s a source of power.” perfectly depicts your relevant take away message.
I work every day with clients nationwide in your situation. Women who are facing the fear of the unknown, and or the inherent actuality of not being able to deal with the outcome of test results, or worst yet the reality of what options may exist, if any.
These are beautiful women in the prime of their reproductive years who need to know how best to maximize their chances of success while simultaneously increasing their opportunities for biological family building.
It pains me to see women so secretive, ashamed and feeling isolated and alone in this difficult decision making process.
It is my hope that In The Family delivers very powerful and important message to help women become their own best advocates as it relates to their health. Advocacy must start with education, awareness, information, and resources necessary to allow each one of us to make informed medical decisions.
In my experience, part of the decision making process that needs to be incorporated when dealing with test results or deciding whether or not to undergo testing is often influenced by the desire and innate need to have biological offspring. Perhaps if women knew and understood the available options today in the very advanced and technologically savvy world of in-vitro fertilization, the difficult decisions that have to be made, could be lessened by the increase in reproductive opportunities available today for the future.
The newest technology to enter the infertility arena is Egg Banking. This technique allows women to freeze their own biological eggs for use in the future. Egg banking is available to women up to 38 years of age. It is a wonderful new option for those who have put off child bearing for careers, for finding the right partner, and also for those who may have suffered medical diagnosis that could compromise future fertility.
Freezing eggs allows women to avoid having to use an anonymous sperm donor until they are ready to fertilize the eggs, at which time they may have identified a known sperm donor. Another advantage of egg banking is that eggs can be thawed in the future, fertilized with sperm of choice and then refrozen as embryos for future in vitro fertilization treatment cycles. This fast growing and very new technology offers more choices and much more flexibility with fertility treatment options for the future.
If you are interested in more details, I will be sharing in detail this option as well as many others on Saturday March 21st at 3:15 in my presentation entitled Conceivable Options: Exploring Fertility Choices. The Unitarian Church 1330 Ridge Avenue, Evanston, Illinois.
Patient Advocacy
March 6, 2009 by Mindy Berkson · Leave a Comment
As an Infertility Consultant, I am horrified and embarrassed that octuplets were allowed to be created, and the industry has been burdened by the wrath of their birth these past few weeks. The news stories have been less than flattering, and rightfully so. But it is unfair that one story gone awry should cloud what the industry as a whole has to offer. Infertility treatments have helped so many to achieve their dreams of parenthood. These success stories cannot be mitigated.
Now more than ever it is vital to focus on education. Empowering the patients with information about the risks and potential outcomes associated with given procedure, and helping patients to determine an appropriate level of risk given their particular situation and individual risk adversity.
I understand completely, the exhaustive process that infertility involves. It affects every emotion, both in one’s personal and professional life, it greatly impacts one’s financial resources, and physically, continued treatments take a toll on one’s body.
And if this is not enough there are still many factors that need to play into the decision to undergo in vitro fertilization (IVF) treatments. These are the moral and ethical debates. What to do with embryos that have been frozen for future embryo transfer attempts once your family is complete? Should we be able to create more embryos then we intend to transfer so that we can use these embryos for future genetic siblings?
I started my company, Lotus Blossom Consulting after having walked in the shoes of these women who are tortured by these very difficult decisions and face the same crap shoot each time they undergo an IVF treatment. There are no guarantees. The stakes are high financially and emotionally, as well as the desire to pursue each attempt is inflated by the basic and often innate desire to procreate. So how does one strike the appropriate balance when attempting to achieve their end family building goals?
There is no one solution. Each individual is required to make choices that are often very risky. Choices, however, need to fall within the parameters and suggested guidelines that are set in place and congruent with industry standard. These guidelines although suggested, do act in the patients’ best interest. In the recent case of the octuplets certainly, this intended mother should have considered, or been required to undergo four separate frozen embryo transfers limited to only two embryos each. These multiple transfers would have limited the exponential potential risk factors associated with multiple births. The intended mother would have had the same opportunity of achieving her goal of a large family, but the pathway to parenthood would have afforded her a chance at a similar outcome with much less risk to herself and the all of the offspring.
We need to learn from this graphic mishap and move forward with measures to appropriately balance hope with caution. These efforts emanate from education and awareness. Education is empowering. Education needs to include:
• Having a clear understanding of your treatment options and the success rate of each given opportunity at a particular embryology laboratory
• Assuming appropriate risk factors emotionally, physically and financially for each individual situation
• Formulating a clear cut treatment plan, treatment philosophy with specific boundaries to guide you
• Using the above established guidelines to know when to change the course of treatment
• Understanding informed medical consents, risks and benefits before signing and undergoing any treatment
These are the necessary elements that allow you to be your own best advocate through the process.
Being your own best advocate requires effort and commitment. Keep copious notes of your consultations, ask for medical records and test results. In the event that you decide to obtain a second opinion, the information does not need to be re-gathered. Learn about your condition, your options for treatment, and the success rates for couples in your situation. Doing your research will enable you to effectively discuss your situation with your healthcare team. Learn to advocate for yourself by being assertive, staying informed, asking questions, and keeping records. Be certain you get what you need from your healthcare team.
Patient advocacy is more important than ever in order to keep up with the advancements of medical innovations and technologies available to us today. With these advancements come responsibilities. These responsibilities demand a level of conscientiousness, and this needs to be distributed among those who offer and those who receive the benefits.
