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GLMA 2009 Conference

by Mindy on September 23, 2009

Understanding the Healthcare Needs of Lesbian, Gay, Bisexual and Transgender Individuals

A growing number of medical societies, health plans, academic institutions, public health officials and others have recognized the need for healthcare providers to receive special training on how to meet the unique healthcare needs of lesbian, gay, bisexual and transgender (LGBT) individuals. This fall, the Gay and Lesbian Medical Association (GLMA) is hosting the 27th Annual Conference of the Gay and Lesbian Medical Association to address this need.

I am honored to be one of the featured speakers at this event discussing how gay and lesbian families can navigate the alternative family building journey through surrogacy.

The conference will be held on September 30 – October 3, 2009 at the Westin Washington, DC, City Center.  It is the world’s largest scientific meeting focusing on LGBT health, healthcare delivery, workplace discrimination, and healthcare education and offers up to 18 hours of continuing education for healthcare professionals. In addition to rich educational offerings, the conference provides ample opportunities to meet and socialize with other healthcare professionals, students and GLMA members.

More information about the Annual Conference, including a preliminary program of educational offerings, is available at www.glma.org/annualconference.

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Egg Banking: Ready When You Are

by Mindy on August 5, 2009

There are countless numbers of products available to women to slow the visible effects of aging, but what about the parts of the body that are out of sight? Now with egg freezing technology it possible to stop a women’s biological clock allowing them to “freeze” their fertility for the future.

Age matters in many aspects of life as well as in the creation of life. Women are most fertile between the ages 20 to 28 with their fertility decreasing in half by the time they are 35. By age 45, only a 1% chance remains each month of conceiving naturally. This is a startling fact considering the average age a woman has her first child has risen to record high of 25.1 with 20% of women waiting until they are 35 to begin their family.

 An increasing number of women choose to delay childbearing due to further schooling, career choice, or are waiting to find their perfect partner. While those choices are understandable and personal, as women naturally age so do their ovaries; affecting their fertility.  Oocyte cryopreservation, commonly known as egg banking, provides women up to the age of 38 with a chance to slow down their biological clock and effectively storing their fertility for the future.

 A women’s egg supply is finite therefore, freezing your eggs allows you to stop your biological clock until you are ready to conceive, increasing the odds of having a healthy successful pregnancy. Women are born with millions of eggs yet once they reach puberty only 300 of the 300,000 eggs left will have the chance to ovulate. The frozen eggs can be thawed at anytime to be fertilized with the sperm of choice and then refrozen as embryos for future in vitro fertilization treatment cycles.

 Egg banking is also an option that is highly recommended for women who have been newly diagnosed with cancer but have not begun medical treatments that may negatively impact their fertility. While treatments such as radiation and chemotherapy are lifesaving, they can potentially leave women infertile.  The ability to freeze viable eggs before undergoing cancer treatments instills hope for a family in the future.

 Egg banking, the newest technology available in the infertility field, is a wonderful option for those women who plan to delay childbearing for personal reasons or for medically induced situations. Since women do not continually reproduce more eggs over a lifetime, the availability of egg banking technology allows women to protect a precious resource and helps to ensure their fertility until such time that they are ready to begin a family.

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Sexually Transmitted Diseases and Infertility

by Mindy on July 29, 2009

I saw an interesting article in the Associated Press earlier this week that has prompted me to write this post.  In the article, a Wisconsin doctor claims that the number one public health threat that no one’s talking about is the epidemic of sexually transmitted diseases.  He cited STDs as one of the major causes of infertility and infant mortality.  See article here.  

If you’ve been trying to conceive and haven’t been successful, consider being tested for sexually transmitted diseases.  Many sexually transmitted diseases can lay dormant for years and many women who contract STD’s do not develop visible symptoms and therefore, do not know to seek treatment.

According to the Centers for Disease Control, chlamydia and gonorrhea are the most preventable causes of infertility.  The CDC sites about 2.8 million new cases of chlamydia every year in the United States and  718,000 new cases of gonorrhea.  Over time, these diseases can be silently damaging your ability to have a baby.  These STDs can cause an infection in your reproductive organs, know as pelvic inflammatory disease which can cause scarring of the fallopian tubes and make conception and pregnancy very difficult.

There are several ways to prevent STDs and monitor for them, as follows:

  • Always engage in protected sexual intercourse.

  • Get tested for STDs regularly.  The CDC recommends routine testing for all women over the age of 25. 

  • Learn the symptoms of STDs and seek medical help as soon as possible if any symptoms develop

  • Talk with your sexual partners about their sexual health and past sexual activities.

  • Delay having sexual relationships as long as possible – the younger a person is when they begin to have sex for the first time, the more susceptible they become to developing an STD

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International Surrogacy

by Mindy on June 22, 2009

The roots of commercial surrogacy in the United States began in the late 1970′s when a Michigan lawyer began the first surrogacy agency and set out to change the laws to make surrogacy legal. Now, surrogacy is legal in all but a handful of states, even though the specific laws vary from state to state.

So it comes as no surprise that the United States has become the preferred country for surrogacy among international prospective parents.  Some of the primary reasons I am seeing from some of my international clients are as follows:

•    Many European countries restrict couples from being able to explore surrogacy
•    European countries often restrict the number of embryos that can be created
Doesn’t allow for opportunity to create future genetic siblings
Doesn’t provide a back-up plan if the first IVF attempt is not successful
With the cost of IVF being so high, multiple attempts at continued retrievals may exceed financial reserves
Frozen embryo transfers can often defray some of these costs
•    In some countries, like Israel, surrogacy is restricted to married heterosexual couples. So gay couples are coming into the U.S. for help in having biological children of their own.”
•    Advanced technologies are superior in US
•    Economic recession has some U.S.-based clinics offering money back guarantees in the event a successful pregnancy is not achieved
•    Favorable exchange rates have made it attractive in this economy to explore services in the U.S.
•    Some programs are offering comprehensive packages to help international clients locate resources for their surrogacy arrangements in house
Streamlines the process with coordination all in one place
Identifies insurance protections and policies to mitigate financial risk factors during pregnancy or in the unlikely event of a catastrophe
Interpreters available well versed in medical and legal diction
Work closely with immigration attorneys to accomplish the necessary paperwork for visas, passports, birth certificates and social security status.

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Jude Andrew Adams Fund

by Mindy on June 11, 2009

I am proud to announce that Lotus Blossom Consulting has officially established the Jude Andrew Adams Charitable Fund to bring new life to families who are struggling to conceive.  motivation and intention in creating this grant is to offer a free fertility treatment for those who could not otherwise afford it.  To learn more about this fund and how it came to fruition, please click here.

Applications for a free treatment cycle are now being accepted.  The board of directors will select from applicants who meet the following criteria:

  • Have a history of infertility, and provide a physician documented medical indication for exploring IVF treatment along with the application
  • Demonstrate a financial need; defined as a gross combined annual income less than $80,000. A copy of the last two years’ IRS tax returns and two of the most recent pay stubs is required.
  • No insurance coverage for infertility treatments.
  • Do not currently have any children.
  • Be under age 40.
  • Be current legal citizens of the United States and living in the United States at the time of the award and subsequent treatment.

 

Thank you all for your help and support for this great cause. 

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When the Path to Parenthood is Not Linear

by Mindy on March 26, 2009

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.

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Patient Advocacy in Preserving Fertility

by Mindy on March 19, 2009

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.

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Patient Advocacy

by Mindy on March 6, 2009

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.

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E-Book Offers Options During National Infertility Awareness Week

by Mindy on November 13, 2007

CHICAGO, Nov. 6 /PRNewswire/ — Lotus Blossom Consulting, LLC, a Chicago-based infertility consultancy with clients around the world,announces the availability of their free E-Book, Financing Your Infertility Treatment, available on their website at http://www.lotusblossomconsulting.com. The E-Book addresses the financial aspects of infertility, and it will be available beginning with National Infertility Awareness Week, November 4 – 10, 2007, and beyond.

According to the American Society for Reproductive Medicine, most infertility cases — 85% to 90% — are treated with conventional medical therapies such as medication or surgery. Yet, infertility treatment can be costly, success rates are not guaranteed, and insurance benefits may be limited.

“Beyond simply the medical issues, there are so many factors to consider when dealing with infertility,” says Mindy Berkson, co-founder  Blossom Consulting. “Proper financial planning and utilization of insurance benefits in the right order can help you effectively minimize costs, maximize insurance benefits, and save significant out of pocket expenditures. Lotus Blossom’s E-Book can help.”

The E-Book, Financing Your Infertility Treatment, provides an overview of financing options available, with particular emphasis placed on individualized tax situations, specific insurance benefits, and the total financial resources available before undergoing the infertility journey.For more information on the E-Book, contact Lotus Blossom Consulting tollfree at (877) 881-2685, email consultant@lotusblossomconsulting.com or visit them on the web at http://www.lotusblossomconsulting.com.

ABOUT LOTUS BLOSSOM CONSULTING, LLCAs one of the first infertility consultancies in the United States,Lotus Blossom Consulting, LLC was founded by Mindy Berkson in 2005 after her own personal battle with secondary infertility. With extensive experience in all aspects of infertility, from egg donors and surrogates to in-vitro fertilization, Lotus Blossom Consulting works with individuals on a case-by-case basis, taking into consideration clients’ emotional,physical and financial infertility issues then develops an individualized,comprehensive plan, including relevant insurance information, to help clients make informed decisions. Lotus Blossom Consulting has worked with many individuals to enrich their lives by helping them to fulfill their dreams of having children.

For more information about Lotus Blossom Consulting, LLC, call tollfree (877) 881- 2685, email consultant@lotusblossomconsulting.com or visitthem on the web at http://www.lotusblossomconsulting.com.

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Acupuncture may reduce the success of IVF

by Mindy on November 3, 2007

MacKenna Roberts
Progress Educational Trust
27 October 2007

Previous studies had appeared to indicate a marginal increase in IVF efficacy or showed no obvious benefit, allowing some to scientifically postulate that the ancient far eastern medical practice of acupuncture might somehow affect certain muscles and glands of the nervous system to help the lining of the uterus become more receptive to embryo implantation.

The latest study evaluated the results of 97 patients with an average age of 35 who were randomly divided into two groups. One group received acupuncture for 25 minutes before and after embryo implantation. The pregnancy rate for the IVF group without acupuncture was 69.9 per cent compared to the 43.8 per cent less successful pregnancy rate for those who received the two-pronged acupuncture ‘therapy’ approach. Dr Craig suggested that other factors may have counteracted any therapeutic effect of acupuncture such as the stress from undergoing acupuncture just before IVF or from travel in traffic to external acupuncture clinics and onto IVF appointments.

Read full article…

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