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Fertility Journeys

Free Donor Egg IVF Treatment With Oregon Reproductive Medicine

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Oregon Reproductive Medicine

Oregon Reproductive Medicine are offering Donor Egg IVF Treatment With Genomic Screening.

APPLICATION FORM AT THE BOTTOM OF THE PAGE

After the birth of Chris & Anne’s baby girl in November, we are excited to announce that the team at Oregon Reproductive Medicine is committed to helping another couple or individual fulfill their dream of building a family by offering a free donor egg IVF cycle with genomic screening.

Located in the beautiful and peaceful Pacific Northwest, Oregon Reproductive Medicine (ORM) has been helping create families for over 25 years. Founded with the goal of building the best fertility program possible, we are a leader among US clinics when it comes to IVF involving an egg donor and / or a gestational surrogate and the integration of reproductive genomics into every cycle. Patients come to ORM from over 40 countries for help building their families. ORM is recognised globally for its consistently high live birth success rates, individualised care, and innovation leadership. Our team of more than 115 people – including our 7 reproductive endocrinologists, nurses, embryologists, genetic counsellors, psychologists, patient coordinators, donor coordinators, financial counsellors, acupuncturists among others – cherish the work they do each day with our patients and are committed to helping each of them have the very best chance of success on the first attempt and a healthy baby.

Our embryology laboratory was designed as a clean-room, utilising the expertise of Intel clean room facility engineers. This helps make an in vitro environment for embryos that is as close to the conditions inside the human body as possible. This industry-leading facility and the work of our phenomenal embryologists is one of the key ingredients to our consistently high live birth success rates.

Patient
Oocytes
Donor
Ooctyes
<35 35-37 38-40 41-42 All Ages
Frozen Embryo Transfer
ORM[1] 68% 69.7% 56.2% 57% 65.2%
CCS-Tested 71% 78% 69^ 64% 74%
US National Average[1] 46.6% 44.0% 38.3% 32.1% 41.5%

(1) As reported in the Centres for Disease Control for the 2014 Assisted Reproductive Technology Fertility Clinic Success Rates Report and includes both single and dual embryo transfers.

ORM Donors is our program for cycles involving an egg donor. Patients needing the help of an egg donor to build their family can select one either through ORM’s in-house egg donor program or through any number of external egg donor programs.

Our in-house egg donor program is overseen by our physicians and clinical staff and we are proud of the exacting screening standards that we maintain. Our program is designed to provide ORM patients egg donors that are carefully selected for optimal fertility and the characteristics important to them. We help our patients match with our fully pre-screened donors and this contributes to a smoother process with fewer uncertainties and greater confidence.

Our donor screening includes an in-person evaluation with our psychologist (including a personality index); infectious disease screening; and a thorough “ovarian reserve testing” to count the approximate number of a donor’s eggs and three different blood tests to ensure that the donor can respond well to stimulating medications. At ORM an experienced genetic counsellor also conducts a detailed in-person review of each donor’s family history and we test our donors with a comprehensive genetic panel for recessive genetic disorders. We believe that ORM egg donors go through the most extensive screening around and only 7% that apply pass our rigorous standards. This is a key factor in our high success rates for patients using ORM donor eggs.

ORM Surrogacy is our program for intended parents working with a gestational surrogate to carry their pregnancy. ORM has a specialised team, and we are experts in coordinating these more complicated IVF processes. We have longstanding relationships with some of the best surrogacy agencies in the USA, some of which are also based in Oregon which can help families to localise their surrogacy journey. We have rigorous protocols for medically approving a gestational surrogate for treatment at ORM and we believe that this contributes to our high success rates and the best chance of a safe and healthy pregnancy for the gestational surrogate and intended parents.

These journeys sometimes also involve intended parents working with an egg donor. Our team is able to help patients and their surrogates and egg donors, if they are also using donor eggs, seamlessly through their unique and complex journeys.

ORM Genomics is our program for integrating the most advanced reproductive genomic care and screening into every IVF cycle. We have a 4-person full-time genetic counselling team and an in-house genetics laboratory equipped with the most advanced
genetic sequencing technology.

We provide family genetic history evaluation and genetic disorder carrier screening for all donors and patients. To minimise the risk of a child born with a serious, untreatable genetic disease, we automatically test everyone that is contributing egg and sperm for the creation of an embryo for more than 100 recessive gene carrier diseases. This is significantly more comprehensive than standard practice among many clinics. We help our patients understand these results at the outset so that they can make the best choices for their families. We offer the latest form of PGS, which is
Comprehensive Chromosome Screening (CCS), and customised Pre-implantation Genetic Diagnosis (PGD) both using advanced Next- generation Sequencing (NGS) technology. CCS screening helps ensure that we only transfer embryos that have screened as chromosomally normal and therefore have the best chances of success for a healthy baby.

The understanding of genetics and the variety of tests available are both expanding rapidly.

We believe that our patients should feel empowered to make informed decisions based on the latest technology and with accurate, up-to-date, and easy to understand information. Made In Portland, Oregon When our patients visit Portland, “City of Roses”, we enjoy sharing with them everything that makes our home so special. We love offering our favourite suggestions and ORM’s partner hotels provide special ORM rates.

Portland is blessed with fresh, local, organic cuisine and among the best wine, beer and coffee in the Pacific Northwest. A walkable city with many neighborhoods ideal for strolling, window-shopping and cafe-hopping, Portland is home to the largest US urban woodland. Our airport is ranked #1 by travellers and we’re connected with excellent public transportation. Many hotels have “lend a bike” programs. Often ORM patients also explore beyond Portland. Oregon offers amazing sites whether you visit the Pacific Coastline or Cascade Mountains, both only an hour away, or the deserts of Eastern Oregon.

And Oregon is one of the few tax-free states for shopping, food and beverage. Great for all those baby needs!

We look forward to welcoming you to ORM in Portland and to help you build your family!

ORM’S FERTILITY JOURNEY WHAT’S ON OFFER
Every member of the ORM team is truly honoured to work with our patients to help them grow their families. As part of our Fertility Journey, ORM will help a couple or individual in need of assistance to fulfill their dream of building a family by offering a free donor egg IVF cycle with genomic screening at our world-renown clinic.

The selected recipient couple or individual will match with a fully-screened ORM Donor. ORM’s Fertility Journey will cover the cost the of donor’s screening, treatment, egg retrieval and medications; the selected couple or individual’s pre-cycle testing performed at ORM; IVF process; CCS procedure on the embryos; transfer procedures and related medications. The selected recipient(s) will also benefit from consulting with ORM’s genetic counsellors when matching with an ORM donor. Certain costs will be the responsibility of the selected recipient(s). These include egg donor compensation; any legal fees for an egg donor agreement; any donor travel reimbursements; recipient(s)’ travel and accommodation; any pre-cycle testing required on the selected couple or individual not performed at ORM; and local monitoring in the recipient couple or individual’s home location. ORM’s Fertility Journey is open to couples and individuals of all sexual orientations as well as to those that may need to work with a gestational surrogate.

If you wish to apply to work with ORM, please complete the form below, detailing why you would like to be chosen and outlining where you are on your fertility journey at present, to receive an application and full terms and conditions. We welcome applicants of all ages, from all backgrounds, and at any point along their fertility journey – names and supporting information will be passed to ORM for selection. Applications will be accepted from 15 March until 15 June 2017 and may require certain pre-selection medical testing.

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Fertility Journeys

Free IVF Treatment With Gennet City Fertility Clinic

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Gennet City Fertility

At Gennet City Fertility we offer you bespoke fertility treatment using an individualised approach and cutting-edge technologies.

Our promise to you is that we will look thoroughly into your fertility difficulties; that we will use state of the art treatment protocols and technologies, and when appropriate, we will also ‘think outside the box’.

The members of the team at GENNET City Fertility were carefully chosen on the basis of their achievements while working in reputable units in London and overseas. Within our team, we share extensive experience of and vast knowledge in fertility medicine, assisted reproduction and the management of early pregnancy. Using this knowledge and experience we endeavour to provide you with the most expert advice and to guide you through a fertility journey that is caring, safe, professional and transparent.

At our clinic, we offer a number of fertility treatments:

  • Ovulation induction
  • IUI
  • IVF
  • ICSI
  • PICSI – IMSI
  • Egg donation
  • Sperm donation
  • Embryo donation
  • Surrogacy

We also offer many other services:

  • Joint, female or male fertility assessment
  • Egg freezing
  • Sperm freezing
  • Preimplantation genetic diagnosis
  • Preimplantation genetic screening
  • Urology and Andrology
  • Surgical sperm retrieval
  • Counselling
  • Psychosexual advice
  • Acupuncture
  • Nutritionist consultation
  • Support groups and support programs.

We are a proud partner of Access Fertility which is the largest provider of IVF Refund & Multi-Cycle Programmes and Fertility Finance in the UK.

Ramesan Navaratnarajah

WHAT ARE WE OFFERING TO FERTILITY ROAD READERS?

A FREE IVF TREATMENT DRAW & 50 FREE INITIAL CONSULTATIONS

We are offering a free fertility treatment (IVF/ICSI) including the medication to one lucky couple. In addition to this, we will select 50 couples for a free initial consultation with one of our fertility specialists worth £200.

TO APPLY

To enter the draw for the incredible free round of IVF/ICSI or a chance to have one of the 50 fully funded consultation appointments, please read the terms and conditions below and follow the link to the form to submit your application.

TERMS AND CONDITIONS

The fertility treatment prize includes initial consultation, pre-treatment tests (Antral follicle count scan, AMH blood test, semen assessment etc.), 1 cycle of IVF treatment, plus ICSI if required.

  • All medication
  • Medical and nursing appointments and care
  • All in-treatment laboratory tests and procedures
  • Monitoring and scanning costs
  • Egg Collection
  • Embryo transfer
  • Pregnancy serum test
  • Pregnancy ultrasound scan
  • Follow up consultation (if taken within three months of treatment completion)
  • Counselling
  • The prize does not include:
  • Cost of freezing embryos plus the storage of embryos.
  • Surgical sperm retrieval
  • Empirical treatments

This prize does not include any costs of having donor treatment. If the prize winner needs donor eggs or sperm we would deduct the costs of the above and the recipient would need to pay the additional costs.

The value of this prize is in excess of £6000.

This prize could not be used against surrogacy treatment.

THE ACTUAL PROCESS

We will contact the winner and aim to get them a consultation to start treatment as soon as possible, depending on their cycle.

Any offer of treatment is subject to the relevant Welfare of the Child checks. Patients would also need to have a BMI of less than 35 to undergo treatment.

If the applicant has travelled to a Zika affected country they would be required to wait the length of the relevant quarantine period before treatment could commence.

FREE IVF CYCLE SELECTION CRITERIA

The successful applicants that will be shortlisted for the free IVF treatment prize must be under the age of 38 years old and with a BMI that is 19 to 35.

This offer doesn’t apply to existing Gennet City Fertility patients who are currently undergoing treatment.

50 FREE INITIAL CONSULTATIONS SELECTION CRITERIA

The successful applicants who will be shortlisted for the 50 free consultation appointments must be under the age 50. The appointments will be offered according to the clinic’s availability.

This offer doesn’t apply to existing Gennet City Fertility patients who are currently undergoing treatment

The successful couple that will receive the free IVF cycle will not be included in the 50 free consultations draw.

TO APPLY PLEASE CLICK HERE

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Egg Donation

IVF Spain Update Us on Claire & David and Laura & Ian Progress

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Claire & David IVF Spain

During the first week of August, Claire (42) and David (35), the winners of this year’s Fertility Journey, visited our clinic for their first embryo transfer.

They were pleased to share with us the emotion and joy created by their short stay in Spain.

“We have spent some time in Alicante ahead of the transfer, relaxing in the area and preparing for our next visit to IVF Spain. Our experience with previous treatments with UK clinics has been very stressful but in Alicante, we have spent most of our time preparing for treatment by relaxing on the beach!”

Claire and David arrive at IVF Spain after having been trying to get pregnant for 7 long years and experienced 3 failed ICSI treatments with their own eggs. IVF Spain discovered that the quality of the embryos was poor and that they had always been transferred on day 3 of their development with a bad morphology. In order to increase their chances of getting pregnant, the clinic recommended an egg donation treatment – a fertility treatment which that greatly depends on matching the perfect donor to the patient.

To protect both patients and donors Spanish law requires that the donation process must be completely anonymous.  In addition, donors must be in good condition and younger than 35. Moreover, both donor and patient must share a phenotypical resemblance: hair colour, BMI, eye colour, and so on.

Dr Herea

Claire and David were grateful that so many women in Spain were willing to donate their own eggs, enabling others less fortunate, the chance of forming a family.

“We are really grateful that there are people willing to donate eggs. If we are being honest, it has taken a while for us to understand the Spanish anonymity rules for egg donors, but we have taken the time to consider this. It’s hard not having control or letting another person being in charge for something related to your baby. However, we even think now it is better that way, because the more you know, the more you want to know and we do prefer knowing nothing and leaving it in the clinic’s hands.”

There are other factors, however, that are crucial to achieving a successful pregnancy: the quality of the embryo and the microenvironment of the endometrial lining. This means that a successful pregnancy also depends on the successful communication between the embryo and the endometrial lining.

When we discovered that Claire didn’t have a single positive pregnancy test, we suggested to perform an endometrial biopsy to analyse the retrieved sample by means of the ER Map® test (Endometrial Receptivity Map) and accurately determine the receptivity of Claire’s endometrium during the window of implantation (the moment when the endometrial lining is receptive).

”The test results showed that Claire’s endometrium was post-receptive, meaning that a transfer performed on day 5.5 of progesterone (like in 70% of cases) would not end up in a successful pregnancy” explains Dr Natalia Szlarb.

“Before coming to IVF Spain, we had never heard of an endometrial study or ER Map. The fact that the endometrial study analyses the best time to transfer the embryo could make a big difference to our treatment. We were really impressed with the accuracy of the test. Our ER Map test result was post-receptive and although this was initially a concern, we later came around to the view that knowing the best time to transfer the embryo would increase the chances of success, and this might have been the reason our other treatments in the UK had failed” – Claire and David.

There are other key factors, however, to achieve a pregnancy such as the male factor. David suffers from teratospermia which implies that 96% of the ejaculate sperm cells have an abnormal morphology. Luckily, we were able to improve David’s sperm quality and fertilize the retrieved eggs.

We now wish them the best of luck!

Although it will not be until mid-September when Laura (41) and Ian (44), the 2018 runners-up visit us in Alicante for their embryo transfer, they already talked about the differences between IVF Spain and former clinics. They were impressed at how extensively their case had been studied by our fertility specialists.

“I think the longer you have treatment the more difficult it becomes. When you begin there’s a naivety along the lines of, ‘we’ll have one, maybe two goes at IVF and have a baby in our arms’. After 7 treatments (and lots of add-ons) the feelings completely change. You feel terrified that it won’t work, and you’ll never become parents. You’re scared it will work and you’ll lose the baby again (Laura and Ian have experienced 5 losses). You’re scared of physically going through the treatment as you’ve had so much. Each test and treatment creates fear – fear that it will hurt, be traumatizing, that it will give you more bad news. Then there’s the impact on your own mental health and emotional well-being. Can I handle this? What if the results say something’s wrong with me? Will I blame myself? It starts to really damage your mental health and well-being. Financially you start to feel that you’re risking everything, and it may not pay off.

For us we have renewed hope with IVF Spain. We have undergone tests that we’ve never had before (ERA, NK biopsy and KIR). We have paid for lots of very expensive blood tests and drugs but never received this kind of analysis. So, we feel as though the treatment is now specifically for us.

This creates more positivity, a feeling of being cared for and that maybe, just maybe, we’ll get to be parents.

Plus, we’re now using donor eggs. The hope starts to soar and with that comes excitement. Hope is the only thing that keeps you going and overcoming the fears I mentioned. This opportunity with IVF Spain has given us hope that we thought we’d lost.”

Laura is 41 years old and has already been through traumatic losses including an ectopic pregnancy. Due to this and to the fact that Laura suffers from recurrent miscarriage, our medical team at IVF Spain recommended an egg donation treatment to increase their chances.

The couple is thankful for the egg donation process being anonymous, as otherwise it would be really difficult to find a donor:

“For us, it’s taken some of the pressure away. I can’t imagine how difficult it would be to choose a donor ourselves. But putting your complete trust into someone else’s hands is hard.

We’ve explored whether it would be better for our future child to know the donor. I think that’s something we’ll never know. But we hope that he/she will understand our decision to choose an anonymous donor. It would be good to know a little more about the heritage of the donor but then we also know that we often don’t even know our own heritage. We’ll make sure Spain is a key part of their story.

It’s also really odd to not know who this person is. What they look like and personality. What’s motivating them to help us. One of the things I’ve been really consumed with is the gratitude you have for this person. I’d like to thank them but can’t.

Anonymity means we have a chance to become parents. Without it there’d be a shortage of donors like there is in the UK. For us, this makes it a wonderful gift – a chance to hopefully find a donor that is perfectly matched to us genetically (due to the KIR tests) as well as in physical looks.

I can’t stop thinking about what our future child will look like – but I think that’s quite normal” says Laura.

Immunologically speaking, finding a matching donor for Laura is certainly a challenging task, which is why IVF Spain suggested that we find out her KIR via a blood test. Ian was also tested for his HLA-C in order to determine whether the maternal – foetal interaction will be optimal or not.

Thanks to the KIR-HLA-C genotyping test it is possible to determine if the uterine KIR and the embryonic HLA-C will both be compatible. If so, the pregnancy will carry on successfully; if not, then the most probable outcome will be an unviable pregnancy and subsequent miscarriage.

“We carried out the KIR-HLA-C genotyping and concluded that the patient had a KIR AA. It is known that KIR expressed by the natural killer cells present in the maternal part and the HLA presented by the trophoblastic cells together will influence the outcome of the pregnancy. With Laura’s KIR AA variant, the sperm would have to be HLA C1 C1 and the HLA of the donor should be as well HLA C1 C1; as her husband has a HLA C1 C2 variant, we will treat her with a medication that reduces her immune-genetic reaction. We believe that not paying attention to this issue in the past is what may have caused the implantation to fail” suspects fertility specialist Dr Isabel Herrera.

We tend to recommend a single embryo transfer, as it has been proven that on patients with an immunological profile such as Laura’s, double embryo transfers would increase the immunogenetic reaction, hindering the achievement of a pregnancy” says Dr. Herrera.

It is also known that these cases tend to have a higher risk of pre-eclampsia, late spontaneous abortion or miscarriage.

Until their transfer day the couple will try to enjoy summer just as any other couple would;

“I’ve tried to just carry on as normal. Remain healthy, take pre-conception vitamins. Reach out and get support through the Donor Conception Network in the UK and connect with other people going down the DE route via online forums. It’s quite isolating and scary so it’s important to reach out and not feel so alone.

I’m trying to relax a little – not so easy with work but it’s a work in progress. I need to get that bit sorted now treatment is on the horizon.”

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Fertility Journeys

Laura & Ian Fertility Journey Couple 2018

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Laura and Ian IVF Spain

Laura and Ian are this year’s Fertility Road Magazine Runner-ups with IVF Spain. During their initial consultation with our specialist Dr. Herrera they were able to clarify all their doubts and were provided with a level of patient care, they had never experienced before throughout their 7-year-long journey. It was a completely different experience for Ian as well; this time he felt like a human being rather than a number.

You can find out more about their fertility journey here.

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