Family Planning and the LGBTQ Community

Size: px
Start display at page:

Download "Family Planning and the LGBTQ Community"

Transcription

1 Family Planning and the LGBTQ Community Adarsh E. Krishen, MD, MMM, FAAFP Chief Medical Officer Brian W. Lutz Community Health Educator Andrew E. Kohn, JD Copywriter, Marketing and Communications

2 Conflict of Interest Statement We have no real or perceived vested interests that relate to this presentation nor do we have any relationships with pharmaceutical companies, and/or other corporations whose products or services are related to pertinent therapeutic areas.

3 Objectives List special considerations regarding family building for the LGBT community. Examine the ways parenting impacts health outcomes for LGBT people. Describe "pearls of wisdom" from the lived experience of LGBT families.

4 What is Family? U.S. Census Bureau definition: "A family is a group of two people or more (one of whom is the householder) related by birth, marriage, or adoption and residing together."

5 Ohio Same-sex Households Same-sex couples per 1,000 households by census tract (adjusted) 2010 data

6 Population Data 19,684 same-sex couples living in Ohio Nearly one in five same-sex couples in the state (19%) are raising children under age 18 in their homes

7 Population Data Nearly three in ten individuals in same-sex couples who are members of racial or ethnic minorities (29%) are raising a child under age 18, compared to 18% of their white counterparts

8 Population Data Millennials comprised 58 percent of the total number of self-identified LGBT Americans

9 Some General Thoughts The discussion around family building should start early, even earlier than the time when we re actually thinking about wanting to conceive

10 Some General Thoughts LGBTQ community is at higher risk for unplanned pregnancy particularly in the adolescent years Begin family-building conversation as early as possible with LGBTQ patients helps set realistic expectations

11 Some General Thoughts Starting the conversation early helps preserve patient s options For almost every scenario there will be some sort of logistic delay

12 Some General Thoughts Identity and preference do not necessarily translate to sexual behavior. Asking both how patients identify and also who they re having sex with will help us navigate their pregnancy desires

13 Some General Thoughts Stereotypes are only partially true (they can help & hurt) Every family is a culture unto itself One LGBTQ family is one LGBTQ family Intersectionality (AA, gay male, single parent family) Open ended questions: Tell me your story or journey

14 Physician Role Physicals and Affirmation of fitness to parent Assistive reproduction Sperm washing for HIV discordant couples OB/GYN Newborn and new parent care Pediatrics Family Medicine

15 Physician Role Transitioning Considerations Address & optimize current health Vaccinations up to date Alcohol and tobacco use Depression Obesity Medications Legal preparations

16 Major LGBTQ Health Risks Alcohol and substance use Tobacco use Depression Suicide Overweight and Obesity Sexual Risk Taking Violence

17 Parenting as Protective? Sexual risk taking behavior may be reduced More harmony among same-sex parents due to increased need to negotiate roles based on strengths, not gender roles The Contemporary Context of LGBT Family Building: What Providers Need to Know

18 Parenting as Protective? Pregnancy/becoming a parent can be life-changing even where one sheds unhealthy behaviors More research is needed to determine differences between LGBTQ parents, heterosexual parents and childless LGBTQ individuals The Contemporary Context of LGBT Family Building: What Providers Need to Know

19 The Important Stuff The important stuff (with or without a family) Powers of attorney Advanced directives Wills

20 Family Building Options No children Relationship with an opposite-sex partner Interfamily custody/adoption Adoption (public, private, local, national, international)

21 Family Building Options Artificial insemination or In vitro fertilization Surrogacy (traditional or gestational) Co-parenting agreement Step-parenting

22 No Children Having the conversation with your partners Having the conversation with family members Need for sterilization?

23 Adoption Know your local laws Obergefell v. Hodges supreme court ruling was for marriage but not adoption Laws will vary from state to state

24 Adoption Research Networking Physical examination Budget and finances Home study Create a profile Choose an agency/facilitator

25 Home Study Typically performed by licensed social worker Review extensive questionnaire about your parenting style, childhood, expectations, FBI and background checks, physical exam from your physician, letters of recommendation, financial statements including tax returns and inspect the home during 3-4 hour interview Post placement home study

26 After The Match Talk to the birth mother as soon as possible Meet in person prior to delivery Get to know her-just as important as letting her get to know you Create a birth plan Keep in touch

27 Adoption Tax Credit Used to offset reasonable and necessary adoption fees, court costs, attorney fees and travel May not be used to adopt spouse s child

28 Parental Leave Some employers may differentiate between maternal, paternal and adoption leave Check with HR Plan to stay in state where child is born for 7-10 business days to comply with Interstate Compact on the Placement of Children (ICPC) Federal Maternity & Medical Leave Act allows up to 12 weeks unpaid leave for adoptive families

29 Factors for Female Couples If planning biological child Whose egg? Donor options Anonymous: profiles form sperm banks Known/directed: legal process

30 Factors for Female Couples Make sure all parties have the same expectations and define those in a legal agreement before trying to conceive Work with a lawyer who is experienced in assisted reproductive technology (ART) law is helpful Maternal Age

31 Once Pregnant Plan for second parent/coparent adoption Consult with lawyer Obtain necessary documents (official copy of marriage certificate, birth certificate, letters of support) Make provisions for frozen genetic material in will

32 Assisted Reproductive Technologies Intrauterine insemination In Vitro Fertilization Surrogacy (i.e. gestational carrier) Gamete and Embryo donation

33 Intrauterine Insemination Indications wide range: targeted or empiric Efficacy Cost 10-20% $350 + monitoring, meds

34 IUI Alone or With Medications? Depends on Diagnosis Ovulation dysfunction vs unexplained Natural cycle/opk Clomiphene citrate Letrozole rfsh, hmg 5-25%+ twin rate, $$$

35 Donor Sperm Anonymous CLIA certified labs Numerous sperm banks Donors Eligibility determination FDA required by law year old Voices, baby pictures, essays, physical Characteristics, contributed to pregnancy, etc. $ per ampule (1 IUI cycle per ampule)

36 Donor Sperm (Cont) Known Requires donor eligibility determination Legal consultation HIGHLY encouraged to minimize risk of parentage disputes

37 In Vitro Fertilization (IVF) Indications Wide ranging: targeted or empiric failed IUI co-maternity need for gestational carrier Efficacy 50-70%

38 In Vitro Fertilization (IVF) Cost Self Pay $12,000 + medications ($3-6000) package pricing, risk sharing options Insurance coverage IUI s required for coverage, medical necessity State mandates, employers

39 Surrogacy Not traditional (woman provides egg AND uterus) legal and emotional risk is very HIGH Gestational Carriers <45 years & have delivered at least one child before No medical contraindications to pregnancy < 5 NSVDs/< 3 C-sections Recommending FDA screening process as they are tissue recipients form a non sexually intimate partner Legal contract between IP and GC 6 month quarantine of tissue

40 Gestational Carriers Someone you know Costs: Agency IVF + meds = $16,000 Carrier fees and testing + $4,000 Costs are the same plus overhead and cost for carrier

41 Egg Donation Fresh Egg Donors Wait time can be 1-12 months 70% success rate Cost IVF + meds + donor fees and compensation = ~$24,000 Known or anonymous

42 Egg Donation (cont.) Frozen Egg Donors Readily available 6-8 eggs frozen available for purchase 40-65% success rate Cost ~$16,500

43 Embryo Donation Embryos donated by infertile couple that is done building family Success rate ~40-60% Adoption vs Donation Personhood Open vs anonymous Home visits and court order Cost $8-12,000

44 Special Considerations Transgender Individuals Fertility preservation HIV discordance IUI + prep IVF-ICSI The role of reproductive counselor in 3 rd party reproduction

45 Trans Considerations Medical Storage Endocrinology Impact Health Surgical Societal Legal Statutes Documentation Court Orders or Judges State Family Medical Professionals

46 Access to Care 60% of trans people lack employer based health insurance 50% have to educate their providers 19% have been denied health insurance The average medical student receives 5 hours of training in transgender issues in four years of Medical School

47 Our Stories Andrew Kohn Brian Lutz

48 References Family Planning Options For LGBT Couples. Dr. Richard T. Scott, Jr Common Questions Asked About LGBT Family Planning. July 6, Jeff Levin. The Contemporary Context of LGBT Family Building: What Providers Need to Know. Association of American Medical Colleges and American Medical Association. "The Contemporary Context of LGBT Family Building: What Providers Need to Know" (January, 2017). AAMC Videos and Resources. Washington, DC: Association of American Medical Colleges.

49 Contact Adarsh Krishen Andrew Kohn Brian Lutz

Family Building for Transgender Men and Women

Family Building for Transgender Men and Women Family Building for Transgender Men and Women A Guide to Becoming a Parent PATH2PARENTHOOD path2parenthood.org Are you a transgender man or woman and think you might want to become a parent? If you re

More information

WHAT IS A PATIENT CARE ADVOCATE?

WHAT IS A PATIENT CARE ADVOCATE? WHAT IS A PATIENT CARE ADVOCATE? Fertility treatments can be overwhelming. As a member, you have unlimited access to a dedicated Patient Care Advocate (PCA), who acts as your expert resource for discussing

More information

Adoption and Foster Care

Adoption and Foster Care GLOSSARY Family building via Adoption and Foster Care October 2018 www.familyequality.org/resources A Anonymous Donor: A person who donated sperm or eggs with the intention of never meeting resulting children.

More information

Building Your Family. at Northwestern Medicine Fertility and Reproductive Medicine

Building Your Family. at Northwestern Medicine Fertility and Reproductive Medicine Building Your Family at Northwestern Medicine Fertility and Reproductive Medicine Building your family Medicine takes pride in helping all individuals and couples build their families. Procreation is a

More information

Possibilities Plan. Access to the care you need.

Possibilities Plan. Access to the care you need. Possibilities Plan If you do not have insurance or have insurance but lack coverage for infertility services and are concerned about the cost of infertility services, The Center for Advanced Reproductive

More information

ART for The Modern LGBTQ+ Family

ART for The Modern LGBTQ+ Family ART for The Modern LGBTQ+ Family Assisted reproductive technology has changed the face of parenting in the modern era, both literally and figuratively. For the first time in human history, the LGBTQ community

More information

POGO SURVIVORS CONFERENCE

POGO SURVIVORS CONFERENCE POGO SURVIVORS CONFERENCE Dr. Karen Glass MD, FRCS(C), FACOG Director Fertility Preservation Program, CReATe Fertility Centre Assistant Professor, University of Toronto I HAVE NO CONFLICT OF INTEREST.

More information

The Gay Woman s Guide to Becoming a Mom PATH2PARENTHOOD. path2parenthood.org

The Gay Woman s Guide to Becoming a Mom PATH2PARENTHOOD. path2parenthood.org The Gay Woman s Guide to Becoming a Mom PATH2PARENTHOOD path2parenthood.org For lesbians, there are a number of viable routes that can be considered when achieving motherhood is the goal. Whether you are

More information

DIABLO VALLEY ESTATE PLANNING COUNCIL THE NEW BIOLOGY: WHAT DO ESTATE PLANNERS NEED TO KNOW ABOUT ASSISTED REPRODUCTION OCTOBER 15, 2014

DIABLO VALLEY ESTATE PLANNING COUNCIL THE NEW BIOLOGY: WHAT DO ESTATE PLANNERS NEED TO KNOW ABOUT ASSISTED REPRODUCTION OCTOBER 15, 2014 DIABLO VALLEY ESTATE PLANNING COUNCIL THE NEW BIOLOGY: WHAT DO ESTATE PLANNERS NEED TO KNOW ABOUT ASSISTED REPRODUCTION OCTOBER 15, 2014 Lisa C. Ikemoto Professor U.C. Davis School of Law APPROACH Assisted

More information

Guide to Good Practice in fertility cases

Guide to Good Practice in fertility cases 2018 Guide to Good Practice in fertility cases This Guidance was reviewed in March 2018. The law or procedure may have changed since that time and members should check the up-to-date position. Resolution

More information

Parenting Options for the LGBTQ Community: A How-To Guide PATH2PARENTHOOD. path2parenthood.org

Parenting Options for the LGBTQ Community: A How-To Guide PATH2PARENTHOOD. path2parenthood.org Parenting Options for the LGBTQ Community: A How-To Guide PATH2PARENTHOOD path2parenthood.org 1 This informational handbook is designed to give you an overview about family building for the LGBTQ community.

More information

ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE

ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE ASSISTED CONCEPTION NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA & POLICY GUIDANCE Version 1.0 Page 1 of 11 MARCH 2014 POLICY DOCUMENT VERSION CONTROL CERTIFICATE TITLE Title: Assisted Conception

More information

Fertility Policy. December Introduction

Fertility Policy. December Introduction Fertility Policy December 2015 Introduction Camden Clinical Commissioning Group (CCG) is responsible for commissioning a range of health services including hospital, mental health and community services

More information

NHS FUNDED TREATMENT FOR SUBFERTILITY. ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs

NHS FUNDED TREATMENT FOR SUBFERTILITY. ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA POLICY GUIDANCE/OPTIONS FOR CCGs CONTENTS Page 1. INTRODUCTION 2 2. GENERAL PRINCIPLES 2 3. DEFINITION OF SUBFERTILITY AND TIMING OF ACCESS TO

More information

NICE fertility guidelines. Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic

NICE fertility guidelines. Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic NICE fertility guidelines Hemlata Thackare MPhil MSc MRCOG Deputy Medical Director London Women s Clinic About the LWC 4 centres around the UK London Cardiff Swansea Darlington The largest sperm bank in

More information

Sperm Donation - Information for Donors

Sperm Donation - Information for Donors Sperm Donation - Information for Donors The donation of sperm to help someone to have a child is one of the most generous gifts anyone can give. Many donors feel a sense of pride, knowing the joy they

More information

Policy statement. Commissioning of Fertility treatments

Policy statement. Commissioning of Fertility treatments Policy statement Commissioning of Fertility treatments NB: The policy relating to commissioning of fertility treatments is unchanged from the version approved by the CCG in March 2017. The clinical thresholds

More information

Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018)

Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018) Islington CCG Fertility Policy First approved: 29 January 2015 Policy updated: November 2018 (approved by Haringey and Islington s Executive Management Team on 5 December 2018) Introduction Islington CCG

More information

Blackpool CCG. Policies for the Commissioning of Healthcare. Assisted Conception

Blackpool CCG. Policies for the Commissioning of Healthcare. Assisted Conception 1 Introduction Blackpool CCG Policies for the Commissioning of Healthcare Assisted Conception 1.1 This policy describes circumstances in which NHS Blackpool Clinical Commissioning Group (CCG) will fund

More information

TRENDS IN INFERTILITY 2017 SURVEY AND REPORT

TRENDS IN INFERTILITY 2017 SURVEY AND REPORT TRENDS IN INFERTILITY 2017 SURVEY AND REPORT Basking Ridge l Eatontown l Englewood l Freehold l Hamilton l Marlton l Morristown l Somerset l Springfield l West Orange WWW.RMANJ.COM 973-656-2089 2017 NIAW

More information

Approved January Waltham Forest CCG Fertility policy

Approved January Waltham Forest CCG Fertility policy Approved January 2015 Waltham Forest CCG Fertility policy Contents 1 Introduction 1 2 Individual Funding Requests 1 2.1 Eligibility criteria 1 2.2 Number of cycles funded 2 2.3 Treatment Pathway 3 Page

More information

Understanding IVF Processes in Surrogacy

Understanding IVF Processes in Surrogacy Melvin H. Thornton II MD Medical Director CT Fertility Understanding IVF Processes in Surrogacy The Basics Surrogacy involves multiple parties IVF CLINIC Egg donors screening and matching* Medical process

More information

Clinical Policy Committee

Clinical Policy Committee Clinical Policy Committee Commissioning policy: Assisted Conception Fertility assessment and investigations are commissioned where: A woman is of reproductive age and has not conceived after one (1) year

More information

Page 1 of 5 Official reprint from UpToDate www.uptodate.com 2012 UpToDate Patient information: Infertility in men (The Basics) Written by the doctors and editors at UpToDate What is male infertility? Male

More information

North Staffordshire Clinical Commissioning Group. Infertility and Assisted Reproduction Commissioning Policy and Eligibility Criteria

North Staffordshire Clinical Commissioning Group. Infertility and Assisted Reproduction Commissioning Policy and Eligibility Criteria North Staffordshire Clinical Commissioning Group Infertility and Assisted Reproduction Commissioning Policy and Eligibility Criteria Policy Infertility and Assisted Reproduction Commissioning Policy and

More information

HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY. CONTENTS Page

HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY. CONTENTS Page HALTON CLINICAL COMMISSIONING GROUP NHS FUNDED TREATMENT FOR SUBFERTILITY CONTENTS Page 1. INTRODUCTION 2 2. GENERAL PRINCIPLES 2 3. DEFINITION OF SUBFERTILITY AND TIMING OF ACCESS TO TREATMENT 3 4. DEFINITION

More information

Clinical Policy Committee

Clinical Policy Committee Northern, Eastern and Western Devon Clinical Commissioning Group South Devon and Torbay Clinical Commissioning Group Clinical Policy Committee Commissioning policy: Assisted Conception Fertility treatments

More information

Fertility Preservation for Trans Women: Sperm Banking

Fertility Preservation for Trans Women: Sperm Banking Fertility Preservation for Trans Women: Sperm Banking A PUBLICATION OF FAIRFAX CRYOBANK About the Author Michelle Ottey, PhD, HCLD is the Director of Operations for Fairfax Cryobank and Cryogenic Laboratories,

More information

THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT TO PERFORM THERAPEUTIC DONOR INSEMINATION WITH IDENTIFIED DONOR SPERM

THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT TO PERFORM THERAPEUTIC DONOR INSEMINATION WITH IDENTIFIED DONOR SPERM THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT TO PERFORM THERAPEUTIC DONOR INSEMINATION WITH IDENTIFIED DONOR SPERM Partner #1 Last Name (Surname): Partner #1 First Name: Partner

More information

Recommended Interim Policy Statement 150: Assisted Conception Services

Recommended Interim Policy Statement 150: Assisted Conception Services Southampton City Clinical Commissioning Group (CCG) took on commissioning responsibility for Assisted Conception Services from 1 April 2013 for its population and agreed to adopt the interim policy recommendations

More information

The gay woman s guide to Becoming a mom T h e A m e r i c A n F e r T i l i T y A s s o c i A T i o n w w w. T h e A F A. o r g

The gay woman s guide to Becoming a mom T h e A m e r i c A n F e r T i l i T y A s s o c i A T i o n w w w. T h e A F A. o r g The Gay Woman s Guide to Becoming a Mom The American Fertility Association www.theafa.org For lesbians, there are a number of viable routes that can be considered when achieving motherhood is the goal.

More information

Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017.

Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017. Fertility Policy 10 July 2017 Note: This updated policy supersedes all previous fertility policies and reflects changes agreed by BHR CCGs governing bodies in June 2017. Introduction BHR CCGs are responsible

More information

St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16

St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16 St Helens CCG NHS Funded Treatment for Subfertility Policy 2015/16 1 Standard Operating Procedure St Helens CCG NHS Funded Treatment for Sub Fertility Policy Version 1 Implementation Date May 2015 Review

More information

IVF & SURROGACY STANDARD OPTION PRICING LIV FERTILITY CENTER, PUERTO VALLARATA, MEXICO AUTUMN 2015

IVF & SURROGACY STANDARD OPTION PRICING LIV FERTILITY CENTER, PUERTO VALLARATA, MEXICO AUTUMN 2015 IVF & SURROGACY STANDARD OPTION PRICING LIV FERTILITY CENTER, PUERTO VALLARATA, MEXICO AUTUMN 2015 SURROGACY WITH 3 RD PARTY EGG DONOR Standard Fees & Payment Schedule Agency Fee: $4,500 USD a Consultancy

More information

PROCEDURES LAPAROSCOPY

PROCEDURES LAPAROSCOPY PROCEDURES - Further infertility work-up if indicated (ultrasound examination / semen decontamination etc.) - Office Hysteroscopy where indicated - Laparoscopic and /or hysteroscopic surgery where indicated

More information

2018 INFERTILITY TRENDS NATIONAL SURVEY

2018 INFERTILITY TRENDS NATIONAL SURVEY REPRODUCTIVE MEDICINE ASSOCIATES OF NEW JERSEY 2018 INFERTILITY TRENDS NATIONAL SURVEY WWW.RMANJ.COM 973-656-2089 REPRODUCTIVE MEDICINE ASSOCIATES OF NEW JERSEY 2018 INFERTILITY TRENDS NATIONAL SURVEY

More information

DRAFT Policy for the Provision of NHS funded Gamete Retrieval and Cryopreservation for the Preservation of Fertility

DRAFT Policy for the Provision of NHS funded Gamete Retrieval and Cryopreservation for the Preservation of Fertility NHS Birmingham and Solihull Clinical Commissioning Group NHS Sandwell and West Birmingham Clinical Commissioning Group DRAFT Policy for the Provision of NHS funded Gamete Retrieval and Cryopreservation

More information

Infertility F REQUENTLY A SKED Q UESTIONS. Q: Is infertility a common problem?

Infertility F REQUENTLY A SKED Q UESTIONS. Q: Is infertility a common problem? Infertility (female factors). In another one third of cases, infertility is due to the man (male factors). The remaining cases are caused by a mixture of male and female factors or by unknown factors.

More information

Reproductive Technology, Genetic Testing, and Gene Therapy

Reproductive Technology, Genetic Testing, and Gene Therapy Michael Cummings Chapter 16 Reproductive Technology, Genetic Testing, and Gene Therapy David Reisman University of South Carolina 16.1 Infertility Is a Common Problem In the US, about 13% of all couples

More information

Haringey CCG Fertility Policy April 2014

Haringey CCG Fertility Policy April 2014 Haringey CCG Fertility Policy April 2014 1 SUMMARY This policy describes the clinical pathways and entry criteria for Haringey patients wishing to access NHS funded fertility treatment. 2 RESPONSIBLE PERSON:

More information

Yes infertility policy pdf

Yes   infertility policy pdf 1. We would like to understand some of the specifics of your current Treatment Policy Once all tabs are complete, please return to: intern@progress.org.uk Question a. Is the CCGs assisted conception policy,

More information

Treating Infertility

Treating Infertility Treating Infertility WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 About 10% of couples in the United States are infertile. Infertility is a condition in which a woman has not been able

More information

DREAMS TO REALITY. Family Building for Men and Women Living with HIV PATH2PARENTHOOD. path2parenthood.org/hiv

DREAMS TO REALITY. Family Building for Men and Women Living with HIV PATH2PARENTHOOD. path2parenthood.org/hiv DREAMS TO REALITY Family Building for Men and Women Living with HIV PATH2PARENTHOOD path2parenthood.org/hiv ARE YOU HIV POSITIVE, YET DREAM OF HAVING A FAMILY? If you are reading this handbook, you may

More information

Produce Eggs. Fertility Preservation for Trans People who. LGBTQ Reproductive Options

Produce Eggs. Fertility Preservation for Trans People who. LGBTQ Reproductive Options for Trans People who Produce Eggs LGBTQ Reproductive Options Many trans people are interested in being parents and want to know their options. While many trans people may conceive on their own, this info

More information

Infertility. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: What causes infertility in men? A: Infertility in men is most often caused by:

Infertility. F r e q u e n t l y A s k e d Q u e s t i o n s. Q: What causes infertility in men? A: Infertility in men is most often caused by: Infertility Q: What is infertility? A: Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or older. Women who can get pregnant but are unable to

More information

Hepatitis C: what do you need to know if trying to conceive

Hepatitis C: what do you need to know if trying to conceive Hepatitis C: what do you need to know if trying to conceive Hepatitis C: what do you need to know if trying to conceive Hepatitis C Infection Hepatitis C Virus (HCV) infects 3% of the world s population.

More information

POGO SURVIVORS CONFERENCE

POGO SURVIVORS CONFERENCE POGO SURVIVORS CONFERENCE Dr. Karen Glass MD, FRCS(C), FACOG Director Fertility Preservation Program, CReATe Fertility Centre Assistant Professor, University of Toronto I HAVE NO CONFLICT OF INTEREST.

More information

RAH s Regional Fertility & Women s Endocrine Clinic FAQs

RAH s Regional Fertility & Women s Endocrine Clinic FAQs RAH s Regional Fertility & Women s Endocrine Clinic FAQs What changes are being made to the Regional Fertility & Women s Endocrine Clinic at the Lois Hole Hospital for Women in the Royal Alexandra Hospital

More information

Planning for Parenthood After a Cancer Diagnosis

Planning for Parenthood After a Cancer Diagnosis Cancer and Fertility Planning for Parenthood After a Cancer Diagnosis If you or someone you love is facing cancer, preserving fertility may be the last thing on your mind. But if you re a woman of childbearing

More information

What are the various Motives for Patients to Travel? -Dr Samit Sekhar Executive Director

What are the various Motives for Patients to Travel? -Dr Samit Sekhar Executive Director What are the various Motives for Patients to Travel? -Dr Samit Sekhar Executive Director Reproductive Tourism Assisted reproductive technology (ART) lures people across borders. The willingness to travel

More information

Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015

Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015 Bonnie Steinbock University at Albany (emerita) Distinguished Visiting Professor, CUHK Centre for Bioethics 12th December, 2015 Defined as inability to get pregnant after a year of regular sexual intercourse

More information

SHIP8 Clinical Commissioning Groups Priorities Committee (Southampton, Hampshire, Isle of Wight and Portsmouth CCGs)

SHIP8 Clinical Commissioning Groups Priorities Committee (Southampton, Hampshire, Isle of Wight and Portsmouth CCGs) SHIP8 Clinical Commissioning Groups Priorities Committee (Southampton, Hampshire, Isle of Wight and Portsmouth CCGs) Policy Recommendation 002: Assisted Conception Services Date of Issue: September 2014

More information

Men s consent to the use and storage of sperm or embryos for surrogacy

Men s consent to the use and storage of sperm or embryos for surrogacy HFEA MSG form Men s consent to the use and storage of sperm or embryos for surrogacy About this form This form is produced by the Human Fertilisation and Embryology Authority (HFEA), the UK s independent

More information

Wiltshire CCG Fertility Policy

Wiltshire CCG Fertility Policy Wiltshire CCG Fertility Policy Introduction This policy sets out the limits within which WCCG will fund treatment with either Intrauterine Insemination [IUI], ovulation induction medication or donor insemination

More information

Assisted Reproductive Technologies

Assisted Reproductive Technologies Assisted Reproductive Technologies Textbook pages 224 231 Section 6.3 Summary Before You Read What do you think the phrase test-tube baby refers to? Write your ideas on the lines below. Mark the Text Check

More information

European IVF Monitoring (EIM) Year: 2013

European IVF Monitoring (EIM) Year: 2013 European IVF Monitoring (EIM) Year: 2013 Name of the country Poland Name and full address of the contact person. Anna Janicka, PhD Polish Society of Reproductive Medicine and Embryology Fertility and Sterility

More information

Fertility 101. About SCRC. A Primary Care Approach to Diagnosing and Treating Infertility. Definition of Infertility. Dr.

Fertility 101. About SCRC. A Primary Care Approach to Diagnosing and Treating Infertility. Definition of Infertility. Dr. Dr. Shahin Ghadir A Primary Care Approach to Diagnosing and Treating Infertility St. Charles Bend Grand Rounds November 30, 2018 I have no conflicts of interest to disclose. + About SCRC State-of-the-art

More information

Therapeutic Sperm Banking

Therapeutic Sperm Banking Therapeutic Sperm Banking An Option for Preserving Male Fertility Andrology Laboratory and Reproductive Tissue Bank Information For Patients Men undergoing cancer treatment, including certain types of

More information

THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT TO PERFORM THERAPEUTIC DONOR INSEMINATION WITH ANONYMOUS DONOR SPERM

THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT TO PERFORM THERAPEUTIC DONOR INSEMINATION WITH ANONYMOUS DONOR SPERM THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT TO PERFORM THERAPEUTIC DONOR INSEMINATION WITH ANONYMOUS DONOR SPERM Partner #1 Last Name (Surname): Partner #1 First Name: Partner

More information

WHAT YOU NEED TO KNOW ABOUT DONATING SPERM, EGGS OR EMBRYOS

WHAT YOU NEED TO KNOW ABOUT DONATING SPERM, EGGS OR EMBRYOS 14 February 2006 WHAT YOU NEED TO KNOW ABOUT DONATING SPERM, EGGS OR EMBRYOS Introduction The donation of sperm, eggs or embryos to help a couple have a child is one of the most generous gifts anyone can

More information

WHAT YOU DIDN T KNOW, BUT NEED TO

WHAT YOU DIDN T KNOW, BUT NEED TO WHAT YOU DIDN T KNOW, BUT NEED TO In 2016, 7 million people will try to conceive through natural pregnancy, but only 5 million will be successful 20% of women are born with low ovarian reserve 200,000

More information

CONSENT FOR CRYOPRESERVATION OF EMBRYOS

CONSENT FOR CRYOPRESERVATION OF EMBRYOS CONSENT FOR CRYOPRESERVATION OF EMBRYOS We, (Female Partner) and (Partner, Spouse), as participants in the in vitro fertilization (IVF) program at the Reproductive fertility center (REPRODUCTIVE FERTILITY

More information

INTRODUCTION TABLE OF CONTENTS. If you want to become a parent after cancer, we would like to give you the information you need to make that happen.

INTRODUCTION TABLE OF CONTENTS. If you want to become a parent after cancer, we would like to give you the information you need to make that happen. TABLE OF CONTENTS INTRODUCTION INTRODUCTION 1 MEN Fertility Risks 2 Fertility Preservation Options 3 Possible Fertility Outcomes 4 Parenthood After Cancer Options 5 Important Tips for Men 6 WOMEN Fertility

More information

Specialists In Reproductive Medicine & Surgery, P.A.

Specialists In Reproductive Medicine & Surgery, P.A. Specialists In Reproductive Medicine & Surgery, P.A. www.dreamababy.com Fertility@DreamABaby.com Excellence, Experience & Ethics Cryopreservation of Sperm Patient Information General: Specialists in Reproductive

More information

COMMISSIONING POLICY. Tertiary treatment for assisted conception services

COMMISSIONING POLICY. Tertiary treatment for assisted conception services Final Version COMMISSIONING POLICY Tertiary treatment for assisted conception services Designated providers for patients registered with a Worcestershire GP BMI The Priory Hospital, Birmingham - 1 - Commissioning

More information

Information for Recipient of Donor Oocytes

Information for Recipient of Donor Oocytes Introduction Thank you for expressing an interest as an oocyte recipient in our oocyte donation program at the Family Fertility Center. Our successful program was established since 1994 and is directed

More information

Director of Commissioning, Telford and Wrekin CCG and Shropshire CCG. Version No. Approval Date August 2015 Review Date August 2017

Director of Commissioning, Telford and Wrekin CCG and Shropshire CCG. Version No. Approval Date August 2015 Review Date August 2017 Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services, in Shropshire and Telford and Wrekin Owner(s) Version No. Director of

More information

INFERTILITY SERVICES

INFERTILITY SERVICES INFERTILITY SERVICES Protocol: OBG036 Effective Date: August 1, 2018 Table of Contents Page COMMERCIAL COVERAGE RATIONALE... 1 DEFINITIONS... 4 MEDICARE AND MEDICAID COVERAGE RATIONALE... 5 REFERENCES...

More information

Fertility Services Commissioning Policy (Level 3)

Fertility Services Commissioning Policy (Level 3) Fertility Services Commissioning Policy (Level 3) Author: Karin Bryant (Norwich CCG) has coordinated the refresh of policy Version No: V54 Policy Effective from: TBC Review Date: TBC This policy replaces

More information

How to Select an Egg Donor

How to Select an Egg Donor How to Select an Egg Donor How to Select an Egg Donor Egg donation entails the fertilization of eggs of a young woman and transfer of the resulting embryo or embryos into the intended mother uterus. In

More information

Female Patient Name: Social Security # Male Patient Name: Social Security #

Female Patient Name: Social Security # Male Patient Name: Social Security # Female Patient Name: Social Security # Male Patient Name: Social Security # THE CENTER FOR HUMAN REPRODUCTION (CHR) ILLINOIS/NEW YORK CITY * ASSISTED REPRODUCTIVE TECHNOLOGIES PROGRAM (A.R.T.) CRYOPRESERVATION

More information

CONSENT TO CRYOPRESERVATION AND STORAGE OF HUMAN EMBRYOS

CONSENT TO CRYOPRESERVATION AND STORAGE OF HUMAN EMBRYOS 1. Name(s) of Party/Parties A. Party/parties requesting freezing of embryos a. Couple We, and of County, City of in the state of are (married or domestic partners) and are over the age of twenty-one years.

More information

West Hampshire Clinical Commissioning Group Board

West Hampshire Clinical Commissioning Group Board West Hampshire Clinical Commissioning Group Board Date of meeting 25 July 2013 Agenda Item 9 Paper No WHCCG13/089 Priorities Committee Statement Assisted Conception/IVF Key issues An Interim Policy Statement

More information

UNIVERSITY OF WASHINGTON MEDICAL CENTER Men s Health Center and Male Fertility Laboratory Sperm & Testis Cryopreservation Program Patient NAME and ID

UNIVERSITY OF WASHINGTON MEDICAL CENTER Men s Health Center and Male Fertility Laboratory Sperm & Testis Cryopreservation Program Patient NAME and ID UNIVERSITY OF WASHINGTON MEDICAL CENTER Men s Health Center and Male Fertility Laboratory Sperm & Testis Cryopreservation Program Patient NAME and ID CONSENT FOR MINOR s SPERM OR TESTIS CRYOPRESERVATION

More information

Contents. Introduction. Acknowledgments. 1 Assisted Reproduction and the Diversity of the Modern Family 1. 2 Intrauterine Insemination 31.

Contents. Introduction. Acknowledgments. 1 Assisted Reproduction and the Diversity of the Modern Family 1. 2 Intrauterine Insemination 31. Introduction Acknowledgments xvii xix 1 Assisted Reproduction and the Diversity of the Modern Family 1 1.1 Assisted Reproduction Technology Today....1 1.2 ART and Marriage...5 1.3 Evolution of the Family...8

More information

Welcome. Fertility treatment can be complicated. What s included. Your fertility treatment journey begins here. Fertility treatment basics 2

Welcome. Fertility treatment can be complicated. What s included. Your fertility treatment journey begins here. Fertility treatment basics 2 Welcome Your fertility treatment journey begins here Fertility treatment can be complicated Managing expectations, keeping track of medications and appointments, remembering all the information your physician

More information

In this document, you will find information about donor screening and selection and all forms needed to reserve and purchase your eggs.

In this document, you will find information about donor screening and selection and all forms needed to reserve and purchase your eggs. Thank you for choosing Tennessee Reproductive Medicine (TRM) as your donor egg source, it is a privilege to help you with one of the most important decisions of your life. TRM offers the purchase of frozen

More information

European IVF Monitoring (EIM) Year: 2012

European IVF Monitoring (EIM) Year: 2012 European IVF Monitoring (EIM) Year: 2012 Name of the country Poland Name and full address of the contact person. Professor Rafal Kurzawa, MD PhD Wojska Polskiego 103 Street 70-483 Szczecin Poland Telephone

More information

East and North Hertfordshire CCG. Fertility treatment and referral criteria for tertiary level assisted conception

East and North Hertfordshire CCG. Fertility treatment and referral criteria for tertiary level assisted conception East and North Hertfordshire CCG Fertility treatment and referral criteria for tertiary level assisted conception December 2015 1 1. Introduction This policy sets out the entitlement and service that will

More information

RESOLUTION CFM No /2013

RESOLUTION CFM No /2013 RESOLUTION CFM No. 2.013/2013 (Published in Federal Official Gazette (D.O.U.) dated May 9 th, 2013, Section I, page 119) Adopts the ethical standards for use of assisted reproduction techniques, annexed

More information

Introduction 4. Important information about consent to legal parenthood 7. Women s consent to treatment and storage form (IVF and ICSI) (WT form) 9

Introduction 4. Important information about consent to legal parenthood 7. Women s consent to treatment and storage form (IVF and ICSI) (WT form) 9 Introduction 4 Important information about consent to legal parenthood 7 Women s consent to treatment and storage form (IVF and ICSI) (WT form) 9 Men s consent to treatment and storage form (IVF and ICSI)

More information

Fertility treatment and referral criteria for tertiary level assisted conception

Fertility treatment and referral criteria for tertiary level assisted conception Fertility treatment and referral criteria for tertiary level assisted conception Version Number Name of Originator/Author Cross Reference V2 East of England Consortium Commissioning Policy for Fertility

More information

Intrauterine (IUI) and Donor Insemination (DI) Policy (excluding In vitro fertilisation (IVF) & Intracytoplasmic sperm injection (ICSI) treatment)

Intrauterine (IUI) and Donor Insemination (DI) Policy (excluding In vitro fertilisation (IVF) & Intracytoplasmic sperm injection (ICSI) treatment) Leicester City Clinical Commissioning Group West Leicestershire Clinical Commissioning Group East Leicestershire and Rutland Clinical Commissioning Group POLICY DOCUMENT Intrauterine (IUI) and Donor Insemination

More information

Genetics Review and Reproductive Options in Kennedy Disease

Genetics Review and Reproductive Options in Kennedy Disease + Alice Schindler, MS, CGC Genetic Counselor, NIH/NINDS/Neurogenetics Branch Heather Montie, PhD, Assistant Professor Department of Bio-Medical Sciences Philadelphia College of Osteopathic Medicine Annual

More information

3. Party/Parties requesting embryo donation for reproductive purpose

3. Party/Parties requesting embryo donation for reproductive purpose 1. Background On or about (date), and (name(s) of parties requesting IVF treatment) requested (name of clinic and treating physician) at (address of clinic) to perform in vitro fertilization using: a.

More information

[Act on Artificial Fertilisation and use of Human Gametes and Embryos for Stem-Cell Research] 1) No. 55/1996 1) Act No. 27/2008, Article 9

[Act on Artificial Fertilisation and use of Human Gametes and Embryos for Stem-Cell Research] 1) No. 55/1996 1) Act No. 27/2008, Article 9 [Act on Artificial Fertilisation and use of Human Gametes and Embryos for Stem-Cell Research] 1) No. 55/1996 1) Act No. 27/2008, Article 9 as amended by Act No. 65/2006, Act No. 27/2008, Act No. 54/2008,

More information

T39: Fertility Policy Checklist

T39: Fertility Policy Checklist Patient Name: Address: Date of Birth: NHS Number: Consultant/Service to whom referral will be made: Institution Lifestyle Information Latest BMI: Latest BP: Smoking Status: Has the patient been referred

More information

Fertility Services Commissioning Policy

Fertility Services Commissioning Policy Fertility Services Commissioning Policy Author: Commissioning Team Version No: Two Policy Effective From: 29 September 2016 Review Date: September 2017 Policy Amendment: 02 August 2017 Document Reader

More information

Infertility treatment

Infertility treatment In the name of God Infertility treatment Treatment options The optimal treatment is one that provide an acceptable success rate, has minimal risk and is costeffective. The treatment options are: 1- Ovulation

More information

Placename CCG. Policies for the Commissioning of Healthcare. Policy for Assisted Conception Services

Placename CCG. Policies for the Commissioning of Healthcare. Policy for Assisted Conception Services Placename CCG Policies for the Commissioning of Healthcare Policy for Assisted Conception Services 1 Introduction 1.1 This document is part of a suite of policies that the CCG uses to drive its commissioning

More information

DESTINATION :FAMILY. Reproductive Services TABLE OF CONTENTS

DESTINATION :FAMILY. Reproductive Services TABLE OF CONTENTS DESTINATION :FAMILY Reproductive Services TABLE OF CONTENTS Which doctor should I choose? What resources are available to help me? What is covered? How will I afford treatment? What can I do to help prepare

More information

CEL 09 (2013) 15 May Dear Colleague

CEL 09 (2013) 15 May Dear Colleague Director General Health and Social Care and Chief Executive NHS Dear Colleague Provision of Infertility Services in Scotland (updated IVF criteria) As you know a National Infertility Group was convened

More information

Access to IVF. Help us decide Discussion paper. South Central Specialised Commissioning Group C - 1

Access to IVF. Help us decide Discussion paper. South Central Specialised Commissioning Group C - 1 Access to IVF Help us decide Discussion paper South Central Specialised Commissioning Group 1 C - 1 Access to IVF treatment Contents 1. Background 3 2. Developing a single policy for NHS South Central..4

More information

Trends in Egg Donation. Vitaly A. Kushnir MD Center for Human Reproduction

Trends in Egg Donation. Vitaly A. Kushnir MD Center for Human Reproduction Trends in Egg Donation Vitaly A. Kushnir MD Center for Human Reproduction Disclosures No relevant financial relationships to disclose CHR views the commercial trade in human oocytes with considerable ethical

More information

Fertility treatment and referral criteria for tertiary level assisted conception

Fertility treatment and referral criteria for tertiary level assisted conception Fertility treatment and referral criteria for tertiary level assisted conception Version Number 2.0 Ratified by HVCCG Exec Team Date Ratified 9 th November 2017 Name of Originator/Author Dr Raj Nagaraj

More information

D D M M Y Y D D M M Y Y. For clinic use only (optional) MD PNT only (gender-neutral): version 1; 3 April 2017

D D M M Y Y D D M M Y Y. For clinic use only (optional) MD PNT only (gender-neutral): version 1; 3 April 2017 This form is produced by the Human Fertilisation and Embryology Authority (HFEA), the UK s independent regulator of fertility treatment and human embryo research. For more information about us, visit www.hfea.gov.uk.

More information

Assisted Conception Policy

Assisted Conception Policy Assisted Conception Policy NHS Eligibility Criteria for assisted conception services (excluding In vitro fertilisation (IVF) Intracytoplasmic sperm injection (ICSI) treatment) for people with infertility

More information

CRYOPRESERVATION OF SEMEN FROM TESTICULAR TISSUE

CRYOPRESERVATION OF SEMEN FROM TESTICULAR TISSUE INFERTILITY & IVF MEDICAL ASSOCIATES OF WESTERN NEW YORK CRYOPRESERVATION OF SEMEN FROM TESTICULAR TISSUE BUFFALOIVF.COM When you have scheduled your appointment with Dr Crickard or Dr Sullivan to sign

More information

Fill in this form if you are donating eggs and/or embryos created with your eggs for use in another person s mitochondrial donation

Fill in this form if you are donating eggs and/or embryos created with your eggs for use in another person s mitochondrial donation This form is produced by the Human Fertilisation and Embryology Authority (HFEA), the UK s independent regulator of fertility treatment and human embryo research. For more information about us, visit www.hfea.gov.uk.

More information

Section III Consent Forms

Section III Consent Forms Section III Consent Forms Please read the consents prior to your IVF consultation appointment. Most people have questions regarding the consent forms. Your questions will be addressed during the appointment.

More information