Conceivability_What I Learned Exploring the Frontiers of Fertility

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by Elizabeth L. Katkin


  29. R. B. Lathi, C. A. Liebert, K. F. Brookfield, et al., “Conjugated Bisphenol A in Maternal Serum in Relation to Miscarriage Risk,” Fertility and Sterility 102, no. 1 (July 2014):123–28.

  30. M. Sugiura-Ogasawara, Y. Ozaki, S. Sonta, et al., “Exposure to Bisphenol A Is Associated with Recurrent Miscarriage,” Human Reproduction 20, no. 8 (August 2005): 2325–29.

  31. Nagaoka et al., “Human Aneuploidy,” 502.

  32. Roger Highfield, “IVF Success Rate Is Too Low, Says Lord Winston,” The Telegraph, June 9, 2008, http://www.telegraph.co.uk/news/science/science-news/3343919/IVF-success-rate-is-too-low-says-Lord-Winston.html.

  33. Bart C. J. M. Fauser, “Relevance of embryo competence for successful IVF, and role of GCSF,” presentation at the 24th World Congress on Controversies in Obstetrics, Gynecology & Infertility (COGI), Amsterdam, November 11, 2016.

  34. M. A. Santos, E. W. Kuijk, and N. S. Macklon, “The Impact of Ovarian Stimulation for IVF on the Developing Embryo,” Reproduction 139, no. 1 (January 2010): 23–34.

  35. Jacques Cohen, “MRT and PGD As a First-Line Treatment for Mitochondrial Disorders,” presentation at the 24th World Congress on Controversies in Obstetrics, Gynecology & Infertility (COGI), November 12, 2016.

  36. M. F. Verberg, M. J. Eijkemans, N. S. Macklon, et al., “The Clinical Significance of the Retrieval of a Low Number of Oocytes Following Mild Ovarian Stimulation for IVF: A Meta-analysis,” Human Reproduction Update 15, no. 1 (January-February 2009): 5–12.

  37. Rubio et al., “Prospective Cohort Study.”

  38. Grabar and Stefanovich, “Aneuploidies in Oocytes Used.”

  39. G. N. Allahbadia, “Have We Finally Written the Obituary for Conventional IVF?,” IVF Lite 1, no. 1 (2014): 1–5.

  40. J. J. Zhang, Z. Merhi, M. Yang, et al., “Minimal Stimulation IVF versus Conventional IVF: A Randomized Controlled Trial,” American Journal of Obstetrics & Gynecology 214, no. 1 (January 2016): 96.e1–8.

  41. Kato, “Natural-Cycle IVF” presentation.

  42. Dr. Bernstein served as a lead investigator in these studies, using humanlike models of midlife female mice. She performed initial studies with Professor Duane Kraemer and colleagues at Texas A&M University, then with University of Maryland School of Medicine professors Istvan Merchenthaler and Charles Chaffin, and research assistant Amelia Mackenzie. See L. R. Bernstein, A. C. Mackenzie, S. J. Lee, et al., “Activin Decoy Receptor ActRIIB:Fc Lowers FSH and Therapeutically Restores Oocyte Yield, Prevents Oocyte Chromosome Misalignments and Spindle Aberrations, and Increases Fertility in Midlife Female SAMP8 Mice,” Endocrinology 157, no. 3 (March 2016): 1234–47.

  43. Pregmama, “About,” http://www.datlof.com/2Pregmama/about.cfm.

  44. Lori R. Bernstein, “Hormone Normalization Therapy Comprising Administration of Aromatase Inhibitor, Follicle Stimulating Hormone, Luteinizing Hormone, Human Chorionic Gonadotropin, Gonadotropin Hormone Releasing Hormone and/or Progesterone,” US Patent application No. US9,056,072 B2, filed June 16, 2015.

  Chapter 14

  1. Fertility Authority, “New York Infertility Insurance Mandate,” accessed December 11, 2017, https://www.fertilityauthority.com/costs/insurance-coverage/new-york-infertility-insurance-mandate. New York Consolidated Laws, Insurance, Sections 3221 and 4303.

  2. See Infertility Resources, “Pharmacies,” http://www.ihr.com/infertility/provider/pharmacy.html, for a list of domestic and international pharmacies.

  3. What to Expect, “Fertility Treatments—Jobs with Infertility Coverage,” accessed December 11, 2017, http://www.whattoexpect.com/forums/fertility-treatments/topic/jobs-with-infertility-coverage-51.html.

  4. Laura Lorenzetti, “These 11 Companies Offer 100% Healthcare Coverage,” Fortune, March 11, 2015, http://fortune.com/2015/03/11/companies-offer-all-healthcare-coverage/.

  5. FertilityIQ, “The FertilityIQ Family Builder Workplace Index: 2017–2018,” accessed December 10, 2017, https://www.fertilityiq.com/fertilityiq-data-and-notes/fertilityiq-best-companies-to-work-for-family-builder-workplace-index-2017-2018.

  6. Shelby Livingston, “Fertility Treatment Costs Scare Off Employers,” Business Insurance, January 17, 2016, http://www.businessinsurance.com/article/20160117/NEWS03/160119856/fertility-treatment-costs-scare-off-employers-but-those-who-offer.

  7. Anna Medaris Miller, “Should You Travel Abroad for IVF?,” U.S. News & World Report, December 15, 2015; Fertility Treatment Abroad, “IVF Prices: What Is the Cost of Fertility Treatment Abroad?,” accessed December 11, 2017, http://fertility.treatmentabroad.com/costs. See also www.patientsbeyondborders.com.

  8. Robert Winston, “Robert Winston: ‘I Do Have a Very Dark Side,’ ” The Telegraph, August 15, 2008, http://www.telegraph.co.uk/news/features/3637695/Robert-WinstonI-do-have-a-very-dark-side.html.

  9. FertilityIQ, “About us,” accessed March 1, 2018, https://www.fertilityiq.com/who-we-are.

  10. FertilityIQ, “FertilityIQ Data & Notes,” accessed December 11, 2017, https://www.fertilityiq.com/fertilityiq-data-and-notes.

  11. Tamar Lewin, “Industry’s Growth Leads to Leftover Embryos, and Painful Choices,” New York Times, June 17, 2015, https://www.nytimes.com/2015/06/18/us/embryos-egg-donors-difficult-issues.html?_r=0.

  12. Nick Loeb, “Sofía Vergara’s Ex-Fiancé: Our Frozen Embryos Have a Right to Live,” New York Times, April 29, 2015, https://www.nytimes.com/2015/04/30/opinion/sofiavergaras-ex-fiance-our-frozen-embryos-have-a-right-to-live.html.

  13. Reber v. Reiss, 42 A.3d 1131 (Pa. Super. Ct. 2012); Angie Leventis Lourgos, “Judge Gives Embryos to Woman Over Objection from Ex-boyfriend,” Chicago Tribune, May 16, 2014, http://www.chicagotribune.com/news/local/breaking/chi-judge-gives-embryos-to-woman-over-objection-from-exboyfriend-20140516-story.html.

  14. The eight states that permit embryonic stem cell research as of 2016 are California, Connecticut, Illinois, Iowa, Maryland, Massachusetts, New Jersey, and New York. States that restrict or ban it include Florida, Indiana, Kentucky, North Dakota, Ohio, Oklahoma, and South Dakota. For a complete list, see National Conference of State Legislatures, “Embryonic and Fetal Research Laws,” January 1, 2016, http://www.ncsl.org/research/health/embryonic-and-fetal-research-laws.aspx.

  15. Andrew Vorzimer, “Get Pregnant with Built-On Spec Embryos or Get Your Money Back!,” The Spin Doctor, http://www.eggdonor.com/blog/2012/11/20/pregnant-built-spec-embryos-money/.

  16. Lewin, “Industry’s Growth.”

  17. Stein, “New York Fertility Doctor.”

  18. Charlotte Pritchard, “The Girl with Three Biological Parents,” BBC News Magazine, September 1, 2014, http://www.bbc.com/news/magazine-28986843.

  19. Conor Gaffey, “Three-Person Baby Born in Ukraine After Doctors Use Novel Technique,” Newsweek, January 18, 2017, http://www.newsweek.com/three-person-baby-born-ukraine-after-doctors-use-novel-technique-543878.

  20. The CRISPR-Cas9 is a two-part molecular scissors comprising a DNA-cutting protein called Cas9 and a short piece of RNA that guides the protein to a gene that scientists want to snip.

  21. T. H. Saey, “New Era of Human Embryo Gene Editing Begins,” Science News 190, no. 9 (October 29, 2016): 15. See also E. Callaway, “Gene-editing Research in Human Embryos Gains Momentum,” Nature 532, no. 7,599 (April 21, 2016): 289–90.

  22. Myers et al., “Effectiveness of Assisted Reproductive Technology (ART).”

  23. Eliza Barclay, “Scientists Successfully Used CRISPR to Fix a Mutation That Causes Disease. This Is Huge,” Vox, August 2, 2017, https://www.vox.com/science-and-health/2017/8/2/16083300/crispr-heart-disease.

  Index

  A note about the index: The pages referenced in this index refer to the page numbers in the print edition. Clicking on a page number will take you to the ebook location that corresponds to the beginning of that page in the print edition. For a comprehensive list of locations of any word or phrase, use your reading system’s search function.

  abortion:

  and disposal of unused embryos, 227


  missed, 40–41

  Roe v. Wade (1973) and, 175, 176

  selective reduction in, 156–57, 190

  Abraham (Biblical figure), 127

  Access Fertility, 183

  accidental incest, 149

  acne and PCOS, 10

  acupuncture, xv, 14, 17, 22–33, 48, 68, 105, 141, 144, 205, 207

  Acupuncture Denver, 8

  adoption process:

  in Russia, 116–17

  in UK, 116, 117

  in US, 116

  adrenoleukodystrophy, 78

  Advanced Fertility Center of Chicago, 16

  Advanced Reproductive Care (ARC Fertility), 182

  advertising, 171, 185

  false, 165

  Advil, 4

  Aetna, 17

  Affordable Care Act, 217

  Africa, 193

  age:

  of blastocyst, 77

  maternal, 19, 80, 83, 204

  AIDS, 154

  Alaska, 129

  alternative therapies, 14

  see also acupuncture; traditional Chinese medicine (TCM)

  AltraVita clinic, 136, 141, 145–46

  American Society for Reproductive Medicine (ASRM):

  on clarification of parentage laws, 129

  class action suit against, 171

  on donor anonymity, 151

  on ethics of mosaics’ transfer, 82

  and ethics of selling embryos, 229

  fertility clinics as members of, 166

  on immunological suppression treatments, 111

  on limiting sperm donation, 149

  on professional standards, 167

  anatomical abnormalities, 100–106

  Anderson, Becky, 147

  aneuploidy:

  definition of, 65–66, 82

  and IVF procedures as possible cause of, 92, 199–201

  use of Pregmama to prevent, 213

  see also preimplantation genetic screening (PGS)

  Annas, George, 169

  anonymity:

  of egg and sperm donors, 150, 151–53, 155, 195

  of fertility lottery entrants, 183

  anti-Mullerian hormone (AMH), 15–16, 17–18

  antiphospholipid syndrome (APS), 52–53, 139

  antral follicles:

  and AMH levels, 18

  defined, 15

  Apple, 220

  arcuate uterus, 102–3

  Arizona, 128

  Arkansas, 128

  array comparative genomic hybridization (aCGH), 80, 81

  artificial insemination, see intrauterine insemination (IUI)

  ART Institute of Washington, 208

  ART World Congress (2016), 92, 198–99

  Ashby, Rachel, 65–66

  Asians, as egg donors, 171

  aspirin, 106–7

  assisted reproductive technology (ART):

  and blastocysts, 74–77

  evaluating clinics and specialists, 69–72

  IUI as least invasive and least expensive form of, 48–49

  patient research of, 63–72

  preimplantation genetic diagnosis (PGD) and screening (PGS), 77–84

  protocols in, 72–74

  and religious issues, 54, 105, 175

  see also specific therapies

  Attain IVF, 182

  Australia, 150, 164, 166, 193

  Austria, 150

  autoimmune disorders, 53, 107–14

  Baby Business, The (Spar), 171–72

  Baby Computer, 14, 47, 55

  Baby Mama (movie), 115

  Bank of America, 220

  Batzofin, Joel, 118, 119, 121–22, 123, 125, 126, 184, 189, 237–39

  Baylor College of Medicine, 118

  BBC, 120

  Beer, Alan, 109, 110, 112

  Belgium, 128, 150, 191, 228

  Ben-Rafael, Zion, 209

  Berger, Merle, 185

  Berle, Milton, xiii

  Bernstein, Lori, 212–14

  birth control pills:

  Clomid studied as use for, 7

  for IVF treatment, 57, 61

  for pregnancy prevention, 7

  birth defects:

  Clomid as possible cause of, 8

  gene editing to prevent, 233

  use of folate to prevent, 204

  see also chromosomal abnormalities

  Bisphenol A (BPA), 205–6

  Blakeway, Jill, 32

  blastocysts:

  age of, and success of IVF, 76

  mosaic, 81–82, 199–200

  from reduced-dose IVF cycles, 210

  testing of, 81

  use of in ART, 60, 74–77

  blocked tubes, 19

  blood clots, 52–53, 106

  blood tests:

  to assess hormone levels, 15, 27, 105

  insurance coverage for, 219

  not useful for measuring NK cells, 111

  blood thinners, 59

  blood transfusions, 110

  blurred vision, 8

  Boston IVF, 185

  Boston University School of Public Health, Center for Health Law, Ethics & Human Rights at, 169

  Bourn Hall Clinic, 208

  BPA, 202, 205–6

  Braithwaite, Jeffrey, 46, 47, 48, 94

  Braude, Peter, 232

  BRCA1 mutation, 78

  breast cancer:

  genetic mutation for, 78

  letrozole as treatment for, 11

  and possible link with fertility drugs, 173

  breastfeeding, 124

  breath work, 28

  Brenda (potential surrogate), 126

  Brigham and Women’s Hospital, 65, 126

  Brisman, Melissa, 119, 129

  British National Health Service, 180

  British National Institute for Health and Care Excellence (NICE), 50

  British Royal College of Obstetricians and Gynaecologists, 111

  Brown, John, 174

  Brown, Lesley, 174

  Brown, Louise, 173–77, 216

  Bush, George W., 176

  B vitamins, 204–5

  C, Mr. (HSG specialist), 101–2

  California, 128, 153, 155, 192, 193, 228, 229

  California, University of:

  at Irvine, 32

  at San Francisco, 168, 179

  California Conceptions, 229

  Canada, 150, 164, 191, 193, 220

  Canavan disease, 219

  cancer:

  breast, 11, 78

  Clomid as possible cause of, 7–8

  legal aspects of frozen embryos, 228

  patients with, and ART, 135, 162, 170, 180

  possible link between fertility drugs and, 169, 172, 173

  Caplan, Arthur, 174, 176

  Carter, Helena Bonham, 8

  Catherine (surrogate), 121–25, 144–48

  catheters, 49, 101–2

  Center for Human Reproduction, 187

  Centers for Disease Control and Prevention (CDC):

  and clinic’s measure of success, 83, 165, 187, 188, 189, 191

  and guidelines for fertility centers, 166–67, 187, 188

  Centers for Medicare and Medicaid Services, 165–66

  cerclage, 104–6

  cervical incompetence, 104–6

  Chanel, 220

  Chang, Raymond, 32

  charting menstrual cycle, 46–47

  chemotherapy, 228

  Child-Parent Security Act, 129

  children:

  and citizenship issues, 124, 194–97

  and knowledge of genetic heritage, 148, 149, 150–52

  see also siblings

  China, 193, 233

  see also traditional Chinese medicine (TCM)

  Christopher Robin (char.), 63

  chromosomal abnormalities:

  aneuploid cells and, 65–66, 82

  effect of FSH levels on, 17

  as leading cause of sporadic miscarriage, 91, 93

  most common cause of miscarriage, 43–44

  and PGD a
nd PGS, 77–84

  results of, 200–203

  citizenship issues in surrogacy, 124, 194–97

  Clearblue Fertility Monitor, see Baby Computer

  Clexane (heparin), 53, 55, 59, 68, 95, 106–7, 112, 113–14

  Clinical Laboratory Improvement Act of 1988 (CLIA), 165

  Clomid (clomiphene citrate), 46, 97, 163, 172, 209

  masks steroids on drug tests, 9

  as most widely used fertility drug, 6–10, 29

  as non-invasive fertility treatment, 14

  possible link with ovarian tumors, 173

  side effects of, 4, 5, 8–9

  used against PCOS, 11

  use of, with IUI, 49, 50

  CNN International, 147

  Cochrane review, 10, 111

  Coenzyme Q10 (CoQ10), 204–5

  Cohen, Jacques, 208, 231

  Colorado, 129

  Colorado, University of, Advanced Reproductive Medicine, 151

  Columbia University:

  College of Physicians and Surgeons of, 26

  Medical Center of, 168, 232

  Rosenthal Center for Complementary and Alternative Medicine of, 26

  compensation for egg donors, 170–72

  complementary therapies, 14

  see also acupuncture; traditional Chinese medicine (TCM)

  conflict of interest, 165, 185–87

  Congress, US, 232, 234

  Connecticut, 129, 217

  Connect the World (TV show), 147

  consular report of birth abroad (CRBA), 194–97

  Cook catheter, 101, 102

  Cooper Health Clinic, 141

  Cornell University, 32

  Cosmopolitan Conceptions: IVF Sojourns in Global Dubai (Inhorn), 193

  cost:

  advantage of low-cost (“mini”) IVF, vs. regular, 209–10, 220

  of fertility treatments in US, xviii, 178–79, 221

  and financing for IVF, xviii, 179–84, 192

  of infertility drugs, 178

  international cost of IVF treatment, 221

  of multiple pregnancies, 168–69

  vs. risk of treatments, 96, 169

  and success rate of IUI, 49–50

  of third-party parenting, 179

  of ultrasound machine, 184

  variability of, and success rate, 177

  see also insurance

  COTS (Childlessness Overcome Through Surrogacy), 121

  CRISPR-Cas9, 233

 

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