Are you dreaming of becoming a parent, but are now past the prime age for child bearing? You are not alone. Many couples delay parenthood until their mid-30s or later and sometimes face the heartbreak of infertility and the challenge of undergoing assisted reproductive technology (ART) treatments. Some couples enjoy success after a few fertility treatments, while others aren’t so fortunate.

Infertility Can Happen to Anyone

In their quest to have a baby, celebrity couple Giuliana and Bill Rancic underwent several cycles of in vitro fertilization (IVF) treatments without success. They also endured a painful miscarriage. The television couple, who star in the Style Network’s “Giuliana & Bill,” allowed the cameras to follow them on their sometimes painful journey toward parenthood.

They were embarking on another round of fertility treatments when Giuliana was diagnosed with breast cancer. Although Giuliana’s cancer treatment was successful and she is now cancer-free, she must continue taking medications that would not be healthy for a developing fetus. What next?

How Surrogacy Worked for Them

Despite their obstacles, Giuliana and Bill were still determined to become parents. After considering all their options, they decided to try gestational surrogacy. This form of ART involved using his sperm and her egg to be fertilized into an embryo and implanted into a surrogate’s uterus. Success!  Their child is due in summer 2012. Surrogacy allowed Bill and Giuliana to be the biological parents of the child, but ensured a safe pregnancy and healthy baby.

Finding a Surrogate

There are agencies that can match couples to an appropriate surrogate, if this is the route they choose. Bill and Giuliana used an agency that was recommended by their IVF physician. Couples may choose either traditional surrogacy or gestational surrogacy, as Bill and Giuliana did.

Traditional surrogacy is usually an option for couples when the woman has no eggs or her eggs are unhealthy (i.e. from disease or medical treatment). In this case, the child can be produced by the male partner’s sperm and the surrogate’s egg. The surrogate becomes pregnant after the male partner’s sperm is used to fertilize her egg and produce an embryo that the surrogate will carry and deliver. The baby will be genetically linked to the male partner of the couple, and also to the surrogate. After the baby is born, the surrogate agrees to give up the baby to the couple as the legal parents.

Gestational surrogacy is the more popular form of surrogacy, and typically involves using an egg and a sperm from the couple. With this method, IVF treatment is used to retrieve eggs from the intended mother. In some cases, the intended mother’s eggs were already retrieved and stored from previous IVF treatments. These eggs are fertilized with the intended father’s sperm in the laboratory to produce embryos. Some of these embryos are then implanted into the uterus of a gestational surrogate. The impregnated surrogate carries the baby to term and delivers it, immediately releasing the infant to its biological parents at birth.

In addition to Giuliana and Bill Rancic, other celebrity couples who have opted to use gestational surrogacy include Sarah Jessica Parker and Mathew Broderick. In 2009, a gestational surrogate successfully delivered their biological twin daughters, Marion and Tabitha.

To learn more about surrogacy, or to find a fertility specialist near you, click here!

Infertility problems have caused a lot of heartbreak for television personalities Giuliana and Bill Rancic. After suffering through several failed in vitro fertilization (IVF) treatments and a miscarriage, the celebrity couple is now expecting their first child together…via a gestational surrogate. What does that mean? The baby, due in late summer 2012, will be Bill and Giuliana’s genetic child. However, it is being carried to term by a surrogate mother to ensure a safe pregnancy and healthy baby.

The Rancics, who are currently starring in "Giuliana & Bill," their own reality show on the Style Network, have grappled with other health challenges as well. Giuliana was diagnosed with breast cancer in 2011, as she was undergoing another round of fertility treatments. Giuliana’s health scare, and her cancer treatment, sidelined their plans to get pregnant.

Bill and Giuliana explored other options for starting a family, including adoption. Bill explained that they chose to move forward with the surrogacy option as their “last stop,” and it worked! They found their gestational surrogate through an agency that was referred to them by their IVF doctor. The couple is thrilled to share their baby news after a rough journey to parenthood saying, “… if we can help others by sharing our story, then it's worth it."

Are you trying to get pregnant and worried you may be infertile? If you answered “yes,” you are among the hundreds of women in America who are concerned about infertility and conceiving a child. Women facing fertility problems today have many more options for treatment than in the past. From fertility drugs to acupuncture, there are many choices. It can be a challenge to make the choice that is right for you. To help you find the right approach for you, we offer a brief overview of some fertility treatments available.

Some Fertility Treatment Options:

Fertility medications

Fertility drugs are used to regulate your reproductive hormones over a period of three to six months. The success rate ranges from 20 to 60 percent, and the drugs can increase your likelihood of having twins or multiples. There are also some associated side effects (hot flashes, cramping, bloating, etc.)



Surgery

If you have any blockages in your fallopian tubes, scar tissue, ovarian cysts or other issues that may be preventing conception, surgery can help fix those problems.  The success rate ranges from 40 to 60 percent for endometriosis or scar tissue treatments. The success rate for fallopian tube clearance treatments ranges from 10 to 90 percent.



In vitro fertilization (IVF)

IVF is generally used with fertility drugs that stimulate the ovaries to produce eggs. These eggs are retrieved from the ovaries and placed together with sperm in a specially-prepared test tube until fertilization takes place. One to three embryos will be placed in the uterus after fertilization. The success rate for IVF ranges widely, from six to roughly 30 percent, depending upon the age of the woman receiving treatment. Women under age 35 have the best chances of conceiving with IVF or another assisted reproduction technology (ART) such as gamete intrafallopian transfer (GIFT) or zygote intrafallopian transfer (ZIFT).



Artificial insemination

Also known as intrauterine insemination (IUI), this procedure involves placing sperm directly into the uterus. This treatment is often used where there is a problem with cervical mucus or male infertility. Though lower cost than some of the other options, the success rate for IUI ranges from four to roughly 17 percent – not very high.



Other fertility treatment options to consider include alternative medicine modalities such as acupuncture and herbs, egg freezing and egg or embryo donation, sperm injection (ICSI) and surrogacy or gestational carriers.

Click here to find a fertility specialist and explore your options for fertility treatments.



Sources:

http://www.hfea.gov.uk/fertility.html

http://infertility.about.com/od/infertilitytreatments/a/basictreatments.htm

If you have been struggling to get pregnant, you might want to consider incorporating natural remedies like acupuncture or herbal medicine into your fertility treatment plan. There is evidence that these alternative approaches can help you conceive, particularly when used in combination with traditional fertility treatments.

Exactly how do these natural modalities help to improve conception when nothing else has worked? Acupuncture and herbs can encourage healthier function of the ovaries and entire reproductive system, including improved blood flow to the uterus. Acupuncture has been used to correct hormonal imbalances, reduce stress, strengthen the immune system, and even reduce some of the side effects caused by fertility drugs or treatments. Overall, these approaches help support balance and flow in the body’s systems – a balance that is necessary to facilitate good reproduction.

The ABC’s of Acupuncture and Fertility

If you decide to undergo acupuncture and herbal medicine in combination with other fertility treatments, you will most likely receive treatment for a few months before you begin the process of in vitro fertilization (IVF), donor-egg transfer or other fertility method. Your fertility specialists will work with you to coordinate the timing of all your therapies for optimum effect.

Generally, you would receive acupuncture before insemination or embryo transfer. Some fertility specialists advise a woman undergo only 8-10 acupuncture sessions before initiating fertility treatment, while others feel these sessions can continue until a woman reaches her twelfth week of pregnancy. It is important to discuss with your specialists any potential risk for miscarriage through each stage of treatment.  Every individual has different medical needs, so you should work closely with all specialists on the team to tailor a fertility plan that is best for you.

Where Do Herbs Fit in?

Herbal remedies that are derived from a variety of plants and plant extracts can be prepared into special formulas that are tailored to suit your individual needs. Some of the herbs that are typically used to support fertility are Lady’s Mantle, Red Clover, Raspberry Leaf, Ginseng and Stinging Nettle, among others. These can be administered in the form of a pill, powder or tea. Remember that herbal remedies are a form of medicine, so you will need to ask your doctor about any potential risks and side-effects, or interactions with other medications you are taking.

When taken correctly, herbs can be beneficial to both men and women who are seeking to improve their chances for conception. Herbs may be prescribed by the licensed naturopathic doctor or acupuncturist on your team to help overcome fertility issues such as:

• Poor egg quality


• Sperm quality and motility


• Hormonal imbalance


• Uterine or ovarian health

Clinical reports that offer evidence for why herbs and acupuncture may help with fertility issues exist but are still few in number. There is a growing body of anecdotal evidence that the use of herbs and acupuncture are helping many people to conceive, and these remedies are gaining popularity as a complementary treatment to more traditional fertility treatments. In some cases, women have gotten pregnant during the first months of therapy with herbal medicine and acupuncture, before beginning a program of traditional fertility treatment.

Click here to find a fertility clinic near you, and to learn more about incorporating acupuncture or herbal remedies into your treatment plan.

Many couples who find it difficult to conceive a child are resorting to fertility treatments, known as Assisted Reproductive Technology (ART). One of the most popular forms of ART is in vitro fertilization, or IVF. This method allows a couple to utilize the eggs of the woman and the sperm of the man, but carries out the fertilization process outside of the woman’s body – in vitro – in a glass laboratory dish. Once the woman’s egg has been fertilized with the man’s sperm via IVF, it is implanted in the woman's uterus.

While IVF is very popular, successful outcomes are not guaranteed. According to the Centers for Disease Control (CDC), which publishes an annual “ART Success Rate Report,” there are several factors that contribute to your success rate with in vitro fertilization. The general health of a woman and her partner will play major roles in their success with IVF, as will genetic factors. Additionally, a couple’s willingness to commit time, effort, money and emotional energy to ongoing or repeated treatment cycles will play a role. Here are some other factors that may contribute to your success with in vitro fertilization:

• For the greatest in vitro success, age matters. Scientific data shows that women who undergo IVF treatments at a younger age have a greater chance of success. If you are aged 21-35 when you seek IVF treatment, you will have the greatest chance for getting pregnant and giving birth successfully.

• Successful IVF relies on a woman’s response to fertility drugs. A woman’s body can be prepared for the IVF process with fertility drugs that help stimulate her ovaries. A woman must be monitored closely while she is taking the fertility drugs, and everyone responds to them differently.

• The quality of your eggs and his sperm is paramount. For IVF to be successful, the woman has to produce several mature eggs, and the man’s sperm must have good motility and the ability to penetrate the egg.

• The quality of your fertility clinic is important. According to the CDC, the experience and training of your fertility clinic staff and the services they provide can factor into your success. When choosing a clinic, find out which treatments they specialize in, and if they are experienced in helping patients who have your specific medical situation. You will also want to choose a clinic that has good rapport with patients and offers supportive counseling.

• Your partner may need to consult with his doctor to rule out the possibility that he has male infertility stemming from other health issues. It is important to remember that the male partner’s health is not always fully examined when a couple is exploring the underlying causes of infertility. In fact, it is estimated that nearly thirty-five percent of all cases of infertility experienced by couples during their first attempt to get pregnant result from male infertility.

To find a fertility clinic in your area click here.

Sources:

http://www.cdc.gov/ART/index.htm

http://www.cdc.gov/reproductivehealth/data_stats/index.htm

If you've changed your mind after having your tubes tied and want to conceive, you're likely deciding between a tubal reversal procedure vs. IVF treatments.  But which option is best for you?

Tubal Reversal

A tubal reversal is a surgical procedure where the where the blockage in the tubes is removed and a doctor reconnects the severed tubes.  A tubal reversal gives patients about a 70 percent overall chance of getting pregnant--about twice as high as IVF treatments. However, if the tubes were cut too short, a reversal may not be possible. If tubal reversal is successful, a woman can get pregnant as many times as she’s naturally able and not have to rely on drugs and regular procedures like IVF.

IVF

If a women does not want to undergo surgery, she may opt for IVF treatments. The best candidate for IVF after tubal ligation would be a women who is producing healthy eggs and doesn’t have fallopian tubes damaged by scar tissue. Woman older than 38 who want to get pregnant may opt for IVF since tubal reversal is not always effective in older women when it comes to conceiving. According to the Centers for Disease Control and Prevention, an in vitro fertilization treatment after tubal ligation gives women about a 35 percent chance of getting pregnant. IFV is more expensive than tubal reversal, and if more than one attempt is needed, costs can really add up.

If you want to conceive again or for the first time but have had your tubes tied, consult with a fertility specialist in your area to see which option is right for you.

If you've changed your mind after having your tubes tied and want to conceive, you're likely deciding between a tubal reversal procedure vs. IVF treatments.  But which option is best for you?

Tubal Reversal

A tubal reversal is a surgical procedure where the where the blockage in the tubes is removed and a doctor reconnects the severed tubes.  A tubal reversal gives patients about a 70 percent overall chance of getting pregnant--about twice as high as IVF treatments. However, if the tubes were cut too short, a reversal may not be possible. If tubal reversal is successful, a woman can get pregnant as many times as she’s naturally able and not have to rely on drugs and regular procedures like IVF.

IVF

If a women does not want to undergo surgery, she may opt for IVF treatments. The best candidate for IVF after tubal ligation would be a women who is producing healthy eggs and doesn’t have fallopian tubes damaged by scar tissue. Woman older than 38 who want to get pregnant may opt for IVF since tubal reversal is not always effective in older women when it comes to conceiving. According to the Centers for Disease Control and Prevention, an in vitro fertilization treatment after tubal ligation gives women about a 35 percent chance of getting pregnant. IFV is more expensive than tubal reversal, and if more than one attempt is needed, costs can really add up.

If you want to conceive again or for the first time but have had your tubes tied, consult with a fertility specialist in your area to find out which option is right for you.

E!'s Guiliana Rancic revealed on Monday that "through [her] attempt to get pregnant for the third time through IVF, [she] found out that [she] has early stages of breast cancer." She is just 36-years-old. She revealed the personal news to Ann Curry of the TODAY show.

It was her fertility specialist that recommended she get a mammogram, and it was through the breast screening that the cancer was discovered. Her doctor told her that he would not begin the cycle of IVF "if possibly there's a small chance that you have cancer because the hormones will accelerate the cancer," according to Rancic.

The news has drawn concern that there was some kind of connection between IVF and breast cancer. Two days later, Dr. Nancy Snyderman of the TODAY show told Curry that there is not a connection. "There's no known cause and effect," she said regarding the hormones used in IVF and birth control pills. "What we do know is that women who are older usually ask for IVF because they're having a harder time getting pregnant—and women who are older have a higher chance of getting breast cancer, so there is an age relation, but not a hormonal relation."

When trying to conceive, one’s diet usually does not make the checklist of things to consider. However, if you are struggling with fertility issues, making healthful food choices will only help you on your way to conceiving. Both you and your partner should get on board with a healthy eating plan to boost your fertility and increase your chances of becoming parents.

Tips for Women

Eat a highly nutritional, balanced diet. Be sure to get enough B9, zinc, iron and calcium, which regulate your hormones and ovulation. Having a regular cycle can help keep track of your fertile window. Sources of B9 or folic acid include leafy vegetables, egg yolks and legumes. You can find iron in red meat or spinach, lentils, beans and fortified cereals. Foods that are rich in calcium include dairy products, kale, nuts and seeds. You should eat more fiber, which you can find in whole grains, vegetables and fruits.

Tips for Men

Zinc is particularly effective in promoting the production of healthy semen. Zinc is found in oysters, kidney beans, beef, oatmeal or sole fish. Vitamin C increases sperm motility, so tell your partner to get supplements or increase his intake of papaya, bell peppers, oranges and broccoli.

Tips for Both

Avoid consuming alcohol in excess, quit smoking and limit your coffee intake to less than three cups a day. These factors may affect fertility both in men and women. Refined carbs have been linked to inflammation which may also reduce your chances of getting pregnant, so cut down on white bread, pasta or white rice. When trying to conceive, you should be in the best health possible. However, if you still don't see results after several months of healthy eating, consult a fertility specialist for help. Click here to find a specialist in your local area.