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Welcome to your March 2006 issue of Connections, The American Fertility Association’s monthly e-newsletter. In this issue, you’ll find:

  1. Message from the Executive Director
  2. Reproductive Rights Endangered in Arizona
  3. 60 MINUTES - "Families Ties"
  4. Save the Date! Sunday, May 7, 2006 - Family Matters Annual Conference
  5. Save the date — Illuminations fundraiser in Los Angeles
  6. Fertility Dream races and walks
  7. Ask the Orphan Doctor - a candid conversation with Dr. Jane Aronson
  8. Natural Ways to Prepare Body & Mind for Conception
  9. Manhattan Support Group
  10. Connections Online Educational Sessions

A Message from the Executive Director

Pamela Madsen, AFA Executive Director
Pamela Madsen

Dear Friend,

The American Fertility Association is standing up to protect egg donation from legislation in Arizona that will effectively eliminate this family building option. If it can happen in Arizona, it can happen in your state too.

As a national fertility advocacy association, we will continue to advocate on behalf of all patients, allowing their voices to be heard loudly.

Further details about the legislation and its potential impact appear in our press release below. The AFA will continue to raise issues and fight for the family-building freedoms we deserve.

Warm Regards,
Pamela


REPRODUCTIVE RIGHTS ENDANGERED IN ARIZONA
The American Fertility Association Raises Concerns over Egg Donation Legislation

March 12, 2006, New York – The American Fertility Association is alarmed that the Arizona House of Representatives has passed bills that will significantly impact the ability for women with reproductive difficulties to build families. If bills HR 2142 and HR 2681 are enacted into law when voted on by the Senate this week, it will become a felony – punishable by a term of up to one year of incarceration and a fine of up to $150,000 – to compensate a woman to donate her own eggs to help another woman conceive.

“Reproductive rights are under siege in Arizona. These bills are going to effectively shut-down a woman’s right to bear a child through the use of donated eggs,” said Pamela Madsen, Founder and Executive Director of The American Fertility Association. “Legislators need to understand that egg donation provides the best and sometimes only hope of having a child for many couples,” added Madsen.

This legislation is misguided on two fronts. First, to expect a woman to be both altruistic as well as carry the financial burden for a minimum of 60 hours for egg donation medical treatment is not reasonable. Second, the legislature inaccurately believes that this bill may prevent human cloning because it will limit the supply of eggs needed for stem cell research. Not one fertility specialist in Arizona uses donated eggs for stem cell research or somatic cell nuclear transfer cloning (SCNT). Rather, donor eggs are used exclusively for helping infertile couples start families.

“If preventing human cloning is the goal, the Arizona legislature should re-write the bill to address the concerns of human embryo cloning and not to eliminate a treatment option for infertility patients who need donor eggs to conceive,” said Barbara M. Faber, MD, Arizona Reproductive Medicine Specialists.

Infertile women in Arizona will be negatively affected if HR 2142 and HR 2681 become law. In 2003, about 12% of women in Arizona used assisted reproductive technology involving egg donation. Most do not have a family member who can donate eggs or prefer to use an anonymous donor. For 20 years, egg donation has been a viable and trusted option for these women. Donors undergo the same procedure as women who choose in vitro fertilization (IVF).

“The young cancer survivor whose ovaries are damaged by chemotherapy or the woman with a genetic disorder who doesn’t want to pass it to her offspring need egg donation to start healthy families,” said Holly Hutchison, Practice Director, Reproductive Health Center. “Arizona legislators should pass laws that increase the chance of having a child, not inhibit it.”

Egg donors are compensated for their time and effort, not for the “buying” of eggs. Donors do need to be compensated for the valuable time they spend away from work or school to help infertile individuals and families. The average Arizona egg donor receives between $2,500 and $3,500. The American Society of Reproductive Medicine (ASRM) Ethics Committee has determined that egg donor compensation up to $5,000 is appropriate, and even $10,000 can be justified in certain circumstances.

“While some ads for donors emphasize the monetary gain, women who are solely donating for money are weeded out in the screening process,” says Laura Troche, RNC, Egg Donation Program Coordinator, West Valley Fertility Center. “Donors also meet with an objective mental health professional to determine the donors' understanding of the procedure and motivation. Being an egg donor is not a quick way to earn large sums of money.”

“These Arizona bills must not become law,” added Madsen. “They would set a frightening precedent.”

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60 MINUTES - "Families Ties"

On Sunday, March 19, Steve Kroft from "60 Minutes" examined the growing phenomenon of "donor sibilings."

Every year, an estimated 30,000 children are born in the U.S. to mothers who have been artificially inseminated with sperm from an anonymous donor. Most of these children grow up never knowing their biological fathers. But now, with the help of sperm bank records and the Internet, some of them are finding half brothers and sisters they never knew they had, half-siblings sired by the same anonymous donor. "Donor siblings" are forging family ties they never knew existed, and the definition of "family" is once again undergoing a transformation.

For further details, visit the "60 Minutes" web site and click here.

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Save the Date!

FAMILY MATTERS: THE FERTILITY AND ADOPTION CONFERENCE

Sunday, May 7, 2006, 7:00 am - 5:45 pm, The New York Grand Hyatt Hotel

Family Matters is largest annual U.S. fertility and adoption educational event, featuring over 45 workshops, 90 world-renowned speakers and over 60 exhibitors. Please click here to for more information or register.

Meet leading physicians as well as top-notch heath care, legal and adoption professionals; attend workshops and get support. Register now for the Family Matters conference now and click here.

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Save the date — Illuminations fundraiser in Los Angeles

An Evening of Stars Under the Stars
3RD ANNUAL
ILLUMINATIONS AWARDS

Benefiting the American Fertility Association

SATURDAY, MAY 13 AT 7:00 PM
AT A BEAUTIFUL HANCOCK PARK ESTATE

BRENDA STRONG (Desperate Housewives)
Mistress of Ceremonies
AFA National Spokesperson

HONORING

Jo Champa
Italian Screen Star
World Fertility Awareness
Month Chairwoman

Andrew Vorzimer, Esq.
CEO, Egg Donation Inc.
Partner, Vorzimer Masserman,
A Professional Law Corporation

Cappy M. Rothman, MD
Co-founder and Medical Director,
California Cryobank

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Fertility Dream

AFA Fertility Dream

Join the American Fertility Association at the Fertility Dream races/walks in your area.

The Fertility Dream is breaking new ground, promoting health and is a rallying point for the entire fertility community and our supporters nationwide. Our 2006 goal is to build fertility awareness and raise research and advocacy funds. Remember, "together we can do what we can't do alone.”

Anyone can participate in the Fertility Dream races and walks, no matter you age or fitness level. We can help find a pace that is right for you. Click here for more information and to register.

Support the Fertility Dream race/walk near you:

Chicago - August 13th
Danbury, CT - September 10th
Boston September 30th
Los Angeles - December 18th

Visit the American Fertility Associations web site at www.theAFA.org or call 888 917-3777 to register or donate.

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Ask the Orphan Doctor
A candid conversation with Dr. Jane Aronson about the health and development of children adopted from abroad.

Everyone who has ever considered adopting child has wondered about the health of the child they are bringing into their family. When parents consider international adoption, the fear of unknown medical issues can be even greater. This month we are fortunate to have Dr. Jane Aronson, a leading pediatrician specializing in children of inter-country adoption, addressing some of the most common concerns about adopting children from outside of the United States.

Q: In considering an international adoption, what health issues are expected? There is so much conflicting and frankly, frightening information about the health and development of children in institutions outside of the U.S. It isn’t clear what the facts are.

A: First, the health issues may differ depending on the child’s country of origin. Children from China may arrive in the United States with different issues from children from Guatemala. Most children from abroad are healthy although many of them have nutritional deficiencies. However, it is not uncommon to see infectious diseases and parasites, fetal alcohol syndrome, environmental diseases along with dietary deficiencies. In the vast majority of cases these children can be successfully treated, given any immunizations they have not received, and evaluated for the developmental delays common in internationally adopted children.

Q: Is there anything that can be done to anticipate a child’s medical needs prior to coming home?

A: Adoption Medicine is a rather new sub-specialty in medicine, and my suggestion is that you contact someone in this field (The American Academy of Pediatrics, www.aap.org ). Pre-adoptively you can talk with your adoption pediatrician about which country is likely to best suit you in terms of the country’s requirements and your own requirements—some people want toddlers while others are open to older children—and your familiarity and comfort with particular cultures.

Talking to an adoption pediatrician beforehand can help you understand what to expect so that when you go to an orphanage to meet your child you will know what to look for both medically and developmentally. Either before you go, or once you are there, you can also have the child’s medical records sent to your pediatrician as they can be difficult to interpret. You should also set up an appointment with your pediatrician in advance so that she can see your child as soon as possible after your return for a check-up, shots, and any medical care he may need. Your pediatrician can continue following up with your child medically, and can observe your child over time to make sure that he is getting back on track developmentally—the general rule is that for every three month your child lives in an orphanage, he will be one month behind developmentally.

Q: Are developmental delays common in children living in institutions (i.e. orphanages)?

A: Almost all of the children who have lived in orphanages have delays due to both a
Lack of stimulation and a lack of physical space to practice crawling, walking, and talking. There are many children with few caregivers. The caregivers primarily take care of the child’s physical needs and little else. Fortunately, in some countries such as Guatemala the babies are taken into foster care. In these cases the developmental lags are not as great.

Q: Do children “catch up” when they are adopted and given treatment and care?

A: The vast majority of them do. It is just so important that they be evaluated as early as possible. You will want to get in touch with your county’s health department and get them evaluated for developmental delays so that professionals can intervene if necessary and help them with speech or fine motor skills for example. Don’t wait until your child is three and presents with behavior problems! It is not uncommon to trace these behavior issues back to a speech delay which should have been treated much sooner! The child who is behaving badly at three may simply be frustrated because he can’t verbalize his wants and needs or can’t talk to his peers in pre-school. And don’t overlook the obvious - be sure to have you child’s vision and hearing tested.

Q: Do you have any general advice for people who are considering international adoption?

A: Yes, learn all you can! Get involved with adoptive parent organizations, read magazines and books on adoption. Speak to an adoption pediatrician and be prepared to work a little harder than most parents when your child first comes home. Remember, he will find himself in surroundings that are very different from what he is used to. He may be eating solid foods for the first time, listening to a new language, and sleeping alone in a crib rather than in a room with many children. (If he was in foster care he may have well shared a bed with his foster mother, and will be unused to sleeping without her.) Also, you will often learn a great deal from your child! My own children have taught me far more than I have taught them. Good luck!

Dr. Jane Aronson, fondly know as the “Orphan Doctor” is the Director of International Pediatric Health Services, in New York City and a Clinical Assistant Professor of Pediatrics at the Weill Medical College of Cornell University. She has evaluated well over 4,000 children adopted from abroad as an adoption medicine specialist. She has traveled to orphanages in Russia, Romania, Bulgaria, China, Vietnam, Ethiopia, and Latin America.

Since 1997, she has conducted research and provided education in orphanages abroad through her 501(3) (c) foundation, Worldwide Orphans Foundation (WWO). WWO documents the medical and developmental conditions of children living in orphanages abroad in order to identify their immediate healthcare needs and to advocate for their well-being through the Orphan Ranger Program which acts as a “Peace Corps” for orphanages by commissioning university students and healthcare professionals to live and work in orphanages. WWO has been granted NGO status in Viet Nam and Ethiopia and has embarked on training programs for physicians in both countries to care for HIV-infected orphans. WWO currently treats orphans with HIV/AIDS in both countries.

She has been featured in many newspapers and magazines, such as The New Yorker, People and The New York Times. She is a recipient of the Congressional Angel of Adoption Award and most importantly, she is the adoptive mom of two sweet boys, Ben, from Viet Nam and Desalegn, from Ethiopia.

For more information check her website: www.orphandoctor.com or e-mail her at orphandoctor@aol.com. -- Carolyn Berger, LCSW, AFA Adoption Coordinator

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Natural Ways to Prepare Body & Mind for Conception
By Marc Sklar, DA, LAc, MSTOM

As the Baby Boomers edge into seniority, much of the subsequent generation has placed a greater focus on developing careers than on creating a family. Many have decided to delay families while getting careers in order, only to discover that when it was finally "the right time" to have children, it was no longer easy or feasible for their bodies.

Infertility is now a major medical condition amongst 30-45 year olds, affecting about one in every four reproductive-aged couples, leaving many with heartache and guilt.

The distress, depression and anxiety which accompany many cases of infertility also can negatively impact a body’s physiological reproductive processes and resulting in multiple impediments compounding an existing problem. Concurrently, being infertile leads to more stress and more obstacles to pregnancy - and so the vicious cycle continues.

There is a direct interaction between the body and the mind, making it vital to prepare all aspects of body and mind in any attempt to create the optimum conditions for conception and pregnancy. The following steps are highly recommended to those who want to significantly enhance their chances for a successful pregnancy:

1. Know your optimum fertility signs and times
This sounds straight forward, but knowing exactly when you’re ovulating, and recognizing the physical signs indicating when you’re at the peak time to conceive are sometimes easily confused or missed. For example, as long as your periods are regular, you can calculate that about 14 days after your period starts is the time when you are ovulating. Secondly, and usually around the same time, your cervical mucus becomes very thin, clearer and more stretchy; almost like egg white in quality. (Note antihistamines dry up mucus everywhere, not only in the head and chest). Just paying attention to these two, simple bodily developments will incrementally improve chances of conception.

2. Participate in a strong social support system
If you have been diagnosed with “infertility,” are using IVF treatments or you are experiencing difficulty conceiving, you have been saddled with a whole myriad of emotions robbing fostering feelings of frustration and overwhelming emotion. The ability to share and express the many emotional peaks and valleys that you may be going through can provide valuable peace of mind and a greater sense of control. Stress and depression disrupt the natural harmony of the body and reduce your chances for a successful pregnancy. A supportive group of like minded people will help reduce the stress which is important to creating a healthy environment for conception.

3. Get a full medical reproductive evaluation
The benefits of having a comprehensive female and male reproductive evaluation, including any lab work, imaging and diagnostics will greatly enhance your chances by giving your reproductive healthcare team the most complete and necessary information to deliver the best possible combinations of treatments. Developing a relationship with a reproductive healthcare provider that you trust and feel good with is extremely important. This will also reduce your stress level and further improve your chances for a successful pregnancy.

4. Explore complimentary therapies with licensed practitioners that have been proven effective for fertility enhancement, such as: Acupuncture, Botanical Medicines, Yoga, Qi-Gong, Deep Tissue Uterine Massage
Many research studies have shown the fertility enhancing value of complimentary therapies. One clinical Acupuncture study recently demonstrated the ability to optimize endometrial receptivity, resulting in almost double the pregnancy rate than that of IVF or ICSI alone. Complementary therapies can significantly enhance your chance of conceiving and delivering a healthy baby. Additional benefits can also be achieved with the combined use of other complimentary practices that have demonstrated benefits on conditions ranging from fallopian tube obstruction, fibroids, endometriosis, and menstrual irregularities.

5. Developing a daily relaxation discipline can greatly improve emotional well being
The benefits of being able to access a consistent and calm personal emotional space, has been demonstrated by the Harvard Medical School Mind Body Institute to measurably improve take home baby rates.

6. Developing a nutritional plan to improve your fertility chances may take a little time, however this is one of the more important changes you can directly make
As food and air are the primary means of sustaining life, it is essential that in wanting to create new life that a specific and appropriate nutritional plan be created that include the many essential ingredients that help lay the foundation for optimum maternal and embryonic health. Consulting with a trained professional with experience in the treatment of fertility can further improve your success.

7. Join a facilitated group that explores cognitive behavioral techniques, enhanced communication skills and emotional expression
More than 20 years of studies and practice by the Harvard Medical School Mind Body Institute have shown that by participating in facilitated Mind–Body therapy can result in significant and measurably improved take home baby rates in excess of 50-percent

8. Take the time to reconnect with your spiritual practice
What ever your personal beliefs, set aside time to reconnect with the practice that provides you with a deeper sense of control and belonging. One of the biggest complaints expressed by women suffering with infertility is that they feel “out of control.” Reconnecting with yourself and your spiritual practice can help you regain control of your fertility journey. Having the tools and knowledge to control and understand your journey can help reduce the stress and anxiety experienced.

9. Having a balanced exercise program assures that your body is functioning at top capacity
It is very important that a correct and balanced personal exercise regime be practiced, in most cases this means a consistent light to moderate routine, but in others it may actually mean less exercise. Consulting with a trained fertility professional can help balance your exercise program.

10. Receiving proper pregnancy support
Achieving conception is just the first step. Receiving the proper support during your pregnancy can help to minimize the possibility of a miscarriage as well as other complications. Preparing for the time when you become pregnant and having the right physical and emotional treatment and support structure will further promote a full term healthy pregnancy. For example research also shows that the use of pre-birth acupuncture can help reduce labor by almost two hours, as well as a reduced rate of medical intervention.

Although infertility is affecting more and more couples, in reality very few women (and couples) are actually clinically infertile - most women and their partners are simply not physically and emotionally in full reproductive homeostasis (balance). Some are having difficulty conceiving, others may be suffering from recurrent miscarriage, this is vastly different to true infertility, which is clinically described as sterility. By incorporating some or all of the recommendations listed above women and their partners may have an easier time conceiving, sustaining a full term pregnancy, and delivering a health child.

Marc Sklar is a Doctor of Acupuncture (RI) and one of the founders and clinical directors of Reproductive Wellness™, a clinic practice devoted to providing Natural Treatment Therapies for infertility and pregnancy support.
www.reproductivewellness.com

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Manhattan Support Group
Are you experiencing recurrent pregnancy loss?

Join our new Manhattan group to:
* get support
* build resilience
* alleviate stress
* learn mind/body techniques
* explore resources options to help you move forward

Join Izetta Siegal Stern, LCSW, BCD in an atmosphere of mutual support!

For further information, please call 212-691-1266 or e-mail ISiegalstern@aol.com.

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Connections

Online Education Session Schedule—March – May 2006

Click to go to Connections Online

Connections Online
Connections online education session schedule—March - May 2006

MARCH

Tuesday, March 21
Donor/Surrogate Relations: Part two
Speaker: Mindy Berkson, Lotus Blossom Consulting, LLC

Tuesday, March 28
Testing, Testing, Testing
Speaker: Harvey Kliman, M.D., PhD, Yale University School of Medicine, Reproductive and Placental Research Unit
Department of Obstetrics, Gynecology and Reproductive Sciences

APRIL

Tuesday, April 4
The Art of ART
Speaker: Rafat Abbasi, M.D., Columbia Fertility Associates

Tuesday, April 11
Can't Ask the Doctor - Ask a Nurse
Speaker: Nancy Harrington, RNC, Director of Clinical Service, ivpCare

Tuesday, April 18
The Health and Development of Adopted Children
Speaker: Michael Traister, M.D., NYU Children's Health Center

Tuesday, April 25
Boxers or Briefs? - Common misconceptions about conception
All low tech and high tech questions will be answered
Speaker: Serena Chen, M.D., St. Barnabas

MAY

Tuesday, May 2
New Patient Primer
Speaker: Shaun Williams, M.D. Connecticut Fertility Associates

Tuesday, May 9
Money Matters: Sensible Financing Options
Speaker: Toni Siragusa, MBA, CFP-pending; co-founder Blossom Consulting, LLC

Tuesday, May 16
Becoming a Foster Parent
Speaker TBD

Tuesday, May 23
Law Review: Gestational Surrogacy
Speaker: Melissa Brisman, Esq.

Click here for Connections Online

Connections is made possible by an unrestricted educational grant from Serono, Inc., providers of Fertility LifeLines™. For more information, call 1-866-LETS-TRY or visit www.fertilitylifelines.com.

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Support Line: 888-917-3777. Fax: 718-601-7722. www.theafa.org