Second Opinions — When to Get One (and How)
Key Takeaways A second opinion is standard, not a sign of distrust. Ideal triggers: unclear diagnosis, repeated failed cycles, rushed recommendations, or imminent cancer treatment. Most second opinions take 24–72 hours when records are organized. You don’t need to switch clinics—just gather more clarity. Insurance often covers expert reviews, especially for cancer-related fertility care. Good […]
Storage and Transport — Clinics and Cryoshippers
Key Takeaways Transporting frozen eggs, sperm, and embryos is safe when handled by certified cryoshippers. Clinics follow strict chain-of-custody procedures to maintain identity, temperature, and viability. Cryoshipping uses vapor-phase liquid nitrogen tanks that maintain –150°C or colder for up to 10–14 days. Choosing a reliable shipper prevents delays, temperature drift, and customs problems. Long-term storage […]
Travel and Remote Monitoring — When Home Is Far
Key Takeaways You can complete most of the fertility monitoring process remotely if your clinic coordinates the protocols. The biggest risks are time zone differences, lab turnaround delays, and inconsistent ultrasound reporting. Traveling patients need a firm testing calendar, backup clinics, and clear same-day communication channels. Good monitoring partners and organized documentation dramatically reduce stress […]
Celiac Disease and Fertility — Screening and Diet
Key Takeaways Celiac disease can affect fertility, pregnancy outcomes, and nutritional status. Screening for celiac disease is essential in cases of unexplained infertility or recurrent miscarriage. A strict gluten-free diet is the primary treatment and can restore fertility and improve pregnancy outcomes. Nutritional optimization (iron, vitamin B12, folate, vitamin D, calcium) is crucial. Surrogates and […]
Insurance and Prior Authorizations — Moving Fast
Key Takeaways Prior authorization delays are predictable—and avoidable—with the right prep. Coverage rules differ widely between carriers, employers, and states. The fastest approvals come from complete documentation, correct codes, and proactive communication. Missing notes, unclear diagnosis codes, and benefit misunderstandings create the biggest holdups. Partnering with clinics and insurance teams early drastically shortens your timeline. […]
Legal & Consent — Decision‑Makers and Documentation
Key Takeaways Legal documents for fertility preservation must be completed before treatment begins. Patients must specify what happens to eggs, sperm, embryos, and tissues under all future conditions. Minors and incapacitated adults require special consent processes involving guardians, ethics boards, or court approval. Partner consent is required only for embryos, not eggs or sperm. Clear […]
Lupus and Pregnancy — Coordination with Rheumatology
Key Takeaways Lupus (SLE) can increase risks for miscarriage, preterm birth, preeclampsia, and pregnancy complications. Coordinated care with a rheumatologist and reproductive endocrinologist is critical. Proper medication management before and during pregnancy improves outcomes. Monitoring of antibodies, inflammation markers, and organ function ensures maternal and fetal safety. Surrogates with lupus must be carefully screened; many […]
Managing Diminished Ovarian Reserve — Practical Steps
Key Takeaways DOR affects egg quantity, not necessarily egg quality. Many women with low AMH still conceive. Protocol personalisation matters more than AMH values alone. Improving egg quality takes 8–12 weeks of consistent steps. Banking embryos across multiple cycles is often the most strategic path. Surrogacy may be a future option, but not the first […]
Travel and Scheduling — Reducing Friction
Key Takeaways Travel and scheduling are two of the biggest sources of stress and delays in surrogacy. Early planning reduces cost overruns, appointment conflicts, and legal complications. Coordinating between clinics, carriers, attorneys, and agencies avoids bottlenecks. Small process improvements — like shared calendars and pre-booked windows — save time and money. Successful journeys balance flexibility […]
Glossary — Common Financial and Insurance Terms
Glossary — Common Financial and Insurance Terms in a simplified reference for decoding the language behind coverage, billing, financing, and clinic estimates. It explains where each term fits in your journey, how it shapes cost and timing, and why being precise with language prevents major downstream problems. Who It Helps This resource is a strong […]
