Find out if ovarian reserve testing is right for you
If you’ve ever wondered how fast your biological clock is ticking, there’s a way to find out. Ovarian reserve testing provides information about how many eggs you have left so that you can decide when and how to conceive a child when the time is right.
When women come to us for Las Vegas fertility testing, ovarian reserve testing is one of the first tests we order. This simple blood test measures hormone levels in your blood at a specific point in your cycle, unlocking the mystery of what’s really going on with your egg supply.
Candidates for ovarian reserve testing
Because egg quality and quantity decline the closer you get to menopause, you might think that ovarian reserve testing is just for older women. But the truth is, diminished ovarian reserve can happen at any age, and it’s better to learn about it early if you want to have a baby someday.
For family planning, many women want to learn as much as they can about their current and future fertility. You may wish to get ovarian reserve testing if you:
- Have reached your 30’s and want to know if you have time to delay motherhood
- Have been unsuccessfully trying to get pregnant for six months or longer – especially if you’re in your 30’s
- Are considering preserving your fertility with egg freezing
Ovarian reserve testing is a standard part of our Las Vegas fertility testing for women, as it provides valuable information about the best treatment to overcome any fertility issues that may be discovered.
Women with low egg reserve may need assisted reproductive technology to become pregnant, such as intrauterine insemination (IUI) or in vitro fertilization (IVF). The results will also be used to calibrate your treatment plan and medications, maximizing your chances of success.
Get smart about your fertility
Ovarian reserve testing arms you and your fertility specialist with the information you need to plan your future family. The earlier you can identify issues with your egg supply, the more options you will have when you’re ready to have a baby.
To learn more about ovarian reserve testing and get answers about your fertility, contact us to schedule your Las Vegas fertility testing.
Nevada surrogacy laws make the state a great place for surrogacy
Helping another family realize their dream of having a child is the most rewarding part of becoming a gestational carrier. But thanks to friendly Nevada surrogacy laws, there are many other great reasons to learn more about Las Vegas surrogacy.
The laws of the state in which the baby is born are the laws that will apply to each case of gestational surrogacy. If you live in Nevada and are considering becoming a gestational carrier, or if you are an intended parent seeking the help of a gestational carrier, it’s important to understand how Nevada surrogacy laws provide strong protections for everyone involved.
Carrier-friendly Nevada surrogacy laws
Amended in 2012, Nevada surrogacy laws allow hopeful parents to make legal agreements with a gestational carrier, who will carry the baby for them but will not have any genetic relation to the child. Nevada law is specific about all aspects of surrogacy.
- A valid contract is required for all gestational carrier arrangements.
- A gestational carrier cannot be genetically related to the baby she is carrying.
- Gestational carriers can receive payment or compensation.
- Intended parents are responsible for all of the carrier’s medical and legal expenses, and any other related expenses that may arise.
- A pre-birth court order can establish parentage, so no post-birth adoption process is necessary.
Gestational carrier contracts, which are legally enforceable in Nevada, must explain in detail exactly what the carrier’s and intended parents’ rights are. This covers everything from embryo transfer to surrendering custody of the baby after it is born, as well as all other legal and financial aspects of the arrangement.
Under Nevada surrogacy laws, the intended parents are the legal parents of the future child as soon as the contract is signed. The carrier cannot be held responsible for any financial or other obligations, no matter what happens during the pregnancy or with the child.
Nevada surrogacy laws also open up parenthood for more people. Intended parents don’t have to be married or legally registered as domestic partners, and single people who want to become parents can also use a gestational carrier. Sexual orientation doesn’t matter, and intended parents don’t have to be from Nevada. In fact, many travel here from other countries to find a surrogate.
Learn more about becoming a gestational carrier
With Nevada surrogacy laws, both the intended parents and the gestational carrier are required to secure separate lawyers to guide them through the contract process. If the baby will be born in Nevada, be sure to use a Nevada family law attorney who has experience with assisted reproductive technology.
If you’d like to learn more about Nevada surrogacy laws and Las Vegas surrogacy, contact us to schedule a consultation.
Kim Trede coordinates international fertility treatment
When men and women from around the world travel to our Las Vegas fertility center for care, Kim Trede, director of communications, guides them through the first steps of the treatment process. Kim manages scheduling of international fertility treatment, bringing global patients together with our world-renowned physicians through technology.
She takes the complexity out of international fertility treatment
Working with patients primarily through email, Kim collects as much information about each individual or couple as possible so that they and their physician can make the most of their remote consultations. She also works with the master calendars for our office and each of our physicians, scheduling appointments to take place using Skype video conferencing.
This advanced approach to international fertility treatment minimizes travel time and expense for patients, while providing access to the same level of personal, compassionate care that has made our Las Vegas fertility center a worldwide destination for fertility treatment.
Because her job involves juggling schedules across meridians and oceans, she has mastered the art of scheduling across time zones and keeping with international preferences.
“For example, when the patient is in France or Spain, they prefer late appointments, and noon here is 9 p.m. their time, so it works out perfectly,” she notes. “They can schedule their doctor appointments for when they are at home, and they don’t have to worry about fitting it into their workday.”
With carefully coordinated Skype appointments and electronic sharing of patient information, even complex international fertility treatment involving egg donation or surrogacy can be primarily conducted remotely. Each patient is assigned an international case manager who can speak their native language – English, Spanish, French or Chinese. All case managers have extensive experience with the fertility treatment process, and they are present to assist the patient during the initial consultation and on all follow-up Skype conversations.
A longtime member of the FCLV family
Kim also assists with payroll and employee benefits for the fertility center’s staff.
“What I love most about my job is that each day is different,” Kim says. “There’s a lot of variety in my day, and I really enjoy the people I work with. I really enjoy making a difference in people’s lives.”
Kim initially joined The Fertility Center of Las Vegas in 2000, working in medical records. Her husband’s job in another state took her away from Las Vegas for a few years, but when the family moved back in 2011, we eagerly welcomed her back in her current role.
Originally from Colorado, Kim and her husband of more than two decades have three children. Together, they enjoy cooking and travel – and not surprisingly, given her aptitude for scheduling, Kim’s the one who loves to plan their family vacations and outings.
To learn more about international fertility treatment, contact us to schedule a consultation. Kim, together with our entire team of experienced professionals, looks forward to assisting you.
Dr. Shapiro to share single embryo transfer research at ASRM 2017
People travel from all over the world to our Las Vegas fertility center for a good reason – our reproductive endocrinologists are among the best in the field, and they are innovators who are changing fertility care for the better on a global scale. Two of Dr. Shapiro’s research studies showing that frozen/thawed embryos implant more readily than fresh embryos were called “two of the most important trials performed in IVF in the past 10 years” by Jacques Cohen, the Editor in Chief of the medical journal, Reproductive Biomedicine Online.
At the upcoming ASRM Scientific Congress and Expo, Dr. Bruce Shapiro will lecture the Reproductive Endocrinology and Infertility interest group on the proper conduct of research, and Dr. Carrie Bedient, will study leading-edge research while sharing their own insights with their peers on groundbreaking topics, including single embryo transfer.
The ASRM Scientific Congress gives reproductive endocrinologists and other reproductive medicine professionals a valuable opportunity to explore the newest innovations and research in the field. At the event, which takes place October 28 – November 1, Dr. Shapiro will be giving a presentation on “Implementing Research in Your Everyday Practice,” and will share three research abstracts.
The latest research on single embryo transfer and IVF
Two of the abstracts co-authored by Dr. Shapiro explain recent research that supports elective single embryo transfer and “freeze-all” IVF, in which embryo transfer is delayed until after an IVF cycle and preimplantation genetic screening (PGS) is employed to reduce the risk of transferring a chromosomally abnormal embryo.
A third abstract examines the effectiveness of a specific anti-Müllerian hormone (AMH) test.
- Routine transfer of multiple embryos is no longer necessary to achieve high rates of healthy singleton births in women up to 42 years old.
- Blastocyst vitrification and PGS have facilitated “freeze-all” cycles, benefiting both the patients and laboratory.
- The report of AMH for predicting premature ovarian failure using the Access 2 Immunoassay is consistent with published data using earlier ELISA-based AMH assays, and supports that AMH may be a useful biomarker for assessing ovarian reserve as part of evaluation for women considering IVF.
“Freeze all” cycles followed by single embryo transfer have become the standard of IVF care at our Las Vegas fertility center, resulting in high pregnancy and live birth rates with greater safety and improved infant health over the obsolete approach of transferring multiple embryos in order to compensate for inferior implantation rates with fresh transfers. Because achieving success with just one embryo reduces the risk of a high-risk multiples pregnancy, our clinical goal can now be summed up with just five words – “one embryo, one healthy baby.”
The abstracts submitted by Dr. Shapiro add to the wealth of fresh research to be presented at ASRM 2017. Dr. Shapiro and Dr. Bedient look forward to attending the event’s lectures, poster sessions and other educational and networking activities to explore the most current research available in the field of reproductive medicine.
To learn more about single embryo transfer or freeze-all IVF, contact us to schedule a consultation at our Las Vegas fertility center.
Romain Taillandier provides French fertility coordination for third-party IVF and reproduction
When Romain Taillandier learned that our Las Vegas fertility center was seeking a French-speaking professional to coordinate international third-party reproduction, he was excited to apply. Bringing the perfect personality, skills and experience for the job, Romain was welcomed into our team this month as an IVF case manager, providing French fertility coordination services for egg donation and surrogacy in Las Vegas.
Romain and his husband, the French television host, author, producer and actor Alex Goude, moved to Las Vegas four years ago to have and raise a child together. Surrogacy, known in France as “gestation pour autrui” (GPA), is not permitted in their home country, and as a gay couple who wanted a biological connection to their baby, the United States was the best place to get the fertility treatment they needed. Their son, Elliot, is now two years old and the light of their lives.
“I want to help French people do the same process and have a family, and I know everything about that,” he says. “So when I saw that The Fertility Center of Las Vegas was looking for someone to take care of French IVF patients, I said, ‘It’s the perfect job for me!’”
A perfect fit for French fertility coordination in Las Vegas
Having gone through the process of finding an egg donor, choosing a surrogate and experiencing third-party IVF first-hand, Romain is a strong advocate for gay fertility treatment and parenting, as well as for all French couples and individuals who need third-party reproductive services to grow their families. His personal experience and compassion make him an ideal liaison for patients needing French fertility coordination in the United States.
Because Romain and his husband are well-known in France, he has become somewhat of an ambassador for French patients who need third-party reproduction to build their families.
Romain maintains a strong social media presence on Twitter, Instagram and Facebook, sharing his family’s story through words and photographs. When French couples reach out to him to learn more about gay family building, he is always eager to help them find their way to egg donation, or “don d’ovules,” and surrogacy through our “centre de fertilité” in Las Vegas, where LGBTQ people are warmly welcomed.
Romain’s typical day starts with using Skype to meet with French couples and coordinate their treatment plan, working around different time zones. Sometimes, that means working on weekends, when French couples are often more available.
“I manage each person’s care with all of the people here who are taking care of the patient, from the doctors to the nurses to the laboratories and third-party agencies,” Romain explains. “I can also translate during appointments when patients don’t understand English.”
Before joining our fertility center to manage third-party IVF, Romain used his master’s degree in marketing and communications to start his own digital communications company and manage websites for clients. After Elliot was born, he took about a year off to just be a dad.
Family life in Las Vegas
“I love Las Vegas,” he says. “It’s so easy to have a family here. It’s calm, it’s quiet, and we have a house and backyard. My husband works in Paris right now and travels home quite a bit. We have a dog, and I love to go to the cinema. I’m a Netflix addict and like to play poker, although I play less often now that we have a baby.”
Apart from his job providing French fertility coordination and managing egg donor and surrogate IVF treatment, spending time with his husband and little boy is Romain’s greatest joy.
“For us, the IVF process was just wonderful,” he says. “We met with just one surrogate mother, or mére porteuse, and the first embryo transfer took. Elliot was born right on his due date, and everything was just perfect. Our boy is perfect, too. We’re thinking of having another child, and might start the process again next year.”
To learn more about third party reproduction, including donor egg, donor sperm and surrogacy in Las Vegas, contact us to schedule a consultation. Romain, together with our entire team of experienced professionals, looks forward to assisting you.
How worried should you be about Zika virus and pregnancy?
As spring heats up and the mosquitoes come out, it’s time to start thinking about the risk of Zika virus. Zika can pass from a pregnant woman to her fetus, and may cause a birth defect called microcephaly, as well as other serious brain defects. Arming yourself with knowledge about Zika virus and pregnancy is the best way to protect yourself and your future family.
Pregnant women can contract the virus by being bitten by infected mosquitoes, or by having unprotected sex with someone who is infected. To help you stay safe, our Las Vegas fertility experts share the latest update from the U.S. Centers for Disease Control and Prevention.
Update on Zika virus and pregnancy
CDC recently issued guidelines for travel, prevention, testing and preconception counseling for pregnant women and couples who are trying to conceive. The agency also created a world map highlighting two areas: Zika active transmission areas, or “red areas,” and Zika cautionary areas, or “yellow areas.”
At this time, Nevada is not considered a risky area for Zika virus and pregnancy, as the only two U.S. states affected are Texas and Florida. If you are considering travel to an area where Zika virus has been reported, be sure to tell your Las Vegas fertility experts, and keep CDC guidelines in mind.
- If you are pregnant, do not travel to red areas, and consider postponing travel to yellow areas.
- If you are trying to conceive (or are a surrogate), avoid non-essential travel to red areas. If you must travel, follow steps to prevent mosquito bites.
- Women who are planning to conceive and have been exposed to Zika virus should wait at least eight weeks to try to conceive.
- If you are an egg donor or considering donating your eggs, delay travel to yellow and red areas until after your donation cycle has completed.
- Men who may have been exposed should wait at least six months after symptom onset or the end date of the last possible exposure.
If you don’t know, ask
Researchers do not yet know if there is any safe point during pregnancy to travel to a high-risk area, or how likely it is that your baby will be affected if you become infected. Your Las Vegas fertility experts stay continually updated on the latest information about Zika virus, and are happy to answer your questions and address your concerns. Please be sure to tell your fertility specialist if you think there’s a chance you may have been exposed, and talk to your doctor if you’re considering travel to any area where Zika virus is a threat. Ask us about freezing sperm, eggs or embryos prior to travel.
To find out more about Zika virus and pregnancy, contact us to schedule a consultation with one of our Las Vegas fertility experts.
Which Companies Offer the Best Fertility Benefits
Infertility can be expensive to treat, and unlike many other medical conditions, it’s not always covered by employer insurance plans. For couples that need assisted reproductive technology to have a baby, fertility benefits can mean the difference between fulfilling or giving up on their dreams.
Coverage for in vitro fertilization (IVF) and other advanced treatments is especially critical. The cost of medications, services and facilities in just one IVF cycle can often add up to a price tag that’s unattainable for many employees. Thankfully, many employers realize that one way to win employee loyalty is to provide insurance benefits that not only keep them healthy, but that help them grow their families.
Tech Firms Are Fertility Benefits Leaders
According to Fertility IQ’s “Best Companies To Work for as a Fertility Patient: 2016 – 2017 Rankings,” for 80% of patients, employers pay for either all or none of the cost of IVF treatment. But one industry – technology – is raising the bar for fertility benefits, providing better and more inclusive coverage than any other business sector.
While the study identified the best fertility benefits offered in a diverse range of industries, six companies in the top 10 have one thing in common: All are technology companies. Among the top 10, in order, are these tech leaders:
Overall, tech businesses’ fertility benefits are almost 35% better than peer companies in other industries, the study shows. And, tech companies don’t need to be large for their fertility benefits to have a huge impact on their employees’ families. Even some small, private technology companies offer fertility benefits that are on par with tech giants such as Google, Microsoft, Amazon and Facebook.
While the companies at the head of the pack, across all industries, don’t cap the cost of fertility treatment, many do limit benefits to individuals with an infertility diagnosis. This means that fertility benefits aren’t available to employees who need a fertility specialist because they are same-sex couples or wish to become single parents.
Some technology companies, however, break down such barriers by providing fertility treatment without any such restrictions. This is great news for gay employees who need IVF and a surrogate to have a baby, or for lesbian couples or single moms-to-be who need intrauterine insemination (IUI) with donor sperm. Intel, Apple, Facebook and Google were the leaders on this criterion. Some companies, such as Intel, also provide coverage for fertility preservation procedures such as egg freezing, as well as embryo freezing and storage.
Offering fertility benefits to employees is an expensive proposition. For some large companies, it can add millions to the cost of the company’s insurance plans. But for workers who are struggling with infertility or need assisted reproductive technology to build a family, this coverage can literally make their dreams come true. In fact, the Fertility IQ study found that employees whose IVF was covered feel more loyal, and stay in their jobs longer, and 72% credit their jobs for helping them bring their child into the world.
Make the Most of Your Insurance
Regardless of your employer, our business office team will work closely with your insurer to make sure that you can get the most out of any available fertility benefits. To get started, contact our Nevada fertility center to schedule an appointment.
We protest the protest against access to Las Vegas surrogacy
Our fertility center recently presented at a surrogacy conference in Madrid, Spain, where protesters had gathered outside. We understand that third-party reproduction is a complex issue, and one that only those who need it to build their families can truly understand and appreciate.
The fertility treatment combines egg and sperm in the IVF lab, and then relies on the generosity of a third person, a surrogate, to carry the baby to term. For many men and women, including same-sex couples and women with insurmountable health conditions, this is the only way to build a family.
Our Las Vegas surrogacy firm fills an international void
Surrogacy is illegal in Spain – and other countries countries like France, Japan, Germany and China – so the Surrofair 2017 conference was held as a beacon of hope for anyone struggling to have a child and interested in traveling to the U.S for surrogacy services. An article about the protest stated that international adoptions can take up to eight years. This path to parenthood is an alternative to that long wait.
“We have attended this surrogacy fair twice, and received an email the week before the conference alerting us that the location had to be moved,” says Shiva Price, The Fertility Center of Las Vegas’ vice president of global operations. “We were saddened to hear that a large feminist protest group was equating surrogacy with female trafficking.”
Many of the protesters’ concerns were based off of misinformation, equating surrogacy with the “sale of children” and accusing agencies of targeting women who are financially destitute. In reality, only women who pass strict medical, psychological, social and financial screening can become surrogates in the United States.
In fact, says Price, the majority of the cost of surrogacy covers medical treatment and legal costs. The surrogate receives reimbursement for travel expenses and a nominal reward for her time and commitment that does not amount to a life-changing sum. Most women decide to become surrogates because they know someone who has struggled with infertility and they want to help give another couple the ultimate gift of a family.
Putting a face on surrogacy
One of our Las Vegas surrogacy patients shared her story of overcoming cancer only to be left infertile by the disease. For her, third-party reproduction was the only way.
She had this to say to the protesters in Spain: “I am fighting to be a mom, and I don’t care whether it’s a right or not. It is my dream.”
If you are considering traveling to the U.S. for surrogacy, please contact us to arrange for a free Skype consultation with Dr. Bruce Shapiro who is fluent in Spanish, or Dr. Carrie Bedient. Our Las Vegas surrogacy center has served the global community since 1988.
We’re now home to Nevada’s only female board certified fertility specialist
Our Las Vegas fertility center has a big announcement to make: Our own Carrie Bedient, M.D., recently became the state of Nevada’s only female board certified fertility specialist, or reproductive endocrinologist.
Board certification in reproductive endocrinology and infertility is awarded by the American Board of Obstetrics and Gynecology only after several years of advanced medical training and an intensive testing process, making Dr. Bedient one of a small number of reproductive endocrinologists nationwide who meets our nation’s highest standards for knowledge in this sub-specialty field.
What it takes to become a female board certified fertility specialist
Before becoming our state’s only female board certified fertility specialist, Dr. Bedient completed an intensive fellowship in reproductive endocrinology and infertility (REI) at Emory University, as well as a residency at Case Western Reserve University & Cleveland Clinic Foundation. We were proud to welcome her to our team of Las Vegas fertility specialists in 2015.
To earn REI certification, Dr. Bedient received extensive training focused on diagnosing complex reproductive disorders, as well as the latest advanced treatment options to help men and women grow their families. To become board certified, she passed both written and oral exams proving her knowledge of this complex and evolving field of medicine.
An award-winning physician and researcher, Dr. Bedient shares her knowledge as a clinical assistant professor at the University of Nevada School of Medicine.
Board certification is a tremendous accomplishment for any specialist, but it’s just one milestone in Dr. Bedient’s journey of lifelong learning. To maintain continuous certification, Dr. Bedient will pursue ongoing training, assessment and examinations, staying abreast of the newest developments in reproductive endocrinology and infertility. Her ongoing commitment to education places our team of Las Vegas fertility specialists at the forefront of our field.
We hope you’ll get to know Dr. Bedient and take full advantage of her expertise in infertility and reproductive endocrinology on your own journey to have a baby. To make an appointment with Nevada’s only female board certified fertility specialist, contact us today.
Get informed about infertility legislation
Once you become part of the infertility community, it’s hard not to become passionate about topics like access to care, insurance coverage for infertility treatment, and the effect of infertility legislation on whether or not people struggling with infertility are able to build their families.
Each year, RESOLVE brings the infertility community together in Washington D.C. for Advocacy Day, when thousands of people affected by infertility gather to meet with their elected representatives and make sure that their opinions are heard. Advocacy Day 2017 will take place May 18, and your Nevada fertility specialist hopes that some of our patients will represent our great state this year at our nation’s capitol.
Advocacy Day is hosted in partnership with the American Society for Reproductive Medicine, a renowned professional organization in which both Bruce Shapiro, M.D., Ph.D., and Carrie Bedient, M.D., maintain active membership.
Infertility legislation: Your opinion matters
For this year’s Advocacy Day, RESOLVE encourages participants to bring their representatives’ attention to two pieces of infertility legislation that affect access to important family-building options:
- The Women Veterans and Families Health Services Act, (Senate bill S 700 and House bill H. R. 1681): This bill will require the Veterans Administration to provide family-building options, such as IVF and adoption assistance, to veterans left infertile by wounds suffered in service to our country. This bill overturns the VA’s ban on IVF and expands family-building options for wounded veterans.
- The Adoption Tax Credit: Although the ATC is a permanent part of the tax code, tax reforms that will be debated in Congress this year could put this pro-family tax credit at risk.
RESOLVE provides all the training you need to make an impact, even scheduling your appointments for you. All you have to do is show up in Washington D.C. the day before Advocacy Day, start making friends, and learn how to most effectively share your message in conversations about infertility legislation.
Make your voice heard
It’s tough to work in a trip to D.C. during treatment, but you can still call your U.S. Representatives and follow the phone scripts provided by RESOLVE. We value the unique perspective that each of you brings to the national conversation about infertility and access to treatment. To schedule a consultation with a top Nevada fertility specialist, contact us.