*Just a little trigger warning, this episode mentions miscarriage and ectopic pregnancy. If today is a day you’re not feeling too strong, perhaps leave this episode for another day. We have a HUGE back catalog to dive into, so there may be something else you fancy instead. *

Joining Kate on The Fertility Podcast this week is Jade. In this episode, Jade talks about her traumatic and life-changing experiences with ectopic pregnancy. For those who don’t know, an ectopic pregnancy is a pregnancy that is outside of the uterus. Unfortunately, an ectopic pregnancy isn’t viable and is not able to continue. 

Jade’s story begins back in January 2022, when she first became pregnant. Unfortunately, this first pregnancy ended in a miscarriage. Later on, Jade fell pregnant again, however, this time, it was an ectopic pregnancy. Ectopic pregnancies can cause pain and in some circumstances, bleeding, however, Jade didn’t have any symptoms. It wasn’t until after a few trips to the doctor, that she was told she had an ectopic pregnancy. 

Jade eventually had surgery to remove the ectopic pregnancy. She was advised by her doctor that she had an increased risk of having another ectopic, and unfortunately, this happened to Jade again in 2023. However, this time around, Jade knew something was wrong. Jade talks about how hard it was to advocate for herself. Regrettably, this pregnancy ruptured her fallopian tube. An ectopic pregnancy is a serious medical condition which can become a medical emergency. 

Jade talks about how her experiences have left both her and her body scarred. She explains she is scared to get pregnant and risk going through it all again. However Jade is a fabulous example of the importance of being your own fertility advocate and being persistent if you think something is wrong. In Jade’s words “We do always have more strength than we think we have”.

We are delighted that this episode is sponsored by two friends of the podcast - One Day Tests and Bud Nutrtion. One Day Tests  is your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10.

Socials 

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Follow @TheFertilityPodcast on Instagram

Find The Ectopic Pregnancy Trust - Support For You And Your Loved Ones for more information

Find Request a baby loss certificate - GOV.UK (www.gov.uk) 

Find The Premature Menocast podcast

Read Endometriosis time to diagnosis report

To kick start this new series of The Fertility Podcast, Kate is joined by a returning guest and friend of the podcast, Lucy Lines. Lucy is an embryologist in Australia, she is also a fertility educator and advocate. On today’s episode, Lucy is chatting all about embryo grading and what it is and how it’s done.

Lucy explains how to grade an embryo and how a decision is made on which embryo to transfer. Lucy then delves into what it is like to be an embryologist, talking about the training period and the subjective nature of grading embryo’s and how this will differ from one embryologist to the next.

Kate and Lucy move on to talk about which day post collection an embryo should be transferred. Lucy tells Kate that there is a lot of debate around whether day 3 is the best day or day 5 is. More often than not, clinics will prefer to transfer on day 5, as it usually has a higher success rate than day 3 and there are interesting reasons as to why this decision is actually made……..

Lastly, Kate and Lucy talked about batching and what to do if you are thinking about batching embryos. Lucy’s answer is that there is a lot to take into consideration when thinking about batching. Considerations with regards to your age, your AMH, the stability of your relationship with your partner and what to do with the frozen embryos when you have completed your family. 

A little bit of advice to take with you from Lucy is when choosing a fertility clinic, take a look at the live birth rate per cycle, how many women who started a cycle ended up with a baby? And, a question to ask at you appointment is how far below the threshold would they grade the embryo?

We are delighted that this episode is sponsored by two friends of the podcast - One Day Tests and Bud Nutrtion. One Day Tests  is your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10. Bud nutrition make a super Omega 3 which we absolutely LOVE. You can use the code FP20 for a 20% discount off your order.

Socials:

Follow @YourFertilityNurse on Instagram

Follow @TheFertilityPodcast on Instagram

Follow Lucy Lines - Embryologist | Fertility Educator | IVF Advocate (@twolinesfertility) • Instagram photos and videos on Instagram

*Just a little note: There is a little bit of background noise as Kayleigh joins me from a busy office. We’ve done our best to minimise it, but apologies if you hear a bit of background noise. *

In what is the last episode of this current series, I am delighted to be joined by Kayleigh the founder of Fertility Mapper. 

Fertility Mapper aims to personalise and humanise the access to high quality fertility care. The site allows you to choose a fertility clinic based on geography, cost and patient reviews. There is also a calculator to help you identify whether you are eligible for NHS funded fertility treatments, and handily includes information on your local ICB, to help you really understand what is available for you and your specific circumstances.

Kayleigh’s advice to anyone looking to access fertility treatments, is to take your time to gather all the information that you need, compare clinics and costs. She also advises to look around and read the stories of others, to help you in deciding which clinic is the right one for you.

Socials:

Follow @YourFertilityNurse on Instagram

Follow @TheFertilityPodcast on Instagram

Find Fertility Mapper | Our stories change everything. For more information and support

Follow Fertility Mapper (@fertilitymapper) • Instagram photos and videos on Instagram

In this episode of The Fertility Podcast, we are joined by a friend of the podcast, and as this episode comes out just a few days after International Women’s Day - one hell of a woman - Jessica Hepburn. Jessica is an author, arts producer and, using her own words, ‘the most unlikely adventure activist’! Jessica returns to talk about her latest book, Save me from the Waves. However, for those of you who have not yet come across Jessica (and there really can’t be many as she is a living icon!) she also shares her fertility journey so you can get up to speed..

Jessica’s fertility story lasted a decade, and through her journey of 10 cycles of unsuccessful IVF, she has experienced profound loss, but has found new treasures and a new career. Her books, The Pursuit of Motherhood, 21 miles and now Save me from the Waves, take you on an alternative adventure through the ups and downs of her life and provide advice and comfort for those who are on a similar journey.

Through Jesssia’s many achievements, she is the only woman in the world to have completed The Sea, Street, Summit Challenge. From running the London marathon, swimming the English Channel and then to only going and climbing to the tippy top of Mount Everest! I am in awe. 

A common feature of the podcast is for me to ask our guests for a piece of advice or what they wished they knew sooner. Jessica answered both. Her advice to you is to be braver sooner, Jessica uses the hashtag #livebigandbrave wherever she can. When it comes to Fertility, her advice is that she wants people to know that there are many roots to parenthood. There are many ways to create a family, many ways to be a mother in the world. Wise words indeed!

Socials 

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Follow @TheFertilityPodcast on Instagram

Find Jessica’s books here Books - Jessica Hepburn

Go and have a look at Jessica’s website Jessica Hepburn - Jessica Hepburn

You can find Jessica on Instagram at Jessica Hepburn (@jessica_hepburn_) • Instagram photos and videos

In this week’s episode, I’m joined by Andreia Trigo @andreiatrigorn, a fellow nurse and the CEO and founder of Enhanced Fertility. We’re talking all about Mayer-Rokitansky-Küster-Hauser also known as MRKH. 

Yep, you can be forgiven for not knowing much, if anything about this rare condition that severely impacts your fertility potential. Essentially if you have MRKH you’re born without a womb. Can you imagine how devastating that diagnosis would be and how it would impact you? Imagine finding this all out as a teenager and then in later years realising how this would impact your ability to create a family! Andreia talks about her diagnosis, what she experienced to even get diagnosed in the first place, the accessibility for those who are diagnosed with MRKH, and the first UK uterine transplant.

Andreia’s fertility journey began when she was 17. She was concerned that she hadn't yet had her first period. After being told to come back after a year, she eventually had tests and scans done and one of the scans reported that a uterus was seen on the scan. It wasn’t until later that it turned out to not be the case and Andreia had been incorrectly diagnosed.

A year later, when Andreia was 18, she was diagnosed with MRKH. The process that she went through to get that diagnosis took just over 3 years. This involved invasive and painful investigations and procedures to reach a diagnosis. Something that still haunts Andreia to this day. We talked about whether there has been a change in the way that MRKH is diagnosed in the UK. Andreia tells us how it has and now there is a lot more support and tests that are available to be able to effectively diagnose MRKH promptly. Incredibly, 1 in 5000 women are diagnosed with MRKH. Later on, we talked about the first UK uterine transplant and what this means for women like Andreia. 

Andreia is passionate about improving access and decreasing the time to diagnosis and helps women find their way through diagnosis and the next steps. Andreia’s advice to anyone on a fertility journey is, if you feel there is something wrong be persistent and feel empowered to investigate why.

Find out more about Andreia at - https://efp.clinic/

Follow @andreiatrigorn on Instagram

Follow @YourFertilityNurse on Instagram

Follow @TheFertilityPodcast on Instagram

This episode of The Fertility Podcast I am joined by Gemma. Gemma is going to be sharing her IVF journey with us as she goes through the process and on to the next step of donor conception. From this episode onwards, we are going to be keeping up to date with Gemma, so tune in each episode to hear a little update from Gemma.

In this episode, however, Gemma starts from the beginning. After going through many tests and everything coming back as normal, they decided to take matters into their own hands and started using the cycle and ovulation monitor -  OvuSense. 

As time went by Gemma started NHS funded IVF and sadly had two unsuccessful cycles. At this point Gemma started to look at accessing IVF abroad. Overall, Gemma went through 6 rounds of IVF in a year, unfortunately, all of them unsuccessful and this led Gemma to the prospect of using donor conception to create her family. Gemma shares how, initially, this prospect took a toll on her mental health. 

However, Gemma has now come to terms with her decision, has had all the tests required and is now waiting for a donor match. Keep tuned as we’ll be hearing from Gemma again in the next episode. 

If you are thinking about the next steps in your fertility journey and are perhaps considering donor conception, Gemma has found 2 places that she has found to be really helpful - The Donor Conception Network and Becky Kearn’s Paths to Parenthub.

This episode is sponsored by our friends at  OneDayTests.  One Day Tests  is your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10.

Socials:

Follow @YourFertilityNurse on Instagram

Follow @TheFertilityPodcast on Instagram

Follow @onedaytests on instagram 

Find Paths to Parenthub - Support and Connection for Donor Conception for more information on Donor Conception

Find Donor Conception Network | Supporting families through donor conception (dcnetwork.org) for more information on Donor Conception

In this episode of The Fertility Podcast, I’m discussing how to navigate through the private IVF system. It’s a topic I’ve wanted to record for an age, mainly because many of you book in to see me for advice and support on this very topic. It seems to be a big pain point. In the UK we’re not familiar with accessing private healthcare, so how do you do it? And importantly how can you change your mindset from a patient to a consumer and why is this important? I also share some great tips on how to choose the right clinic for you and what questions to ask at your first IVF appointment. 

Later in the pod, I’m joined by freelance journalist Antonia Hoyle @greenerlanes who recently investigated the darker side of fertility ‘treatments’. We talk tarot card readings (yes really!), alternative therapies, and immunology.

We talk about how these alternative ‘treatments’ and IVF Add-ons do not have the evidence to support their use. And that vulnerable women being taken advantage, both emotionally and financially of by unregulated and self-styled fertility ‘experts’ who are offering false hope.

We are delighted that this episode is sponsored by two friends of the Podcast. Firstly,  The Lowdown is the place to get the lowdown on your reproductive health. Learn about your fertility, share your experiences and read those of others. And One Day Tests your one stop shop for ‘at home’ fertility blood tests and more. The lovely people at One Day Tests are offering The Fertility Podcast listeners 10% discount with TFP10.

Socials

Follow @TheFertilityPodcast on Instagram

Follow @your_fertility_nurse on Instagram

Follow @greenerlanes on instagram

Follow @get.the.lowdown on instagram

Follow @onedaytests on instagram

Happy New Year and welcome back to The Fertility Podcast. In this first episode of the new series, I'm joined Professor Helena Teede all the way from Australia!

Helena is one of the authors of the International PCOS Guidelines and is here to talk about the changes to the PCOS guidelines and the proposed PCOS name change.

We discuss PCOS in general, chatting about the symptoms of PCOS, both the common ones and the not so common. Helena and I discuss weght stigma and how the new guidelines move away from this and instead why we should be helping women to just be healthy to manage their PCOS proactively.

Helena talks about the potential risks around pregnancy and that it is not often identified, as well as the support for pregnant women with PCOS, or sadly the lack of. She tells me how she supports women with PCOS, and the steps she takes to help them manage their condition and optimise fertility.

We talked about diets and eating right, Helena explains that there is no one diet, or right way to eat when it comes to PCOS. A start contrast from what you find if you consult Dr Google! I ask Helena for her opinion on the supplement Inositol, listen in to see whether she says yes or no! We discuss the new App ASKPCOS that can really help you on your journey to understanding and managing PCOS.

Lastly, Helena tells me about the proposed PCOS name change. Helena talks about the fact that PCOS is not an ovarian disease so therefore the name is incorrect. Below is a link to vote for the name change. So have your say and vote as getting the right name for this is important and your support will really help. 

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Go and have your say - PCOS Name change

Have a look at Home | AskPCOS

International PCOS Guidelines

Morven is an independent fertility nurse specialist living in rural Scotland, and also a nurse working in cancer care within the NHS. She joins the podcast to talk about the difficulties faced by women and couples accessing fertility treatments in Scotland and the general lack of provision across the country.  

What we discussed: 

• The difficulties faced by those accessing treatment in rural areas of Scotland and other areas of the UK
• How traveling long distances for fertility treatment can add to the emotional burden experienced when accessing fertility treatments
• Unlike England, Scotland does not have the IVF postcode lottery and therefore all people requiring fertility treatments are entitled to 3 rounds of IVF on the NHS, but with very few private clinics in Scotland, what happens when those 3 rounds fail?
• The importance of being able to advocate for yourself, particularly when your rural location means there is a lack of choice.
• Disparity of fertility and women’s health in Scotland and why this needs to change
• Why men in Scotland are disproportionately impacted with mental health issues and how fertility adds to this burden.

Socials:

Follow @YourFertilityNurse on Instagram

Follow @TheFertilityPodcast on Instagram

Follow Morven RN BSc | Independent Fertility Nurse Specialist (@wildraefertility) | Instagram on Instagram

Follow Deborah James (@bowelbabe) | Instagram on Instagram

Mikeysline - mental health support

The Women’s Health Strategy

Trigger Warning - This episode contains discussion surrounding Pregnancy loss. If today is not a good day, please come back to this episode when you're feeling a little stronger. Here at The Fertility podcast, we're always here for you.

We're delighted that this week's episode is sponsored by The Lowdown - the place to get the lowdown on your reproductive health. Learn about your fertility share your experiences and read those of others.

In this week’s episode of The Fertility Podcast, I am joined by a patient of mine -  Katie. Katie @secondary_infertility_life shares her story of secondary infertility, IVF and pregnancy loss.

Katie knows that she is really lucky to have her little boy Jake. Jake is everything to Katie and more, however she just feels that, as yet, her family is not complete. However Katie found the process of trying to conceive again really isolating. Somehow it just felt harder to find support when you already have a child. I firmly believe that trying to conceive the second (or third, or fourth) time around is different as not only do you want a baby for yourselves but you desperately want a sibling for your existing child. So that they don’t grow up alone in life. This is exactly how Katie felt.

After trying unsuccessfully for a year or so, Katie and her husband finally found out that they were pregnant. Fantastic news! However, Katie could tell something wasn’t quite right with the pregnancy, and sadly at 8 weeks they went for a scan and there was no heartbeat. Katie ended up miscarrying at home and she talks about how she felt OK physically, but took time for her to heal emotionally.

After trying for another 6 months, Katie and her partner decided to start IVF. Katie had a top grade frozen embryo transfer in November last year and got a positive pregnancy test. Sadly, at Christmas, there was no heartbeat again and Katie had a miscarriage in the hospital. Katie talks about her positive experience of miscarrying at the hospital and how she got all the support she needed.

Katie went for her 3rd transfer, which was sadly unsuccessful again and by this point Katie says she knew something else was wrong. She wanted to find out more and made the decision to have NK Cell testing. This identified a high level of natural killer cells which has informed her treatment going forward. At the time of recording Katie was about to embark on her next round of treatment and I’m sure you’ll all join me in wishing her the very best. We’re hoping this is the one Katie!

Katie’s advice to listeners is to trust yourself and your gut, to keep driving and find out what further investigations are out there for you and get knowledgeable. Make your own decision on what’s best for you and you alone.

Socials:

Follow @TheFertilityPodcast on Instagram

Follow @your_fertility_nurse on Instagram

Follow @secondary_infertility_life on Instagram

Follow @get.the.lowdown on Instagram

In this episode of the Fertility Podcast, I am joined by Mike Johnson-Ellis who is here to talk all about surrogacy. We talked about the ins and outs of surrogacy, his own surrogacy journey and how that led to the launching of TwoDadsUK and Your Surrogacy Journey. Mike and his partner Wez aim to support couples who are starting their own surrogacy journey, and are passionate about paving the way for a better future for surrogacy. 

What we discussed:

• Mike shares his surrogacy journey which resulted in two beautiful children.
• We talked about TwoDadsUk which launched back in 2016 and the success of the company, then the decision to launch a new non profit surrogacy organisation called My Surrogacy Journey in Feburary of 2021. 
• Mike shared why many women choose to become a surrogate - the ultimate altruistic act.
• We talked about the feeling of empowerment and accomplishment that surrogates feel.
• We then discussed what it is like from the other side, for those who make the decision to have a family via surrogacy and the apprehensions of doing so.
• Mike highlighted the importance of building a relationship with the surrogate and their partner if they have one, and developing a friendship with them.
• Mike and I talked about where to start, what the options are for those who are looking into surrogacy, for both heterosexual couples, gay couples and single parents.
• We talked about the recent changes in surrogacy law. However, please note that since the recording of this episode there have been further changes not discussed here.

Mike’s 3 top tips for those considering surrogacy are: 

1. Do your research - don’t rush into surrogacy, do your research on the organisation or the country your doing your journey in.
2. Always get legal advice - just in case.
3. Understanding that like everything, surrogacy has its highs and its lows.

Socials:

Follow @TheFertilityPodcast on Instagram

Follow @YourFertilityNurse on Instagram

Follow Michael Johnson-Ellis (@twodads.u.k) | Instagram on Instagram

Follow My Surrogacy Journey (@officialmysurrogacyjourney) • Instagram photos and videos on Instagram

Find Best Surrogacy Agency in UK for Surrogacy Support in UK and US (mysurrogacyjourney.com)  

Find My Surrogacy Journey - Season 1 | Podcast on Spotify on Spotify