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Index

Action plan 38 Add-on treatments 74 After treatment 95 Age, chance of a child 27 Age, hers 26, 27 Age, him 27, 32 Alternative therapy 42 Amniocentesis 26, 89 Anti-Mullerian Hormone (AMH) 27, 40, 78 Antioxidants 29, 31 Anxiety 35, 36, 43, 97 ANZARD 9 Aspirin 42 Biochemical pregnancy 14 Biological Clock 26, 27 Blastocyst 14 Blood count 39 Blood group 39, 98 BMI 64, 77 Cancer, fertility preservation 70, 91, 92 Catheter 14, 54, 67, 85 Chickenpox 31, 39 Chinese language 18 Chorionic Villus Sampling (CVS) 26 Clinical pregnancy 14 Clomiphene 13, 15, 16, 20, 23, 45, 48, 98 Clomiphene, FSH 40, 48, 64 Clomiphene, risks & side effects 48, 49, 97, 98 Complaints 9 Consent 12, 33, 45, 80, 81, 83, 85, 92, 107 Consultation 38 Contact information 11 Counselling 32, 36, 43, 46, 107, 110 Cycle 14 Day 1 14 Diet 28 Diet, alcohol 29, 41 Diet, antioxidants 42 Diet, coffee 29, 41 Diet, dairy 29 Diet, drinks 29 Diet, fats 29 Diet, fish 29 Diet, folic acid 31, 32, 42 Donor, counselling 107 Donor, confidentiality 106 Donor Embryo(DE) 13, 23 Donor, Ethics Approval 104 Donor, identity 102, 105 Donor, information 106 Donor, legal 102 Donor, linking 106 Donor, number of children 109 Donor Oocyte (DO[donor egg]) 13, 22, 33, 44 Donor, payment of treatment & expenses 106 Donor, personal & clinic 104 Donor, preparations 107 Donor, screening 105 Donor Sperm (DS) 13, 22, 33, 44 Donor, using a donor 101 Donor Egg, becoming a donor 110 Donor Egg, finding a donor 112 Donor Egg, success 113 Donor Egg, co-ordinating donor & recipient 115 Donor Embryo 116 Donor Embryo, ethical issues 116 Donor Embryo, steps 117 Donor Sperm, receiving 108 Donor Sperm, same sex couple 109 Donor Sperm, second child 109 Donor Sperm, waiting & choosing 108 Donor story 100 Donor treatment 102 Donor treatment or surrogacy overseas 105 Drugs, sperm 41 ECART 12, 22, 23, 103, 104, 116, 117, 119, 120 Egg freezing 90-93 Embryo freezing 90-93 Emergency numbers 7 Emotional states, phases during treatment 32, 35 Emotional support 32, 34, 43, 44 Estradiol 15, 16 Exercise 30 Facebook 7 Feedback 9 Fertility Cover 21 Fertility Fact Sheets 131 Fertility NZ 7, 17, 36 Fertility preservation 90-93 Follicle Stimulating Hormone (FSH) 15, 16, 40 Follicles & Eggs 14 French language, service 18 Getting prepared 38 Genetic Carrier Screening 41 Glossary 13-14 Gonadotrophin Releasing Hormone (GnRH) 15, 16 HART Act 9, 12, 44, 87, 92, 102, 121 Health checks 38 Heparin 42 Hepatitis B & C 39 Hindi 19 Hormones 15, 32 Human Chorionic Gonadotrophin (hCG) 16

PATHWAY TO A CHILD 125

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Hysteroscopy 40 ICSI (Intracytoplasmic Sperm

Injection) 13, 84, 108 IMSI (Intracytoplasmic Morphologically selected Sperm Injection) 13, 65 Information, collecting 10 Information, disclosing 10 Information, security 11 Interpreters 19 IUI (Intra-Uterine-Insemination)13, 15, 21, 32, 52, 53, 56 IUI, risks & side effects 49, 53, 54, 93 IUI, step by step 56 IUI, sperm sample & prep 58, 59 IUI, tests, scans & decisions 57 IVF (In Vitro Fertilisation) 13, 15, 21, 22, 32, 63, 65, 66, 80 IVF, decisions 71 IVF, egg collection 83 IVF, embryo transfer 85 IVF, freeze all 85 IVF, frozen embryos 86 IVF, risks and side effects 66-70, 89 IVF, sperm sample 84 IVF, step by step 80 IVF, success rates 54, 73, 77, 113 IVF, surgical sperm retrieval 69 IVF, waiting 85, 96 IVF, week by week guide 66 IVF, what happens 64, 65 IVM (In Vitro Maturation) 13, 65 Jargon 13 Karyotype 40 Languages 18 Laparoscopy 40 Lead Maternity Care 99 Legal 12, 33, 44, 92 Letrozole 13, 20, 32, 48 Lifestyle tips, her 31 Lifestyle tips, him 31, 32, 33 Luteinising hormone (LH) 16, 40 Maori 18 Medical records, updating, copying and ownership 11, 45 Medications 15, 32, 41 Miscarriage 98 Non Invasive pre natal testing (NIPT) 26 OI (Ovulation Induction) 13 Ovarian stimulation 15, 16 Ovarian tissue freezing 91 Ovulation Insemination (OI) 60 Patient stories 24, 41, 46, 61, 62, 76, 94, 100, 124 Paying for treatment 32, 33, 44, 50, 56, 81, 89 PESA (Percutaneous Epididymal

Sperm Aspiration) 14 PGT (Pre Implantation Genetic

Testing) 14, 88, 89 PGT-A (Pre-implantation Genetic Testing for Aneuploidy) 14, 88, 89 Pregnancy Care 97, 98 Pregnancy Test 33, 35, 97 Programmed cycle 16, 86,113

Privacy 10 Progesterone (P4) 16 Publicly funded treatment 44, 122 Quality & standards 9, 10 Rights & responsibilities 12 Risks, please check treatment type for specific risks. ie IVF, risks Rubella 31, 39 Screening 26, 33, 39 Semen tests, analysis 32, 40 Sexual activity 42 Side effects, please see treatment type ie

IVF, risks & side effects Smoking 41 Sperm backup 41 Sperm DNA, fragmentation 40 Sperm freezing 41, 44 Sperm preservation 90 Sperm, sample 33, 40 Sperm storage 41, 44, 90 SSR (Surgical Sperm Retrieval) 14, 65, 69 Statistics 9 Storage, egg, sperm, embryo 44, 103 Stressed 36, 43 Surrogacy 22, 119 Tests 40 TiMI (Timelapse Morphometry Imaging) 14 Transfer of care 98 Treatment alone 34 Two week wait 35 Unexpected events 8, 33 Values 8 Variations 8 Vitamin C 29 Vitamins 31 Waiting 20, 96 Website 7

You may want to write important dates and instructions from your treatment plan and nurse’s telephone calls here.

Your treatment diary

Date Instructions Notes

Notes

Notes

PATHWAY TO A CHILD 129

Fact sheets

We have over 30 in-depth information sheets on our website or underway which we call Fertility Facts. If you can’t use the web, our staff are happy to print a copy of what you are interested in. You can find these at fertilityassociates.co.nz/fertilityfacts or by searching fertility facts from the home page.

• A guide to in vitro maturation (IVM) • About the HART Act • Adjuvant therapy in IVF • Amniocentesis and CVS • AOA - Artificial Oocyte Activation • Avoiding twins – single embryo transfer (SET) • Embryology • Ending embryo storage • Extended storage • Fees and payment • Freezing embryos • Glossary of terms and drugs • hCG infusion before embryo transfer • High magnification ICSI (IMSI) & PICSI • HIV testing and treatment • Intracytoplasmic sperm injection (ICSI) and surgical sperm retrieval (SSR) • IVF children • IVM In Vitro Maturation • Male infertility and semen tests • Ovarian reserve and AMH • Ovarian stimulation for IVF • Preimplantation Genetic Testing for Aneuploidies - PGT-A • Timelapse Morphometry Imaging 'TiMI' • Ureaplasma and Azithromycin for IVF • Vasectomy reversal In addition, we have information on many other subjects – please ask one of our staff to help you with any supporting information.

Reading list: See our website www. fertilityfacts.co.nz for a comprehensive list of books selected by our counsellors on all aspects of infertility and its treatment.

For more information and latest treatment options please visit www.fertilityassociates.co.nz

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