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Consider the Surrogate


Let’s consider the surrogate. This is a woman you expect to provide an optimal environment – internally and externally – for the nine months your baby is in utero. She is someone who is unselfishly giving her body over to you and your baby for three-quarters of a year. (Yes, she is being compensated.) Your surrogate is someone who will be part of your child’s story forever.

The Ethics Committee of the American Society of Reproductive Medicine (ASRM) recently issued a committee opinion entitled Consideration of the Gestational Carrier. The document, “considers the protective safeguards that need to be in place to ensure the ethical treatment of gestational carriers.” According to the document, gestational carriers:

  • Have a right to be fully informed of the risks of the surrogacy process and of pregnancy
  • Should receive psychological evaluation and counseling
  • Should have independent legal counsel.
  • Should be at least 21 and at least one birth
  • Have the right to appropriate medical care
  • Should be counseled on risks of multiple pregnancy if more than one embryo is transferred
  • Need to understand types of infectious disease screening, (And, intended parents need to understand limits of screening)

Fertility Nurse of the Month: Andrea Speck-Zulak, RNC, Clinical Nurse Manager RN, NP

Oregon Reproductive Medicine

Oregon Reproductive Medicine, Portland, OR, July 2011

FertilityAuthority is pleased to honor Andrea Speck-Zulak, RNC, Clinical Nurse Manager RN, NP, as Fertility Nurse of the Month. Speck-Zulak is the Director of Nursing at Oregon Reproductive Medicine.

The Path to Fertility Nursing

A graduate of San Jose State University, Speck-Zulak began her career as a labor and delivery nurse. When she decided she wanted more, she became a women's health nurse practitioner in 1980 and worked in an Ob/Gyn private practice. She saw patients in all stages of their lives — from the 18-year-old getting her first Pap smear to the 80-year-old woman, and she was intrigued by infertility and assisted reproductive technology.

Portland, OR, Clinical Trials

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Infertility related research studies in Portland

Clinical trials are studies that operate with a set purpose to study a specific variable. Clinical trials are important in the understanding and development of new diagnostic measures, fertility medications, fertility treatments, and procedures for people suffering from a variety of disorders.

Assisted Reproductive Technology Law in Portland

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Some fertility patients should consult with a specialized attorney

The field of infertility has sparked the growth of a new legal field, commonly referred to as Family Building Law or Reproductive Technology Law. New family-building options raise new legal questions because many of them use the services of a third party, including sperm donors, egg donors, or surrogates.

Infertility Support in Portland, OR

Counseling or therapy can be helpful when dealing with infertility

The road to family building through fertility treatment can be physically and emotionally demanding. It is common to go through a wide range of emotions during your treatment. You may find yourself feeling depressed one day, only to feel angry the next. Stress can also impact your relationship, especially if you and your partner do not agree about the extent of the fertility treatments.

Infertility Insurance in Oregon

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Insurance coverage for infertility treatment is not mandated in Oregon

The road to family building can be a costly one, especially since multiple courses or cycles of fertility treatment are needed. Unlike most other medical conditions, infertility issues are not automatically covered under most insurance plans. In fact, when many couples turn to their insurance plan to help shoulder some of the costs, they are often surprised at the lack of coverage provided.

Surrogacy in Portland, Oregon

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Considering using a surrogate to build your family?

Surrogacy is a family-building option in which a woman carries a child to term for another woman or couple. It is a popular option for women with recurrent miscarriages, or those who do not have a uterus or have anomalies of the uterus, and for gay couples.

Egg Donation Success Rates in Portland, OR

Live birth rates for donor egg cycles in Portland

The following data, from the Assisted Reproductive Technology Report published by the Centers for Disease Control and Prevention (CDC), detail the number of egg donation IVF cycles and the number of live births at Portland, OR, fertility clinics.

Using an Egg Donor in Portland, OR

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Information on egg donation in Portland

Choosing egg donation is becoming more common for women who have struggled to conceive because of issues like diminished ovarian reserve or premature ovarian failure.

Portland, OR, Fertility Clinic Success Rates

Live birth rates for IVF cycles in Portland, Oregon

There is a lot of information to consider when researching fertility clinics in Portland, but people tend to start first with fertility clinic success rates. Success rates for fertility clinics can be found in the Assisted Reproductive Technology Report. This report is an excellent place to start during your research because it includes success rates for different types of procedures as well as age breakdowns.

Choosing a Fertility Clinic in Portland, OR

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What to look for in a fertility clinic

Once you have made the decision to seek infertility treatment at a fertility clinic, you may feel overwhelmed by the number of options out there. Oregon residents can choose from four fertility clinics located throughout the state, three of which are located in Portland.

Portland Fertility Clinic Options

Visit the Find a Clinic search on to find a fertility clinic in the Portland area.

Is It Time to See a Portland, OR, Fertility Doctor?

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Are you trying to have a baby?

If you are having difficulty conceiving, you may wonder when you should see a fertility doctor (reproductive endocrinologist). Women under the age of 35 should transition to a fertility doctor after being unable to conceive after one year of trying. Women over the age of 35 should only wait six months before making an appointment with a fertility doctor.