BHED
Monday, January 23rd, 2012
 When the year of the dragon – considered the luckiest Chinese lunar year – kicked off today, it brought with it more than the traditional Chinese New Year celebrations. It also heightened the stakes for Chinese couples eager to have “dragon babies.”
Today’s Wall Street Journal features top fertility companies – including BHED – in a front page article that explores the recent surge in Chinese and Chinese-American couples undergoing egg donation and IVF treatments in hopes of having a child in the year of the dragon. According to the WSJ, “Chinese often schedule important life events to take advantage of the luckiest times [...] even though births are trickier to plan, in 2000, the most recent year of the dragon, 202,000 babies were born in Taiwan than a year earlier.” BHED Managing Partner, Robyn Perchik, was interviewed for the piece – noting the huge surge in contracts signed for Chinese egg donors in recent months as compared to the same period last year.
Check out the full article here:
Having a Baby in Year of the Dragon Is Too Lucky to Be Left to Chance
Tags: Beverly Hills Egg Donation, BHED, Chinese New Year, egg donation, IVF, Robyn Perchik, Wall Street Journal, year of the dragon
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Monday, January 16th, 2012
BHED Managing Partner Robyn Perchik spoke to “The Fight” magazine about our role in helping same-sex couples create or add to their families.
Check out the article in the magazine’s December issue!
Egging On
Tags: "The Fight", Beverly Hills Egg Donation, BHED, egg donation, gay parenting, Robyn Perchik
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Tuesday, January 10th, 2012
 With the New Year upon us, and finding myself in a new and exciting relationship, I can’t help but be optimistic about the future. My mantra for 2012 (and life in general) is simply, “The best is yet to come!”
An entrepreneur by day and an MBA student by night, I thrive on keeping busy and the excitement of life! I am very involved in my community through various organizations like the Ronald McDonald House, American Cancer Society, Crisis Pregnancy Outreach, and the local Young Professionals group.
After graduating with my MBA, I plan to continue starting new business ventures and non-profits in the US and abroad, while traveling to exciting places like Greece, Costa Rica, and South Africa. I hope to be able to give back to those less fortunate in a very big way.
Being a future egg donor with Beverly Hills Egg Donation excites me because I know how special family truly is. The process of being selected and interviewed by BHED, and my own self-introspection about embarking on this process, has afforded me the chanc to re-evaluate myself, my motives, and my future ambitions.
I look forward to having my own family someday, and in the meantime, I’m happy to help others fulfill their dreams! I grew up in a wild and love-filled family of six, so I definitely understand the joys of children and family. There’s nothing more significant in life!
My friend recently posted this quote on her Facebook profile, and I just love it. It sums up what is to come if we trust in the process and do our part to dream and live our best lives possible.
“Welcome to the best year of your life! Let’s go places we’ve never been, do things we’ve never done, love like we’ve never loved, and make this the best year yet.”
Cheers to that, and all that is yet to come for you and your family in 2012!
- BHED Donor, Elizabeth #11574
Tags: Beverly Hills Egg Donation, BHED, egg donation, egg donor
Posted in From Donor's Perspective | No Comments »
Thursday, October 20th, 2011
 From our companion site, Ask Kate:
Q: I have been selected as an egg donor by two different recipients. I would like to do the cycles back-to-back. Is this something I can do? Do my periods remain on the same schedule throughout one cycle? How long does it take my ovaries to return back to normal so I can cycle again?
A: You can absolutely do this. I did it a couple of times for a couple who wanted to put my eggs on ice. Whatever the reason, you can pump these little eggies out back-to-back as you feel comfortable. You will want – and you’ll need – down time in between cycles. Usually, the doctors want you to have two regular periods before proceeding with another donation. This is standard protocol but, to be honest, one period was all I needed before hopping back into the game. During donations, you’ll start to figure out your body in a way you never thought you wanted or would have to. You feel things, physically, completely differently; you will take care of yourself differently; you will handle your hormones completely differently; and you will realize the need to heal 100% before jumping back into anything – and you will know when you’re ready. If the honor of your eggs is in such high demand, then you will be a veteran before you know it, but don’t let the experience pass you by – that won’t serve you in the end. Understand what’s going on, pay attention to the scheduling and pay attention to how you are responding to not only the hormones, but your recovery as well. Good luck, and congrats on your cycles!
- Kate Lee, 6-time BHED donor
www.askaneggdonor.com
Tags: BHED, egg donation, egg donor
Posted in From Donor's Perspective | No Comments »
Friday, October 7th, 2011
 Lauren #12692 is 26 years old and lives in the greater Los Angeles area. She is available immediately and is very excited to help a recipient grow their family. Her personal essay is below.
“I am a middle child and only girl in my family. While most people think that means that it resulted in heavy brotherly and fatherly protection, this couldn’t be further from the truth. Being the only girl I learned to take care of myself, because I was outnumbered and not to mention the middle child. I think I always felt I had something to prove whether it was keeping up with the boys or being just as good as them in sports or hobbies. It most definitely gave me confidence and competitiveness.
Family is something I’m so proud to be a part of. My parents did such a great job showing us how lucky we are to have siblings and that we are all so loved. My childhood is a direct reflection as to what I want when I’m older, and I have my parents to thank for that. I look up to my parents a lot. When I think of all that they sacrificed for us it makes me realize how much you’re willing to do for your kids. They worked hard so that all three of us could have a private school education. They encouraged us to have extracurricular activities in music and sports and took us camping multiple times a year. I never thought growing up that I would want to be like them but now I enjoy doing all the things they instilled in us, like a passion for backpacking and hiking, football (my San Diego Chargers), music, art, fashion and being involved in my church and community.
I started volunteering at my church’s Sunday School, and I’m almost certain that’s where I fell in love with children and knew I was meant to be a mother. I continued to volunteer with children all throughout my schooling. That naturally lead me into babysitting as I got older and then becoming a certified nanny and volunterring at my pediatrician’s office.
I don’t think that every woman is born with a maternal instinct. I do know that I have it. And I do know that I can’t wait to have kids. And I have personal experience with friends who want kids but can’t have them. I can’t think of anything that would make me more heartbroken than coming to the realization that I could not have kids. It’s so amazing how far science has come in making things possible that were once so discouraging or seemed like the end of the road for some couples. I can’t imagine a better gift to someone than helping them have what I want more than anything.”
- Lauren #12692
Tags: Beverly Hills Egg Donation, BHED, egg donation, egg donation agency, egg donor, Los Angeles egg donor
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Friday, September 23rd, 2011
While it may seem logical to assume that “more is more” in terms of increasing your chances of getting matched for a donation, registering with multiple agencies can actually work against you — and lead to a host of problems down the road when and if you do get chosen by a couple.
At BHED we ask all of our active donors to sign an exclusivity policy before being added to our database, in which the donor agrees not to register with, or commit to a donation through, any outside agency or clinic during her first six months with us. We adopted this policy after years in the industry and countless conversations with intended parents, doctors, and colleagues about the issues that come up when a donor is registered with more than one agency. We know that our donors are eager to get matched and help a couple in need (and the sooner the better!), but our clients have frequently told us that they’re very uncomfortable seeing donors listed on multiple websites and often shy AWAY from booking those donors who seem to be spreading themselves too thin. Beyond that, we’ve had clients who have gone to reserve a particular donor for a cycle to start right away, only to find out that she’s already accepted a match elsewhere and is – in reality – not available for several months. For intended parents who have spent weeks, months, and often longer searching for their perfect donor, this can be incredibly disappointing.
Of course, if a donor hasn’t been matched through BHED by the time her exclusivity policy expires we completely understand that she may want to register elsewhere. After six months, donors are free to sign up with one outside organization provided they notify us in writing and inform us within 24 hours of accepting an outside match.
Donors can always feel free to contact a member of our staff with any questions or concerns about this policy. As always we appreciate your commitment to our program and look forward to working with you to help create a family.
Tags: Beverly Hills Egg Donation, BHED, egg donation, egg donor, egg donor agency, Southern California egg donor
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Thursday, September 8th, 2011
 Understandably, couples faced with the decision of choosing an egg donor typically have concerns about the donor’s genetic makeup. Fortunately, there are options available to help a couple identify any genetic disorders their donor might have and reduce the risk of passing these traits on to the child/children born from the donation.
There are two approaches when it comes to donor genetic screening, which are not mutually exclusive. The first and more traditional approach begins with genetic counseling. The genetic counselor will take a detailed family history from the donor and recommend specific genetic tests based on this history (and the ethnicity of the donor). Though this is still considered the standard approach in the industry, it has two potential flaws. First, the donor may be unaware of a specific genetic disease in her family or, worse, may choose not to disclose it. Also, single gene testing can be very expensive, especially when it comes to the “Jewish Panel” (performed on Ashkenazi Jewish donors), which can cost over $2,000!
A new alternative that has become more prevalent in recent years is Universal Genetic Testing (UGT). With UGT, a single saliva or blood sample can be analyzed for the presence of multiple recessive genes at a relatively low cost. Currently, the first such test available is called “Counsyl.” This test costs $350 and evaluates 100 recessive traits, including the Ashkenazi panel).
If a serious recessive trait is discovered, the intended father needs to be tested for that gene, or the donor should be excluded. Most doctors tend to encourage the latter choice.
Critics of UGT are uncomfortable with its “shotgun” approach. Detection rates for diseases not common in specific ethnic groups can be low, however, these women would not ordinarily be tested for these diseases so not much is really lost. In contrast, the cystic fibrosis screen in Counsyl contains more mutation than most of the traditional single gene tests currently available. Also several less-serious diseases (that do not have life-threatening affects) are included in Counsyl, and finding such a disease may unnecessarily create anxiety on the part of the recipient couple. Some doctors have started customizing the panel to exclude such conditions.  One genetic disorder not included in the Counsyl panel is fragile-X. Women carrying this mutation can produce boys with severe mental retardation and autism. Fragile-X is the most common cause of mental retardation in boys and one of the few proven genetic causes of autism.
Both the traditional approach and UGT are appropriate options for screening egg donors. I personally recommend Counsyl and fragile-X testing on all new donors. If for some reason Counsyl is not desired, Caucasian non-Jewish donors are screened for cystic fibrosis, spinal muscular atrophy (SMA), fragile-X, and Tay-Sachs enzyme. I also recommend that a complete blood count be donor to screen for thalessemia. As always, your doctor and genetic counselor will be able to help in deciding which genetic tests are most appropriate for your donor.
- Michael Feinman, MD
Medical Director, HRC Fertility
Tags: Beverly Hills Egg Donation, BHED, Counsyl, Dr. Michael Feinman, egg donation, egg donor, egg donor agency, egg donor genetic screening, HRC, HRC Fertility, IVF, Jewish Panel egg donation, UGT, Universal Genetic Testing
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Monday, August 22nd, 2011
 As a recipient preparing to embark on a donor IVF cycle, the most important initial step is identifying an egg donor that meets your “wish list.” In addition to physical and medical attributes, it is paramount to have the egg donor evaluated by a psychologist and genetic counselor. In general, the psychologist will administer a mental heath examination to verify that the egg donor is emotionally stable and that her motives are genuine. Additionally, a genetic counselor will review the donor’s personal and family history to assess whether there are any genetic predispositions or concerns.
Once the egg donor has received psychological and genetic clearance, she will be tested for infectious diseases according to the FDA guidelines. This is usually done by the intended parent’s physician, who will also evaluate the donor for any other medical issue. At this point, the only thing left to do is sign on the dotted lines. In addition to completing the contract wth the egg donor agency (typically done when the donor is reserved), an attorney is provided to protect both the egg donor and recipients.
Getting Ready
Before the process can begin, there will need to be an evaluation of the intended mother’s uterus. This is usually done by having a water-instilled ultrasound know as a hydrosonography or a dye-based X-ray called a hysterosalpingogram. In either case, the goal is to have a womb free of fibroids, polyps or other problems that may decrease the pregnancy rate
It is also common to perform a practice embryo transfer in which a small soft catheter is guided through the cervis into the uterus. This practice transfer is generally referred to as a “mock cycle,” during which the uterus is stimulated with hormones to test the response. Depending on the practice of your physician, the mock cycle may be followed by a uterine biopsy (although this is done much more rarely).
Ready, Set, Go
Believe it or not, at this point it’s time to begin the actual cycle synchronization. Typically both the egg donor and the recipient call the coordinating doctor’s office with their periods, and they are then started on birth control pills. Dependent on the stimulation protocol, the recipient and donor are then transitioned onto a daily injection of Lupron. This is done so that both the recipient and egg donor can begin at the same starting point in their menstrual cycles. Once the egg donor is started on the stimulation medication, the recipient will begin estrogen supplementation, which will thicken the uterine lining and continue the synchronization process. Estrogen is usually adminstered either orally, by patch, through injection, or via vaginal suppository.
The egg donor will typically stimulate her eggs to grow for about 10 to 12 days and will then take the last shot to “trigger” maturation of the eggs and prepare her for the retrieval.
Almost There
Based on the time of the trigger shot, the egg donor will be scheduled for her retrieval. In the cases where the egg donation is anonymous, the intended father will come at a different time (usually shortly after the egg extraction) to produce a sample. The intended mother will then stop the Lupron and begin progesterone supplementation. Progesterone is usually administered via either vaginal suppositor or injection. The progesterone and estrogen will continue through the end of the first trimester.
The embryologists will then combine the eggs and sperm, and the final steps begin. Your fertility doctor’s office will call you the next morning with a fertilization report. This will include the number of eggs extracted and the number of embryos that were achieved after fertillization. The embryos are then grown in a laboratory for three to five days. In most cases, there will be many embryos, and most fertility doctors will opt to grow them out to the fifth day (when the embryos reach the blastocyst stage in which they have 60 to 100 cells).
Final Steps
The time has come… the embryo transfer! Your doctor will review the number of embryos that are transferable and then make a recommendation as to the number that should be used, usually one or two. The embryos that are not transferred will be frozen for future use.
The embryos will be placed into the uterus with the same soft catheter that was used during the mock cycle. This is often done under ultrasound guidance, so that the embryos can be placed in the most desirable spot. The procedure is painless, other than the discomfort of the speculum. The embryologist will also double check to be sure the embryos did not stick to the catheter.
The process is done! In eight to twelve days your blood will be tested to see if pregnancy has occurred. About two weeks after the first blood test, you will have an ultrasound to confirm the viability of the pregnancy. Best of luck!!
- David E. Tourgeman, MD, FACOG
HRC Fertility
Tags: Beverly Hills Egg Donation, BHED, Dr. David Tourgeman, egg donation, egg donation advice, egg donation FAQ, egg donor, HRC Fertility, IVF, IVF clinic, IVF doctor
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Tuesday, August 16th, 2011
You love your doctor — you’ve been with him for a long time, completely trust him, love the staff, etc. — and have just found a great egg donor who you’re ready to book. The only issue? She lives out of town. Or — even scarier — out of state. What do you do? You’re confident that she’s the donor for you, and she’s said she’s willing to travel for a donation, but how would that even work? Do you book her travel? Does the agency? And how is all of this going to affect your overall budget for the cycle?
 BHED facilitates travel cycles all the time. In fact, 20 to 30 percent of our matches involve some travel on the donor’s part. For clarity: a travel cycle, in the egg donation world, is when your donor is required to travel more than 75 miles (one way) from her home to your doctor’s office. That means a donor coming from San Diego to Los Angeles is considered a travel donor just as much as one traveling from Chicago to San Francisco (although, of course, the coordination and cost differ significantly).
If your donor is traveling a “short” distance (one that requires automobile travel rather than air), BHED’s travel policy requires the recipient to reimburse the donor for mileage at the current government rate. Your doctor will definitely want her to come to town for her initial appointment, retrieval, and likely a couple of monitoring appointments once she’s started medication — although your BHED coordinator will also set the donor up with a local monitoring facility to cut down on the travel and associated costs. As long as your doctor approves (and most are happy to do so), your donor can do some or many of her check-ups in her hometown; that facility will coordinate with your doctor and follow your clinic’s protocol.
It’s a similar story if your donor is coming from farther away (i.e. out of state). Your doctor will want her to be in town for her initial appointment, and then again for five to seven days leading up to the retrieval. The first trip will be very brief and often doesn’t require an overnight stay. Your donor will fly in, take a cab to your clinic for her appointment, and then head back to the airport to travel home. Your BHED coordinator will then set her up with a local facility (which, again, will coordinate with your doctor’s office) for her monitoring appointments and she’ll be able to do much of the remainder of the cycle from her hometown. The second trip will happen between day three and five of the donor’s stim process, and from there she’ll stay in town through her retrieval. For this trip, she’ll need a companion to accompany her to make sure that she gets back to her hotel safely after her retrieval and is well taken care of.
 BHED doesn’t add any additional fees to coordinate travel — it’s all included in your agency fee. Your coordinator will take care of everything, from booking the donor’s flight and hotel to ensuring that she has adequate ground transportation to get to your doctor’s office and facilitating communication between your clinic and the donor’s remote facility. Working with a travel donor will generally add approximately $3,000 to $4,000 to the total cost of the cycle. This includes the donor’s flights, ground transportation, hotel stay for the longer trip, and a per diem of $50 per day, along with the flight and per diem for her companion for the retrieval trip. Your coordinator will book everything directly and will work to find the most cost-effective accommodations possible (while still keeping the donor comfortable).
While travel cycles do require more coordination, we try to make things as easy as possible for both the donor and the recipients. Our staff will work with your doctor to facilitate the cycle, whether your donor is coming from across town or from 3,000 miles away, and will keep you informed with regular updates as things progress. Feel free to contact us directly if you have any questions about working with one of our out-of-town (or local!) donors.
Tags: Beverly Hills Egg Donation, BHED, egg donation, egg donation agency, egg donation southern california, egg donation travel, egg donor, out-of-state egg donation
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Thursday, July 7th, 2011
All intended parents are confronted with the decision as to whether or not they should tell their child (and others) that they used a third-party to conceive their child. Parents usually come to a decision based on their own comfort level and feelings regarding using an egg donor or surrogate. Most experts agree that honesty is the best policy when it comes to informing your child. A good website that goes into more detail about how to talk to your children in developmentally appropriate ways is www.donor-conception-network.org. The website has a great series of booklets entitled “Telling and Talking” – they offer advice on how to talk to your child at every stage. Before telling your child you want to asses 1) the child’s emotional and intellectual capacity to process the information and 2) the extent to which your family, culture or religion may be able to accept a child born through egg donation or surrogacy.
The decision to tell your child may be an easy one or one fraught with decision. Most family therapists would agree that telling your child is the easier path to take because there’s no room for misconceptions or false information, which inevitably leads to feelings of betrayal or mistrust. It’s also recommended to start giving some information at a relatively early age, from three to five years old. Again, the website above goes into thorough detail in advising how to talk to children of all ages regarding their conception.
- Brenda Fahn-Hardt M.S., MFT
Beverly Hills Egg Donation Staff Psychotherapist
Tags: assisted roproduction, Beverly Hills Egg Donation, BHED, egg donation, egg donation agency, egg donor, egg donors, IVF, Southern California assisted reproduction
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When the year of the dragon – considered the luckiest Chinese lunar year – kicked off today, it brought with it more than the traditional Chinese New Year celebrations. It also heightened the stakes for Chinese couples eager to have “dragon babies.”
