Legal first as same-sex couple recognised as parents on birth certs from birth

Congratulations to Geraldine and Niamh who have become the first same-sex couple in the country to be legally recognised as the parents of their babies from birth.

The couple attended Waterstone Clinic and Geraldine became pregnant with twin girls Réidín and Aoibhín in summer 2020. “We were delighted when the legislation was enacted in May last year at a time when we were dreaming of becoming parents”, said Niamh. “Little did we know then that fate would lead us to be the first to benefit from this new law. It is monumental for us and a historic step towards LGBT+ equality”.

Geraldine and Niamh had attended Waterstone Clinic prior to lockdown and their procedure was rescheduled, “We had been due to have the frozen embryo transfer in March 2020, but the week of the scheduled procedure the government lockdown came into place. We were rescheduled and thanks to good timing and the hard work of the team at the Clinic, the transfer took place two days after restrictions were lifted for fertility clinics, and we finally became pregnant,” said Geraldine.

Legal recognition for Geraldine and Niamh as parents follows the enactment of sections of the Children and Family Relationships Act (2015) last May. Prior to this, female same-sex couples had to go through a court process to re-register the birth of their children, in order for both of them to be legally recognised as the children’s parents. Following treatment at Waterstone Clinic, Geraldine and Niamh were both registered as the parents of their twin girls Réidín and Aoibhín on their babies’ birth certs.

LGBT Ireland said the recognition was hugely significant for same-sex couples all over the country. “It’s a huge step forward in terms of rights for same-sex parents… It’s hugely important for children to have a legal relationship from birth with their parents, with the ones who care for them and love them on a daily basis”, Chief Executive of LGBT Ireland Paula Fagan told RTÉ News.

Geraldine gave birth to the twins having been assisted through conception and her pregnancy by the Waterstone Clinic in Cork.

“The route to parenthood for same-sex couples is already more difficult, so taking out the court proceedings for the birth certs just makes it that little bit easier for us and for every else to come,” Geraldine said.

LGBT Ireland said the recognition was hugely significant for same-sex couples all over the country.

“It’s a huge step forward in terms of rights for same-sex parents – that they can have legal recognition from birth for themselves and their children,” Chief Executive of LGBT Ireland Paula Fagan told RTÉ News.

“It’s hugely important for children to have a legal relationship from birth with their parents, with the ones who care for them and love them on a daily basis.”

 

 

See RTE News  https://www.rte.ie/news/2021/0326/1206314-same-sex-couple-birth-certs/ 

‘When should women start to think about freezing their eggs?’: A reproductive expert answers your fertility questions

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All your fertility questions answered by the experts, from treatment options to fertility testing advice.

At our Fertility First event, our host, Síle Seoige, sat down with fertility expert Dr John Waterstone, consultant gynaecologist and founder of Waterstone Clinic, and Laura Hackett, fertility nurse specialist at Waterstone Clinic in Dublin.

They discussed all aspects of fertility, walking through the practical steps to take when starting out, and gave their expert advice on what to expect, when to have your fertility checked and what treatment options are available. You can watch the full virtual event here:  IMAGE Fertility First

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Our event viewers had lots of important questions and we wanted to make sure they were answered; so, we asked Dr John Waterstone and Laura Hackett to create an FAQ guide.

The guide is below, with in-depth answers to ten of the most commonly asked questions about fertility testing, fertility preservation and fertility treatment. Their expert advice will be useful for anyone already on their fertility journey and those who might be considering some forward planning.

 

Fertility Testing and Fertility Preservation

 

When should women start to think about freezing their eggs?

The short answer is as early as possible. The right time will vary from person to person and will also depend on your personal circumstances and life plans, but ideally women would start thinking about freezing their eggs in their twenties. The younger you are when you freeze your eggs, the more likely you are to have a greater number of eggs to freeze. In turn, this will increase your chances of a successful outcome from treatment at a later stage. The aim of freezing your eggs is to have the eggs available as your backup plan: hopefully, you will never need them.

If you want a family in the future, or even think you might want one, it’s really important to assess your fertility potential periodically from your twenties. That information will give you a baseline and tell you if there are any issues. Ideally, fertility health checks at a fertility clinic would be as routine as general health checks such as cervical smears. Of course, tracking your AMH isn’t the full picture and should be looked at in conjunction with an ovarian scan as these will help assess ovarian reserve and help you make decisions about your future.

If you’re not ready for a baby right now, or not in a relationship, freezing your eggs in your twenties can be a way to safeguard your future fertility. Being proactive about your fertility can make all the difference when you are ready.

Is there anything I can do about my AMH level? 

You can’t change the value of your AMH, but you can change your plan to work with what you have. Your AMH level can give you a better understanding of your reproductive health and help you plan ahead in many ways. There isn’t any way to improve it, but the important thing to remember is that AMH is one piece of the fertility puzzle. Put together with a scan at a fertility clinic, it will give you important information you can use to discuss with your doctor to make informed decisions about fertility preservation or fertility treatment.

Women are born with all the eggs we’ll ever have, and because the body is very inefficient with its use of eggs, the number declines throughout our lives, and very rapidly so after age 35. While we can’t change AMH results, it’s important to keep in mind what AMH does and does not tell us. AMH gives us an insight into how many eggs are available to you in each cycle: how many are in the crop developed by your ovaries each month. A low AMH means a low number of eggs are available in each cycle, and that window of time you have to create your family may be shorter. It doesn’t tell us, however, if you will or won’t conceive. Remember too that if you do receive values that are lower than expected for your age, the quality of your eggs is also a factor, which is even more important than the number.

What are your fertility tips for males?

Male fertility can often be taken for granted. It often surprises people to know that as many fertility issues stem from men as they do women, and that is why we always recommend that couples are assessed as a couple. Semen analysis tests are simple, non-invasive and inexpensive. There is no need to be embarrassed or stay in the dark about your reproductive health.

Men are often worried about getting poor results but suppose your semen analysis test does reveal an issue with the sperm, such as low sperm count, poor motility (movement) or poor morphology (sperm shape): it’s important to know that these results can usually be improved quickly with simple lifestyle changes. The body takes about 12 weeks to produce fresh sperm, so improving your nutrition, physical activity, quitting smoking or vaping can significantly impact the quality of your sperm and lead to the development of new healthy sperm. Researchers have also seen promising improvements when men take zinc, vitamin C, folic acid, and selenium supplements and include whole nuts, spinach, and lentils in their diet. If you make these positive changes to your lifestyle, you could see improvements in your fertility in just three months. It’s also important to note that the use of certain medications, such as anabolic steroids, can drastically affect fertility and discontinuing their use, even temporarily, can have a positive impact.

An important fertility tip that is often missed for men is that their own fertility is tied to that of their partner. Age does not have the same impact on male fertility, but time and age impact their partner’s fertility. By delaying, you run the risk of not having the family together that you might hope for, should your partner have difficulty conceiving.

I am 30 but my partner and I are not planning on having children for another 5 years – are there fertility tests we should get to avoid any disappointment down the line?

Straight off, as a fertility expert I have to tell you that my best advice would be to readjust your plan. Waiting 5 years from the age of 30 for a female is just too long. I would fear that if you wait too long, you may regret it later. If you are confident that this is the best plan for you right now, then fertility testing is crucial to know where you stand. However, fertility testing won’t tell you what your fertility will be like in five years. Our best advice here is to sit down with your partner and discuss how many children you want in your future family: Would you both like more than one child? have you discussed the implications of waiting to start your family? Are you prepared to undergo fertility treatment if it’s required?

Having a fertility test now will give you an idea of how realistic your plan may be, but keep in mind that five years is a long time in fertility. Waiting until 35 to start your family, which is the age that fertility declines rapidly, could risk your dream of having more than one child.

Being aware of your fertility is always the first step, and it might be wise to explore fertility preservation to avoid disappointment later. Your results will tell you your current status and together with your doctor, you can discuss your plans and make decisions that are right for you both.

Fertility Treatment Questions

Advice on what I can do during my treatment cycle to have a positive outcome?

Fertility treatment can be nerve-wracking when there is no guarantee that the outcome will be positive. It’s completely normal to want to do all you can to influence this, but there aren’t any secret tips. Our best advice here is to know that you can’t control the outcome, but you can control how you experience your cycle. Know that you are doing the best you can and do what you can. Read over the information that the clinic gives you, follow the advice for your cycle.

In the leadup to a cycle, it’s important to make sure the maximise the opportunity you have and make any changes you would like to your lifestyle, routine or diet, to be healthier both mentally and physically prior to starting your cycle. To support this, many clinics offer counselling and I always encourage people to use these services to discuss relaxation, stress reduction, and preparing for the wait for your results, which can often be the hardest part.

All in all, remember that you are doing what you can to create your family. You and your partner are in treatment together, so take time to be together and enjoy each other’s company, away from fertility talk. You are putting in the work, and you have taken every step possible. Trust the process, trust your team, and ask any question you have: we are here to support you.

Is secondary infertility normal? What advice do you have on it? 

Fertility is often thought of as an absolute, that you can either conceive or not. However, since fertility is directly related to age, it is common for a couple to conceive a child and then have trouble conceiving a second child because a few years have passed, and they are that much older starting to try.

In our Clinic, we see many people struggling to conceive their second or third child. Our best advice for people experiencing secondary infertility is to follow the same guidelines as those trying for their first baby: don’t wait too long before seeking help. If you are under 35, trying for 12 months, if you are over 35, trying for 6 months, or if you are 40 or over, see a fertility specialist. This way, you won’t lose time, and if you do need some treatment, we can get you on the path sooner rather than later.

My fresh embryo transfer was successful – is a frozen transfer for a sibling likely to be? 

Congratulations! The great news here is that treatment with frozen embryos is really successful. Cryopreservation has really transformed fertility treatment. Looking back 10 years ago, about 5% of the babies born each year at Waterstone Clinic were from frozen embryo transfers. Since then, a technique called embryo vitrification revolutionised embryo freezing and dramatically increased success rates. Now, over 95% of the embryos frozen survive the freezing and thawing process, and 40% of the babies born via our Clinic each year are from frozen embryo transfers.

A good clinic with a robust freezing programme will cryopreserve the embryo safely. The embryos should offer the same chance of success as they would have had in the fresh cycle in which they were created, even years later.

Are pre-conception supplements actually useful?

Supplements are beneficial, mainly to ensure that you have enough nutrients like folate, folic acid and vitamin D (especially important, living in Ireland!) to prepare for and support a healthy pregnancy. Supplements can promote healthy sperm development, so it can be useful for men to take supplements with Vitamin C, zinc and selenium. However, an essential thing to remember is that supplements should only support our diet, and we should try to get as many nutrients from our food as possible. A balanced, healthy diet with fruit and vegetables, fish, and lean meats contain many nutrients that work together to keep us healthy, and we can’t get that same effect from a supplement. Eating well, staying active, drinking plenty of water, and keeping your BMI in the normal range will do great things for your overall health, and your supplements can then work to support that healthy lifestyle.

The absolutely essential one is folic acid. It is still often forgotten about when someone is struggling to conceive. Very few people we see are infertile, most simply have a fertility delay and I would strongly advise everyone not to stop taking the folic acid supplement: while you might become weary of taking it when you’re trying for a long time, you could still conceive naturally while waiting on treatment!

If you are moving clinics, what information do you need from your previous clinic?

This is one of the most common questions we are asked. Patients can seek second opinions or change clinics for treatment if they wish. Calling around to speak to different clinics can be very helpful, it will let you see whose approach you connect with, to explore their expertise and success rates, and to be confident in who you’d like to treat you. If you do decide to change clinics, it is really beneficial to bring your medical notes from your original clinic. Getting your notes can take a few weeks, and once you have them, you may not need to repeat all your tests. You can also move samples or embryos along with you, once all the documentation is put together by the clinics. If you don’t have your notes, a good synopsis of care letter, all test results and a cycle summary of treatment cycles undertaken are the important elements to bring with you.

What are the next steps if IVF isn’t working out?

If you’d like to continue treatments, the first step is to meet with your team to review all your cycles and make a plan together. There may be further investigations that could assist, or a change of approach. The team will review how your treatment cycles progressed, how many eggs were produced, how many embryos were produced, and the quality of those embryos. They may suggest other treatment options for you such as egg or sperm donation treatment.

It can be very challenging when an IVF cycle, or multiple cycles, haven’t been successful. There are other steps to take, depending on what you and your partner want. It can also be very helpful to talk to a fertility counsellor: we offer counselling support free of charge at Waterstone Clinic. Ask your team every question you have and then you can move forward with renewed hope, we’ll support you every step of the way.


Over the last 18 years, Waterstone Clinic has built a family of five clinics nationwide (Dublin, Cork, Kildare, Limerick and Waterford) where they provide pioneering fertility science, outstanding success rates, and exceptional care. For further information or to book a consultation visit our website or call 0818 333 310.  

 

Original Article available here: https://www.image.ie/agenda/when-should-women-start-to-think-about-freezing-their-eggs-a-reproductive-expert-answers-your-fertility-questions-249006[/vc_column_text][/vc_column][/vc_row]

‘They stole our time, hopes, dreams and money’ Irish couple detail horrific IVF experience abroad

As featured on Evoke.ie on 16 January 2021

The road to parenthood is never a certain one but even with the knowledge that it would take longer than expected to conceive, Clare and Barry Fitzgerald were shocked by the roundabout journey they found themselves on in their attempt to start a family.

Their story ends well as they eagerly anticipate the arrival of their first child this spring but if you told them this moment would be three heartbreaking years in the making, draining them of finances and testing their relationship, they may not have believed you.

The couple’s journey began in 2016 when they first started trying for a baby. Six months on, they were still unsuccessful and having confided in loved ones, Clare felt encouraged to seek answers by undergoing a series of tests.

Soon, she discovered she had an autoimmune hypothyroidism that would take a few months to regulate; Barry too, was struck with bad news – his sperm concentration was considered far from ideal. Their chances of conceiving naturally, they were told, were as slim as 5% and so they looked into other options with IVF jumping out as the next step.

Speaking to loved ones who had found themselves in a similar situation, Clare was struck by the positive experiences of close friends and family who went abroad for treatment. The process was easier and much more affordable than in Ireland, she was assured, and so she put forward the case to her partner – to follow in their footsteps and seek IVF treatment in the Czech Republic.

Although doubtful at first, Barry eventually came round to the idea and so the pair got in touch with a clinic that a friend had successfully attended.

‘Hearing other people’s story, I was filled with so much positivity,’ Clare tells EVOKE. ‘On top of that, all that we ever heard about Irish clinics is that it was a bad experience. I took a lot of coaxing to go down the Czech route and Barry was a bit dubious and now we know what we know, we should have listened to each other a little bit more.’

‘It just seemed so easy from what I had been told. The people I know who went down this same route didn’t get the runaround that we unfortunately got. You’re always looking for that success story so we thought, why not go for it? We know now how vital it is to do complete extensive research.’

From the get-go the pair felt disappointed by the process but having invested the time, money and energy into the journey, they had no choice but to keep going. For Clare and Barry, the service felt immediately impersonal, leaving them wondering if they had fallen for a money-making scheme in their most treasured dream of starting a family.

Miscommunication, language barriers, withheld information, misdiagnosis and endless amount of red tape left the pair physically and mentally broken throughout the two and a half years they dedicated to the clinic they had put so much trust in.

From their ‘coordinator’ who possessed little medical knowledge, to the language barrier between them and their consultants, to the requirement to physically undergo various tests in the Czech Republic and medical errors that left Clare in extreme pain – there was no part of the process that made it easy for the couple.

‘You’re basically at the mercy of your coordinator and ours was terrible,’ Clare explains. ‘She was a poor communicator with no medical history; she was basically a translator. The first time we were ever in the clinic, she didn’t even greet us at the desk like other couples were by theirs.’

The couple detail how they endured a number of awkward Zoom consultations ahead of their first trip for the all-important egg collection, the language barrier causing much frustration for them. Not only did their coordinator lack medical knowledge, their consultant spoke no English meaning things often got lost in translation.

‘Before we entered into a treatment or a transfer or whatever it was, there was always that seed of doubt because there were so many questions unanswered,’ Clare explains. ‘Even with things like getting prescriptions, it was so difficult as no doctor in Ireland would translate them. To get these drugs, which we were entitled to, we’d need to get them translated because they were written in Czech.’

After their initial egg collection, the pair travelled abroad for four different transmissions and Clare says each journey was tougher than the next. In total, she travelled to the Czech Republic twelve times to attend various tests, scans and transmissions and each time she was met with confusing information and negative results.

‘As the transfers failed, everything got more expensive. Both of us were sent for tests and you had to pay extra for everything. At our transfer failure Skype calls, there’d be a lot of shrugging of shoulders, almost as if it was our fault,’ Clare continues.

‘The whole time we were made feel like we were just another number to them. It was a very impersonal service. All the time, you’re asking the questions and there would be a delay while they’d go to get answers. Even with questions about medication, there were delays or often, things weren’t explained properly or I’d be told to watch a YouTube video to get answers. These people are the experts and they need to be feeding information to you all the time.’

‘IVF is such a precise science that there shouldn’t be any human errors or silly errors,’ Clare says passionately. ‘It was like they were dropping the ball constantly on us. We felt so peeved off and aggravated because it felt like they didn’t really want it to happen for us. We feel the clinic really cashed in on our lack of education and how gullible we were to believe everything they had to say. You think that they’re being transparent, when they’re really not.’

By the end of their 30 month journey with the clinic, Clare and Barry were ‘totally and utterly broken by the experience: I felt a lot of the time I was trying to problem solve for them. These clinics are responsible for people’s hopes and dreams and to treat people the way they did… They stole our time, our hopes, our dreams and our money. We just squashed the idea of it ever happening.’

Back in Ireland and almost three years on, the pair decided to look into adoption as the next step in their growing their family, accepting that perhaps having a biological child was not meant to be. With Clare and her own brother having been adopted, the couple were keen to explore the option at the very least.

‘To me, having a baby was never a given,’ Clare explains. ‘I never thought naively that it was going to be easy. Both of us agreed that it was ever a case that we couldn’t conceive naturally, we’d adopt. We filled out our forms and we went to the initial meeting with the social worker where they gave us worst case scenarios.’

After serious consideration, they decided to give IVF one last try, this time in Ireland. Research led them to a specific clinic but having learned from their mistakes, Clare and Barry dug a little deeper before settling which way to go. Eventually, it was their dog sitter, Sharon, who suggested The Waterstone Clinic in Cork, her sister being married to Dr Waterstone himself.

‘We were really skeptical and extremely nervous thinking, “This is probably going to be our last and final time, we can’t do this any more, we’re sick of it, it’s taken over our lives and us and we’ll end up losing each other through it”,’ Clare explains. ‘I was so afraid of going down the wrong path again.’

‘We were a bag of nerves going in for our first consultation last January but from the get-go we knew we were in good hands. Dr Waterstone was very professional. He’s renowned to be very straight on and blunt and I loved that honesty. That’s what we craved all along our journey; somebody being very real with us and not giving us any false sense of hope.’

‘Right away he told us that we had got burnt and that he simply wanted to show us what he could do for us. He said, ‘Our figure is our figure, everything is included, scans too, you don’t have to worry about additional things.’ For the pair who had lost some €32,000 to the Czech clinic, this was music to their ears.

‘Going home, we both had that feeling of ‘this is different, this is not a repeat of history, this is someone being very real with us,” Clare recalls. ‘We felt we had this immense support and that these people had your best interests and wanted it to happen for us.’

Clare says there was little stress attached to the Irish experience adding that ‘everything was in place.’

‘There was always someone on the end of the phone, your questions were answered and you were constantly reassured and informed. Where the Czech clinic left us in the dark with no answers a lot of the time, this clinic was always there for us. Barry and I went into our transfer completely confident that as much as humanly possible was in place for this to go well; we’ve done our job, it was now up to the little embryo to hang on and fight in there.’

When the time came to take a pregnancy test, Clare recalls the dreaded feeling of ‘here we go again.’ ‘It’s the one test I could study all day for but still not get the result I want,’ she laughs. ‘I remember, doing it, brushing my teeth and in the corner of my eye this little line appearing. I ran out of the bathroom and Barry calmed me down. My way of protecting myself was thinking it wasn’t gonna work.’

‘At first Barry pretended it was negative and then, elated, he lit up and told me it was positive. It reminded us of the time we got engaged. The surprise and the not knowing. You’re crying out of happiness and you’re elated and you can’t believe it.’

Clare and Barry now want to ensure other couples don’t make the same mistakes th

ey made because as they say, ‘where it can go wrong, it can go really wrong.’ For couples looking at IVF options, their best advice is go by research, not costs.

‘Don’t go for clinics that over advertise themselves,’ Clare says thoughtfully. ‘We didn’t even know about Waterstones because they work on word of mouth and their reputation means they don’t have to force constant advertisement.’

‘Also, constantly check in with one another throughout because the process can destroy you. At different stages, one might find things more difficult than the other. Going back to Barry’s sample, he found that very hard and one point we were looking at photographs to match up with a sperm donor.’

‘Do your own research and don’t listen to anyone else. I was so heavily influenced by friends and what they’d done but everybody is different and even in the same exact scenario, the result won’t be the same. Protect yourself at all costs.’

 

‘They stole our time, hopes, dreams and money’ Irish couple detail horrific IVF experience abroad

COVID-19 Vaccines

|A close up shot of Coronavirus 2019-nCoV an infectious flu virus which causes respiratory illness. Human blood samples in a medical lab. 3d illustration concept.|A close up shot of Coronavirus 2019-nCoV an infectious flu virus which causes respiratory illness. Human blood samples in a medical lab. 3d illustration concept.

Updated 6 Jan 2022

 

COVID-19 OUTBREAK AND THE REPERCUSSIONS FOR OUR PATIENTS AT WATERSTONE CLINIC

The prevalence of the virus in the Irish population is higher now than at any previous time, and extreme vigilance is necessary over the next couple of months.

 

CORONAVIRUS INFECTION: SYMPTOMS, TRANSMISSION, PROTECTION

This infection remains a threat to our patients and our staff. It is highly contagious, particularly because infected persons can transmit the virus before they develop symptoms. Symptoms include fever, cough, difficulty breathing, tiredness, sore throat, and loss of taste or smell. Coronavirus spreads through droplets from infected persons as they breathe but especially when they cough, sneeze, shout, laugh or sing. Inhalation of infected droplets is the most important route of infection, touching infected surfaces (on which infected droplets have landed) is a possible but less likely route of infection. Small, poorly ventilated spaces, particularly cars, are dangerous places. Vaccination has proved highly successful in preventing transmission of the virus and in preventing hospitalisation and death in those vaccinated. Vaccination is not completely protective and may be less protective against new strains, such as the Delta variant. For these reasons, social distancing and mask-wearing continue to be important in preventing an infected person from passing the virus to others.

Waterstone Clinic has a responsibility to its patients and staff to minimise the risk that the virus is transmitted in our facility. We also have a duty to point out the potential risks of coronavirus infection in pregnancy. Patients and staff must comply with the protective measures we have introduced.

 

THE RISKS OF COVID-19 IN PREGNANCY

While the European Society of Human Reproduction and Embryology (ESHRE) has given its approval that all fertility treatments can continue, patients must be aware that COVID-19 has introduced a new element of risk for pregnant women.

Pregnant women with COVID-19 infection appear twice as likely to be admitted to intensive care units and to require ventilation, compared to their non-pregnant peers. The likelihood of death for pregnant women with COVID-19 also appears greater. The absolute risk of death for pregnant women with COVID-19 in the Western world appears to be about 1 in 1,000: this is a small risk, but a new risk for pregnant women that did not exist previously.

With regard to risk for the fetus in pregnancies affected by COVID-19: there does not appear to be an increased risk of early miscarriage or birth abnormalities, nor is there any convincing evidence of vertical transmission (i.e. from mother to fetus). There is certainly an increased risk of premature delivery (3 times higher than in the general pregnant population) either because of premature rupture of the membranes or because of concerns about maternal wellbeing. Extremely premature delivery can result in death or disability for the baby. Evidence is also emerging of a possible increased risk of stillbirth in pregnancies complicated by COVID-19.

 

GUIDELINES ON VACCINATION AND PREGNANCY

Official advice about vaccination for women who are pregnant, or hoping to conceive, has been confusing and has changed over time.  In the USA, all of the professional medical bodies concerned with fertility and pregnancy care are agreed that the mRNA vaccines (Pfizer or Moderna) should not be withheld from women who are trying to conceive, who are pregnant, or who are breastfeeding. The American Society for Reproductive Medicine (ASRM) has actually recommended that patients undergoing fertility treatment should be encouraged to receive the vaccination.

The advice from similar authorities in the UK and Ireland have been less clear-cut and has tended to be non-directive. Advice from professional bodies for women who are pregnant or are hoping to conceive is bound to change as time passes. Irish women who are pregnant are being offered either the Pfizer or Moderna vaccines by the HSE and are being advised not to be vaccinated either before 14 weeks or after 36 weeks.

 

WATERSTONE CLINIC GUIDELINES ON VACCINATION AND FERTILITY TREATMENT  

Waterstone Clinic recommends that patients hoping to become pregnant avail of vaccination if offered it. We recommend that patients complete vaccination before undergoing any fertility treatment. Ten days should elapse between the second vaccine dose and the day that FSH injections (or Clomid or Letrozole tablets) begin in IVF, IUI, or OII cycles. In FET cycles, 10 days should elapse between the second vaccine dose and the day that estrogen treatment begins (or Day 2 in natural or FSH stimulated FET cycles).

Similarly, for men, at least 10 days should elapse between the second vaccine dose and the production of a semen sample for treatment purposes.

Alternatively, patients offered vaccination could proceed with planned fertility treatment and postpone vaccination until pregnancy (after 14 weeks gestation) or after a negative pregnancy test.

 

WATERSTONE CLINIC GUIDELINES ON TRAVEL

For patients who are travelling internationally before beginning their treatment, our guidelines depend on vaccination status.

Patients who are fully vaccinated can begin their treatment cycles without delay or additional COVID-19 testing.

For patients who have received only one dose or are unvaccinated, ten days must elapse between their return and the day that FSH injections (or Clomid or Letrozole tablets) begin in IVF, IUI, or OII cycles. In FET cycles, 10 days should elapse between the date of return and the day that estrogen treatment begins (or Day 2 in natural or FSH stimulated FET cycles). For male partners, at least 10 days must elapse between returning and the production of a semen sample for treatment purposes.

Patients returning from a holiday abroad who develop any symptoms suggestive of COVID-19, must not visit the Clinic and must inform the clinical team immediately.

 

MINIMISING COVID-19 RISK DURING TREATMENT AT THE CLINIC

Waterstone Clinic continues to take all possible precautions to minimise the risk of transmission of the virus at Clinic visits. We are concerned that the easing of restrictions in June and July 2021 may have been premature and that a further wave of infection (particularly in the young) is inevitable. We are therefore requiring patients to continue to social distance in the Clinic and to wear masks.

We are also insisting that partners do not attend consultations in person, but take part over the phone or by video call. During treatment cycles, partners or accompanying people are not to enter the building other than to produce semen samples or to support patients after egg collection procedures. Under exceptional circumstances, partners or accompanying persons may be requested to attend by the clinical team.

Some patients are unhappy that Waterstone Clinic’s current protocols concerning COVID-19 risk are more stringent than those in HSE hospitals. We can understand this, but make no apologies about our attempts to minimise risks for our patients we hope will become pregnant, and their unborn children. This is not a trivial disease for pregnant women. We will reassess our protocols at the end of September 2021.

Patients must continue to restrict their social interactions and behaviour outside of Waterstone Clinic in the course of treatment cycles to keep themselves and others safe. Patients will be questioned in order to assess individual risk and give appropriate advice. Tests for COVID-19 may be required and treatment cycles may need to be cancelled.

 

MINIMISING COVID-19 RISK IN PREGNANCY

Patients who become pregnant at Waterstone Clinic must understand the potential risks of COVID-19 and do all that they can to minimise the possibility of picking up the infection. Infection in late pregnancy (after 26 weeks) appears most dangerous, and we would advise that you take extreme caution at this time. Waterstone Clinic strongly recommends strict social distancing, reinforced by mask-wearing, for all patients pregnant during this pandemic. Super spreader events (such as the church choir practice in Washington State) have demonstrated the ability of an individual with minimal or no symptoms to infect large numbers of people in the vicinity. Any individual (who is not a household member) represents a potential danger to a pregnant woman if they are within a two-meter range and masks are not being worn by both parties. Pregnant women can now reduce their work-related risk by availing of the vaccination being offered by the HSE. Women whose work exposes them to the public should check with the HR or Occupational Health Department of their employer to discuss decisions and ways around risk reduction in pregnancy.

 

‘I wanted to find love for the right reasons. Freezing my eggs freed me up to make the right choices’

Kathryn Leslie was 35, single and based in New York when she decided to preserve her fertility. The 38-year-old Limerick native is now engaged and living in Zurich

As told to Katie Byrne,  Irish Independent, November 24 2020

 

“I’ve always known that I wanted my own family someday. When I was growing up in Limerick, my mam was a childminder. She minded other people’s kids from the village so there were always babies and children around our house.

When I was older, I started working in children’s rights and specifically on child protection policy and advocacy. I lived in Tanzania for five years, working for UNICEF, the UN’s children’s agency. When I was 30, I moved to New York to work at UN headquarters.

I was young, free and single, living the life with my friends. I was out three or four nights a week with the girls, going on dates and having a blast.

New York is such a cool city but I never saw myself living there long-term. When you work for the UN system, you tend to move around the world a lot. And I wasn’t sure I wanted to keep doing that. After five years, I wanted to get a new job, a new challenge, preferably in Europe, to be closer to my family in Ireland.

I was also conscious that I hadn’t met anyone yet. After five years in Manhattan, I was admittedly getting fed up of big city life, and dating. When I was living in Tanzania, I had met someone but he died in an accident early in our relationship when I was 29. And even though I was dating in New York, I never met anyone else that I connected with.

At 35, I was really looking for a change and fresh start closer to home. Randomly, at the age of 35, I also started getting all of these targeted ads on Facebook and by email, like ‘Have you thought about egg freezing?’. They were sent in a way as if to say there was something all of a sudden “wrong” with me. Then I was chatting to my sister and she had two kids through the assistance of the Waterstone Clinic in Cork. She had a great experience with them so when I was home in Ireland for Christmas 2017, I made an enquiry about egg freezing.

In New York, one round of egg freezing costs around €20,000 — and my American health insurance didn’t cover it. There was no way I was paying that amount of money and I also didn’t want to have my potential eggs in America if I wasn’t going to be living there.

That initial enquiry with the Waterstone Clinic really kick-started the process. The next time I was home in Ireland, I went for a fertility check. The clinic told me I was fit and healthy and said it was better to do it now than later. Then they said ‘here’s your plan’ and I was thinking ‘the plan?’. I didn’t expect them to produce an operational masterplan. It was a bit overwhelming.

I learned that the process of having your eggs frozen is actually quite time- intensive and logistical. You have to get regular scans and start the hormone injections on the third day of your cycle and take the injections at the same time every evening for up to 10 days. I was thinking, ‘how the hell am I going to manage all of this?’

It was crazy, but the nurses and staff were so helpful — I really felt professionally supported and not just in a clinical way, but in a caring way too. The monitoring of the follicle growth was happening in New York and then, when the follicles were of a certain size, I would book a flight to come back to Ireland for what they call the ‘trigger shot’ and then have the procedure.

All the while I was getting scans at a gynaecologist in New York on my lunch breaks, and they were sending the info back to the Waterstone Clinic.

There was even one evening when I was going from the office in New York to the airport and I had to inject myself on the airport bus because you have to take them at the same time every day. I could see people looking at me thinking, what is your one up to?

Given the over and back between New York-Cork-New York, the whole process of two rounds took about five months from the initial enquiry to the final procedure and we got 42 eggs in total.

Initial storage costs were included in the price for one year, and after that you can renew storage for blocks of five years.

Overall, I found it to be a very empowering and reassuring thing to do. It was a relief — and it really helped me make the decisions I needed to make that year with ease and it relaxed me in terms of dating.

There was so much going on between leaving New York, moving jobs and not having met the right partner. So I just thought, do you know what, I’m going to take this one thing — this ticking time bomb — and give myself some reassurance and insurance for the future.

Like everybody, I wanted to find love for all the right reasons. And I didn’t want the baby-making thing to be a driving factor.

Freezing my eggs freed me up in many ways to make the right choices. You can’t control whatever happens in the future but the one thing you can control is putting your eggs — your fertility — on ice.

I left New York in December 2018 and moved to Zurich a month later for a new job as head of safeguarding and child protection at FIFA.

A month after moving to Zurich, I met Mathias. I didn’t know anyone when I arrived and, before shutting down my Tinder account, I decided to give it one last swipe. It was his first time using Tinder. I was his first match and his first date.

My decision to freeze my eggs actually came up on our first date. We were in a bar in Zurich, tearing into the cocktails. Five cocktails later — maybe six — we started talking about wider life issues and it somehow came up.

He was actually very impressed. He told me later that it was one of the things that made him become more attracted to me.

Mathias and I got engaged six months after our first date and starting a family is very much on the cards. We were supposed to get married this month, but we had to postpone it because of Covid.

When I decided to have my eggs frozen, a few friends messaged me to tell me that they were thinking about it but they weren’t sure. I told them to go for it. If it’s crossed your mind, I said to them, it’s crossed your mind for a reason.

If egg freezing helps you live your best life and not have worries or stress about your fertility or getting older; if it helps you make the right decisions for the right reasons, then my advice is to just go for it.”

 

https://www.independent.ie/life/health-wellbeing/i-wanted-to-find-love-for-the-right-reasons-freezing-my-eggs-freed-me-up-to-make-the-right-choices-39783008.html 

Why Have Your Fertility Tested?

Knowledge is Power

Martina Kelly, Fertility Nurse Specialist, Waterstone Clinic Kildare

 

One in six couples have difficulties conceiving, so fertility testing can give couples reassurance and choices. Knowing your fertility status is very important information for future family planning.

The first question we are often asked is when should you go to a fertility clinic?  You can have a fertility check whether or not you are trying for a baby. If you are trying for a baby, the general advice depends on your age. If you are over 35, it’s important to see a specialist if you have been trying for 6 months, and if you are under 35, see a specialist after a year. If you’re not actively trying for a baby, you can have a fertility check at any time. The information from the check will let you know where you stand and help you make decisions, such as considering preserving your fertility.

Before you meet with a doctor, you and your partner will have some tests so you can get the most out of your consultation. The male partner will have a simple semen analysis test and the female will have a number of blood tests, to help us measure ovarian reserve,  which will provide information regarding your ability to conceive.

One of the tests that can give us a good sense of your fertility timeline, is the AMH test. Anti-Müllerian Hormone (AMH), is a hormone produced by cells inside the little sacs in the ovaries that each holds an egg. These follicles release the AMH hormone, and the amount of it in the blood serves as a proxy for the amount of eggs remaining in the ovaries. Alongside this, we look at the amount of Follicle Stimulating Hormone (FSH) in the blood. This hormone works to kick-start the maturation of the eggs in the follicles, and if there is a high level of this hormone, it can be a sign of low ovarian reserve.

In additional to hormonal tests, it is essential to have a fertility focused ultrasound to view the ovaries. Put together, this information gives a picture of your overall fertility potential. Combined with your partner’s semen analysis result, we can determine if fertility treatment might be necessary, and which options would offer you the best chance of success.

Having health checks at a fertility clinic does help, by not losing time. Fertility issues are very common and even if you don’t want a family right now, being proactive about your fertility can make all the difference when you are ready. Having your reproductive health information will help you make decisions and take out the guesswork. Knowledge is power: once you know, you have choices which is everything in the world of fertility.

 

Martina Kelly, Fertility Nurse Specialist Kildare 

Martina is a fertility nurse specialist at the Waterstone Clinic in Kildare. She trained as a Registered General Nurse in the Midlands and was one of the first nurses in Ireland to specialise in women’s health. She has worked all over the world, in Australia, Barbados, Trinidad, the UK and Ireland. Having worked in fertility for many years, Martina is passionate about women’s health. She runs the Waterstone Clinic Kildare site, helping women and couples fulfil their dreams of parenthood.

Starting Fertility Treatment During A Pandemic

Where to Start

The Gift of Time

Dr John Waterstone

 

More and more couples and individuals are beginning their fertility journeys since the coronavirus epidemic swept the country. There is no doubt that the pandemic has had a huge impact on how we live our lives, and while it has taken away so much, it has at the same time, given us a gift of time to evaluate our priorities.

In a recent survey of nearly 400 of our patients across our five clinics, we asked what changes the pandemic has brought about. 82% of them answered that it has made them value family more. 71% agreed that the pandemic had given them more time to think about starting a family.

Many couples have been trying for a family during the pandemic, and have asked for fertility advice. Fertility is strongly linked to the age of the woman. For women aged over 35, our advice is to see a fertility specialist after six months of trying; and after a year of trying if you are under 35. If you are part of a couple, your fertility potential should be assessed together. The tests are very simple: women need some blood tests, including an Anti-Mullerian Hormone (AMH) blood test, and a fertility-focused ultrasound scan. Male partners need a simple semen analysis test. Looking at all the results together, we can build a picture of your overall fertility health, including your ovarian reserve (the number of eggs in your ovaries).

Having a fertility check doesn’t always mean you will need fertility treatment. Some couples only need reassurance and advice, and some need treatment. If you do need treatment, we will build a plan with a recommendation for a treatment that will give you the best chance of success. There are simple and low-cost treatments such as Ovulation Induction (where you take medication, and conception takes place through intercourse at home) or Intrauterine Insemination (where you take medication and conception takes place through a simple procedure). If you need more specialised intervention, we may recommend IVF or ICSI treatment.

Fertility treatment can be a stressful time for couples, and even more so in the time of COVID-19. Right now, a key worry for many is how soon can they start their journey. While fertility testing and treatment were paused at the height of lockdown in March and April, international guidelines have been updated and fertility services are now classed as essential, so they are not restricted, even at Level 5 in Ireland. We have implemented many health and safety measures to keep our patients, staff and clinics safe and COVID-free.

Many people worry that they are losing time, that their fertility is declining and they might miss their opportunity to have a baby. Time can be the enemy of fertility, so use the gift of time: have an assessment and make sure that time is on your side.

 

Dr John Waterstone is Medical Director of Waterstone Clinic

 

 

Kildare Clinic Now Open

|Vista Primary Care Waterstone Clinic Kildare

Our Family Is Expanding

We are delighted to announce the opening of our Kildare Clinic.

We now have five clinics across the country, and our Kildare clinic will enable patients to access diagnostic tests, consultations with our doctors, ultrasound scans, cycle monitoring, and semen analysis while staying close to home.

Our specialist team are experts in the field of Reproductive Medicine. We have achieved most, if not all, of Ireland’s scientific milestones in fertility since we opened our first clinic in 2002. We provide cutting-edge fertility care to our patients at a standard that is second to none. Over 500 babies are born every year from treatments at our clinics.

Our clinic is located in Vista Primary Care Centre, Ballymore Eustace Road, Naas, Co.Kildare (map)

For appointments, contact [email protected] or call 0818 333 310 | 045- 874389

 

Vista Primary Care, Naas, Kildare

Fertility On Hold: Irish Examiner Article

Woman in nature in sunset. People in nature.Beautiful woman in meadow summer. Beautiful people. Happy people. Happy beautiful woman in nature in sunset. Beautiful woman in summer day. Woman. People. Sunset. Nature.

By Sharon Ní Chonchúir

Featured Friday 19 June 2020: Read on the Irish Examiner Website

Most fertility treatments were put on ice during the lockdown. Now clinics have reopened, how will the delay affect women’s chances of having a baby, asks Sharon Ní Chonchúir 

There was huge relief for women and couples when Ireland’s fertility clinics reopened their doors at the beginning of May.  Like most of the country, the clinics had closed mid-March, which had put all fertility treatments on indefinite hold.

One in six couples in Ireland struggles to conceive within one year of having unprotected sex, and up to 6,000 people undergo fertility treatment every year.

Aisling* (29) and her husband have unknown fertility issues and have been having fertility treatment since 2018. They have been through two ovulation induction cycles, one IVF cycle and two miscarriages. They were about to start IVF once more when the clinics closed in March. She is still struggling to come to terms with the closure of clinics. 

“I am so upset with how couples who have to go through IVF were treated,” she says. “We already have to endure extreme pain and hurt, and this was just another way in which we were punished for something our bodies cannot do for us. Every month matters when you feel your time is running out. It could make the difference between you getting to be a mother or not.  We are young so we have time, but we were still devastated when our cycle was cancelled.” 

DECISION TO CLOSE

Fertility clinics are medical facilities so under government guidelines they could have remained open during lockdown. However, on March 14 the European Society of Human Reproduction and Embryology (ESHRE) recommended that: “all fertility patients considering or planning treatment, even if they do not meet the diagnostic criteria for Covid-19 infection, should avoid becoming pregnant.”

Irish fertility doctors understood this prudent approach. 

“There was uncertainty about how safe the virus was for pregnant women,” says Dr John Waterstone, medical director of the Waterstone Clinic. “The previous coronavirus outbreak – SARS in 2003 – was particularly unsafe for pregnant women, so it seemed reasonable to be cautious.”

Closing the clinics also gave staff the opportunity to put measures in place so they could look after patients safely.  “We did not want to do anything to encourage the spread of the virus,” says Dr John Kennedy, medical director of the Sims Fertility Clinic in Dublin. “We had no PPE and no means of applying social distancing, so we decided that the safest thing to do was to put everything on hold.”

In the Sims Clinic, all treatment stopped with immediate effect on March 16. “Some patients got to freeze embryos before they stopped but some – thankfully not that many – were only halfway through their cycles,” says Dr Kennedy. “They were the ones who suffered the most.”

The Waterstone Clinic stopped all treatments apart from those who were mid-way through a cycle. “We allowed those patients to proceed to egg collection and embryo freezing,” says Dr Waterstone. “We still had a lot of upset people though. The passage of time is everything in fertility, and six months, either way, can make a huge difference to the success rates for older women.” 

PLANS ON HOLD

Pauline* (40) is one of those women. She and her husband have a toddler who was conceived through IVF. “Our first cycle failed but our second cycle resulted in eight embryos and we used five of those to have our baby,” she says. We tried for a little brother or sister in January but that failed. We were about to go again in April when it was cancelled.”

A healthcare worker, Pauline understands why treatments had been paused, but she struggles to accept it. “There is so much that is out of your control when you have fertility issues,” she says. “This is just one more layer of uncertainty. I am on steroids at the moment [for an unrelated issue], so my doctors are reluctant for me to try getting pregnant right now. “I get it, but will I be able to try this year? Next year? Not knowing is upsetting and being at home alone in lockdown makes the experience all the harder.”

Aisling questions why advice on avoiding pregnancy was not issued to the public in general. “It’s yet another example of us being treated unfairly for something that’s out of our control,” she says.

Dr Kennedy understands why she might feel discriminated against but believes there was a valid reason. “This decision is bound to have caused anger as timing is so crucial in fertility,” he says. “But women who conceive using IVF are a higher risk group and there may be additional risks involved in their pregnancies [these include higher rates of pre-eclampsia, gestational diabetes and placenta praevia as well as higher risks of having an induction and caesarean section during labour]. ESHRE may not have wanted to overburden the health system at a time when it might be struggling.” 

ONGOING SUPPORT

Supports were offered to help women and couples to cope with the emotional impact of the delay to their treatment. Marian Ó Tuama, psychotherapist at the Waterstone Clinic, moved quickly to offer counselling online.

“I immediately started Zoom calls with patients and posted videos of breathing exercises and cognitive behavioural therapies on our Instagram page to help them deal with their anxiety,” she says. Anxiety was one of the biggest issue for her patients during lockdown. “Nobody knew how long it would be before treatment would resume,” says Ó Tuama. “Would it be weeks, months, or years? For women and couples already worried they may have left it too late, any delay adds to their fears.”

The lockdown imposed its own pressures too. “They were stuck at home with little else to do but think about time passing,” says Ó Tuama.

The National Infertility Support and Information Group (NISIG) has also moved its meetings online. 

Its spokesperson Niamh Magee says that emotions have been running high during this time. “So many women have said that they want to scream when they hear all the comments about the pending baby boom due to the lockdown,” she says. “Because of the delays to their treatment, they worry that time is passing and that another year will go by without a baby for them to hold at the end of it.”

INFECTION PREVENTION

On April 23, ESHRE recommended that fertility treatments could recommence once safeguards were put in place to protect patients and staff. 

“A lot had changed since March and the medical evidence showed that Covid-19 didn’t seem to have a harmful impact on pregnancy,” says Dr Kennedy. Reopening the doors did not mean reverting to how things were pre-pandemic. Conditions are different now. Preventing infection is paramount.

“We’re extremely cautious about bringing infection into the clinic,” says Dr Waterstone. “Consultations now mostly take place over the phone or online. Everyone who comes to the clinic wears masks and we ask partners to wait outside in their cars if they are not needed inside.”

“Our days are longer,” says Dr Kennedy. “We’re seeing the same volume of patients, but it takes more time because of frequent cleaning and social distancing. This will become a normalised part of the way we work in the future.”

Clinics are not yet able to offer their full range of services. Some investigational surgeries are on hold. Some supportive drug treatments like immunotherapy and steroids are not available. Closed borders mean that those intending to travel abroad cannot do so and nor can women and couples avail of donor eggs and sperm from other countries.

“There are still lots of hurdles in the paths of couples trying to conceive,” says Magee.

While Dr Waterstone is satisfied that clinics are safe from Covid-19, he thinks the government should do more to protect pregnant women. “We’re ultra-cautious in the clinic but we can’t control the outside world,” he says. I worry about my patients being exposed to risk on crowded public transport, for example.”

He would like to see the government make mask-wearing mandatory. “Look at Hong Kong,” he says. “It’s right next to China but its death rate from Covid-19 was 0.5 per million inhabitants. Ours is more than 300. The difference is that they all wear masks. I think the authorities have been negligent by not making mask-wearing compulsory. It’s an easy measure for them to enforce and it keeps everyone – including pregnant women – safe.”

HIGH DEMAND

Despite the challenges that persist for those seeking fertility treatment, Drs Waterstone and Kennedy have found that demand is as high as ever.

“Covid-19 won’t be a death knell to IVF treatment,” says Dr Kennedy. “If anything, it’s underlined the impermanence of all things and the importance of getting what you want out of life.”

That is certainly true for Pauline and her husband. “All we want is a brother or sister for our little toddler,” she says. “At the very least, we’d like to be able to try.”

Ó Tuama has been surprised by how receptive people have been to the changes in how IVF treatment is now offered. “People are so adaptable when they want something,” she says. “Any step forward gives them hope. It’s much better to do something – anything – than to wait and wonder if those months of delay meant that you never had a baby.

Aisling understands that urge to do something rather than nothing. “I’m currently waiting to start a new round of IUI, but I have no date from the clinic as there is still a backlog from all the cancelled procedures,” she says. “The waiting is absolutely agonising.”

Having their treatment cancelled with no notice was very distressing for these people. 

IT TAKES A BIG TOLL ON US AS A COUPLE

Women undergo most of the medical procedures associated with IVF. But having fertility treatment can be an emotionally draining experience for hopeful dads too.

“Pauline* and I didn’t meet until we were in our late 30s, so we were late trying to start a family,” says Ethan. “We were thrilled when we had a baby after our second IVF cycle, and we would both love to have another. We implanted one of our remaining three embryos in January, but it did not work. That was a big disappointment. We were all geared up to try again in April only to be disappointed again when the clinics closed.”

Ethan worries about what will happen if none of their remaining embryos implants successfully. “We’ll have to go through the entire process from the very beginning and that’s daunting,” he says. “t costs a lot, which is a huge consideration, and it takes a big toll on us both as a couple. You could drive yourself mad if you were to think about it too much.”

For now, Ethan believes his place is beside his wife, supporting her as they wait to restart their IVF treatment. “All I’ve had to do so far is to produce a sperm sample in a cup, which wasn’t all that hard,” he says. “Pauline is the one who has had to take all of the vitamins, minerals, and various medications as well as undergo invasive procedures. That has been tough going and I see my job as looking after her.”

He and his wife have both grieved their IVF failures but remain hopeful that their next attempt will be successful. “We’ve had our fair share of heartbreak throughout our IVF treatment, but we have a beautiful toddler to show for it,” he says. “There’s nothing either of us would like more than to have another baby so that our two children could grow up together.

“If we get to do that, everything will be worth it.”

*Names have been changed

https://www.irishexaminer.com/breakingnews/lifestyle/healthandlife/fertility-on-hold-will-ivf-delays-impact-womens-chances-of-conceiving-1006121.html

CoronaVirus

A message from our family to yours:

NOTICE FOR PATIENTS UPDATE TO SERVICES AT WATERSTONE CLINIC

A message from Dr John Waterstone, Medical Director

Please bear with us while we work our way through contacting each of our patients. We will give priority to patients who were cancelled/delayed and will schedule at the nearest available time. If you would like to speak to one of the team, feel free to contact us on 0818 333 310 / [email protected]

The safety and welfare of our patients and staff are of utmost importance to us at Waterstone Clinic. Due to the increase of Coronavirus cases in Ireland, we have taken the decision to limit the services we can provide at the moment, and are following guidelines from the European Society of Human Reproduction and Embryology (ESHRE). The experts at ESHRE have advised that patients who are considering or planning fertility treatment at the moment should avoid becoming pregnant at this time due to the uncertainties around the impact of Coronavirus.  

As we begin our phased return to providing treatment, we are following guidelines from the HSE and ESHRE and our Clinic is COVID-19 FREE. Life at the Clinic will not be back to normal just yet, and it will look a little different when you attend. The first change is that we are introducing two new forms for all patients and partners: a Patient Charter and a COVID19 Risk Assessment form.

The Patient Charter outlines your responsibilities while you are access treatment with us, and we will ask you to read, sign it and return it to us prior to attending the clinic for your next visit. The Charter describes the new procedures we will have in place, and our commitments to you to keep you safe in the Clinic so that your treatment can go ahead as planned. 

The COVID-19 Risk Assessment form will help our clinical team assess the level of risk you are exposed to in your daily life. We will ask you each to make yourself available to complete this process by phone before treatment and again during treatment. Treatment will not proceed without completing these steps. 

The team may suggest things to reduce your risk, to keep both you and all at the Clinic, safe from COVID-19. Risk assessment is a process, and you may be risk assessed at additional points. We would ask you to be vigilant and report any changes to your risk: we are in this together and must do all we can to protect one another as a community.

Please do bear with us as we implement these new policies and an additional consent process for treatment during the pandemic. We know patients are anxious to return to treatment, as are we, and we are doing everything we can do resume our work safely.  

Our Treatment Roadmap: 

Phase 1 w/c 18 May: Fertility testing and scans 

Phase 2 w/c 25 May: IVF/ICSI Cycles and Egg Freeze cycles (priority for those who were cancelled)

Phase 3 w/c 8 June: FET Cycles (priority for those who were cancelled/had freeze-all cycles)

Phase 4 w/c 15 June: OII & IUI Cycles (priority to those who were cancelled)

Donor Sperm Cycles: The donor team are recommencing treatment, under the phased return. The donor team are continuing preparatory work and ensuring compliance with the new Irish legislation concerning donor treatments.

Donor Egg Cycles: We are working hard on your behalf to resume the service and are continuing preparatory work with patients for treatment. We are dependent on the full removal of travel restrictions, and on the resumption of donor bank activity. We will update you on as soon as there is new information. Once we can return, priority will be given to those who were cancelled/delayed. The donor team are ensuring compliance with the new Irish legislation concerning donor treatments.

Dr John Waterstone, Medical Director of Waterstone Clinic