Fertility Cafe

Surrogacy is often talked about as a beautiful and rewarding journey, but what happens when that journey takes an unexpected turn? In this episode, Eloise Drane sits down with Pamela Marshall, a gestational surrogate whose experience challenged everything she thought she knew about pregnancy, risk, and resilience. Pam shares her deeply personal story of entering surrogacy with excitement and confidence, only to face a rare and serious medical complication that changed the course of her pregnancy. From being hospitalized for weeks to navigating separation from her own children, her journey reveals the emotional and physical realities that many never see. Pam explains what carried her through the hardest moments and why, despite everything, she would make the same decision again. This conversation offers an unfiltered look at the realities of surrogacy and the extraordinary people who choose to walk this path. Guest Bio: Pamela Marshall is a mom of 3 boys, living in Pennsylvania and she is a licensed social worker. She has been a surrogate and loves helping build families! She is also currently a journey manager at Family Inceptions. You’ll hear about: Why Pam chose to become a surrogate What happens when a pregnancy becomes high risk Being hospitalized for weeks away from family The emotional toll of unexpected complications How support systems make all the difference Why she would still choose surrogacy again Related episodes: Ep 118 – Surrogacy and the Emotional Journey to Motherhoodhttps://thefertilitycafe.com/podcast/ep-118-surrogacy-and-the-emotional-journey-to-motherhood/ Ep 93 – U.S. Surrogacy for International Parentshttps://thefertilitycafe.com/podcast/ep-93-u-s-surrogacy-for-international-parents/ Ep 85 – Surrogacy for Same-Sex Couples: Carnell Roberts Tells His Storyhttps://thefertilitycafe.com/podcast/ep-85-surrogacy-for-same-sex-couples-carnell-roberts-tells-his-story/ Ep 49 – Social Surrogacyhttps://thefertilitycafe.com/podcast/ep-49-social-surrogacy/ Ep 37 – Husband’s Are You Prepared (Partner Involvement in Surrogacy)https://thefertilitycafe.com/podcast/ep-37-husbands-are-you-prepared/ Chapters (00:00:00) - Surrogacy: The Journey to Parenthood(00:01:26) - The Unfortunate Journey of Surrogacy(00:02:43) - Surrogacy in the US(00:04:30) - What Were You Hoping For Your Baby's Journey?(00:05:07) - The Secret To A Match(00:05:38) - The Matching Process For Your Baby(00:06:18) - The Process of Choosing an Agency(00:07:09) - The Surrogate's First Egg Transfer(00:08:28) - Pregnant Woman on Her First Week(00:09:04) - The Baby's First Anatomy Scan(00:10:39) - What Happened When I Learned I Had a High-Risk(00:16:18) - Baby's umbilical cord rupture forced me to be hospitalized from(00:21:33) - How Did Your Husband Manage the Surrogacy?(00:23:20) - How to Keep Yourself From Going Insane While In the Hospital(00:28:45) - Baby's birth disrupts parents' life(00:29:13) - C section for my first baby(00:34:23) - The Surrogacy Experience(00:36:52) - Having been a surrogate myself(00:37:44) - Pamela's story of surrogacy

Surrogates often begin their journey excited, hopeful, and ready to help a family grow, but few truly understand the depth of the medical steps involved. In this conversation, Eloise Drane sits down with reproductive endocrinologist Dr. Shannel R. Adams to demystify every stage of the surrogate medical and IVF process, breaking it down into simple, reassuring, and practical explanations. Eloise guides listeners through the realities of medical screening, clearance, genetic discussions, mental health evaluations, and partner requirements, bringing clarity to the questions surrogates commonly ask but rarely get answered fully. Together, they unpack why timelines vary, what doctors look for at each step, and how clinics ensure safety for both the surrogate and the baby she carries. Dr. Adams also walks through the IVF medication protocol, embryo transfer, ultrasound schedule, hormone monitoring, and what actually happens when things don’t go as planned. She explains the “why” behind the rules, from avoiding THC to requiring birth control. Whether someone is preparing for their first journey or wanting deeper insight into the medical side of surrogacy, this episode offers a clear path forward for anyone who wants to feel confident and supported. Guest Bio: Shannel R. Adams, MD, FACOG is a board-certified reproductive endocrinologist and infertility specialist. Highly skilled in all areas of reproductive health, Dr. Adams has a particular expertise and interest in third party reproduction, oncofertility, fertility preservation, male fertility, and holistic care of both mind and body. Dr. Adams graduated from Duke University with an undergraduate degree in Ethics and went on to medical school at Oregon Health and Science University. She completed residency at the University of Hawai’i John A. Burns School of Medicine and her REI fellowship at the University of Cincinnati. You’ll hear about: Why surrogates are surprised by the medical timeline What OB clearance involves Genetic and psychological screening requirements Partner testing and FDA rules Key blood work surrogates must complete Tubes, fibroids, and conditions needing treatment Medication protocols explained simply Lining checks and hormone levels How embryo transfer actually works Pregnancy confirmation Ultrasounds and early monitoring Bleeding in early pregnancy Single embryo transfer guidance Episode Resources: Not Broken: An Approachable Guide to Miscarriage and Recurrent Pregnancy Loss -https://www.amazon.com/Not-Broken-Approachable-Miscarriage-Recurrent/dp/0998714607 Planting the Seeds of Pregnancy: An Integrative Approach to Fertility Care -https://www.amazon.com/Planting-Seeds-Pregnancy-Integrative-Fertility/dp/0996348727 Related episodes: Ep 118 – Surrogacy and the Emotional Journey to Motherhood https://thefertilitycafe.com/podcast/ep-118-surrogacy-and-the-emotional-journey-to-motherhood/ Ep 93 – U.S. Surrogacy for International Parents https://thefertilitycafe.com/podcast/ep-93-u-s-surrogacy-for-international-parents/ Ep 85 – Surrogacy for Same-Sex Couples: Carnell Roberts Tells His Story Chapters (00:00:00) - The Process of Surrogacy and IVF(00:01:28) - Dr. Chanel Adams(00:02:26) - What drew you into reproductive endocrinology in the first place?(00:06:49) - What To Know About The Surrogacy Process(00:09:02) - The Medical Timeline of Surrogacy(00:11:22) - What is the Medical Screening Every Surrogate Completes(00:14:54) - OB Clearance for Surrogates(00:17:06) - Surrogacy Medical Screening(00:19:40) - What about sexual screening during pregnancy?(00:22:33) - How To Get pregnant with a Surrogate(00:27:22) - Uterine lining and contraception(00:31:17) - Transfer of an Embryo 1(00:36:39) - Is bed rest required on the day of the transfer?(00:37:51) - How to Tell If You Are Expecting a Pregnancy with a(00:41:08) - How long should a surrogate wait to get a pregnancy ultrasound? ((00:48:09) - Transfer and pregnancy 1, Sex during pregnancy(00:48:55) - Is surrogacy high risk for children?(00:51:22) - Dr. Chanel Adams on Surrogacy(00:53:52) - Do we Transfer More Embryos than One?

Too many people walk into an OB GYN appointment with uncertainty, unanswered questions, or years of silent symptoms. In this powerful conversation, Eloise Drane sits down with Board Certified OB GYN Dr. Renita White, MD to unpack the real state of women’s healthcare today and the steps every person can take to advocate for themselves. Dr. White shares why she entered the field of obstetrics and gynecology, what she witnessed during training, and how racism and systemic gaps leave many women confused about their own bodies. She explains the challenges of limited appointment times, lack of access, and medical misinformation, and offers practical tools for improving trust and communication with healthcare providers. Together, Eloise and Dr. White break down essential topics including fertility education, AMH testing, preventive care, maternal mortality, racism in medicine, pregnancy fears, and the realities of navigating care in a post-Dobbs world. Dr. White also outlines what a “normal” period should look like and when to seek additional support. This episode empowers listeners with clarity, compassion, and practical steps for better reproductive health. Guest Bio: Dr. Renita White, MD is a board-certified obstetrician & gynecologist and women’s health advocate. With a passion for women’s health and wellness, Dr. White loves to take care of women in all stages of life, educating them about their bodies and encouraging them to address their physical and emotional health to improve their overall wellness and longevity. Originally from Georgia, Dr. White received her undergraduate degree from Duke University and medical degree from The Ohio State University, eventually returning to Atlanta for her residency in OBGYN at Emory University. Alongside running her practice, Georgia OBGYN, Dr. White also cohosts her podcast, Cradle & All, is a medical advisor for The Honey Pot Company, and serves on the medical executive board for Flo Health, VeryWell Health, Parent Magazine, and Elle Magazine. In her spare time, Dr. White enjoys traveling, reading, and spending time with her two sons. You’ll hear about: Why Dr. White chose OB GYN Stigma within women’s healthcare How patients approach reproductive care Preparing for OB GYN visits Fertility basics and AMH testing When to see a specialist Maternal mortality realities Social media misinformation Pregnancy fears and loss Birth control safety Understanding menopause symptoms What a normal period is When to seek a second opinion Episode Resources: Study into the numbers of OBGYNs in the state of Georgia - https://shorturl.at/k1aHl Related episodes: Ep 113 – The Fertility Timeline: Dr Susanna Park on When to Get Tested https://thefertilitycafe.com/podcast/ep-113-the-fertility-timeline-dr-susanna-park-on-when-to-get-tested/   Ep 111 – The Patient Experience in Fertility Care: Advocating for Better Support https://thefertilitycafe.com/podcast/ep-111-the-patient-experience-in-fertility-care-advocating-for-better-support/   Ep 99 – Bringing Equality to Reproduction for LGBTQ+ People https://thefertilitycafe.com/podcast/ep-99-bringing-equality-to-reproduction/ Connect with Dr. Renita White, MD: Instagram - https://www.instagram.com/renitawhitemd/ Her website - https://re... Chapters (00:00:00) - Why Your Reproductive Health Is So Important(00:00:53) - Fertility Cafe: Dr. Renita White(00:02:08) - Ob-GYN on Women's Health(00:09:46) - How to talk about reproductive health(00:10:40) - Ob-Gyn: Pre-Pregnancy Care(00:17:38) - Maternal Fetal Mortality in the US(00:26:14) - Miscarriages and stillborns(00:26:59) - Have you seen changes like pre Covid, post Covid with(00:29:16) - On the Pro-Abortion Case(00:32:49) - Birth Control, the right choice for your patient(00:34:59) - How to manage menopause health(00:37:32) - How to talk about your period(00:41:28) - Ob-GYN: What to Know Before Going to the Doctor(00:43:49) - Interview

Genetics touches nearly every part of the family-building journey, yet for most people it feels confusing, intimidating, and filled with unknowns. In this conversation, Eloise Drane sits down with Gina Davis, a genetic counselor with more than 20 years of experience in reproductive genetics, IVF, donor conception, and embryo donation. Gina brings rare insight as both a clinician and someone who has personally navigated IVF and become a known embryo donor. Gina shares what intended parents, donors, and professionals need to understand about carrier screening, family history, genetic risk, and how testing fits into a fertility plan. She breaks down common misconceptions, explains why no genetic picture is ever “perfect,” and highlights the biggest gaps she sees inside fertility clinics today. They explore the realities of embryo testing, including PGTA, mosaicism, false positives, and how to evaluate results when embryos are limited or labeled “abnormal.” Gina also explains how patients can advocate for themselves and why genetics should be values-driven rather than fear-driven. By the end, listeners will walk away with clarity, confidence, and a better understanding of the questions to ask, the decisions only they can make, and how to navigate genetics without feeling overwhelmed. You can’t control everything, but you can be informed. “We’re all perfectly imperfect when it comes to genetics.” – Gina Davis Guest Bio: Gina Davis is a genetic counselor who has worked in the reproductive medicine space for over 20 years. A few years into her career, she also became an IVF patient, and later, a known embryo donor. This experience has shaped her lens of best practices and how professionals can work together to improve the lives of our patients and the families we help create. Gina spent the first 9 years of her career as a genetic counselor at the REI and reproductive genetics program at UCSF. Gina now leads a team of genetic counselors at her private practice, Advocate Genetics, which provides nationwide virtual genetic counseling for fertility patients, gamete donors, and embryo donors. Gina is also a co-founder of Empower with Moxi – https://empowerwithmoxi.com, an educational, support, matching and journey management program with the central aim of empowering choice and understanding in embryo donation. You’ll hear about: Why genetics matters in fertility care Gina’s IVF and embryo donation journey Carrier screening basics Family history vs genetic testing Donor genetic evaluations Understanding PGTA and mosaicism Limits of embryo testing Making values-driven decisions Red flags in clinic genetic counseling Where to start when feeling overwhelmed Episode Resources: Advocate Genetics - https://advocategenetics.com... Chapters (00:00:00) - Welcome to the Fertility Cafe(00:01:15) - Fertility Cafe: Gina Davis Discusses Genetics(00:02:47) - Teaching in the world of genetics and reproductive health(00:06:33) - Inventing the genetic counselor(00:08:06) - Do genetic counselors do the right thing for couples?(00:16:44) - Carbon Screening and Genetic Mapping(00:21:11) - What are some of the biggest gaps(00:25:05) - PGT A, Down Syndrome Screening(00:31:13) - Does testing embryos help with egg donation?(00:35:23) - Choosing the embryo transfer based on genetic findings(00:37:51) - Questions parents should ask their fertility clinic before doing IVF or embryo(00:43:48) - Do I need genetic screening for my eggs?(00:45:41) - Gina on the Genetics of Embryo Donation(00:48:22) - Interviewing Elle

After more than 20 years of infertility, six miscarriages and several failed rounds of IVF, Arvis Carmichael-Smith returns with the update she once feared would never come. When she last spoke with Eloise Drane, she was preparing for one last attempt. Now she shares how that final try became the pregnancy she had prayed for at age 51. Eloise guides Arvis through the turning points that finally brought answers, including the second opinion that uncovered the simple but long-missed issue preventing her from carrying a pregnancy. Arvis describes the cautious hope she felt as her numbers continued to rise and the joy of finally experiencing pregnancy after so much loss. The conversation shifts when Arvis recounts the medical emergency that unfolded during delivery. What began as a planned C-section became a life-threatening crisis when an undetected placenta accreta caused massive bleeding, an emergency hysterectomy and a severed ureter that left her facing months of painful recovery. Through every complication, Arvis explains how faith, community and relentless self-advocacy kept her alive. Her daughter arrived healthy. Arvis survived against all odds. “My miracle did not come without a fight.” – Arvis Carmichael-Smith Guest Bio: Arvis is a middle school science teacher with a passion for nurturing and mentoring kids. This desire sparked an interest in her becoming a teacher eight years ago. She is an advocate for children, animals, and the elderly. She also loves hiking, nature walks, and travel. Arvis lives in Hampton, Georgia with her husband and their one year old daughter. You’ll hear about: Arvis recounts two decades of infertility Why multiple miscarriages went unexplained The second opinion that changed everything Hearing rising pregnancy numbers for the first time Joy and fear throughout pregnancy Third trimester complications begin The hypertension reading that signaled danger C section unexpectedly turns into emergency Undetected placenta accreta revealed Recovery complications and ureter injury Months living with a nephrostomy bag The emotional toll of recovery Maternal health failures and being ignored Faith, advocacy and survival Episode Resources: Fertility for colored girls - https://www.fertilityforcoloredgirls.org/ Related episodes: Ep 87 – When Fertility Treatment Doesn’t Work https://thefertilitycafe.com/podcast/ep-87-when-fertility-treatment-doesnt-work/ Ep 121 – Inside Modern Fertility Care — IVF, Surrogacy, Egg Donation & Family Building https://thefertilitycafe.com/podcast/beyond-ivf-surrogacy-egg-donation-the-future-of-fertility-care/ Ep 97 – Fertility in the Modern Age: IVF, Environmental Impacts, and Quality Care https://thefertilitycafe.com/podcast/ep-97-fertility-in-the-modern-age-ivf-environmental-impacts-and-quality-care/ Stay Connected: Instagram: https://www.instagram.com/fertilitycafe Facebook: https://www.facebook.com/fertilitycafe LinkedIn: https://www.linkedin.com/company/fertility-cafe/ More Resources Learn more about surrogacy & fertility... Chapters (00:00:00) - The Fertility Cafe(00:01:03) - Fertility Cafe: Arvis Carmichael Smith Returns(00:02:12) - How I Learned To Love My Doctor(00:10:01) - The Secret to Getting Pregnant On Your First Try(00:14:45) - The Moment I Learned I Was Expecting A Daughter(00:16:19) - Pregnancy Was All You Thought It Would Be(00:22:18) - After my mid-pregnancy magnesium bolus scare,(00:26:17) - Baby's C-Section(00:33:17) - The mistake of cutting my ureter during pregnancy(00:41:38) - Symptoms of Crohn's after surgery(00:45:04) - One woman's story of a uterine prolapse(00:52:12) - Prayer for those still on their journey(00:55:27) - Arvis On Her Journey To Having A Child

There's a part of the fertility process most people never really get to see. After all the appointments, medications, and procedures, things move into the lab, and from the outside, it can feel distant and hard to follow. In this episode, host Eloise Drane sits down with clinical embryologist Alease Daniel Barnes to pull back the curtain on what actually happens in the IVF lab. Alease breaks down the technical processes patients are often expected to navigate with limited explanation: embryo grading, ICSI, PGT testing, and cryopreservation. The conversation covers what those numbers and letters on embryo reports really mean, when genetic testing is actually necessary versus overused, and why ICSI has become routine in the U.S. despite similar success rates with conventional insemination. They also discuss the logistics that don't always get addressed, how embryos are stored, shipped, and preserved long-term. If you're navigating your own fertility journey this episode gives you the knowledge to ask better questions and make more informed decisions about your care. "IVF doesn't guarantee you a baby, neither does freezing eggs." - Alease Daniel Barnes You'll Hear About: How embryo grading works and what the numbers mean Why grading is subjective and not a pregnancy guarantee PGT-A, PGT-M, and PGT-SR: understanding the different types Why PGT testing is often overused without proper counseling Speaking with genetic counselors before deciding on PGT testing Vitrification versus traditional freezing and improved survival rates When ICSI is medically necessary versus routinely overused Why the U.S. uses ICSI more than other countries Embryo shipping safety measures Long-term storage basics and why embryos last indefinitely Alease's choice to freeze eggs instead of embryos Egg quality supplement myths and predatory marketing practices Sperm quality has more improvement potential than eggs Abandoned embryos in clinics and how policies address this Cord blood preservation basics and why it matters AI introduction in embryology labs for embryo selection Evaluating the lab matters as much as the physician   Connect with Alease:  Instagram:  @alease_the_embryologist TikTok: @aleasetheembryologist Website: https://aleasetheembryologist.com/ Resources mentioned: Alease’s free guide to choosing a fertility clinic - https://aleasetheembryologist.com/free-guides/   Related episodes: Ep 97 - Fertility in the Modern Age: IVF, Environmental Impacts, and Quality Care https://thefertilitycafe.com/podcast/ep-97-fertility-in-the-modern-age-ivf-environmental-impacts-and-quality-care/ Ep 102 - Beyond the Clinic: Why the Fertility Lab is Key to Your Success https://thefertilitycafe.com/podcast/ep-102-beyond-the-clinic-why-the-fertility-lab-is-key-to-your-success/ Ep 121 – Inside Modern Fertility Care — IVF, Surrogacy, Egg Donation & Family Building https://thefertilitycafe.com/podcast/beyond-ivf-surrogacy-egg-donation-the-future-of-fertility-care/   Stay Connected: Instagram: https://www.instagram.com/fertilitycafe Facebook: Chapters (00:00:01) - Fertility Cafe(00:02:02) - Elise Daniel Barnes on The Fertility Podcast(00:02:46) - Experienced embryologists talk about their path to the field(00:06:00) - The Changes in Embryology(00:09:39) - IVF and Egg Freezing: Decisions made too soon(00:12:24) - Discussing Embryo Grade(00:13:29) - How to Grade Embryos(00:16:57) - Are Embryo Grades Important in Making a Transfer?(00:18:48) - What is the freezing process in embryo cryopreservation?(00:20:51) - Genetic testing during pregnancy(00:25:06) - Do you recommend PGT testing?(00:31:13) - I Didn't Make Embryos With My Husband(00:34:10) - How to improve your egg quality(00:37:41) - Sperm health and how to improve it(00:39:36) - Is ICSI necessary for male infertility?(00:45:52) - "It's about personalized care"(00:46:15) - Send Your Embryos Overseas(00:51:12) - How do clinics manage long term storage?(00:57:48) - Cord Blood and Core Tissue preservation(01:01:01) - Choosing a fertility clinic

Ever wondered what really happens if something goes wrong during a surrogacy or egg donation journey and who’s responsible for the bill? When it comes to third-party reproduction (surrogacy, egg donation, or embryo donation) insurance can be one of the most confusing and overlooked parts of the journey. But as Virginia Hart from ART Risk Solutions explains, it’s also one of the most critical. In this episode, host Eloise Drane sits down with Virginia to demystify the complex world of fertility insurance, what’s covered, what’s not, and how to make sure everyone involved in a surrogacy or donor arrangement is fully protected. From complications and medical coverage to life insurance and newborn care, Virginia breaks down what you must know before signing any contract or starting treatment. Whether you’re an intended parent, surrogate, donor, or professional in the fertility field, this episode offers the clarity and confidence you need to safeguard your journey. Timestamps: 00:00 – Meet Virginia Hart, founder of ART Risk Solutions. 02:14 – Why fertility and surrogacy insurance are so confusing. 03:47 – How ART Risk protects parents, surrogates, and donors. 06:23 – Core coverages every surrogate needs. 08:36 – Why complication insurance is essential. 10:18 – The real cost of going uninsured. 12:04 – ACA and Lloyd’s of London options explained. 15:12 – Commonly forgotten policies that matter most. 17:43 – What intended parents should budget for. 20:29 – How ART Risk manages claims and bills. 23:11 – Planning newborn coverage and NICU care. 26:48 – Insurance for international intended parents. 30:37 – The toughest states for surrogacy coverage. 36:09 – IVF coverage and new fertility benefits. 40:46 – Final advice: ask, “Am I protected and how?” Connect with Virginia:  Instagram:  @art.risk.solutions Website: https://www.facebook.com/artriskfinancial/     Resources mentioned: ASRM (American Society for Reproductive Medicine): https://www.asrm.org RESOLVE: The National Infertility Association: https://resolve.org/ Academy of Adoption and Assisted Reproduction Attorneys: https://adoptionart.org SEEDS (Society for Ethics in Egg Donatio... Chapters (00:00:00) - Insurance for surrogacy and egg donation(00:00:41) - What is Affirmative Reproduction Insurance?(00:02:13) - Getting Out of the Insurance Industry(00:03:24) - What Types of Insurance Were People Confused About?(00:04:06) - What Kind of Insurance Do You Provide For Donor/Surrog(00:06:19) - Importance of surrogacy insurance(00:12:41) - What happens if a surrogate doesn't have a health insurance plan?(00:19:26) - Obstructions during IVF(00:21:59) - What Should the Baby's Medical Coverage Be?(00:25:36) - Art Risk Provides Support for Surrogates' Medical Bills(00:27:18) - Obtained surrogacy insurance in the United States(00:32:57) - Surrogacy and Workplace Benefits(00:36:47) - Choosing a surrogate for the first time(00:38:59) - If You Could Give One Advice to Surrogates and Donors(00:40:15) - How to Find Out More About Art Risk(00:40:51) - Fertility Cafe: Today's Conversation

The conversation around fertility is changing and Season 7 of Fertility Café dives deep into how.   Hosted by Eloise Drane, founder of Family Inceptions and Fertility 360, this season explores the science, stories, and shifting definitions that shape modern fertility care. From what really happens inside the embryology lab to the emotional realities of IVF, surrogacy, and egg donation, you’ll hear from experts, parents, surrogates, and advocates who are redefining what it means to build a family today.   Episodes unpack topics like embryo grading, genetic testing, reproductive ethics, acupuncture and holistic fertility, and mental health in fertility treatment, making complex care understandable, compassionate, and empowering.Whether you’re navigating your own fertility journey or simply curious about how reproductive science and human connection intersect, Season 7 offers real insight into the future of family building.   You’ll learn: What happens behind the scenes in IVF and embryo development How holistic care and emotional support impact fertility outcomes The evolving roles of surrogates, donors, and intended parents Why fertility is about more than conception. It’s about choice, health, and identity. Fertility Café Season 7 brings humanity back to reproductive medicine, one honest conversation at a time.   Resources & Links Website: thefertilitycafe.com Instagram: @fertilitycafe

In this solo episode of Fertility Café, host Eloise Drane breaks down one of the most buzzed-about topics in modern fertility: egg freezing. Once considered a niche medical intervention, egg freezing has become a mainstream option for those seeking to preserve their fertility, but what does it really involve? Eloise takes you through the entire landscape, from the medical process and emotional considerations to the financial realities and cultural shifts. She unpacks how egg freezing evolved from a last-resort treatment to a proactive choice, what it actually looks like to go through a cycle, and why access remains unequal despite growing interest. This episode is for anyone who’s ever wondered: “Is egg freezing right for me?” “What’s the real cost, and not just financially?” “How does this intersect with identity, access, and equity?” Whether you're exploring your options or simply trying to understand the conversation more deeply, this episode offers real talk, grounded insights, and the kind of honesty that Fertility Café is known for. Mentioned Resources: American Society for Reproductive Medicine (ASRM.org) FertilityIQ.com Tune in for a thoughtful guide through the myths, facts, and nuances of egg freezing, because your timeline, your body, and your decisions deserve clarity and care. Chapters (00:00:00) - Fertility Cafe(00:01:34) - What Egg Freezing Is Really Like(00:02:25) - E egg freezing: How it works, costs, and(00:11:09) - Egg Freezing: Access and Financial Reality(00:15:50) - Egg Freezing: A Personal Decision(00:18:47) - Deciding to freeze your eggs

What happens when every path to parenthood seems to close? For Erica Ferraro, the answer was egg donation—a deeply emotional and empowering decision shaped by a long, painful battle with undiagnosed endometriosis. In this powerful episode, Erica joins host Eloise Drane to share the real story behind her journey: the years of misdiagnosis, the trauma of IVF failure, and the healing that came from choosing donor conception. You’ll hear: -What it’s really like to receive an endometriosis diagnosis after two decades -Why Erica believes egg donation is a form of organ donation—and not “less than” -Honest insights on grieving genetic loss, finding the right donor, and parenting after donor IVF -How her new book, Moving Mountains for Motherhood, became the U.S.'s first professionally published infertility survival guide Whether you’re navigating your own fertility journey or supporting someone who is, this episode is a raw, real, and hopeful reminder that love—not biology—defines family. Moving Mountains for Motherhood is available now on Amazon, Barnes & Noble, and more. Connect with Erica on Instagram @eri.ferraro Don’t forget to subscribe, like, and share this episode to support more honest conversations about modern family building. #FertilityCafe #EggDonation #EndometriosisAwareness #DonorIVF #InfertilitySupport #ModernParenthood Chapters (00:00:00) - Fertility Cafe(00:00:58) - Egg Donor: Moving Mountains for Motherhood(00:02:04) - I Got A Mother's Endometriosis Diagnosis(00:07:27) - The Secret to Managing Endometriosis in Your 20s(00:11:26) - Egg Donation After IVF(00:16:05) - Donor Eggs For Couple's Baby(00:21:47) - The Donor Selection in My Egg IVF(00:23:55) - The Decision Between Anonymity & Open ID(00:28:32) - Janet on Frozen Eggs vs. Fresh IVF(00:35:15) - Why I Don't Share My Egg Donor Story(00:41:06) - The Journey to Parenthood: Third-Party Reproduction(00:42:20) - The Book Moving Mountains For Motherhood(00:46:58) - E egg donation in the United States(00:50:16) - Where Can People Get A Copy of Moving Mountains For Motherhood?

In this heartfelt episode, Ashley Hengston opens up about her deeply personal path from infertility to motherhood through surrogacy. She shares the emotional highs and lows—from the grief of infertility to the complex decisions involved in choosing surrogacy. Ashley walks us through the process of matching with a surrogate, navigating medical and legal steps, and managing the emotional terrain of pregnancy and birth. This conversation sheds light on the importance of trust, preparation, and communication in the surrogacy journey. Ashley candidly discusses the emotional impact of the birth, her experience with postpartum depression, and how intended parents can stay connected throughout the process. She also shares the value of community and support groups for those navigating the often isolating road of infertility. Whether you’re considering surrogacy or supporting someone who is, this episode offers raw insight and real encouragement.   Have questions about your surrogacy journey? Speak with our expert team today: https://familyinceptions.com/intended-parents/ Stay Connected Instagram: @fertilitycafe Facebook: @fertilitycafe Website: https://thefertilitycafe.com More Resources Learn more about surrogacy & fertility: https://familyinceptions.com/ All information shared is for educational purposes and subject to change. Always consult with a medical or legal professional for personalized advice.   Chapters (00:00:00) - Fertility Cafe(00:01:09) - Ashley Hingston on Becoming a Parent Through Surrog(00:02:10) - Ashley Hingstown on Her Infertility(00:02:59) - The Process of Introspective surrogacy(00:05:53) - The Parents Who Used Surrogacy(00:08:12) - The Joy of Surrogacy(00:10:54) - When Did You Choose To Use an Agency or Go Independent?(00:11:59) - A Couple's Matching Experience(00:14:28) - The Family Blueprint(00:15:41) - The Surrogate's First Meet the Parents(00:18:25) - The Secret to Getting A Mother's Love(00:21:19) - The Secret to Surrogacy(00:22:37) - After Having a Surrogate Baby,(00:25:03) - The Surrogate's Relationship With Her Partner(00:32:54) - The Day My Surrogate Was Born(00:35:51) - The Surrogate's Postpartum Depression(00:43:28) - "I'm Not In Love With My Parenting"(00:44:32) - In the Elevator With Infertility Support Group(00:45:40) - Pregnant Woman on Her Journey(00:46:56) - Ashley on Rage Against Infertility(00:48:11) - Surrogacy 101

What exactly is a fertility coach—and how do you know if you need one? In this solo episode, host Eloise Drane explores the supportive, grounded world of fertility coaching. Whether you're navigating IVF, considering egg freezing, or feeling stuck in the quiet in-between spaces of family building, this episode is a gentle guide to the kind of support many people don’t know is available—and deeply need. Eloise breaks down what fertility coaches actually do, how they differ from therapists and doctors, and why this kind of care can be invaluable when you're facing overwhelming decisions, emotional burnout, or pressure to figure everything out alone. This isn’t about doing more—it’s about finding support that helps you feel more like yourself in the middle of it all. In This Episode: (00:00) A moment of post-appointment overwhelm many listeners will recognize (01:45) The invisible mental load of fertility—and why support often comes too late (04:55) What a fertility coach actually does (and doesn’t do) (10:17) How coaches differ from therapists, doctors, and even your inner circle (15:22) The different types of fertility coaches: emotional, logistical, holistic (20:05) Who fertility coaching is for—and why it’s not just for IVF (26:32) Who may not need coaching right now (and why that’s okay) (29:40) Why support doesn’t have to wait until you’re at your limit (32:08) Letting care be part of the plan—not just a response to crisis Resources & Links Website: thefertilitycafe.com Instagram: @fertilitycafe   Chapters (00:00:00) - Fertility Cafe(00:01:23) - Fertility Coaching: What is it?(00:02:52) - Why Fertility Coaching Matters(00:04:26) - What Does a Fertility Coach Actually Do?(00:06:37) - What Kind of Support Would I Need From a Fertility Coach?(00:13:47) - Fertility Coaching: Who Does It Help?

What if freezing your eggs as a college graduation gift could be the most important investment in your future family? - Dr. Susanna Park Dr. Susanna Park, a fertility specialist from San Diego Fertility Center, joins host Eloise Drane to share her expertise on fertility testing. Board-certified in both obstetrics/gynecology and reproductive endocrinology, Dr. Park brings a global perspective shaped by her journey from South Korea to Argentina to the United States. With five-time recognition as a top fertility doctor by San Diego Magazine, she offers invaluable insights on proactive fertility assessment. This episode explores the critical timing of fertility testing, examining why women shouldn't wait for obvious signs before understanding their reproductive health. Dr. Park breaks down key fertility tests for both women and men, optimal ages to start testing, how to interpret results, and the various treatment options available when challenges arise. Listeners will gain practical knowledge on taking control of their fertility journey before problems develop. Dr. Susanna Park is a renowned fertility specialist from the San Diego Fertility Center. Dr. Park is double board-certified in Obstetrics and Gynecology, and Reproductive Endocrinology and Infertility. She brings a unique global perspective to fertility care, with an impressive background that spans from Seoul to Buenos Aires to New York City, and now San Diego. She's been recognized as a "Top Fertility Doctor" by San Diego Magazine five times, most recently in 2023.   In This Episode:    (00:00) Eloise introduces the importance of proactive fertility testing (01:35) Dr. Park shares her journey to specializing in fertility medicine (02:53) Dr. Park's international background and global perspective on fertility care (06:51) At what age should people start considering fertility testing (09:54) Understanding key fertility tests and normal ranges for women (15:11) How age impacts fertility for both men and women (21:13) What constitutes a normal menstrual cycle and warning signs (26:11) Four essential components needed for natural conception (29:38) Best approaches for timing intercourse when trying to conceive (33:26) Understanding natural cycle treatments versus medicated approaches (38:34) The IVF process explained for women and egg donors (45:55) Testing approaches for same-sex couples planning families (51:28) How technology advancements have transformed fertility treatments Share with someone who may be interested, like and subscribe to hear all of our future episodes! Resources:

In this episode of Fertility Cafe, host Eloise Drain discusses the complexities of the fertility journey with Dr. Camille Hammond. They explore the overwhelming nature of fertility issues, the importance of accurate information, and the myths surrounding infertility. Dr. Hammond emphasizes the need for patients to advocate for themselves, seek community support, and communicate effectively with their healthcare providers. The conversation highlights the emotional challenges faced by intended parents and the significance of balancing hope with realistic expectations throughout the fertility process. It emphasizes the significance of education in reproductive health, addressing the gaps in fertility education, and exploring financial resources available for fertility treatment. The discussion also highlights the emotional challenges faced by individuals dealing with fertility issues, including shame and fear, and encourages open dialogue and support. Learn more about Camille Hammond & The Cade Foundation : https://cadefoundation.org/about Chapters 00:00 Navigating the Fertility Journey 01:41 Understanding Fertility Myths 12:26 Balancing Hope and Realistic Expectations 17:46 Communication Barriers in Fertility Care 26:13 Understanding Family Health History

In this episode of Fertility Cafe, host Eloise Drain delves into the complexities of family building through adoption and fertility treatments. The conversation explores the evolving landscape of adoption, including domestic, international, and foster care options, while also addressing the realities of fertility treatments like IVF and surrogacy. With insights from over two decades in the fertility industry, the episode emphasizes the importance of understanding the emotional, legal, and financial aspects of each path. Listeners are encouraged to consider their personal values and circumstances when making decisions about family building. Book a Free Consultation Have questions about your surrogacy journey? Speak with our expert team today! https://familyinceptions.com/schedule-a-consultation/?utm_campaign=7853368-Fertility%20Cafe%20Podcast&utm_source=youtube&utm_medium=social Curious about the cost of surrogacy? Use our Surrogacy Cost Calculator: https://familyinceptions.com/cost-of-surrogacy-calculator/?utm_campaign=7853368-Fertility%20Cafe%20Podcast&utm_source=youtube&utm_medium=social Stay Connected Instagram: https://www.instagram.com/fertilitycafe Facebook: https://www.facebook.com/fertilitycafe Website: https://thefertilitycafe.com More Resources Learn more about surrogacy & fertility: https://familyinceptions.com/intended-parents Listen to past episodes: https://www.youtube.com/@FertilityCafePodcast/playlists Get expert insights & updates: https://thefertilitycafe.com/resources All information shared is for educational purposes and subject to change. Always consult with a medical or legal professional for personalized advice.

In this episode, Edward explores the realities of being a partner to a surrogate, in fact, he is the husband of episode 107 guest, Janelle Simm. Now you get the opportunity to hear the other side of a partnership to learn how surrogacy is a family decision, not just an individual's.Edward Simm is a father of seven in a blended family and is currently a part time fire-fighter along with owning a handyman business for the past two years. Previously he spent over 20 years in the financial world working for Wells Fargo. Book a Free Consultation Have questions about your surrogacy journey? Speak with our expert team today! https://familyinceptions.com/schedule-a-consultation/?utm_campaign=7853368-Fertility%20Cafe%20Podcast&utm_source=youtube&utm_medium=social Curious about the cost of surrogacy? Use our Surrogacy Cost Calculator: https://familyinceptions.com/cost-of-surrogacy-calculator/?utm_campaign=7853368-Fertility%20Cafe%20Podcast&utm_source=youtube&utm_medium=social Stay Connected Instagram: https://www.instagram.com/fertilitycafe Facebook: https://www.facebook.com/fertilitycafe Website: https://thefertilitycafe.com More Resources Learn more about surrogacy & fertility: https://familyinceptions.com/intended-parents Listen to past episodes: https://www.youtube.com/@FertilityCafePodcast/playlists Get expert insights & updates: https://thefertilitycafe.com/resources All information shared is for educational purposes and subject to change. Always consult with a medical or legal professional for personalized advice.

This episode of Fertility Cafe delves into the complex issue of declining birth rates globally, exploring the multifaceted reasons behind this trend, including economic pressures, medical challenges, lifestyle factors, and cultural shifts. The conversation highlights the implications of these changes on family planning, healthcare access, and societal structures, while also addressing the unique challenges faced by LGBTQ+ individuals in family building. The episode concludes with actionable steps that can be taken to address these issues and support families in their journey toward parenthood.Chapters00:00 The Decline of Birth Rates: A Global Wake-Up Call05:40 Economic Pressures and Their Impact on Family Planning08:36 Medical Challenges and Infertility Trends10:06 The Role of Birth Control in Fertility10:43 Environmental Factors Affecting Reproductive Health11:11 LGBTQ+ Perspectives on Family Building12:38 Shifting Priorities: Education, Career, and Family14:36 Changes in Marriage and Family Dynamics16:48 Cultural Shifts and Family Planning Decisions18:00 Geographic Barriers to Fertility Care19:57 Technology and Innovation in Fertility Treatments20:55 Lifestyle Factors Impacting Fertility21:22 Emotional and Psychological Toll of Infertility22:11 The Global Perspective on Reproductive Health29:01 Healthcare Access and Disparities32:11 International Comparisons in Fertility Care34:42 Why This Matters: Societal Implications of Declining Birth Rates40:10 Actionable Steps: Addressing the Decline in Birth Rates Book a Free Consultation Have questions about your surrogacy journey? Speak with our expert team today! https://familyinceptions.com/schedule-a-consultation/?utm_campaign=7853368-Fertility%20Cafe%20Podcast&utm_source=youtube&utm_medium=social Curious about the cost of surrogacy? Use our Surrogacy Cost Calculator: https://familyinceptions.com/cost-of-surrogacy-calculator/?utm_campaign=7853368-Fertility%20Cafe%20Podcast&utm_source=youtube&utm_medium=social Stay Connected Instagram: https://www.instagram.com/fertilitycafe Facebook: https://www.facebook.com/fertilitycafe Website: https://thefertilitycafe.com More Resources Learn more about surrogacy & fertility: https://familyinceptions.com/intended-parents Listen to past episodes: https://www.youtube.com/@FertilityCafePodcast/playlists Get expert insights & updates: https://thefertilitycafe.com/resources All information shared is for educational purposes and subject to change. Always consult with a medical or legal professional for personalized advice.

Thinking about surrogacy but not sure if it's the right path for you? This video breaks down everything you need to know before making a decision. We’ll explore the key factors intended parents should consider, from medical and financial aspects to emotional readiness and legal steps.At Family Inceptions, we’ve guided countless families through their surrogacy journeys, helping them navigate this life-changing process with confidence and clarity. Whether you're facing infertility, exploring family planning options, or considering surrogacy as a same-sex couple, we’re here to provide the answers you need.Learn the truths about surrogacy, what to expect, and how to determine if it’s the right choice for your family. Book a Free Consultation Have questions about your surrogacy journey? Speak with our expert team today! https://familyinceptions.com/schedule... Curious about the cost of surrogacy? Use our Surrogacy Cost Calculator: https://familyinceptions.com/cost-of-... Stay Connected Instagram:   / fertilitycafe   Facebook:   / fertilitycafe   Website:

Surrogacy can feel financially overwhelming, but it doesn’t have to be. In this episode of Fertility Café, we break down the real costs of surrogacy and show you how to budget the right way so you can make your dream of parenthood a reality.Learn how to:- Understand surrogacy costs and hidden fees- Create a realistic budget that works for you- Explore financial resources to make surrogacy more affordable- Plan ahead so unexpected costs don’t derail your journeyChapters00:00 Introduction to Fertility Financing01:26 Understanding the Costs of Family Building04:46 Exploring Fertility Treatment Options07:35 Planning Your Family Building Journey09:57 Breaking Down the Costs of IVF15:41 Insurance Options for Fertility Treatments20:30 Medication Costs and Savings Strategies21:57 Building a Realistic Budget24:50 Planning for Contingencies26:16 Financing Options Beyond Savings29:07 Emotional Aspects of Family Planning31:01 Closing Thoughts and ResourcesSurrogacy is an investment, but with the right financial strategy, it is possible. Watch now to get expert insights on how to plan, budget, and fund your family-building journey the smart way. Book a Free Consultation Have questions about your surrogacy journey? Speak with our expert team today! https://familyinceptions.com/schedule-a-consultation/?utm_campaign=7853368-Fertility%20Cafe%20Podcast&utm_source=youtube&utm_medium=social Curious about the cost of surrogacy? Use our Surrogacy Cost Calculator: https://familyinceptions.com/cost-of-surrogacy-calculator/?utm_campaign=7853368-Fertility%20Cafe%20Podcast&utm_source=youtube&utm_medium=social Stay Connected Instagram: https://www.instagram.com/fertilitycafe Facebook: https://www.facebook.com/fertilitycafe Website: https://thefertilitycafe.com More Resources Learn more about surrogacy & fertility: https://familyinceptions.com/intended-parents Listen to past episodes: https://www.youtube.com/@FertilityCafePodcast/playlists Get expert insights & updates: https://thefertilitycafe.com/resources All information shared is for educational purposes and subject to change. Always consult with a medical or legal professional for personalized advice.

Surrogacy laws can feel like a maze, but understanding them is key for every intended parent and gestational carrier embarking on their fertility journey. In this episode of Fertility Cafe, we’re breaking down the complexities of modern surrogacy with legal expert Rich Geisler. With over a decade of experience in fertility and third-party reproduction law, Rich shares invaluable insights on how evolving surrogacy laws affect intended parents and surrogates, highlighting everything from pre-birth and post-birth orders to the importance of clear gestational surrogacy agreements.  Whether you're exploring surrogacy as a way to help create a family, considering becoming a surrogate, or looking for clarity on the legal landscape, this conversation is packed with actionable advice and real-world experiences to guide your journey. From the impact of international regulations to the nuances of parentage orders in different states, you’ll gain a deeper understanding of how to navigate this life-changing process with confidence.  Parenthood knows no limits, and neither should your dreams of family building. Subscribe, share, and join us for more empowering discussions on surrogacy, egg donation, and third-party reproduction. Together, we’re here to support and inspire you every step of the way. Ready to take the next step? Let’s build your future, one family at a time.#surrogacylegislation #surrogacyconsultation #surrogacyagency #surrogacylawyers #surrogacysupportCHAPTERS:00:00 - Intro02:16 - Inspiration for Fertility Law03:42 - Evolution of Surrogacy Law10:15 - Election Impact on Surrogacy Laws14:44 - Understanding Surrogacy Agreements18:36 - Pre vs Post Birth Orders Explained20:40 - Impact of Orders on Surrogates23:15 - US Surrogacy and International Regulations25:24 - Challenges for International Parents27:28 - Advocacy in Surrogacy33:10 - Recent Changes in Surrogacy Legislation35:10 - Advice for Intended Parents and Surrogates36:10 - Misconceptions About Surrogacy Laws38:00 - Connect with Rich// Family Inceptions - A Surrogacy and Egg Donation Agency - Visit here for more details: https://familyinceptions.com