Monday, June 22, 2009

How to Choose a Doctor

One of the questions Intended Parents ask often is “Can you recommend a good doctor?”.  Other variations of that question are “Should I stay with my current doctor?”, “Should I move to a doctor closer to where the egg donor lives?", and sometimes “I’m not sure if I should move doctors or not - what do you think?”.

Here are the answers to those questions, in my opinion…

1) “Can you recommend a good doctor?” Yes, we can provide recommendations to you.

We have been fortunate enough to work with many of the top Reproductive Endocrinologists (”fertility doctors”) in the country, and from those experiences (and client feedback) we have a good sense of who most of the better doctors are.  We base our recommendations on a number of factors, including:

  • General reputation and feedback from past patients
  • Quality and professionalism of the office staff (front office, nursing, etc.)
  • General compliance with current “industry standards”, including information such as number of embryos typically implanted, compliance with common testing, administration of medication, etc.  (Note that since we are not physicians, we cannot comment, and would not deign to comment, on any particular doctor’s medical protocol.  However, when we see a lower success rate and highly unusual protocol used, we get concerned…)
  • General office “vibe” (for example, many clinics with in-house programs are very negative towards working with egg donor agencies.)
  • Specific success rates (sometimes per SART, sometimes per our own information or in-house statistics.)

Note that we do not limit our work to any particular group or clinic, but as we gather first-hand information, we will use it to help our clients make the best choice for them.

2) “Should I stay with my current doctor?” “Should I move to a doctor closer to where the donor lives?”  That all depends…

I believe that the most important criteria in choosing or keeping your physician include:

  • Your comfort level with and trust in your doctor.  If you love your doctor and totally trust him or her, as long as they are supportive of using an egg donor from an agency, definitely keep that doctor.  I think that if you are calm during the process, and are willing to do what your doctor says because you trust in that doctor, you are more likely to have a successful cycle.  This is only said from anecdotal evidence and other’s opinions, but being in a good place psychologically as you’re on buckets of hormones (and going through a somewhat surreal process) can’t help but benefit you.  Does statistical research confirm that?  I don’t know - but it sure seems logical.
  • If finances are an issue (as they generally are) and you choose an egg donor from another city, you might want to consider moving to a doctor in that city.  However, if you love your current doctor, the difference in dollars is probably irrelevant - certainly in the long term.  If you do choose to use or keep a doctor in a city far from where the donor lives, make sure that you’re aware of the outside monitoring costs as early in the process as possible.  (The finance person at the doctor’s office, along with our cycle coordinator, can help you with that.)  The less surprises that happen in this process, the better.

All of BHED’s clients are assigned a Cycle Coordinator - a senior member of our staff who follows your case through from the time you choose your doctor until retrieval (and often, beyond.)  The Cycle Coordinator will be in regular contact with your doctor’s office from the time you sign your contract with us, and she will alert you if we have any unexpected challenges with the doctor’s office.  Most of the time things work out just fine.

Note that we stay with you until you become pregnant or you decide to discontinue trying.  Your choice of doctor is certainly an important part of this process, and is one of the keys to the success of your pursuit to begin or build your family.

We look forward to helping you realize your dream through egg donation!

-Lisa Greer, BHED Managing Partner

For the BHED Donor - What Can I Do While I'm Waiting to be Matched?

Once you’ve reached the end of the application process and had a successful interview with a member of our donor team, our staff will add your profile to our database of donors for recipients to peruse.

Congratulations, you’re now an active donor with BHED (Beverly Hills Egg Donation)!

There can be quite a lot to do leading up to this point - gathering pictures and transcripts, doing your own research on the donation process, putting together information on your family’s medical history, and scheduling your interview - that it may seem like the flurry of activity tapers off slightly after you’ve finally been made active.  One of the questions we get a lot is, “how long will it take for me to be matched?”  To tell the truth, there’s no way of knowing.  Some egg donors are matched within a matter of days, and for others it takes longer - sometimes even weeks or months.  It’s really all a matter of the right recipient coming across your profile at the right time, and for some donors, that doesn’t happen right away.

The most important thing to do during this time is to make sure to keep your profile accurate and up-to-date.  Review your profile occasionally and contact us with any changes in contact info, updates/successes in school or work, or new information regarding your medical history.  Also, we always love to have new pictures to add to your profile so feel free to keep them coming!  We store the extras on our server in case a potential recipient requests to see them.

Another big thing to keep in mind while you’re waiting to be matched is to make sure you’re easy to get in touch with.  Sometimes a recipient has a couple of donors they’re interested in, and wants to make a decision quickly, so make sure to respond to any phone calls or emails that you get from us as promptly as possible.  You’ll also receive a phone call from our team every three months to confirm your availability.

Finally, a great thing to do after you’ve been activated is come to one of our photo shoots!  We hold these shoots every 4-6 weeks in West LA.  It’s a wonderful way to get beautiful, professional photos to enhance your profile and it’s totally free to you.  It takes just 15 minutes of your time, and you get a high-resolution jpeg of your favorite shot to keep.

Of course, you can feel free to contact us at any time with questions or to see if there’s been interest in your profile.

We look forward to seeing you matched!