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What does it mean to consciously choose not to have children, especially in a culture that often defines womanhood by motherhood? In this episode of Fertility Café, host Eloise Drane welcomes back filmmaker Chiquita Lockley, creator of the documentary Eggs Over Easy: Black Women & Fertility. This time, Chiquita shares her personal journey and decision to live childfree by choice. It is a thoughtful, often emotional, and deeply grounded conversation about identity, legacy, caregiving, and the path not taken. With clarity and compassion, Chiquita speaks about what it means to opt out of motherhood on her own terms, while still living a life rich in love, purpose, and community. The conversation invites listeners to reflect honestly on their own desires, pressures, and timelines. Whether you are questioning your path, navigating reproductive decisions, or seeking affirmation for a choice that goes against the grain, this episode offers space to breathe and consider what a full life looks like for you. You’ll Learn What distinguishes being childfree from being childless, and why the difference matters How Chiquita’s thinking shifted over time through research, health challenges, and aging The emotional weight of redefining motherhood and letting go of a lifelong checklist Why caregiving does not require parenting, and how mentorship and godparenting fill her cup What legacy means beyond biological children Common misconceptions about childfree women, including the myth of selfishness Practical and emotional advice for those in a space of uncertainty or transition About Our Guest Chiquita Lockley is a writer, filmmaker, and producer known for her feature documentary Eggs Over Easy: Black Women & Fertility, which aired on the Oprah Winfrey Network. Her work centers on storytelling that uplifts Black women’s experiences and expands the public understanding of reproductive health and autonomy. She continues to serve as a mentor, advocate, and board chair for multiple nonprofit and creative initiatives. Her voice is a vital part of the cultural shift toward more inclusive and informed conversations about fertility, family, and freedom. Resources & Links Visit Chiquita’s Website: www.chiquitalockley.com Follow Chiquita on Instagram: @chiquitalockley Watch and learn more about Eggs Over Easy: www.eggsovereasyfilm.com Follow Eggs Over Easy on Instagram: @eggsovereasyfilm Like Eggs Over Easy on Facebook: Eggs Over Easy Film Related Episodes Ep 119 – The Grief of Waiting: Invisible Losses in Family Building Ep 118 – Surrogacy and the Emotional Journey to Motherhood Chapters (00:00:02) - 9 Stories of People Who Choose Not to Have Children(00:00:54) - Fertility Cafe: The Journey to Parenthood(00:02:44) - Eggs Over Easy: Will I Be Happy With My Decision(00:09:00) - Mariah Carey on Being Good Without Having Children(00:11:22) - I Had A Hysterectomy To Have Kids(00:16:45) - How To Get Out Of Your Mid-30s(00:22:41) - When You Decided To Not Have Children,(00:25:44) - I Said I Don't Want A Parent in My Life(00:32:24) - Black Women Who Don't Have Kids(00:36:51) - Do you have a lot of People similar to that made the same(00:38:32) - Sarah Fawn on Legacy(00:40:20) - Kalei Stewart on How To Decide If You Want Kids(00:44:56) - Olive Winfrey on Reproductive Health(00:45:57) - Black Women Speak Out About Reproductive Health

When we talk about fertility care, we often focus on the patient experience—what it’s like to navigate appointments, insurance, cycles, and emotional ups and downs. But what happens when we zoom out? In this episode of Fertility Café, host Eloise Drane sits down with Griffin Jones, founder of Inside Reproductive Health, to explore what’s really happening behind the scenes of the fertility industry. From private equity takeovers to digital automation and AI-driven care, Griffin breaks down the trends shaping the future of IVF, patient access, and provider autonomy. He also shares how he went from generalist marketer in Buffalo, NY to creating the leading trade media company in the fertility field—one that now serves clinics, labs, executives, and innovators across the globe. Whether you’re a fertility patient, donor, surrogate, or someone working in the industry, this conversation offers a rare and honest look at the systems shaping reproductive care—and what needs to change for the better. You’ll Learn Why more fertility clinics are being bought by private equity—and what that means for patient care What Griffin is hearing from behind the scenes about AI, automation, and remote fertility care The disconnect between how clinics say they’re improving patient experience vs. what’s actually happening Why many REIs (reproductive endocrinologists) are seeing their roles change—sometimes drastically The risk of fertility care becoming too "factory-like"—and how to preserve patient-first care at scale What Griffin hopes patients will start doing to drive real, lasting change Why leaving honest, specific reviews (yes, even 3 stars!) might be the most powerful tool for reform What the future may hold for access, affordability, and scaling care for everyone—not just the privileged few About Our Guest Griffin Jones is the founder of Inside Reproductive Health, a trade media company serving the fertility industry. He began his journey in marketing, helping small clinics with branding, websites, and video before expanding into podcasting and industry journalism. Today, his platform covers the business, clinical, and policy trends shaping reproductive health care across the U.S. and beyond. Griffin also hosts the Inside Reproductive Health podcast, where he interviews key players—from embryologists and clinic execs to policymakers and startup founders—about the future of fertility medicine. Resources & Links Visit Inside Reproductive Health for podcasts, articles, and industry updates Listen to the Inside Reproductive Health podcast Follow Griffin on LinkedIn: Griffin Jones Related Episodes Ep 100 – The Gut-Fertility Connection Ep 118 – Surrogacy and the Emotional Journey to Motherhood Ep 90 – Eastern Medicine and Egg Quality Ep 103 – Fertility Supplements: What Works and What Doesn’t Chapters (00:00:00) - The fertility industry's growth, challenges(00:00:48) - Fertility Cafe: The Business of Infertility(00:01:59) - Fertility Cafe(00:02:45) - A Taste of Your Hot Takes(00:02:57) - Inside Reproductive Health: From Marketer to Industry Leader(00:06:24) - The Future of Fertility Clinics(00:13:35) - Obamacare: Do the Networks Tell Doctors How to Practice Medicine?(00:18:17) - Patient Care: Quality and Accountability(00:23:54) - The Future of Fertility Care(00:26:34) - Will Remote Care Increase the Need for IVF?(00:29:56) - Venture Capital and Private Equity: The Future of Infertility(00:36:13) - What Do We Need to Change in the Fertility Space?

When it comes to fertility care, we often hear about IVF protocols, medication regimens, and surgical procedures. But what about the tools that help prepare the body for conception and support healing along the way? In this episode of Fertility Café, Eloise Drane sits down with Dr. Beck Hoehn, licensed acupuncturist, reproductive health expert, and founder of Mighty River Wellness, to talk about how acupuncture can be a game-changing part of your fertility journey. Dr. Hoehn shares how her own personal health crisis led her into the world of Eastern medicine, and how she now helps people optimize their hormone health, support IVF cycles, manage painful periods, and navigate menopause with more ease and empowerment. From egg quality and low ovarian reserve to painful periods and PCOS, this conversation is packed with practical insights and refreshingly honest takes on what it really means to care for your body while trying to conceive. You’ll Learn Why acupuncture is more than just needles and how it supports hormonal balance, stress reduction, and blood flow How acupuncture can improve IVF outcomes, egg quality, and follicular development The difference between Western and Eastern approaches to painful periods, PCOS, and endometriosis What to expect during your first acupuncture visit How to find a fertility-focused acupuncturist with the right training The role of herbal medicine in regulating cycles, calming hot flashes, and reducing cramps What data-driven hormone tracking tools are helping acupuncturists personalize care Why symptom relief is just the beginning. This is about whole-body support for every phase of reproductive health About Our Guest Dr. Beck Hoehn is a licensed acupuncturist, reproductive health specialist, and the founder of Mighty River Wellness in Los Angeles. After a career in the film industry and a personal injury that left her seeking alternative healing methods, she discovered the profound impact of acupuncture. Now, with a doctorate in fertility research and over a decade of clinical experience, Dr. Hoehn helps individuals and couples navigate fertility challenges, menstrual health, and menopause transitions. She is also the creator of the Make a Baby Bundle, an educational resource for those looking to optimize their fertility health from home. Resources and Links Mighty River Wellness: https://www.mightyriverwellness.com Dr. Beck on Instagram: @drbeckhoehn Make a Baby Bundle Course: https://www.mightyriverwellness.com/bundle ABORM Certified Acupuncturists Directory: https://www.aborm.org 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 103 – Fertility Supplements: What Works and What Doesn’t https://thefertilitycafe.com/podcast/ep-103-fertility-supplements-what-works-and-what-doesnt/ Ep 100 – The Gut-Fertility Connection https://thefertilitycafe.com/podcast/ep-100-the-gut-fertility-connection/ Ep 90 – Eastern Medicine and Egg Quality https://thefertilitycafe.com/podcast/ep-90-eastern-medicine-and-egg-quality/ Chapters (00:00:00) - Fertility Cafe(00:00:45) - Amy Poehler on Acupuncture and Reproductive Health(00:03:55) - What Kind of Support Can Acupuncture Offer During IVF or i(00:07:21) - What Would An Acupuncturist-Endocrinologist Relationship(00:12:17) - How Herbs and Acupuncture Work Together(00:15:46) - How to help with period cramps with acupuncture(00:19:45) - How to improve your fertility with acupuncture?(00:21:06) - How to Supplement Your Body(00:22:00) - Do acupuncturists help with low ovarian reserve?(00:27:39) - How to Manage Menopause(00:32:01) - How to Get pregnant(00:33:04) - Wonders of the World Chat

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 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 https://thefertilitycafe.com/podcast/ep-85-surrogacy-for-same-sex-couples-carnell-roberts-tells-his-story/ Ep 49 – Social Surrogacy https://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?