Finally Here: A Long Journey to Motherhood

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

Why are ambitious women waiting too long to think about fertility preservation, and what's the real cost?Host Eloise Drane welcomes Dr. Suzanna Chatterjee-Morris, a dual board-certified physician in OB-GYN and obesity medicine who brings both clinical expertise and deeply personal experience to today's conversation. Dr. Chatterjee-Morris has navigated her own challenging fertility journey, including multiple egg retrievals, donor eggs, and preparing for surrogacy while maintaining a demanding medical practice. Her unique perspective as both physician and patient offers invaluable insights for women balancing high-pressure careers with family planning decisions and fertility preservation choices. This episode explores the complex reality of fertility treatment for ambitious women in leadership roles, covering egg-freezing decisions, the challenges of coordinating IVF cycles with demanding schedules and navigating fertility clinic experiences. Discussion includes the importance of early fertility preservation, advocating for yourself in medical settings, weight-related barriers in fertility treatment, and the emotional journey of third-party reproduction. Dr. Chatterjee-Morris shares practical advice about choosing fertility clinics, understanding BMI requirements, and making informed decisions about donor eggs and gestational carriers while managing autoimmune conditions. In This Episode:  (00:00) Dr. Chatterjee-Morris shares her complete fertility journey from residency decision to current surrogacy plans (08:40) The difficult transition from own eggs to donor eggs to gestational carrier due to multiple sclerosis (14:32) Balancing seven IVF cycles with demanding medical practice and patient care (20:33) Experiencing dismissive treatment and unprofessional care at fertility clinics (27:12) The critical importance of egg freezing in your twenties for career-focused women (32:34) Recognizing endometriosis symptoms early and advocating for reproductive health education (39:44) Navigating weight stigma and BMI requirements in fertility treatment with compassion (46:25) Final advice on self-advocacy and making the best decisions for your fertility journey Share with someone who may be interested, like and subscribe to hear all of our future episodes! Resources:Instagram/TikTok: @healthyobgyn Website: rivervalleyobgyn.com   Book a Free Consultation Have questions about becoming a surrogate? Learn more: https://familyinceptions.com/surrogates/ Curious about how much you could make with surrogacy? Use our Compensation Calculator: https://familyinceptions.com/s...

What would you do if a Google search from your hospital bed revealed your only path to motherhood was illegal in your state?Today Eloise welcomes Stephanie Jones, founder of the Michigan Fertility Alliance and 2024 RESOLVE Hope Award recipient for advocacy. After facing life-threatening pregnancy complications that ended her ability to carry a pregnancy, Stephanie discovered through a Google search from her hospital recovery bed that Michigan banned surrogacy contracts—her only option to grow her family. She leveraged her business expertise as an engineer and company VP to transform this personal crisis into legislative change. The conversation explores Stephanie's journey from secondary infertility through building the Michigan Fertility Alliance from scratch during the pandemic, culminating in the passage of the Michigan Family Protection Act in 2024. Listeners will gain insights into Michigan's surprising surrogacy history, the complexities of having a surrogate birth in another state during COVID, and how the nine-bill package revolutionized fertility and parentage laws for all Michigan families. In This Episode:  (00:00) Introduction to Michigan's restrictive surrogacy laws and transformation (03:01) Stephanie Jones's background and secondary infertility journey (08:46) The Google search that started it all from hospital recovery bed (12:39) Michigan's surprising surrogacy history from first to banned (18:37) Building advocacy during the pandemic while having daughter via surrogate (20:50) The complicated experience of surrogacy birth in Kentucky during COVID (26:17) Overcoming challenges to get people to care about fertility issues (31:53) Balancing business executive role with intensive advocacy work (34:29) Breaking down the nine-bill Michigan Family Protection Act (38:21) Introduction to State Strong national coalition for advocacy (41:29) The urgent need for fertility advocates to act nowShare with someone who may be interested, like and subscribe to hear all of our future episodes! Resources:Michigan Fertility Alliance: www.michiganfertilityalliance.org State Strong Coalition: www.statestrong.org Michigan Family Protection Act Information: www.michigan.gov/familyprotectionact Stephanie Jones Email: [email protected] RESOLVE National Infertility Association: www.resolve.org