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By: NAOMI ULICI
IRVINE WORLD NEWS
May 8, 2005
Michelle Rappoport of Northwood will never take Mother’s Day for granted. Her one-year-old baby, Samantha Ruby, is a miracle child thanks to genetic selection and invitro fertilization.
As a carrier for a hereditary bleeding disease called hemophilia, Rappoport was determined to not see any child of hers suffer. Her father had the disease.
Growing up in Woodbridge, she remembers the constant hospital visits. He died from the disease in his early 50s. “My family went through an enormous amount of suffering as a result of his disease” Michelle said.
Because baby boys have a 50 percent chance of having the disease, the Rappoports decided to only have a baby girl.
In 2003, she and her husband, Mike, approached Irvine doctor Lawrence Werlin, a specialist in pre-implantation genetic diagnosis, a method that allows embryos to be tested for genetic conditions, thereby removing the risk of giving birth to a child who would carry the disease.
The couple endured two treatments. During the first cycle, she ovulated too soon and no embryos could be extracted.
The second time around, the treatment produced four embryos. The couple implanted one embryo and prayed for success.
The call came on May, 12, 2003, her father’s birthday. Michelle Rappoport was going to be a mother.
We caught up with her to ask her about becoming a mother.
What’s it like celebrating Mother’s Day?
I don’t have a word for it. I had a lot of expectations about being a mom, I couldn’t have imagined how good it is. It’s so much more of a blessing that I expected. What’s interesting is that you realize that other people kind of take it for granted. I go to this mom’s group, and I hear them complain. I don’t get the complaining. It’s hard to see anything wrong with my baby. I’ve got such a new appreciation for motherhood, especially my mom.
This Mother’s Day, we’re spending it with my family, my mom, brother and his three girls. We’re celebrating all the kids.
Have you always wanted to be a mom?
Yes, every since I can remember. I was always playing with dolls, baby-sitting kids when I got older.
Did you and your husband talk about children before marriage?
That’s when I brought it up, we both knew when we were dating that we wanted children. I told him up front, that I was a carrier for the disease, that my father had had it, and that the only way I could for sure have a healthy baby was to have a girl. He was very supportive, even though it wasn’t fun. Not like the “traditional” way of making a baby.
What was the process like?
The whole thing lasted about six weeks. They stimulated the ovaries, gave me hormones to start the process and hormones to control the reaction. I started off with 12 or 13 good eggs and then came the process of elimination. I got down to half, checked for sex, all of them were male. We were left with one embryo, a healthy girl. That’s all we had to implant. Usually they put in three or four eggs and hope that one implants, but we only had one.
How many cycles did you attempt? Would you have gone further if it didn’t work?
Two. The first time didn’t work. After seeing a counselor, we came to the conclusion that financially and emotionally, we couldn’t handle more than a handful of treatments, but then the second time worked.
What was it like when it didn’t work the first time?
I was devastated. It was so difficult emotionally, especially for the two weeks I had to lie down, get a shot in the hip every day, etc. Then when it failed, the whole thing became scary, we were kind of like infertile patients that couldn’t conceive. I was going in there thinking, “oh yeah, 99 percent pregnancy chance.” This was the first time in 30 years that it hit me that I could possibly not be able to conceive.
Did you look at other options?
We were looking at hiring a surrogate mother or adopting. I decided that no matter what, I’m going to be a mom. The end result was number one priority, a healthy baby.
Would you consider having another one the same way?
We’d love to have another one. If we didn’t have to do this it wouldn’t be a question. Of course, we would have another. But with all the financial ramifications, we’re not sure if we can. Also, I had a rough pregnancy. I had complications and was put on bed rest for a month. I’m prone to having it again. At one point, they weren’t sure the baby was OK, I ignored it and decided that she was going to be OK.
Ever wish for a boy?
My fear was that my husband would want a son, but he’s been totally supportive. He knew what we had dealt with after my father’s death, and he realized the health of the child is more important than the sex. Now Samantha is daddy’s little girl. He couldn’t imagine not having a girl.
What was it like seeing other women get pregnant?
I was never jealous. I would look at pregnant people and be so excited for them, I have other friends that couldn’t even go to a baby shower. My sister-in-law got pregnant with twins the first try, and she had a lot more fun than we did, and here’s us, “We have to have a girl, and you’re getting two the easy way!”
How expensive was it?
The insurance covered nothing, they said, “risk it. Have an unhealthy baby and let the government pay for their care,” and some people choose that, but not us. We spent close to $20,000 out of pocket, plus lab fees and medication.
What’s Samantha like?
She’s resilient. She made it through genetic biopsy and implantation, so she’s been through the ringer.
And she’s the happiest person on earth. She could be really sick, but she’s still smiling and laughing. I have this photo of her, cracking up watching her Baby Einstein videos though she’s taking medicine. She is a joy.
Our fertility clinic focuses on helping you build your family regardless of your sexual orientation or the gender you choose to identify with. We are even taking further steps to make LGTB people feel more welcome at our fertility clinic. Each of our patient-facing staff goes through LGTB training to let family-building clinicians provide necessary support and make you feel highly welcome.
Coastal Fertility Medical Center offers one of the most advanced fertility treatments and is completely transparent regarding the costs of procedures and any other expenses that you may have to pay before commencing your treatment. This differentiates us from some fertility clinics that reduce prices before the signing of the contract but charge you extra later on. We make sure our patients are well aware of any possible extra pricing that may occur over the course of their treatment.
The infertility industry is currently segmented, with each service or treatment being handled by a different provider. Our all-inclusive model simplifies an otherwise complex and difficult process. We are here to revolutionize the infertility industry by offering a one-stop-service model to assist our patients through infertility challenges while reducing physical, emotional, and financial risks.
Our globally respected team of specialists are helping improve IVF technologies to enter into a generation of better outcomes for infertility. Although you’ll have a doctor guiding you, you are also going to benefit from the experience and insights of other doctors during case review collaboration meetings, which take place every week. So, you won’t just rely on the expertise of a specialist but benefit from the knowledge of many reputed fertility experts.
Our team specializes in difficult cases and help patients who may have been considered “hopeless” at other fertility clinics. Thanks to our personalized solutions, expertise, and internal collaboration, weare able to maximize pregnancy success rates that are well above the industry average, even in difficult infertility cases.
We know that every situation is different and that everyone requires different treatments. Unlike facilities that take “a one-size-fits-all” approach for all cases, our fertility specialists use more than 40 customized protocols to raise the chances of success. The customized approach even extends to our fertility laboratory. Our on-site lab director and his highly-experienced team nurture every embryo and egg to increase the odds of success of each cycle.
Coastal Fertility Medical Center offers one of the most advanced fertility treatments and is completely transparent regarding the costs of procedures and any other expenses that you may have to pay before commencing your treatment. This differentiates us from some fertility clinics that reduce prices before the signing of the contract but charge you extra later on. We make sure our patients are well aware of any possible extra pricing that may occur over the course of their treatment.
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Following the Preimplantation Genetic Screening process, which helps ensure there are normal chromosome numbers and detects possible genetic disorders, the most healthy embryo(s) are selected to be implanted into your or your chosen surrogate’s womb. 2 weeks after the transfer of the embryo, your physician will conduct a final blood test to determine the level of hCG (human chorionic gonadotropin) in your body. Increased hCG levels usually indicate a positive pregnancy test.
For fertilization to take place, the collected egg and sperm are combined in a petri dish and cultured in an embryo incubator. This dish is closely watched to check whether any of the eggs have been fertilized. Once the egg is fertilized, it is referred to as an embryo or a blastocyst on the 5th day of development. Our in-house embryologist carefully nurtures every embryo to the right time, even if it means working outside the standard business operating hours. For instance: If an oocyte is not mature, our laboratory will wait for it to mature and then ICSI it at the right time.
The egg retrieval is a slightly invasive medical procedure that takes about 20 to 30 minutes. You will be given an anesthetic to make you sleep for the duration of the procedure. Using ultrasound technology, your doctor will harvest your eggs transvaginally with a small, hollow needle connected to an ultrasound probe. Once your eggs are collected, your partner’s semen or donor sperm you have pre-selected is used for fertilization. The sperm are washed and prepared, and the top-quality sperm extracted is used to fertilize the eggs.
Your doctor will create a customized medication schedule that contains information about the fertility medications and hormone injections you have to take. Medication and injections are taken to encourage your ovaries to mature a large number of eggs for fertilization. Since women don’t respond to fertility drugs and hormones the same way, personalized protocols are crucial to the IVF cycle success. At Coastal Fertility, we will monitor you closely, letting you understand the changes occurring in your body and keeping track of how your egg follicles are growing.
On-site consultations typicallyinclude a standard fertility evaluation, consisting of a physical examination, complementary follicular ultrasound, and testing to enable your doctor to know your present fertility status and draw up a treatment plan.
This consultation includes a detailed medical evaluation with a doctor. You and your physician will review your health records and have enough time to talk about your goals and get answers to your questions. We recommend that you jot down all your questions before the visit to allow you to make the best use of the time spent with your doctor.
Your Reproductive Endocrinologist will take all factors into consideration and create a comprehensive plan of care, otherwise known as the treatment plan. This plan will include treatment recommendations from the physician and enable your financial coordinator to make a precise quotation once you meet.
Our globally respected team of specialists are helping improve IVF technologies to enter into a generation of better outcomes for infertility. Although you’ll have a doctor guiding you, you are also going to benefit from the experience and insights of other doctors during case review collaboration meetings, which take place every week. So, you won’t just rely on the expertise of a specialist but benefit from the knowledge of many reputed fertility experts.
The infertility industry is currently segmented, with each service or treatment being handled by a different provider. Our all-inclusive model simplifies an otherwise complex and difficult process. We are here to revolutionize the infertility industry by offering a one-stop-service model to assist our patients through infertility challenges while reducing physical, emotional, and financial risks.
Our fertility clinic focuses on helping you build your family regardless of your sexual orientation or the gender you choose to identify with. We are even taking further steps to make LGTB people feel more welcome at our fertility clinic. Each of our patient-facing staff goes through LGTB training to let family-building clinicians provide necessary support and make you feel highly welcome.
We know that every situation is different and that everyone requires different treatments. Unlike facilities that take “a one-size-fits-all” approach for all cases, our fertility specialists use more than 40 customized protocols to raise the chances of success. The customized approach even extends to our fertility laboratory. Our on-site lab director and his highly-experienced team nurture every embryo and egg to increase the odds of success of each cycle.
Our team specializes in difficult cases and help patients who may have been considered “hopeless” at other fertility clinics. Thanks to our personalized solutions, expertise, and internal collaboration, weare able to maximize pregnancy success rates that are well above the industry average, even in difficult infertility cases.
Upon your arrival, you will check in with a Patient Care Coordinator. We will obtain your insurance information for benefits verification, a copy of your identification and take a picture for your electronic medical chart
Coastal Fertility is the leading provider of fertility solutions located in Orange County. Join us to get free updates on fertility news, treatments, infertility solutions and more.
Coastal Fertility is the leading provider of fertility solutions located in Orange County. Join us to get free updates on fertility news, treatments, infertility solutions and more.