People tend to find The Fertility Advocate blog or call me for fertility coaching when they are feeling stuck, or frightened on their infertility journey. I become their beacon of light during what can be a very dark time, and what I often help with is direction around the dreaded second opinion. The second opinion is often filled with fear for patients. They worry about upsetting the apple cart where they are – and they don’t know quite what they are looking for.
The fact is that the new year is looming, and you may still be in the same place that you were last year in trying to conceive. My advice is that it is time for the second opinion.
Don’t worry, it won’t make your doctor hate you and besides it is about taking care of yourself. The good news for second opinion seekers if that several IVF Centers around the country are now offering various types of free initial consultations. But even if the doctor that you want to see doesn’t – it is often worth the time and the money to get some new insight into your situation.
What You Need to Know And What to Expect From a Second Opinion
You will need to get your medical records to the doctor before your visit if the consultation is really going to do anything for you.
Expect to have a physical exam, blood work or an ultrasound done even if you have had these tests done before.
It is often through a second opinion that you will find a new road on your path to parenthood. On the other hand, a second opinion may also reassure you that you are presently at the right place for treatment and no change is necessary. It is just time to keep the faith and stay the course at your present center.
Use the second opinion to learn about innovative new treatment plans that you may not have heard of before. There are always new treatments – and sometimes you just have to be pointed in a new direction.
Use the second opinion to get an overview of the program and the doctors. Do you like the atmosphere of the center? Are the staff friendly and warm? How was the experience for you when you booked the appointment? If it wasn’t great – probably that is an indicator of what is to come! This is a first date! Do you want a second? How well were you treated?
Are you still with your gynecologist and uncertain about whether or not it is time to move on to a fertility specialist? Use the second opinion to have that important conversation with an expert.
Are you facing a difficult decision such as moving on to egg donation? Once again – getting the second pair of eyes on your case may be the perfect solution to knowing that you are making the right decision.
Second opinions may change everything. Please don’t be frightened of them. If you want a little help – I am offering a one time session with me – “Recharge Your Treatment Consult” to help set you on a new path for the New Year. If you are interesting in learning more about “Recharge” – please drop me an email at Pamela@thefertilityadvocate.com


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Sign in nowDear Joe –
Sorry for the delay in approving your comments. I have been traveling.
Best,
Pamela
And Joe -
You are missing the point just a tiny bit….you are not giving a woman an orgasm simply by looking at them. I used the word orgasm mostly as a metaphor for pleasure. For many women – we find our true pleasure in simply being desired by a man that we in turn desire.
Thank you for your comments,
Pamela
[...] self-aware women, Pamela Madsen, has written a terrific post about ‘bibliotherapy’ at her blog, The Fertility Advocate. She sites a scientific study that says 30-45 minutes of reading erotic literature causes a [...]
I think it’s also good advice not to wait too long before consulting a fertility specialist – especially if you are over 30 years old.
thanks for posting my comment. =). There isn’t enough debate out there. If it is true that it is from a man that you in turn desire, its slightly more excusable.
I still think there is mass confusion over these topics because we have lost our sexual identities in the modern world. If women could achieve the advice laid out here, there would just be some other problem or reason why they are not happy or don’t feel sexual. Its never ending. There are no good answers to our common problems, because we are trying to hold up an ideal that is unrealistic, and detrimental to family. We have been had. We lost ourselves, and are trying to patch up the holes in a broken theory as to how men and women are to relate to each other. We have been led astray, and no happiness will come from it. No amount of thinking how to supplement our fundamental misunderstandings is going to give us the freedom we are all looking for. I have yet to find anywhere an answer to this problem that isn’t steeped in modern ideals that have never been challenged as to whether or not they benefit us. Its like trying to come up with all kinds of theories as to why the earth is the center of the solar system. The resulting theories would sound extreme and hard to believe. But if we lived in a time where there was no debate as to whether or not the earth was the center of the solar system, these theories would have to be excepted. We have lived through mass ignorance in the past, and although tough, we challenged the current beliefs. Our gender roles in the modern world will turn out the same way. One day we will learn we were told lies, and given fixes that only held up the lies. Lets question whether or not the fundamentals of our gender roles in modern society even serve our interest. Then we may find simpler answers, or maybe the problems will just go away, since we are no longer lying to ourselves. I have some really interesting research that shows how our modern belief in gender roles was derived from a source that wants us to war, and not have children, pay more taxes, raise housing prices, indoctrinate our children…etc. Let me know if you are interested.
I plan on doing on IVF in the near future and I am concerned about the cost of IVF. I was wondering how do you qualify for financial assistance.
At 40, I got married, feeling the edge of the baby clock going off. I really wanted one. During a tremendous upheaval in my hot/cold marriage, I actually LOST my period due to stress, which I felt was Nature telling me not to have a child with this partner. Needless to say, we divorced after 3 years, and I had not become pregnant even tho we had not used birth control. Fertility? I had an abortion at age 22, and twice more had caused miscarriage thru herbs as a morning after treatment. So I did have 3 pregnancies.
My one regret is not going thru the biochemical changes and breast feeding, I feel that would have been a fascinating experience for me, since I am totally into Body Awareness. Having said that, I am content with my destiny – that I did not have to weave my life around the needs of a child, I would have had a very very different path, and perhaps not accomplished all the gifts I have to share in healing for so many, as a teacher and world traveler…
Most people who meet me and see me interact with children or youth, ask me “how old are yours?” because I am so at ease with being Mothering through any appropriate circumstance. After studying & teaching Pregnancy massage & helping at 10 Labors, and working with kids creatively all my life, I do NOT identify with CHILD LESS, NOR with CHILD FREE.
I have 4 beautiful nieces and a God-daughter that are dear to my heart and I do my best to stay in touch with them.
Instead, I identify with being a CHILD at HEART and interacting with everyone’s INNER CHILD, so I am CHILD FRIENDLY, and you can always sit next to me on the airplane!! – Your Auntie Marci
While the term ‘childless’ has shown in recent studies to have profound effects on women who are not mothers by a certain age (learn more here: http://bit.ly/uPyxDB), ‘child-free’ implies not a circumstance, but a chosen lifestyle. The term was coined to describe women whose state is not childlessness, but a proactive choice to never have children because they do not want to have children. (This is a very valid choice for those women.)
On the flip-side, by a certain age, perhaps when a woman is in her mid-thirties, it’s no longer considered ‘natural’ for her to be childless. Her born state is no longer acceptable in our pronatalist society. But the real choice is to change from the natural state of childlessness, to a state of motherhood. There is no choice in being childless. It is how we are born.
I don’t choose to be child-free. I yearn for a baby of my own. I mourn my menstruation like a woman suffering from biological infertility. It is no more a choice for her to get her period than it is for me to get mine.
I am a natural woman. I am whole. I am not less, nor am I free. I simply just am.
XO
Melanie Notkin, Founder, Savvy Auntie
Auntie Marci!
I say “childfull” – since you choose to love the children in your life. The term Savvy Auntie certainly applies to you too.
As I say:
Babies are born from the womb. Motherhood is born from the soul. There are many ways to mother.
XO
Melanie Notkin, Founder, Savvy Auntie
so, I posted that on my facebook yesterday and my sister was completely offended by my comments. it isn’t necessarily that I have fertility issues, my husband didn’t want children and so we have none..however my sister has three. All I have ever wanted was to be treated equally with my sister and I don’t think that is too much to ask for……however now I am seen as being selfish and greedy.
I have found after 11 years of working with donors that as compensation increases, there is a paradigm shift in the way many donors view the entire process. They begin to feel that they are in a seat of power and negotiation and many times place ridiculous and unnecessary demands on the Intended Parents or the agency and I have found that their dedication is sometimes compromised as well.
Since our agency recently signed agreements to serve over 35 countries through a new global program, we created a flat fee system for all donors where they receive $7000 for a first time donor, $8000 for a second time donation, $9000 for a third time donation, and $10000 for all future cycles up to 6 and we have found that this has been a tremendously successful platform as all are treated equal and it really is about compensation a donor for her time, energy, and efforts rather than how hot she is, where she went to school, etc. We found that each set of Intended Parents have their own individual set of criteria and no donor is more important or worth more financially than another.
What I wish was further studied by ASRM is the number of cycles recommended for a donor. Currently the recommendation is that no donor perform over 6 cycles. I would like to know that actual research is backing this up as I am concerned for the donors health that we have solid medically researched and documented reasons for all recommendations.
only someone w/o children would have the time to worry about what they were going to get when someone died. how about the value of things that can’t be bought? if you’re more worried about $ and things; its good that you didn’t have children. selfish.
Very interesting to watch this. I learned that most (all?) late in vitro fertilizations are done with donor eggs. I watched the clip where you tell the interviewer this, and she says, “Really? Biological [motherhood] is different from genetic [motherhood]?” I was shocked that she seemed to have trouble understanding what you were saying. This fact, that most (or all?) women can’t have their own genetic children in their 40′s and 50′s, is hugely important to understand. In fact, the reason for having children is often to pass down one’s own genetic line. I’m glad my brother had children who exhibit the -obviously!!- brilliant genetic qualities of my family!
Seriously, because I didn’t have biological or genetic children, I very much wanted our genetic line to get passed down, and, thankfully, it was.