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New guidelines set out for treating fertility problems dominate the health news.

The coverage is based on updated infertility guidance from the National Institute for Health and Clinical Excellence (NICE). While these guidelines are wide-ranging, the media’s coverage focuses largely on recommendations that:

• NHS-funded IVF should now be offered up to the age of 42 (in certain circumstances) – the current IVF age limit is 39
• couples having difficulty conceiving should be offered treatment after two years of regular unprotected intercourse, instead of the current three
• same sex couples should be offered NHS fertility treatment

NICE says there is a need for new guidelines to reflect the medical advances which mean fertility problems (particularly in older women) can be treated more effectively.

Other recommendations say that women under the age of 37 should only have one embryo transferred in their first cycle of IVF. This is intended to reduce the number of multiple pregnancies arising from IVF, which can result in complications for both mother and child.

Most couples would no longer be offered intrauterine insemination, as NICE says the results are no better than those for sexual intercourse. An exception to this is if there are circumstances where vaginal intercourse would not be appropriate or possible.

NICE guidelines are considered best practice and are based on the best available evidence. Local NHS organisations should follow the recommendations. The updated NICE guidelines have been published following an extensive consultation on draft guidelines issued in May 2012. The new guidelines set out many recommendations, the most high profile of which are outlined here.

Article: 20th February 2013 www.nhs.co.uk

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Leading Fertility expert Dr Gillian Lockwood says that women are still leaving it to late to try and have a baby.

Dr Lockwood has suggested that Egg freezing should be every father’s graduation present to his daughter. Dr Lockwood, of the Midland Fertility Centre, where half of Britain’s babies conceived from frozen eggs originated, said young women are still not getting the message about infertility.

She told The Times: ‘One part of me wants to say that [egg freezing] should be every dad’s graduation present for his daughter. It would be a very safe, low dose, and you could have 20 beautiful eggs in the freezer.

'But – and it’s a very big but – I’m concerned about how that would alter a woman’s life choices, that they might think: “Well, instead of having a family with Mr Not Quite Perfect, I can afford to wait for Mr Absolutely perfect”.

In Britain, women are delaying childbirth later than ever: the average woman here has her first child at 31, compared to 24 in 1962. About 6,500 eggs have been stored in Britain in the decade since egg freezing was licensed by the Human Fertilisation and Embryology Authority (HFEA). Yet the chances of conceiving a baby from a frozen egg are low, and preparing for it is a painful, costly process involving potent fertility drugs, chemicals and surgery.

Hollywood star Jennifer Aniston is rumoured to have frozen her eggs, and in a recent episode of the U.S. reality television show, Keeping Up With The Kardashians, Kim injected herself with hormones in preparation for doing the same.

But despite egg freezing being something often talked about as a viable option, just 12 babies have been born from frozen eggs in this country. However this may slowly change after a recent report by the American Society for Reproductive Medicine (ASRM) stated that egg freezing is no longer experimental technology. The organisation has recommended that women freeze their eggs in their 20s and 30s to help them conceive later in life.

And it is timing that is key, says Dr Lockwood. 'By the time many women decide they want to freeze their eggs, they are often in their late 30s, when their eggs have declined in quality significantly. I get many calls from women around the age of 38 who want their eggs frozen,’ she told the Mail last month.

Last year Brigitte Adams decided to freeze her eggs at the age of 38, to safeguard what was left of her fertility ‘A frozen egg from a 38-year-old will be better than a fresh one from a 42-year-old, but pregnancy is still not very likely.’ Dr Lockwood added that a 30-year-old who freezes her eggs would have a 30-40 per cent chance of having a child. After 38, this falls to 25 per cent.

And even freezing your eggs at 30 could have its downsides, she said. 'Will it mean a woman waits around all her life for Mr Perfect, knowing she has healthy eggs from her 30-year-old self in the freezer, but then becomes bitter because she has rejected all the Mr Pretty Well Good Enoughs and found herself single and childless at 45, with frozen eggs that turned out not to work?’

Other experts have cautioned that egg freezing is by no means a fail-safe insurance policy. Dr Magdy Asaad, clinical director of the London Fertility Centre, says the chances of getting a baby from a frozen egg are about 1 to 3 per cent for each egg. Also, only eight out of ten eggs survive the thawing process and there are still some concerns about whether egg freezing is effective or safe in terms of the long-term health of children.

There have also been suggestions that chemicals applied to the egg wall during flash-freezing could potentially damage the egg. Egg freezing is funded by the NHS if carried out for women having cancer treatment. Otherwise it costs £5,000 per cycle, then £200 a year to pay for safe storage of the eggs.

One woman who chose to freeze her eggs was Brigitte Adams. Last year, at the age of 38, she decided to take action to safeguard what was left of her fertility. She told The Times: 'I know I have less than a 30 per cent chance - but it's better than zero chance. I feel I have at least done something proactive and have a back-up plan.' She has gone on to found the website Eggsurance to encourage other women to think about freezing their eggs as an 'insurance policy' that can be used later.

Ms Adams was 37 when she started thinking about the procedure. 'I just always expected that at my age I would already have kids. I also had some close friends who were either going through difficult IVF treatments or looking into the adoption process. 'I contacted a fertility doctor in my city who told me to “just get pregnant". Not exactly what I wanted to hear.' She adds that she assumed because she ate well and exercised that she must have a healthy supply of eggs. 'So I was surprised when I learned that maternal age directly correlates to the health of your eggs.'

Her family were incredibly supportive, she says. 'My parents were all for it and even offered to pay for some of the treatment costs. My friends, on the other hand, were shocked initially as they did not know anybody who had had their eggs frozen. 'However, once I explained the procedure to them they were extremely supportive and of great help. You really need a strong support system through a process like this as it is both physically and emotionally challenging.'

Article: 26th November 2012 www.dailymail.co.uk

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British researchers found that gently scratching the lining of the womb a month before IVF treatment improved the chances of pregnancy. A review of research on the technique found that twice as many women became pregnant after the procedure than without, boosting pregnancy rates to almost one in two.

Doctors at Guy’s and St Thomas’ hospital, central London, are carrying out a larger trial to establish the overall efficacy of the technique with the hope of offering it routinely within three to five years.

It is thought that scratching the womb lining stimulates growth factors and repair mechanisms that allow the fertilised egg to embed more easily. It takes only 15 minutes in clinic, can be carried out by trained nurses and uses simple equipment already in use. The procedure may add less than £100 to the average £4,500 cost of a cycle of IVF treatment.

Dr Tarek El-Toukhy, who led the review study, said: “Endometrial scratching uses simple, inexpensive equipment that most hospitals already have and which clinicians are already trained to use, so complications are rare.

“It’s exciting that the chance of pregnancy could be doubled. The next step is to see if this applies to birth rates. About a third of IVF treatments result in a baby, so improving these odds would make a big difference to people trying to have children through IVF.”

The findings from the review of eight studies involving 911 patients are published in Reproductive Biomedicine online. In the review, 128 out of 499 women who did not have the womb procedure became pregnant — almost 26 per cent. Of the 412 women who had the procedure, 198 fell pregnant, or 48 per cent.

There were no serious side effects reported and early signs are that the doubling in rates will be translated into birth rates. The women in the study had all suffered repeated unexplained implantation failure, meaning other aspects of their fertility seemed normal but the egg did not implant properly in the womb.

Maha Ragunath, the clinical director of Care Nottingham, the biggest private provider of fertility treatment in England, said the technique should be offered widely to all IVF patients in the near future. She has begun carrying out the procedure for patients who have suffered repeated failed cycles of IVF.

“This is really priming the womb to receive the embryo,” she said. “It is a bit like having a smear test for cervical cancer. It is very quick and simple. “I think any doctor reading the review would want to at least talk to their patients about this procedure. “There is obviously something to be gained from it, no long-term damage and it is so inexpensive, so why not?”

Article: 1st October 2012 www.telegraph.co.uk

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A CITY fertility clinic is inviting prospective IVF patients to join a clinical trial to have their embryos screened free of charge for abnormalities.

Care Fertility has pioneered the of egg and embryo screening, called Array CGH. The aim of the study is to test whether transferring normal embryos significantly increases pregnancy and live birth rates in younger women undergoing IVF for the first time.

People who take part must meet a number of criteria:

- Female age less than 35
- Male and female BMI less than 35
- No previous IVF treatment
- No history of miscarriage
- Normal sperm count

Patients can apply online to join the trial. If accepted they will undergo an IVF cycle, paying only for their IVF treatment and drugs. Chromosome screening, normally costing £2,435, will be free of charge.

Managing director Dr Simon Fishel said: "My personal goal for our patients is to improve the chances of conceiving a healthy embryo and a healthy baby in the first attempt at IVF."

Article: www.thisisnottingham.co.uk

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Over two million American couples are having problems getting pregnant.[1] The standard treatment which can help these couples conceive is in-vitro fertilization (IVF). IVF can change lives but can also be very emotionally, physically and financially draining.

The DuoFertility programme is a highly effective method to help couples conceive. The programme is totally non-invasive and drug free, yet published studies have shown a pregnancy rate similar to that of a cycle of IVF after just six months of use[2].

It uses a revolutionary sensor to monitor a woman’s body 24 hours a day, indicating the couple’s most fertile days, giving couples the very best chance of getting pregnant. Fertility experts review the data with the couples regularly to provide feedback.

Studies have shown that DuoFertility can help 8 out of 10 infertile couples, including half of all those seeking invasive clinical procedures such as IVF2. DuoFertility has helped hundreds of couples get pregnant in Europe. Now that same help is available to American couples for $795.

In the US, a single cycle of IVF will cost on average $15,000 to the couple and is rarely covered by health insurance, leaving many American couples struggling to afford fertility treatment. At one-twentieth the cost of a single cycle of IVF, DuoFertility has the potential to help millions of American couples to turn their dreams of a family into reality.

To find out if DuoFertility can help you get pregnant, you can use the DuoFertility suitability tool here.

You can purchase DuoFertility, which is FDA cleared, from the US on the DuoFertility website or the Pride Angel website.

[1] Centers for Disease Control and Preventio (CDC) :http://www.cdc.gov/nchs/fastats/fertile.htm
[2] Chausiaux et al., “Pregnancy Prognosis in Infertile Couples on the DuoFertility Programme Compared with In Vitro Fertilisation/Intracytoplasmic Sperm Injection”, European Obstetrics & Gynaecology 2011;6(2):92-4 online PDF: http://bit.ly/IfjFiY

Article: 3rd July 2012 www.duofertility.com.us

Read more information about the DuoFertility monitor here.

THE Pope has been attacked as archaic and out of touch after urging infertile couples to shun IVF and insisting sex between a husband and wife was the only acceptable way of conceiving.

Melinda Roberts, mother of Thomas, 3, and Matthew, 7 months, said Pope Benedict XVI's words angered her. "Both of my children were conceived through IVF, and every day my husband and I are eternally grateful for the assistance," the Glen Waverley mum said.

Is the Pope right to speak out against IVF? Join the debate below Monash IVF director Professor Gab Kovacs said the Pope was out of touch, and "most ... in his congregation take no notice of him".

Many Catholic couples sought fertility treatment, allowing themselves to be dictated by their consciences and what was right, rather than the church, Prof Kovacs said.

He said the Catholic Church had not changed its stance since the beginning of reproductive medicine in the 1970s. Speaking at a conference on infertility in Rome, the Pope said artificial methods of getting pregnant were arrogance, insisting that sex between a husband and wife was the only acceptable way of conceiving.

Matrimony was the "only place worthy of the call to existence of a new human being", he told scientists and fertility experts. "The human and Christian dignity of procreation, in fact, doesn't consist in a "product", but in its link to the conjugal act, an expression of the love of the spouses of their union, not only biological but also spiritual," he said.

Melbourne's City Fertility Centre medical director Dr David Wilkinson said most of his patients had already been trying to conceive through conjugal relations, but it had not worked.

The Pope was also critised for his recent comments stating that 'Gay marriage is one of several threats to the traditional family unit that undermines 'the future of humanity itself'.

The Vatican and Catholic officials around the world have protested against moves to legalise gay marriage in Europe and other developed parts of the world.

Fotunately many people including Roman Catholics do not agree with some of the moral teachings of this Pope, or his charismatic predecessor, Pope John Paul II, on matters such as birth control, fertility treatment, women priests or homosexuality.

Article extracts: 26th February 2012 www.heraldsun.com.au

Read more about IVF and gay parenting at www.prideangel.com

Fertility clinics are charging women who want to have children three times the actual cost of their treatment – with the NHS as guilty as private practitioners in exploiting desperate couples.

The accusation comes from the fertility pioneer Lord Robert Winston, who today launches a scathing attack on the high cost of fertility treatment in the UK and the unfettered use of expensive, unproven tests by private clinics.

The Labour peer and former head of the NHS IVF clinic at Hammersmith Hospital said there was a "huge amount of exploitation going on" and that some of the charges were a "scandal". "A combination of avarice on the part of the clinics and desperation on the part of the women is driving this market," he said in an interview with The Independent.

Figures show over 45,000 women had IVF in 2010, with 60 per cent paying for themselves and 40 per cent treated on the NHS. The National Institute for Clinical Excellence recommends that eligible women aged from 23 to 39 be offered three cycles of treatment on the NHS but primary care trusts vary widely in how closely they follow the guidance.

For the majority of patients, who must pay privately, the average basic cost of treatment is £2,500 a cycle in clinics run by the NHS and £3,500 in private clinics. The price of drugs and tests is added to the bill which can double the cost. Lord Winston said: "My view is that both NHS and private clinics are charging much more than the cost of delivering the treatment." He calculated the costs, taking account of salaries and overheads, for a large unit treating 2,000 patients a year where economies of scale meant it could carry out treatment more efficiently.

"I costed the salaries very generously and concluded you could deliver treatment for £700 per cycle. Adding in the overheads [equipment, materials, rent] takes that to £1,200 to £1,300 a cycle. "NHS clinics are charging their private patients around £2,500 a cycle and private clinics around £3,500 a cycle. It is pure exploitation. The NHS is basing its fees not on what it costs but on what it thinks the market will bear."

He said some clinics were charging annual fees of £350 to store frozen embryos and eggs when liquid nitrogen cost 70 pence a flask and the storage costs amounted to no more than £10 a year. "It is a scandal," he said.

Lord Winston also attacked the growing use of experimental techniques for which there was little evidence by private clinics trying to enhance their success rates. "There are no randomised controlled trials and without trials we cannot know that they work. Can you imagine going into hospital with cancer and a doctor saying, 'I am going to give you this treatment because I think it might work?'

"If you are doing experimental treatment there should be a cast-iron rule that you don't charge vast sums to the patient. What they are doing is profiting from something that has not been trialled." Responding to the criticism, Simon Fishel, managing director of Care Fertility, the largest private provider of IVF in the UK, challenged Lord Winston to defend his own private practice at the Royal Masonic Hospital during the 1990s. "Why did he charge what he charged then? His clinic was not achieving the best success rates but charged among the highest prices."

Mr Fishel said the ethics of using new tests on patients for which there was only anecdotal evidence was one he "wrestled with". He was the first to use a screening technique called array-comparative genomic hybridisation, which led to the birth of a baby to a mother whose 13 previous attempts at IVF had failed. "Anecdotal evidence is never enough. But you can't always start off with [better] evidence. When was sperm injection ever proven to be safe before it was introduced in the UK? The largest cause of miscarriage is chromosomal abnormality. If we can screen out embryos which are chromosomally abnormal, the patient may have a better chance [of giving birth].

"If we were paying credence to Robert Winston's view we wouldn't be treating patients and we wouldn't have won the Nobel Prize [awarded to Sir Robert Edwards in 2010 for the world's first IVF baby born in 1978]. In the end treatment must be evidence-based but it doesn't mean you have to start off from there." Lord Winston said all the money raised from his private work had gone to charity and was ploughed back into treating NHS patients. "I raised millions of pounds. I don't think I could sleep at night paying into my personal account the large sums that women are paying for treatment."

IVF treatment conceivable changes

Getting fertility treatment on the NHS could be about to become more difficult. The National Institute for Health and Clinical Excellence is updating its guidance on infertility treatment and is due to publish new recommendations in February.

Current guidance says that women aged 23 to 39 who have been trying for a baby for a year without success should be offered three cycles of IVF. But provision for the one in seven couples in the UK which has difficulty conceiving is patchy. Campaigners fear criteria for treatment may be tightened under the new guidelines. In addition, they say the NHS reforms which include plans for GPs to take over commissioning of services could exacerbate the existing postcode lottery.

Susan Seenan, deputy chief executive of the Infertility Network, said IVF must be commissioned nationally to ensure equality of access: "IVF treatment is the only example of an accepted medical intervention that is routinely rationed. Local commissioning of fertility services will only serve to widen this postcode lottery, further entrenching inequalities in the health service."

Case study: 'The treatment is hugely expensive'

Gill Tinsdeall and her husband Mark spent £20,000 on five failed attempts at IVF before turning to adoption. "It was absolutely shattering. IVF treatment is hugely expensive. We were able to afford it by going without things but it is a huge amount of money." Gill, a human resources manager and Mark, who works for a water company, began treatment in West Yorkshire in 2007. She was then 34, and though one cycle of treatment was offered on the NHS, there was a year-long waiting list and they felt they could not wait. They paid around £3,000 as private patients to be treated at their local NHS hospital, but were unsuccessful. Another attempt at a private clinic led to a pregnancy but Gill miscarried.

Two failed attempts with donor eggs followed, and a final attempt, paid for this time by the NHS, was also unsuccessful. Gill said: "The fight to get access to NHS treatment added hugely to the stress. The only thing that kept me going was the friends I met through Infertility UK. They helped me through the nightmare." Contact infertilitynetworkuk.com

Article: 26th December 2011 www.independent.co.uk

Read more about alternatives to IVF such as natural fertility and home insemination

Scientists have developed a ‘fertility wand’ that has been shown to double the chances of becoming pregnant. The pregnancy rate among women undergoing IVF who had the new treatment was 32.7 per cent, compared to 13.7 per cent in comparison groups who did not have the therapy.

The live birth rate was also higher in the treatment group — 22.4 per cent compared to 9.8 per cent in the untreated group. The new treatment works on the womb lining. Fertility experts believe a poor quality womb lining may be a significant factor in women struggling to conceive.

In order for a woman to become pregnant, a fertilised egg, or embryo, has to become implanted into the womb lining. This process is complex, involving hormones, growth factors and chemicals produced by the immune system called cytokines.

The process is not fully understood, and there is no treatment if it goes wrong. However, Israeli researchers recently made the discovery that slight damage to the womb lining actually results in improved fertility. They found that 45 women who had undergone a uterine biopsy — where tissue was taken from the lining of the womb — had almost twice the rate of pregnancies and births as a control group.

A U.S. study found this damage triggered a repair response in the body, producing growth factors and cytokines. It also increased the activity of genes thought to play a role in preparing the lining for implantation.

These findings have been put to the test in a new trial involving 100 women who’d previously failed to conceive with IVF, despite their embryos being of a good quality. They were either given the new treatment or were allocated to a control group.

The treatment involves inserting a long plastic tube-like device (known as the Pipelle) into the womb and then rotating it 360 degrees to ‘scratch’ the lining. Patients in the study were given painkillers 30 minutes before the procedure, which was carried out twice in one month.

The results, reported in the Journal of Human Reproduction Sciences, showed the pregnancy rate in the treated group was over double that of the control group.

Further clinical trials using the technique are now underway. Some 500 women are being recruited at Mansoura University in Egypt, while in another trial at the Sheba Medical Centre, Israel, 70 IVF patients will be randomly, selected to undergo the therapy with the Pipelle device.

Commenting on the research, Sanjay Vyas, a gynaecologist at Southmead Hospital, Bristol says: ‘This is very interesting work. Implantation failure when the quality of embryos transferred is good can be heartbreaking because it cannot be predicted.

‘This intervention is simple, and if it genuinely improves the implantation rate, it would be very good news. ‘We await the results of the larger trial with interest.’

Article: 19th December 2011 www.dailymail.co.uk

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A new study published in European Obstetrics & Gynaecology shows that just six months using the DuoFertility monitor and service gives the same chance of pregnancy as a cycle of in-vitro fertilisation (IVF) for many infertile couples. This study demonstrates that there is a viable non-invasive, drug-free alternative to IVF for thousands of couples, with the potential to save them (and the NHS) millions of pounds each year.

The paper is the first peer-reviewed publication of clinical pregnancy rates using the new DuoFertility product and service. Lead author, Dr. Oriane Chausiaux said “The results show that for couples suffering from unexplained infertility as well as a variety of other factors, twelve months using DuoFertility yields a higher clinical pregnancy rate than a cycle of IVF.” Not only is IVF invasive for the woman and demeaning for the man, but for many couples it is a procedure needlessly costing the NHS, or the couple themselves, thousands of pounds. A typical cycle of IVF in the private sector costs £7,000 all up. By comparison the DuoFertility program offers a year of monitoring and support for £500 - and it comes with a 12-month money-back pregnancy guarantee.

The publication coincides with the 200th reported pregnancy by users of DuoFertility, which was celebrated at the weekend with a party hosted by medical personality Dr. Miriam Stoppard. Dr. Stoppard, addressing the assembled parents and parents-to-be, said "[it is] the first product or service that I have seen in this arena which truly wraps around all of the needs of the couple, from the medical monitoring, to the review of this data by experts, and then the all-important emotional support that is provided."..."The results of the scientific studies on pregnancy rate are very encouraging, but do need to be followed up with live birth rates, and I look forward to seeing further research."

The authors of the study caution that although non-invasive and drug-free, DuoFertility is not suitable for all couples. Dr. Husheer, inventor of DuoFertility explained “although DuoFertility is suitable for around 80% of infertile couples, there are some couples with medically identified conditions that prevent natural conception, such as a woman with two blocked fallopian tubes. In these cases IVF is absolutely the right thing to do, enabling conception where it was previously a physical impossibility.”

About Cambridge Temperature Concepts Cambridge Temperature Concepts Limited (CTC) has developed a new kind of wireless physiological monitor, which measures body temperature, heat flow and movement with unprecedented resolution. The first application (DuoFertility) is in conception assistance for couples suffering infertility, however work is underway in areas as diverse as sleep quality monitoring, hypoglycemia detection, infection control and a range of veterinary applications. DuoFertility is a non-invasive, easy-to-use female fertility monitor. It is the most natural, convenient, and precise way of maximising the chances of getting pregnant.

CTC was founded by graduate students at the University of Cambridge in, winning business competitions at collegiate, university, regional and national levels prior to Angel funding. Less than 18 months later, the DuoFertility product had progressed from sheet-of-paper through medical device approvals, production prototype, Europe-wide trial, and had gained first direct-to-consumer sales.

Article: by Cambridge Temperature Concepts, 14th December 2011

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A fashion designer has been left distraught after she was turned down for IVF funding because her partner already has a son from a previous relationship.

Susi Henson, 33, is unable to conceive naturally as she suffers from polycystic ovary syndrome, which causes cysts to form on her ovaries. She and her partner Jay Nightingale visited their GP and were referred for treatment.

But after a six-month wait, the couple were told by health bosses their funding request had been turned down because Mr Nightingale, 40, has a 20-year-old son whom Ms Henson has never met. This means they will have to find £7,500 to pay for the treatment privately.

Health guidance organisation the National Institute of Clinical Excellence (NICE) recommends all couples with fertility problems aged between 23 and 39 should be allowed three courses of IVF paid for by the NHS. However, NHS Nottinghamshire County stipulates that couples who have a child from a previous relationship are not eligible.

Miss Henson, from Nottingham, said today: 'How can we not be classed as a childless couple? Jay's son lives in Wales, and I've never met him. 'It is a totally unfair system. If I lived in another part of the country I would be able to get funding.

'But the health authorities here won't allow for it. I believe it is totally wrong. It's discriminatory, a complete postcode lottery.' Miss Henson, who owns a corset-making firm, is now calling for the treatment to be made available for all infertile couples. She said: 'I'm sure I'm not the only one out there having these issues. I'm doing this not just for ourselves but for everyone else out there, men and women.

'The condition I have is a disease so treatment should be covered. 'My partner and I are both self-employed and are having to save a lot of cash to be able to think about paying for treatment. 'There must be many out there who cannot afford it. It isn't right.'

Miss Henson has been told that, before any IVF treatment, she will need a year-long course of the drug colmid. Treatment including IVF and the drug would cost £7,500.

She now has the backing of her local MP, Vernon Coaker, who has said he will raise the matter during Prime Minister's Questions. He added: 'The guidelines that are being used are very restrictive. It is something that needs reviewing.' The NICE guidelines do not have to be followed by local health authorities.

NHS Nottinghamshire County is following guidelines set by the East Midlands Specialised Commissioning Group, which works with health authorities in the region. Sharon Beamish, director of East Midlands Commissioning Group, said: 'Although the East Midlands Specialised Commissioning Group cannot comment on individual cases, we do recognise the difficult personal circumstances that some couples and individuals face.

'Our policy for IVF treatment covers the population of all nine PCT areas in the East Midlands. It is based on fair and specific criteria which ensure equitable access to IVF services across the East Midlands for thousands of people.'

Article: 8th July 2010 www.dailymail.co.uk

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