Phyllis Lyon, on Right, Lesbian Activist and Gay Marriage Trailblazer, Dies at 95

When Phyllis Lyon married her partner of 55 years in 2008, they formed the first legal gay union in California.

Phyllis Lyon, who when she married her partner, Del Martin, in 2008 became part of the first legal gay union in California, died on Thursday at her home in San Francisco. She was 95.

Her sister, Patricia Lyon, confirmed the death.

Phyllis Lyon

Phyllis Lyon on the left with life long partner Del Martin

It was not their first wedding. In 2004, despite state and federal bans on same-sex marriage, then-Mayor Gavin Newsom of San Francisco began issuing marriage licenses to same-sex couples. Ms. Lyon and Ms. Martin were the first to receive one, but that union would be short-lived. The California Supreme Court invalidated their marriage a month later, arguing that the mayor had exceeded his legal authority.

Four years later, the same court declared same-sex marriages legal and Mr. Newsom invited the couple back as the first to be married under the new ruling. Ms. Martin died shortly after.

“I am devastated,” Ms. Lyon said following her wife’s death. “But I take some solace in knowing we were able to enjoy the ultimate rite of love and commitment before she passed.”

The mauve and turquoise-blue suits that the couple wore to their weddings are in the permanent collection of the GLBT Historical Society in San Francisco.

Mr. Newsom, who is now the governor of California, said on Twitter: “Phyllis — it was the honor of a lifetime to marry you & Del. Your courage changed the course of history.”

Phyllis Ann Lyon was born on Nov. 10, 1924, in Tulsa, Okla. to William Ranft Lyon, who was a salesman, and Lorena Belle (Ferguson) Lyon, who was a homemaker. The family moved to Sacramento, Calif., in the early 1940s.

After graduating from the University of California, Berkeley, in 1946 with a degree in journalism, Ms. Lyon worked as a reporter for the Chico Enterprise-Record in Chico, Calif. She moved to Seattle in 1949 to work at a construction trade journal, where Ms. Martin was also employed. They began dating and, on Valentine’s Day in 1953, moved in together in San Francisco.

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New York State Legalizes Gestational Surrogacy

legal surrogacy in New York

 

New York State Legalizes Gestational Surrogacy

A protracted battle over the future of compensated gestational surrogacy in New York was resolved on April 2 when state lawmakers approved a budget that included legislation proposed by out gay Manhattan State Senator Brad Hoylman and Westchester Assemblymember Amy Paulin that legalizes gestational surrogacy once and for all.legal surrogacy in New York

Although New York was one of just a small handful of states that had yet to legalize the practice, which entails a surrogate carrying a baby who has no biological relation to her, the campaign to pass such legislation in the state was stymied last year by concerns that the surrogates who carry babies — as well as those women donating eggs — were not afforded sufficient protection and rights. The bill put forth by Paulin and Hoylman, who had his two daughters via surrogacy, cleared the upper chamber last year but never reached the Assembly floor following resistance from some women in the lower chamber, including out lesbian Assemblymember Deborah Glick, who told The New York Times that gestational surrogacy was “pregnancy for a fee, and I find that commodification of women troubling.”

Among other issues with last year’s bill, Glick and others expressed uneasinessabout the reality that most working people could not afford to spend tens of thousands of dollars to have children through gestational surrogacy. The bill primarily benefits wealthier individuals in addition to those who are looking for financial compensation by donating eggs or carrying babies.

Hoylman, however, told Gay City News in February that he hopes the push towards universal healthcare means that such reforms could eventually alleviate some of the healthcare costs of surrogacy.

The dispute over the future of surrogacy in the state continued into this year when Manhattan State Senator Liz Krueger and Assemblymember Didi Barrett of Dutchess and Columbia Counties introduced a separate surrogacy bill that would have included, among other provisions, a controversial eight-day window during which the surrogate and intended parents would share legal responsibility for the child — raising questions about whether the surrogate might refuse to turn the child over or seek some ongoing legal relationship with them — something Hoylman described in a February interview with Gay City News as a “non-starter.”

The eight-day window was not included in the final version of Hoylman and Paulin’s bill, but some elements of Krueger’s legislation appear to have been incorporated, such as additional protections for the surrogate and the egg donor. Hoylman and Paulin had long defended their own bill as boasting the “strongest protections in the nation for surrogates” by placing significant responsibility on the intended parents to pay for her healthcare, legal representation, and other costs tied to the pregnancy. Additional protections for egg donors were also included in this year’s bill.

By Matt Tracy, Gay City News, April 2, 2020

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Legal Surrogacy in New York – Albany lawmakers pass landmark legislation

legal surrogacy in New York

Legal Surrogacy in New York – Albany lawmakers pass landmark legislation

Legal Surrogacy in New York – Albany lawmakers pass landmark legislation, The Child Parent Security Act.  In a marathon budget session, New York lawmakers passed The Child Parent Security Act, the most protective and forward-thinking surrogacy legislation in the country.  Only Michigan and Louisiana continue to ban gestational surrogacy for LGBT individuals and couples, Michigan banning gestational surrogacy for all Michiganders.legal surrogacy in New York

While legal surrogacy in New York seemed doomed after it failed to be brought to the floor for a vote last year in the Assembly after passage in the Senate and vocal support of the Governor, this year the Child Parent Security Act was tied to the budget.  This move forced lawmakers to affirmatively support or oppose the Bill, something that they had been reticent to do in June of 2019.  The bill becomes the law of New York on February 15, 2021.

The reality of legal surrogacy in New York is the product of a massive effort on the part of many organizations and individuals.  From Men Having Babies to The Women’s Bar of New York, several organizations have stepped up to the plate to make legal surrogacy in New York a reality.  Ron Poole-Dayan, Executive Director of Men Having Babies, the non-profit organization that has spearheaded educational and ethical surrogacy initiatives around the world, said, “The CPSA is the most comprehensive, thoughtful and ethical surrogacy legislation ever drafted. It is particularly important now in the midst of a health crisis, to pass this legislation that provides New Yorkers an ethical and affordable path to the realizing their parenthood dreams.  This is landmark legislation and we are proud of our lawmakers for taking this important step to help LGBT families prosper.”  “It’s an amazing day and it’s nice to be able to celebrate in these dark times.  The bill only passed when the issue grew into a moment and everyone played an important role,” stated Denise Seidleman, the New York attorney who was instrumental in drafting the legislation.

“We are overjoyed for New York families, as they finally are able to access gestational surrogacy if they need it to build their family.  This has been a marathon, with many teammates along the way.  This kind of win takes people raising their voice and advocating – we thank everyone who did just that.  A huge thanks to RESOLVE advocate Risa Levine, and the Protecting Modern Families Coalition that got this over the finish line. We are honored to work alongside an incredible coalition,” said Barb Collura, CEO and President of RESOLVE, The National Fertility Association.

“This is a game changer!  It will bring so much opportunity for our local IP’s, as well as our local clinics and potential surrogates.  Being an east coast based agency, Circle has a lot of intended parents who live in NY and the entire tri-state area,” said Jen Rachman, the New York Representative for Circle Surrogacy, a Boston based surrogacy agency.

How This Law is Unique

legal surrogacy in New YorkThis legislation is unique in several ways.  First, it contains a Surrogates Bill of Rights, which is the first of its kind in the country.  It provides specifically for independent counsel, health and welfare decision making authority during the pregnancy and full medical and legal informed consent of all New York women acting as surrogate mothers for intended parents.  It also provides for psychological counseling, life insurance and the ability of the surrogate to terminate the agreement prior to embryo transfer. 

The Child Parent Security Act also creates two formal, but voluntary, registries, one for egg donors and the other for surrogate mothers, which tracks information on the number of times someone has served as a donor or surrogate, their health information and any other information that the Health Commissioner deems appropriate.  The legislation also allows for consultation with The American Society of Reproductive Medicine (ASRM) to develop the best medical screening guidelines for potential surrogates.

Establishment of Parentage

The Child Parent Security Act, while creating legal surrogacy in New York, also provides for the establishment of parentage for intended parents of surrogacy, as well as lesbian couples who use a known sperm donor to assist them in having their families.  The process is known as a Pre-Birth Order and allows a court to issue a court order which terminates the rights of the surrogate and her spouse, or the known sperm donor, and affirms the legal parentage of the intended parents in a fully recognized court order which goes into effect at the moment of birth of the child.  The law also officially recognizes parentage orders from other states, ensuring that NY parents who have previously had children with surrogates in other states and obtained birth orders in those states to establish parentage, can rest assured that the other state’s order will be recognized by statute in New York.

Before this law’s passage, intended parents who resided in New York had few options to establish parentage.  Second or step parent adoption, a time consuming and somewhat invasive process, was the only way of establishing parental rights in New York.

The Ethics of The Child Parent Security Act

Regulation is the key to achieving ethical surrogacy. The Child Parent Security Act provides for more than just baseline protections and suggested protocols for an ethical journey.  The Surrogates Bill of Rights is a huge step toward ensuring that the process is balanced and that the woman acting as a surrogate mother has agency and support throughout the process.  The law also provides for the security of parentage, which assures that all parties are working toward a single goal of creating a family for the intended parent or parents. 

New York Adapts to Modern Family Creation

New York, in the midst of a global pandemic, and under the powerful and consistent guidance of Governor Andrew Cuomo, has brought its family law into the 21st century.  Many, myself included, could not comprehend how such a progressive and diverse state could lag so far behind the rest of the country in its recognition and support of assisted reproduction.  I was fortunate to sit on the Governor’s commission for the passage of The Child Parent Security Act and am a constituent of Assemblyperson Deborah Glick, who had opposed the legislation until last June.  To her credit, she met with me to discuss the legislation and I was able to correspond with her staff about surrogacy on several occasions. 

The passage of this legislation was truly a collaborative effort and the hard work of every person who worked on the coalition to pass the Child Parent Security act deserves credit for making legal surrogacy in New York a reality.  Whether a cancer survivor, an infertile couple or an LGBT New Yorker, this law now allows for the option of remaining in New York to create a family.  Finally, I want to thank Governor Cuomo for having the confidence in this law’s wisdom to add it to the budget bill.  This strategy was instrumental in its passing and the Governor deserves a great deal of credit and gratitude.  Legal surrogacy in New York!  I have waited to celebrate this moment for years!

April 2, 2020 by Anthony M. Brown, Esq.

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How Coronavirus Is Affecting Surrogacy, Foster Care and Adoption

How Coronavirus Is Affecting Surrogacy

How Coronavirus Is Affecting Surrogacy – The pandemic is not just impacting parents and pregnant people — all prospective parents are facing new challenges.

How Coronavirus Is Affecting Surrogacy – Covid-19, the disease caused by the novel coronavirus, has upended life for those who are or hope to become pregnant in the United States. Fertility doctors have indefinitely postponed all advanced fertility treatments, and some major hospitals in hard-hit areas are trying to ban partners and doulas from delivery rooms.

But the pandemic is affecting expectant parents forming families through surrogacy, foster care and adoption as well.

Global travel restrictions have left surrogacy agencies in the United States scrambling for exemptions for their international clients — particularly for those whose surrogates are scheduled to give birth in the next month or two.How Coronavirus Is Affecting Surrogacy

Circle Surrogacy, an agency based in Boston, has 15 international clients with due dates before May 1. “We’ve had our legal team prepare letters for each of these families, which has gotten many of them into the country despite travel bans,” said Sam Hyde, the agency’s president. Still, he said, his foreign clients were at the mercy of individual immigration officials. “Some have been sympathetic to the plight of our clients, others have not — it’s really been a case-by-case basis.”

 

Some intended parents, as clients of surrogacy agencies are known, who are currently struggling to gain entry into the United States are hoping to do so after completing a 14-day quarantine in a country with less severe travel restrictions.

Last week, for instance, Johnny and Patty — a Chinese couple working with a surrogate living in South Carolina — traveled from Shanghai to Phnom Penh, Cambodia, to begin two weeks in isolation at a local hotel. The couple, who work for an international company and use these westernized names, asked that their last name be withheld since surrogacy is still relatively uncommon in China. They hope to complete their quarantine in time to witness the birth of their daughter, who is due in mid-April, and claim guardianship over her.

But with travel restrictions tightening seemingly daily, they worry their effort may still be in vain. “First we bought plane tickets to travel through Thailand, but now travel is restricted there,” Johnny said in an interview from their hotel on the second day of his quarantine. “Then we tried Dubai, but that is now also restricted.” Traveling via Cambodia, he said, was the couple’s “last hope” to reach the United States in time for their daughter’s birth.

Though they would be disappointed to miss the delivery, the couple said they were even more concerned, in that scenario, about the baby’s well-being in the ensuing days before they are allowed to travel. “Who will take care of our baby if we can’t arrive before she’s born?” Patty said.

Will Halm, a managing partner at International Reproductive Law Group, said surrogacy agencies were creating contingency plans for clients living abroad who may be prohibited from entering the United States over the next few months. “Plan A is absolutely to have parents in the U.S., joyfully watching their child being born,” he said. “If they can’t get into the country in time, that’s when we look to plans B, C and D.”

 

In one of the better scenarios, agencies hope friends or family members living in the United States can temporarily assume guardianship of the baby until the intended parents are granted entry into the country. As a backup, however, caseworkers are also preparing strangers — health care professionals, child care providers and even surrogates themselves — to care for the newborns until travel restrictions are eased.

“These babies will not be abandoned,” said Dr. Kim Bergman, founder of Growing Generations, a surrogacy agency with dozens of international clients who may be impacted by travel bans in the coming months. “We have an army of former surrogates who are ready and eager to act as helpers and guardians for as long as necessary.”

The ongoing crisis has created an uncertain environment for foster care parents and children as well. “Basically, everything is on pause until things are back to normal,” said Trey Rabun, who works as a services supervisor at Amara, a foster care agency based in Seattle, Wash. — one of a growing number of states ordering its citizens to work from home.

Amara, whose staff members are included in the state’s proclamation, has been able to continue some aspects of the licensing process for foster parents online, such as initial interviews. But other critical components, like home inspections, need to be done in person, Rabun said.

As a result, the number of foster homes, already all too scarce in Washington before the crisis hit, will remain static for the state’s over 10,000 foster care children until the pandemic subsides and business returns to normal, Rabun said. Of bigger concern to him, and other foster care professionals throughout the country, is the impact that “stay at home” orders may have on children not yet accounted for in the system.

“We know abuse and neglect happen more in high-stress situations,” Rabun said. But the people who would normally notice and report these sorts of problem, like teachers and doctors, will be unable to do so in the days and weeks ahead. “No one has eyes on them,” he said.

With courts and other government offices closed in many states, parents who had hoped to finalize adoptions within the next couple of months are also now navigating a drastically changed landscape — particularly for parents completing adoptions abroad.

 

Early in the year, when the coronavirus was barely registering as a news story outside of Asia, Holt International — an agency that facilitates adoption placements between Chinese orphanages and adoptive parents in the United States — was already closely monitoring and responding to the outbreak.

NYTimes.com, by David Dodge, April 1, 2020

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The UK Supreme Court awards damages for commercial surrogacy

UK Supreme Court

A landmark ruling by The UK Supreme Court awards damages to a woman for Californian commercial surrogacy following a delay in detecting cancer in smear tests and biopsies.

Louisa Ghevaert provided expert evidence on surrogacy to the UK Supreme Court, donor conception and fertility law in this case and comments:UK Supreme Court

“This legal ruling from the UK Supreme Court is an important watershed in the development of medical negligence, fertility and surrogacy law in the UK. It enables a ‘surrogacy’ head of claim in cases where a person’s fertility and ability to conceive a child has been lost or impaired through medical negligence, including claims for overseas commercial surrogacy in appropriate cases. It marks a real step forward in recognising the value and importance of individual fertility and surrogacy. However, there is still more that needs to be done to preserve and protect people’s fertility and their ability to have children”.

Background

The Defendant admitted failing to detect signs of cancer from smear tests in 2008 and 2012 and biopsies in 2012 and 2013. As a result, the  Claimant developed invasive cancer of the cervix which required chemo-radiotherapy treatment that rendered her infertile and caused severe radiation damage to her bladder, bowel and vagina.

Due to the late cancer diagnosis and the increased size of the tumour, the Claimant was unable to have fertility sparing surgery and suffered a complete loss of fertility. This was a devastating blow as she had always wanted a large family of her own.  She was so devastated by the diagnosis that she postponed her cancer treatment twice to obtain further medical opinions about the viability of fertility sparing surgery. On learning this was not available to her, she underwent a cycle of ovarian stimulation in June 2013 and harvested and froze 8 mature eggs.  A few days later, she underwent surgery followed by chemo-radiotherapy. This caused irreparable damage to her uterus and ovaries so she could not conceive or carry a pregnancy and it caused her to enter premature menopause.

The Claimant therefore sought damages to enable her to enter into a commercial surrogacy arrangement in California to have a much wanted family of her own. In contrast to the informal and legally restricted nature of surrogacy in the UK, commercial surrogacy in California operates through a well established system which offers legally binding surrogacy arrangements and pre-birth orders in the Californian court.

Legal Ruling

The case was first heard in the English High Court in June 2017, where a limited damages award for two altruistic UK surrogacies was made in the sum of £74,000.  

Louisa Ghevaeart Blog, April 1, 2020

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Shielding the Fetus From the Coronavirus

coronavirus fetus

New studies suggest the Coronavirus can cross the placenta to the fetus, but newborns have been mildly affected if at all.

Newborns and babies have so far seemed to be largely unaffected by the coronavirus, but three new studies suggest that the virus may reach the fetus in utero.coronavirus fetus

Even in these studies, the newborns seemed only mildly affected, if at all — which is reassuring, experts said. And the studies are small and inconclusive on whether the virus does truly breach the placenta.

“I don’t look at this and think coronaviruses must cross across the placenta,” said Dr. Carolyn Coyne of the University of Pittsburgh, who studies the placenta as a barrier to viruses. She was not involved in the new work.

Still, the studies merit concern, she said, because if the virus does get through the placental barrier, it may pose a risk to the fetus earlier in gestation, when the fetal brain is most vulnerable.

Pregnant women are often more susceptible to respiratory infections such as influenza and to having more complications for themselves and their babies as a result. It’s still unclear whether pregnant women are more likely to contract the new coronavirus, said Dr. Christina Chambers, a perinatal epidemiologist at the University of California in San Diego.

“We don’t have any knowledge of that at all — that is a complete open question at this point,” she said. It’s also unclear what effect the virus has on the fetus, she added.

The placenta usually blocks harmful viruses and bacteria from reaching the fetus. And it allows in helpful antibodies from the mother that can keep the fetus safe from any germs, before and after birth.

Still, a few viruses do get through to the fetus and can wreak havoc. The most recent example is Zika, which can cause microcephaly and profound neurological damage, especially if contracted in the first and second trimesters.

Neither the new coronavirus, nor its more familiar cousins, has seemed to belong to this more dangerous category. If so, “we would be seeing higher levels of miscarriage and preterm delivery,” Dr. Coyne said.

NYTimes.com by Apoorva MAndavilli, March 27, 2020
 
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Effect of COVID-19 on LGBTQ Family Planning

Effect of COVID-19 on LGBTQ family planning

The Effect of COVID-19 on LGBTQ Family Planning is evolving and far reaching.  It is also temporary.

Effect of COVID-19 on LGBTQ Family Planning – The COVID-19 pandemic has affected us all in ways more numerous to describe.  Those of us with families have had to learn about home schooling, some the hard way (me).  Everyone has had to adjust to what essentially has become a home quarantine situation and the emotional effects of social isolation.  And we are all witness to the world going through a major change which will create a new reality for everyone when we emerge on the other side.  But we will emerge on the other side. effect of COVID-19 0n LGBTQ family planning

While I myself have experienced the loss of a friend due to the virus, as well as the infection of a family member, I know that we all are doing our best to maintain a sense of normalcy and peace within.  Practicing this type of self-care will help mitigate the effects of COVID-19 on LGBTQ family planning.

The effects of COVID-19 on LGBTQ family planning are very real.  I have said in the past that there are no accidental pregnancies in the LGBTQ community.  Everything is carefully thought out and planned in advance.  However, the COVID-19 virus has created specific and real-world disruptions to our ability to create families.

For example, those were using, or planning to use, an IVF clinic for either surrogacy, artificial insemination (AI), intrauterine insemination (IUI) or in vitro fertilization (IVF) procedures have experienced an actual shut down of normal operations.  The clinic administrators that I have spoken with are optimistic that once the virus is contained, or at least the infection curve has flattened, that they will resume normal operations.  For the time being, they are following ASRM guidelines.  But they will also be dealing with backlogs of patients and procedures that may cause further delay in your family building timeline. 

effect of COVID-19 0n LGBTQ family planningFor lesbian couples who have thoughtfully chosen to use a clinic to assist in insemination, this delay is not only frustrating, it can also change the projected timeline of their families.  Even those couples who choose anonymous sperm donors will most likely have to wait an indefinite period of time to undergo AI or IUI procedures.  For those who choose known sperm donors, the essential DNA testing that is a prerequisite for clinic inseminations will also be on a delayed time schedule.

Gay male couples who are considering surrogacy are facing an even more complicated challenge.  First, there will inevitably be a delay in the embryo creation aspect of the beginning of their journey due to IVF clinic shutdowns.  If an intended parent already has embryos created, perhaps from a previous surrogacy journey, they may be in a better position.  However, they will also experience a delay in embryo transfer until restrictions on IVF clinic activities are lifted.  A silver lining is that they will be able to match with surrogates sooner, thereby shortening the time to pregnancy once those IVF restrictions are lifted.

Lesbian couples who choose a known sperm donor and home insemination may be the only group in our community who might not experience the delays discussed above.  However, these types of inseminations will not have the benefit of genetic testing and, for the safety and security of all parties, must have carefully prepared legal agreements in place and a second or stepparent adoption plan incorporated into that agreement.

For those in the midst of a surrogacy journey, perhaps awaiting their carrier to give birth, the effects of COVID-19 on LGBT family planning can be particularly frustrating due to travel and hospital restrictions.  Many hospitals are restricting the number of people who can be in a delivery room, particularly if they have traveled from an area that has been severely affected by COVID-19, like New York, Washington or California.  Be prepared for snags in the road and lots of patience.  You will go home with your child!  You may have to be flexible in your travel plans, i.e. be prepared for long drives instead of air travel.

For lesbian couples and gay men with surrogates who are pregnant, there is a limited study from Wuhan China showing that babies of mothers with the virus were not effected, meaning that there was no vertical transmission.

Couples considering adoptions are also at a bit of a standstill depending on where they live in the US.  Most state court systems have closed to all but “essential” proceedings.  While I would argue that adoptions are essential, the courts have determined that they are not.  I have several cases now awaiting the scheduling of finalization hearings that are simply on hold until the pandemic subsides.  This includes private placement adoptions and step or second parent adoptions.  This does not mean that making connections with birth parents must be put on hold, but the legal work that is required to effectuate the adoption may be delayed, causing additional anxiety.Effect of COIVD-19 on LGBTQ family planning

You may be asking what you can do to mitigate the effects of COVID-19 on LGBTQ family planning.  I know that I am.  Here are a few options that you can consider now.

  1. Make sure that your Estate Plan is in place and up to date. Ask yourself, “Do I need a Will?”  If you have named guardians for children in your Wills, please review to make sure that they are current and correct.  If you have not created an Estate Plan, now is a good time to do the work to ensure that you have prepared for the unexpected.  Here is a list of the documents you should be considering for your estate plan.  We have also seen a relaxation of Notary laws allowing for online notarizations.  This can make the execution of documents much easier in certain states.
  2. If you have been thinking about creating your family, now is a great time to do more research. Men Having Babies is a great resource for surrogacy.  “If These Ovaries Could Talk” is a wonderful podcast for all LGBTQ family planning.  This should include speaking with your friends who have had children to get their perspectives on the process.  It is also a really good time also to start thinking about the financial implications of having a family.  Many of us will be irreparably financially harmed by the COVID-19 pandemic.  Many of us will have to rethink the timelines we had anticipated would apply to our family planning journeys.  You may want to meet with a financial professional to discuss the best way to get your family plan back on track.
  3. Practice self-care! Whether you have children or not, staying calm and finding peace in your heart will help you get through this.  While you might feel alone, you are not alone.  Reach out and find solace in your friends and family if you can.  Take walks if you can and get outside.  Remind yourself of what will be on the other side of this experience.

If you have specific questions about how to address the effects of COVID-19 on LGBTQ family planning and estate planning, and you think I can be of help, please do not hesitate to reach out to me.  Thank you for taking the time to read this and remember to breathe.

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ASRM Guidelines on Fertility Care During COVID-19 Pandemic

ASRM guidelines COVID-19

ASRM Guidelines on Fertility Care During COVID-19 Pandemic: Calls for Suspension of Most Treatments

ASRM Guidelines on COVID-19: The American Society for Reproductive Medicine (ASRM), the global leader in reproductive medicine, today issues new guidance for its members as they manage patients in the midst of the COVID-19 pandemic.  Developed by an expert Task Force, of physicians, embryologists, and mental health professionals, the new document recommends suspension of new, non-urgent treatments.ASRM guidelines COVID -19

Specifically, the recommendations include:

  1. Suspension of initiation of new treatment cycles, including ovulation induction, intrauterine inseminations (IUIs), in vitro fertilization (IVF) including retrievals and frozen embryo transfers, as well as non-urgent gamete cryopreservation.
  2. Strongly consider cancellation of all embryo transfers, whether fresh or frozen. 
  3. Continue to care for patients who are currently ‘in-cycle’ or who require urgent stimulation and cryopreservation.
  4. Suspend elective surgeries and non-urgent diagnostic procedures.
  5. Minimize in-person interactions and increase utilization of telehealth.

The above recommendations will be revisited periodically as the pandemic evolves, but no later than March 30, 2020, with the aim of resuming usual patient care as soon and as safely as possible.  ASRM has been closely monitoring developments around COVID-19 since its emergence. Data on its impact on pregnancy and reproduction remains limited. However, the task force used best available data, and the expertise and experience of the members to develop the recommendations. Until more is known about the virus, and while we remain in the midst of a public health emergency, it is best to avoid initiation of new treatment cycles for infertility patients. Similarly, non-medically urgent gamete preservation treatments, such as egg freezing, should be suspended for the time being as well. Clinics who have patients under treatment mid-cycle should ensure they have adequate staff to complete the patient’s treatment and should strongly encourage postponing, the embryo transfer.

Ricardo Azziz, CEO of the ASRM stated, “This is not going to be easy for infertility patients and reproductive care practices. We know the sacrifices patients have to make under the best of circumstances, and we are loath to in add, in any way. to that burden. And it will not be easy for our members. The disruption to routines, the stress on staff members and the very real prospect of economic hardship loom large for ASRM members all over the world.  But the fact is that given what we know, as well as what we don’t, suspending non-urgent fertility care is really the most prudent course of action at this time.”

Dr. Racowsky added, “We should recognize that the situation on the ground is fluid, and as such we will continue to revisit and review our recommendations at least every two weeks, to provide providers and their patients with the best information and support we possibly can.”

ASRM Press Release – May 17, 2020

Click here to read the entire release

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Richard E. Weber, Beloved Lawyer Dies From Coronavirus Complications

Richard E. Weber

Richard E. Weber will be remembered as having brought ‘joy and exuberance’ to everything he did.

We have some unfortunate news today from New York, where an esteemed member of the legal profession passed away due to complications of coronavirus.Richard E. Weber

Richard E. Weber, 57, was a partner at Gallo Vitucci Klar as well as a board member of the LGBT Bar Association of New York. Big Law Business has some additional details on his death:

“Everyone at Gallo Vitucci Klar LLP is heartbroken and devastated by the loss of Richard,” senior partner Howard P. Klar said in an emailed statement. “He was a wonderful attorney and shining light at our firm. Our thoughts right now are with his family.”

Klar said the firm’s Manhattan office has been closed since Weber disclosed his symptoms on March 10. Attorneys and staff have been working remotely and the office was deep cleaned and disinfected. No one else at that office or the firm has had any Covid-19 symptoms or a positive diagnosis, he said.

According to Eric Lesh, executive director of LeGaL, Weber had been hospitalized and tested positive for COVID-19. Three days before Weber died, he have a conversation with Lesh where he “convey[ed] … that this was the sickest he’d ever been and that he was recovering and on the mend.” From the LGBT Bar’s Facebook 

“It is with heavy hearts that we reach out to LeGaL’s members and friends with news of devastating loss of our longtime board member, Richard Weber, to Coronavirus complications.

We cherish Richard’s memory and hold his partner, Antonio, and family in our hearts. Richard gave generously of his time and talents to improve the lives of LGBTQ New Yorkers.”

AboveTheLaw.com, March 20, 2020 by Staci Zaretsky

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Source: Time for Families

COVID-19 and CoronaVirus Effects on Pregnancy, What the Few Studies Have Shown Us

COVID-19

COVID-19 and CoronaVirus Effects on Pregnancy, What the Few Studies Have Shown Us

COVID-19 and CoronaVirus Effects on Pregnancy, What the Few Studies Have Shown Us.

Dr. Said Daneshmand MD, FACOG discusses COVID-19 and Pregnancy and the few studies that exist.  While this is ever changing, this is the first discussion of the effects of CoronaVirus, COVID 19 on pregnancy.

 

 

Click here to view the Video on YouTube.

 

The post COVID-19 and CoronaVirus Effects on Pregnancy, What the Few Studies Have Shown Us appeared first on Time For Families.


Source: Time for Families