Fertility Counseling: Clinical Guide

329 Pages·2022·5.798 MB·English

by  Sharon N. Covington (editor)

Fertility Counseling: Clinical
Guide
Published online by Cambridge University Press
Published online by Cambridge University Press
Fertility Counseling: Clinical
Guide
2nd Edition
Edited by
Sharon N. Covington
ShadyGroveFertility,Rockville,MD
Published online by Cambridge University Press
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www.cambridge.org
Informationonthistitle:www.cambridge.org/9781009014298
DOI:10.1017/9781009030151
©SharonN.Covington2023
Thispublicationisincopyright.Subjecttostatutoryexception
andtotheprovisionsofrelevantcollectivelicensingagreements,
noreproductionofanypartmaytakeplacewithoutthewritten
permissionofCambridgeUniversityPress.
Firstpublished2015
Thissecondeditionpublished2023
AcataloguerecordforthispublicationisavailablefromtheBritishLibrary.
LibraryofCongressCataloging-in-PublicationData
Names:Covington,SharonN,editor.
Title:Fertilitycounseling:clinicalguide/editedbySharonNCovington.
Description:Secondedition.|Cambridge,UnitedKingdom;NewYork,NY:
CambridgeUniversityPress,2022.|Includesbibliographicalreferencesand
index.
Identifiers:LCCN2022020589(print)|LCCN2022020590(ebook)|ISBN
9781009014298(paperback)|ISBN9781009030151(ebook)
Subjects:MESH:Infertility–psychology|ReproductiveTechniques,Assisted–
psychology|Counseling
Classification:LCCRC889(print)|LCCRC889(ebook)|NLMWP570|DDC
616.6/92–dc23/eng/20220624
LCrecordavailableathttps://lccn.loc.gov/2022020589
LCebookrecordavailableathttps://lccn.loc.gov/2022020590
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Everyefforthasbeenmadeinpreparingthisbooktoprovideaccurateandup-to-
dateinformationthatisinaccordwithacceptedstandardsandpracticeatthetime
ofpublication.Althoughcasehistoriesaredrawnfromactualcases,everyeffort
hasbeenmadetodisguisetheidentitiesoftheindividualsinvolved.Nevertheless,
theauthors,editors,andpublisherscanmakenowarrantiesthattheinformation
containedhereinistotallyfreefromerror,notleastbecauseclinicalstandardsare
constantlychangingthroughresearchandregulation.Theauthors,editors,and
publishersthereforedisclaimallliabilityfordirectorconsequentialdamages
resultingfromtheuseofmaterialcontainedinthisbook.Readersarestrongly
advisedtopaycarefulattentiontoinformationprovidedbythemanufacturerof
anydrugsorequipmentthattheyplantouse.
Published online by Cambridge University Press
My passion for the field of fertility counseling derives from what family means to
me–
thefamilycreatedwiththeloveandunwaveringsupportfrommydearhusbandof
over50years,BarryT.Covington,andtheenergy,enthusiasm,commonvaluesand
bondsharedwiththechildrenwewereblessedwithandtheirgrowingfamilies:
MichelleCovingtonHarmon,herhusbandScottandtheirchildrenSean,Michaela
andLiam;
BrendanTruittCovington,hiswifeDarleneandtheirchildrenLukeandElaina;
LauraCovingtonMacNevin,herhusbandTomandtheirdaughterMargaret
Familyismorethanjustaword...itissomethingthatexistswithinyourheart.
Published online by Cambridge University Press
Published online by Cambridge University Press
Contents
Preface ix
ListofContributors xi
I Introduction 10 CounselingNonidentifiedGameteDonors 106
UschiVandenBroeckandLauraJosephs
1 CollaborativeReproductiveHealthcareModel:A
11 CounselingEmbryoDonors
Patient-CenteredApproachtoMedicaland
PsychosocialCare 1 andRecipients 115
ElaineGordonandMayaGrobel
SharonN.CovingtonandG.DavidAdamson
12 SpecialConsiderationsinGestational
2 ReproductivePsychologyandFertility
Counseling 31 SurrogacyAssessmentsand
Arrangements 125
SusanKlock
TaraSimpsonandMaryRiddle
13 DNAandtheEndofAnonymity:
II Therapeutic Approaches
Disclosure,Donor-LinkageandFertility
3 FertilityCounselingforIndividuals 39 Counseling 134
KateBourne
LindaApplegarth
4 FertilityCounselingforCouples 49 14 FamilyLifeafterDonorConception 144
MarilynCrawshaw,AstridIndekeuandJane
BrennanPetersonandKristyKoser
Ellis
5 FertilityCounselingwithGroups 59
LandonZakiandRachelRabinor
IV Addressing the Needs of Diverse
6 ASexualTherapyPrimerforFertility
Counselors 68 Populations
ErikaKelleyandSherylKingsberg
15 TheMaleExperiencewithFertilityand
7 “It’sComplicated”:TheIntersectBetween Counseling 153
PsychiatricDisordersandInfertility 79 BrennanPetersonandWilliamPetok
KatherineWilliamsandLauriPasch
16 CounselingLesbian,Gay,BisexualandQueer
8 “BeFruitfulandMultiply”:AddressingSpirituality FertilityPatients 162
inFertilityCounseling 88 SarahHolleyandLauriPasch
EileenDomboandMeganFlood
17 TransgenderAssistedReproductive
Technology 172
III Third Party Reproduction: Assessment JamieJoseph,TrystanReeseandMolly
Moravek
and Preparation
18 ARaciallyandCulturallySensitiveApproachto
9 CounselingRecipientsofNonidentifiedDonor FertilityCounseling 183
Gametes 97 KimberlyGrocherandTrudieGerrits
PatriciaSachsandCarolToll
vii
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Contents
V Special Topics in Fertility Counseling VI Practice Issues
19 ResilienceinReproductiveLoss 195 25 TelementalHealthinFertilityCounseling 255
IrvingLeon LaurenMagalnickBermanandCarrieEichberg
20 ReproductiveTraumaandPTSD:Onthe 26 NutsandBoltsofFertilityCounseling:
BattlefieldofFertilityCounseling 204 LegalIssuesandPractice
JanetJaffe Management 264
MargaretSwainandWilliamPetok
21 PregnancyLossCounseling 212
IrvingLeon 27 EthicalPlatformofAssistedReproduction 274
JulianneZweifelandJeanneO’Brien
22 “ALittleBitPregnant”:CounselingforRecurrent
PregnancyLoss 225
RaynaD.Markin
23 PregnancyandPostpartumAdjustmentin TheInternationalGlossaryonInfertility
FertilityCounseling 234 andFertilityCare,2017 282
TeniDavoudianandLauraCovington Index 300
24 WalkingtheTightrope:ThePregnantFertility Onlineresourcesandtoolsforfertilitycounseling
Counselor 245 practiceareavailableatwww.cambridge.org/coving
LauraCovingtonandJanetJaffe ton-clinical-guide
Password:ClinicalGuide2023
viii
Published online by Cambridge University Press
Preface
Fertility Counseling: Clinical Guide
transgender people requesting fertility preservation
Volume and/or family building assistance, patients of races
or cultures different from their healthcare profes-
The formulation of the second edition of Fertility
sionals, and the often-overlooked experience of men
Counseling occurred during the time of COVID-19. As
in treatment. Additional issues to consider, such as
theworldchangeddramaticallyandinstantly,sodidwe.
reproductive loss, trauma and resiliency, can “shake
Our mental health services were never more important.
or shape” the structure of treatment for both patients
My dear friend and colleague Linda Applegarth and
and fertility counselors. Pregnancy and postpartum
I were teaching a year-long training program, The
adjustment can present new challenges for our
Fertility Counseling Postgraduate Course, via live video
patients as well as unanticipated conflict when the
conferencetoaninternationalgroupofclinicianseagerto
fertility counselor becomes pregnant. Last, the roof
learnthisfield.WhenCOVID-19hitinMarch2020,and
of the house pertains to issues in clinical practice
despite the worldwide shut down, we were able to con-
that help hold the structure together and protect it:
tinue our course without missing a beat. Hearing the
legal framework, practice management and compe-
stories of what mental health professionals from India,
tency including telemental health which has shifted
the Philippines, Mexico, Greece, Australia, the Middle
the way most fertility counselors practice, and the
East, Africa (to name a few countries), as well as across
ever-changing complexities in reproductive medicine
theUSandCanada,wereexperiencingintheirworkand
that continue to present ethical challenges for all
personalliveswasbothheartbreakingandawe-inspiring.
clinicians. Having a strong ethical platform to address
In teaching this course and listening to my students
these issues provides both a roof and a foundation in
overthelastfiveyears,thevisionforasecondeditionwas
fertility counseling.
realized: a two-volume approach consisting of a clinical
With the encouragement of my long-time, wonder-
guide and an in-depth exploration of the concepts pre-
fullysupportiveeditoratCambridge,NickDunton,who
sented through case studies. In class, I often use the
recentlyretired,thescopeofthesecondeditionexpanded
analogy that we will be building a house over the year.
to twenty-seven chapters in each volume – fifty-four
As it relates to this edition, the foundation starts with
chapters in all, a calculation I failed to make when first
athoroughunderstandingofthemedicalandpsychoso-
committingtotherevision!Inconsideringthenecessary
cial issues of infertility and theoretical context of repro-
updates and additions, I thought about feedback from
ductive psychology. The framing of the house includes
readers,changesinreproductivemedicalcareoverrecent
thetherapeuticapproachestoprovidingfertilitycounsel-
years, and how terminology in this field continues to
ing–individual,coupleandgrouptherapy,andsupport-
evolve and change, reflecting today’s culture. What is
ingmethodspertainingtosexualtherapy,theintersection
acceptedtodaymaybeconsideredantiquatedorinappro-
of psychiatric disorders with infertility, and the use of
priatetomorrow.Themostprominentexample,“anony-
spirituality in treatment. Then we explore the rooms –
mous” has been eliminated from our reference since
counselinggamete/embryodonorsandrecipients,gesta-
anonymity no longer exists as a result of direct-to-con-
tional surrogate participants, as well as issues related to
sumerDNAtesting.
disclosure and family life after donor conception.
I am honored to have had an esteemed group of
Understanding the needs of all our patients, including
clinicians,researchers,academics,advocates,andcollea-
diverse groups who may or may not be infertile and,
gues write chapters in these volumes – forty-eight con-
yet, often feel marginalized, is imperative – LGBQ+,
tributors in all. Many are cherished friends as well as
ix
https://doi.org/10.1017/9781009030151.001 Published online by Cambridge University Press