Kamrava has run an unethical practice on many levels. Yet he’s still defended or weakly criticized. He’s misrepresented his accreditation, his billing practices have been questioned, his success rates are poor and beyond corner-cutteing and sharp dealing, and he has put women and their children at grave risk of death and injury.

Picking up the tab for high-order multiple pregnancy interventions in the medical system is falling to the state. Don’t be surprised when the government, seeing the harm and the lack of internal professional controls or reaction to bad practices, and not only that but ALSO creating huge monetary outlays for what would otherwise be avoidable care ( if regulated) is going to result in regulation.

If Kamrava had been exposed, condemned, run out of any advisory “club” or professional association, at once and without reservation, there would be less backlash and rush to control what you won’t control.

“These guidelines were developed to deal with what we saw as a growing problem of triplet and higher multiple births as a result of (fertility) treatments,” wrote Sean Tipton, director of public affairs. “We can, and have removed members for violations of those policies and for failure to adhere to our guidelines. However, we do not have the ability to stop someone from legally practicing medicine. For that we look to policy makers like you and therefore support HB 810.””

http://www.stjoenews.net/news/2009/mar/04/schaaf-targets-fertility-treatments/?local

The bill as written is VERY simple, doesn’t go off on any tangents whatsoever like the Georgia bill:

Be it enacted by the General Assembly of the state of Missouri, as follows:

Section A. Chapter 334, RSMo, is amended by adding thereto one new section, to be known as section 334.350, to read as follows:

334.350. When treating infertility, physicians within the state of Missouri shall not implant more embryos into a human than the current recommendations set forth by the American Society for Reproductive Medicine, or its successor.

http://www.house.mo.gov/billtracking/bills091/biltxt/intro/HB0810I.htm

Georgia ‘octomom’ bill referred for more study

ATLANTA—A Georgia measure that would place first-in-the-nation restrictions on the number of embryos fertility doctors may implant likely won’t pass this year after it was shipped to a subcommittee on Thursday for more study.

“The Ethical Treatment of Human Embryos Act” was inspired by California’s “octomom.” It would restrict the number of fertilized embryos a woman could create and implant through in-vitro treatments.

The issue is expected to resurface next year. Several key state lawmakers said they supported the thinking behind the legislation but that it needed more study to avoid legal challenges. Parliamentary rules say any bill would have to reported out of committee on Monday to be considered this session, meaning the measure is effectively dead.

State Sen. Ralph Hudgens said he sponsored the bill to avoid Georgia spawning its own Nadya Suleman. Suleman gave birth to octuplets in Bellflower, Calif., on Jan. 26. She has six other children, lives in her mother’s three-bedroom home and has relied on food stamps and disability income to provide for her family.

At a packed state Senate hearing, opponents said the bill would be devastating to Georgia’s fertility industry, putting treatment out of reach for couples desperate to become pregnant. (the link gives the full article
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So, it seems a bill submitted by Senator Hudgens, with a background in agriculture, Shell Oil and current owner of a waste management business, might have faced “legal challenges” DUH!

“The bill was waiting in the wings by the so-called “pro-life” Georgia branch. It is a masked attack on all reproductive rights.”

Senator Hudgens has a 100 score from the Christian Coalition.

Any legislation written concerning this needs to come from professionals in the field of reproductive medicine along with attorneys who are aware of all case law concerning this issue, and uh, maybe the Constitution also?

I am a regular visitor of your site and I have a question about progesterone supplements.

I had done 3 cycles of IUI and got pregnant on 3rd time. Now I am 7 weeks pregnant.

My RE put me on Prometrium tablets (200mg) orally twice a day after my IUI.

I had a blood test done on 15th day after IUI and found that HCG level is 135 and progesterone level at 19.7. My doctor said even though I am on supplements the level is still low and doctor increased it to 3 times a day (200mg each).

Then on 6 weeks and 4 days, I had one ultrasound and blood test. We found a heartbeat (126) and my progesterone is now at 56.7.

So doctor told me to completely stop the Prometrium. But I am really scared to stop it. but my RE is not all concerned about it.

I am really scared and I want to keep this baby.

Do you think it’s safe to stop it now? Will my level drop again if I stop it suddenly? Do you think I should reduce the dose and continue it for some more time? Is there any harm if I continue this medicine? I have read in internet that people normally take it until 12 weeks.

I would really appreciate your help.

Regards,
Ann

I don’t believe IUI causes high-order multiples because it’s just putting the sperm closer to the egg to increase the odds of fertilization. But, when you combine IUI with fertility-enhancing drugs that can overstimulate the ovaries to release more than one egg per cycle, you increase the odds of having multiples because now you have more eggs. I believe Jon & Kate used injectibles the cycle they conceived the sextuplets, and a friend conceived triplets after using injectibles and having an IUI. That’s why most REs will do an u/s scan before an IUI to check on the number of eggs.

Interesting take on the wealth vs. poverty stance. No one’s complaining that the Duggars have 18 children now because they can afford to care for them. I’m still in favor of reversible sterilization for both the men & women in order to qualify for welfare. A guy on my street was bragging last week that he finally got his girlfriend pregnant because now she can go live in a halfway house for unwed, pregnant women. They don’t have ten dollars between them, and they’re bringing a child into the world . . . to qualify for free housing. And I know of women who wanted to have one more child because then they would get an apartment with 3 bedrooms instead of two on taxpayer money. Okay, I’m venting and getting off topic. Sorry.

What I don’t understand is why all this legislation talk focuses on IVF. Doesn’t IUI cause most high order multiples?

(By the way, in your next post detailing the bill can you explain this section: “The in vitro human embryo shall not be intentionally destroyed for any purpose by any person or entity or through the actions of such person or entity.” If they’re saying you can’t destroy an embryo, wouldn’t that be a violation of the right to have an abortion?)