It’s not always easy to achieve the dream of having a baby, but with the right support, patients can have more control over the outcome. It’s supposed to be the most natural thing in the world, to have a healthy baby. So, when patients come up against fertility issues, it can leave them feeling emotional, anxious and alone. It can be hard to talk about and sometimes; as a result, relationships suffer.

My name is Dr Shadi Khalil, and I am here at The IVF Company to help patients get pregnant with the best available technology and clinical expertise. I have established The IVF Company with the mission to help patients who are trying hard to conceive worldwide. Our Company’s vision is to help patients across the globe with our acquired knowledge and clinical expertise out of the best experience from UK’s leading fertility institutes.

Whether it’s a man or a woman, we can help them both to find out their fertility status, boost the chances of conceiving, reduce the risk of miscarriage and gain peace of mind with an expert’s opinion. The IVF Company is the world first online IVF services in the social media making the IVF just a click away, where patients have access to some of the best British IVF science in the world.

I have started to publish a book series on The IVF Company’s website, which will help the patients to get information on every aspect of the IVF technologies and procedures. These books will also help clinical embryologists to gain knowledge straight out of the best experiences from UK’s leading fertility scientists.

I am glad to initiate the portal for patients to get them updated with the IVF technologies. Hopefully, it will help patients to get a better understanding of IVF. Also, it will help them to go through the challenging journey of having a baby. And to make it as less stressful as we can.

I am looking forward for feedback from the readers.

Best Regards

Dr Shadi Khalil
CEO-FOUNDER
The IVF Company

Top 12 questions you need to know about your eggs, sperm and embryos in your IVF cycle:

How is your embryos created in the IVF laboratory ?

The patient get ready the night before the egg collection, have food and drinks until midnight. The fasting start from midnight until the procedure time, patient arrive nice and early to the clinic. The admission start around 6.30 am, and that’s depend from clinic to clinic. The egg collection usually takes 10 to 20 mints, and the patient stay in the recovery until fully awake from the sedation.

All the IVF consent need to be done prior to the egg collection and that include the HFEA forms starting from the male treatment form MT, women treatment form WT, ICSI consent, disclosure consent CD for both patient and partner. Parenthood consent, withdrawal consent, surrogacy consent, donation consent, treatment and storage consent according to each specific IVF case.

The male partner come in that morning to produce the sample and go, easy peasy. He will be provided with a pot labelled with his name date of birth and his unique identification number. Now some male partner have no problem producing under pressure but there is some find it a bit stressful and they need some assistance. The assistance varies from getting help from his partner if she can. If she cant not we can provide him with vibrator. Or give him non spermicidal condom and can do it at home and bring it over within the hour if he lives near bye.

So the action start in making the babies once we receive the eggs from the patient and the sperm from her partner. The sample arrive to IVF lab to be checked and process and we always aware of the history so we can try to minimise any drama on the day.

Some male patient unfortunately they do not have sperm at all in their semen , therefore we have to organise a testicular either aspiration or extraction before hand and freeze the sperm for the day of collecting the eggs so we can thaw it on the day.

Let’s go back to the normal sperm sample, after we check there is enough sperm, we will tell the patient that he can eat and drink. the reason we do that just in case he couldn’t produce on the day and we tried everything including giving him Viagra that’s mean we going to take him to the theatre to aspirated some from his balls. It’s easy quick thing with a butterfly needle.

Ok, lets rock and roll now. We are excited, we have the eggs and we have the sperm, happy days. Let’s start with the eggs, the egg usually come from inside the big follicle as the patient see it in the scan. So we try to drain this fluid by little thin long needle (It’s not pretty by the way but thx god the patient do not have to see it). We put the follicle fluid in a tube and bring it to the lab to try to find the egg. Now I get this question a lot so thought to mention it here as well, “I had 15 big follicle, I saw them in the scan so why I had only 9 eggs for example”. The truth is that each big follicle does not necessary to have egg inside, this is because it could be an empty follicle that is why. The accurate number is when we collect them on that day, then we will really find out what was going on inside these follicles!

The egg look more beautiful than the sperm, I have to say. They are so fluffy, shiny and sensitive so we have to be very gentle with them. The opposite with the sperm, usually the sperm is a tough cookie. So once we spot this beautiful shiny eggy, we will immediately pick it up and wash it in a solution from any blood and put it safe with her sisters warm and cosy.

And then we go and check on the sperm and try to separate the moving strong gladiator ones from the Shiite shyt ones. So once we recover the strong moving ones, we will keep them save in a sperm solution in the dark until we organise the blind date time with the egg girlies.

What happen to your eggs & sperm in Day Zero ?

The eggs also get some beauty rest and ready for their blind date. When the time comes which usually early afternoon, they know its time to meet up. So we get the little warm box ready, its called crib. It’s a 37 degree and supplied with gas called CO2. Warm and cozy to break the ice, we bring the eggs in a tube labelled with patient name and their unique identification number to make absolute sure we are matching the right sperm with the right eggs. So the eggs arrive in the warm box and the sperm arrive at the same time. A human come to witness and match the names and the unique identification number. Once its confirmed by one of the qualified scientist, we get the go ahead to start the mating.

Now I want to mention there is different ways for the eggs and sperm to meet. The first one by putting the sperm and the eggs together and let them do their thing over night and its called IVF or if the sperm need our help, we will give him a hand by selecting him and injected him inside the egg, This is called ICSI.

Alright its time to finish work and go home and rest and come back like early bird to check if the sperm and eggs managed to fertilise each other or not. This is how your embryos created, lovely.

What happen to your embryos in Day one ?

Alright fox, we walk up early, have our breakfast, get dressed and head to work. Arrive nice and early to check all the IVF equipment and switch the warmbox again to get ready to bring the egg and sperm dish to check if they managed to do their thing. Usually the eggs comes fluffy full of cells surrounding it to protect it and feed from it. Unfortunately the sperm destroy these cells, to try to get in. But I have to say its a good thing because we want him or her to do this, we want him to get in and do his thing. So the sign of this called fertilisation check. It means we have to have two round things inside the egg. Not one, not three but only two. In another way to describe it, each circle contacting who you are as individuals from your personality, physical appearance, mentality, your emotions. Everything about imprinted as genetic code in this little circle which contains something called chromosomes and it should be 23. Not 24 or 22, just 23. So 23 from you and 23 from your partner to make it 46 the essential genetic code to create your beautiful baby.

Usually we get so so happy when we see these 2 little circle, its like adrenaline rush if I want to describe it because true is the beginning of life. This is where everyone of us on this planet started. No deference , no colour skin, no rich or poor, no scientist or lawyer, basically we all equal as we should be in life. Alrighty, unfortunately that is not always the case, some eggs comes out as 3 little circles and that is mean they have an extra 23 genetic material that most likely end up in a miscarriage or abnormal baby so we defiantly do not want that. Also the one little circle only is abnormal fertilisation and we do not want that either.

A lot of filtering happens in day one so we get rid of the bad ones and we are so excited to keep the normal ones ready to go to their journey and make a little baby. So we separate these normal little babies and put them Ina fresh solution that have enough nutrients to feed them until the day 3 comes. I get askew if we give them organic nutrients or not but the answer is unfortunately we did not excel with the science yet to produce organic stuff. Some of it actually organic but we cant guaranty that but its something to think off maybe it could improve the egg quality, who knows. I will put it in my dairy.

So after the witnessing is done and the babies moved to their new home for the coming 2 days, they go back to their home which is something called the incubator. This is a container is like handmade uterus keep the temperature of the babies at 37 degrees like the temperature of our body and provide them with a special mix gas, something to match to the Anil are environment as the uterus.

After we document this step in the Patients lab sheet and been signed and all done, the next step comes a long which is breaking a good news for the patient. That is the most exciting bit for me when we call the patient and give them good news. It’s unbelievable amazing moment that we do connect with our patient and its so much rewarding and probably that is why we do what we are doing now I guess. I cant describe the feeling, its an emotional rollercoaster our work is, so adrenaline rush going up but also there is bad moments dawn hells as well. This is what we call breaking bad news, unfortunately its not always its good news, in few certain circumstances the eggs, either the sperm can help us to help the patient, this is can be due to poor quality eggs or poor quality sperm, or poor binding between them or its just unexplained . Now these are rare cases and its not common but it does happen and when it happens its not good news for the patients so we have to break the bad news to them which a big deal really. As the patient went through a lot of taking drugs for weeks trying to grow the eggs , not mentioning the emotional and the financially drainage for the them.

To move forward from that note, we will explain as much as we can to the patient to try to understand what happened and what is the next step is.

On the other hand, when we do give the patient good news, we will explain how many sperm managed to fertilise her eggs and what went right and what went wrong with the other abnormal babies. The patients at this short phone call get informed about the next step which is receiving another call the next morning for an update on day 2.

What happen to your embryos in Day 2, Day 3, Day 5 & Day 6 ?

Okay in early morning of day 2, we check if the little babies started to divide, this is a good sign as the human being is consisted from divided hundred of cells who are responsible to create the parts of the baby body, arms, legs, Brian, etc.

So we get very excited to see embryos dividing. Now embryos are suppose to divide into 2 to 4 cells. Any division within this, we are happy with. Now when it comes to grade the embryo quality and give it a score, we have to bare in minds few things such as cells fragmentation and irregular divisions and granular or ugly embryos. What does this means to you as a patients?

Last thing for Day 2 is to call our patients and inform them with the news and give them the instructions for the next day. Not to mention if we have only 2 embryos and they are dividing we might put them back on day 2 depending on history and other factors.

Now lets talk about day 3 and there is a lot of action happens in this day. Now day 3 is very important as the babies will tell us how they are doing and if they like to go back to the uterus or they like to hang out with us for more few days. Basically, the babies talk to us. Here we go, we come in the morning as usually nice and early we start the warm little box for the babies warm and cozy and bring them over and start assessing the. Now day 3. Babies are suppose reached 6 to 8 cells so we been growing these babies for three days now, looking after them, feeding them so hopefully we been looking after them very carefully aiming to have excellent quality, this is always our aim. Another question pop out to how do we try to have good quality embryos? The answer is simple we make sure the babies always warm as the body temperature, we do not expose it unnecessary and when we do expose them outside their little home, we make sure they go to their little warm box that supplies gas to maintain temperature and PH, also we monitor our air quality by using special big filtered fan and be gentle when we handle them. Also its important how to prepare their dishes and tube set up that we use to move them from old solution to fresh one with new nutrients. We believe that this is extremely important step, not mention we aim to warm everything that get in touch with the babies and we use CE marked product as well. Hopefully that will help.

Okay thing gonna get more exciting when we come near the time to put the baby back to where they belong. Talking about day 5 then, day 5 is the last stage of baby development before they find their way to stick to mother womb. The babies decide we had enough far from mummy and its time to be with mummy. Now this is a very exciting moment but at the same time is the most critical moment as well. Replacing the babies back to the mother is very delicate, short and important step aiming for a full term baby. The clinician have to be on the top of his game and he know what he is doing, to know exactly where to go and how. So all the effort that we done so far frowning these babies do not go in vein. And believe me some they do not know what to do, that why you need to search carefully on which clinic to choose to go too. Always as an advice from you, always chase results. We are blessed in this country that we have a regulated body who publish the results for the whole country so you do not have to go so far in your research.

Anyway, the day 5 babies are called blastocysts, they liked to be called and treated differently. Now the formation of the blastocyst babies can happen on early morning of day 5 or late afternoon on the same day or they are a bit slow and they need one more day to reach their destination which is day 6. The question is does it matter day 5 or day 6 or is day 5 better than day 6 or day 6 is better, what is the story here?

The story is very simple, the babies will tell us when they are ready and it does not matter either day 5 or day 6 as long as we have blastocyst formation.

What does it mean blastocyst babies?

It means that or let me put it this way. Every year some of us go to ascot horse race and bet on which horse will win. Now if you ask me, all these beautiful horses look the same, beautiful and tall and strong ready to rock and roll but there is only and only one horse will when and that’s exactly how the babies behave on day 5 or day 6. So It’s a test for these beautiful babies and one or two will win to go back to mummy womb. At this point we hand over the babies to their mummies for another beautiful exciting journey hopefully will end in a full term babies.

Now not always things go smooth and nice, sometimes some babies are more hard work than others but we will do our best to get the job done.

Let’s go back to the decision making, after we assess the quality, we will have a look to the history as its extremely important step too. The history can tell us how the embryos behave by looking how did they do last cycle, the question is what does this means to you and your babies? The answer is if we see the babies did not develop after day 3 that is a sign for us to decide to consider day 3 vs day 5.

What is the embryo quality & fragmentation means ?

The patients usually are very sensitive at this stage, emotionally charged, probably had a lot of hormones and that makes them a bit emotional so we have to make sure we explain everything to them so they do not panic if we tell them your embryo score is low. The grading of the babies differ from a clinic to a clinic, some clinics grade 1 to 4 as 1 is excellent and 4 is poor and other clinic like ours the grade 4 is the best. So this grading system is a bit confusing for the patients a bit. Some new patients come from different clinics that they grade differently than us so we mention your embryos are excellent grade 4, the first answer how come, 4 is very bad. Is embryos going to die, is any chance for my babies to go on, etc. I know what you might be thinking now that all grading should be the same between all clinics and the answer is that I do agree. There is a system already in place been put by the association of clinical embryologist but its not mandatory to follow it especially off you have established clinics, it’s difficult to change it all of a sudden and confuse the patients even more.

Now lets go back to grading the babies so if the baby does not have any fragmentation inside its mean its excellent quality, scientifically speaking excellent quality embryos are more potential to develop to full term baby. However, this is not the case all the time, so the question pop in and patients asks if my embryos are fragmented I don’t have a chance and the answer is no, you do have a chance. Practically speaking means any embryos have the potential to go to full term baby as long as they are viable means not dying. So ladies relax as long as your babies are viable you do have a pretty good chance so hope this will cheer up all the patients out their experience such a thing.

The other frequent question been asked by patients is where this fragmentation comes from? The answer we really do not know, but the explanation that we can give is the cells itself start to breakdown into little little cells and thats why become fragmented. Offcourse if its a severe fragmentation is not a good sign but this is not quite often really but if it does happen the only solution to deal with it is to put back the embryos to the uterus where they belong as soon as possible. Some babies they do not like to stay outside for too long and they can like tell you in directly please put me back and that what exactly will do. So please ladies if you been asked to come early for your transfer to panic but thats what the babies want.

Why D2 vs D3 vs D5 Embryo Transfer ?

Okay ladies, I am trying not to be repetitive but we have to go back to days 2,3,5,6 to decide when we do the embryo transfer and put the babies back to the uterus.

Now the question here that the patients usually ask is what is best for me or which day can increase my chances to have a full term baby? I would answer that by saying it is true and selecting the day of the embryo transfer is extremely crucial to increase your chances to get pregnant.

So how do we do it? The answer is simple, its the same equation again the babies tells what to do. Few factors we want to put in mind, the number of babies we have, the age of the patients, the previous cycles, previous history of miscarriages , previous embryo development and other factors that we gonna cover in the next serious of books coming up. Considering all these factors in addition to the quality and the development of the babies the decision is made.

Let me give you an example let’s say we have a patient she is 40 years old, and she have 3 babies and she want them back, so which is the best day for her to increase her chances to get her pregnant? The law in the UK allow her to have 3 babies back if she wish because the chances to get pregnant decreases dramatically after 40 so the decision is made to have 3 embryos back. We will look to the embryos development if all the three embryos are developing very well, we can transfer them on day 2 or day 3 no problem. No significant difference between day 2 or day 3 when it comes to transfer. But if the patient have more than three embryos and we do not know which one to choose that is a different story. So we ask our self if the babies they all look the same, which embryos to put back. Here and then we will say okay lets leave the babies top day 5 to transfer or lets say shall we transfer some babies on day 3 and some on day 5 or day 6, and this is called split transfer.

Now the question here why and what the difference between split transfer and day 5 transfer? The decision basically based on the quality of the embryos and history so for example if the quilts is not great and the patient history tells us the babies do not develop very well until the day 5 but we have a big number of embryos thats mean the split transfer is the perfect decision in such scenario. However, if we have good number of babies and looking the same and looking good then the decision is easy we will push to day 5 so we can be able to select the right embryos back. Saying that though doesn’t grantee us the blastocyst formation but this is a risk that the patient need to take as all the other risks involved in the IVF baby making process.

What is blastocyst babies means ?

The blastocyst means let the babies grow a little bit longer outside mummy womb. This means five to six days outside the female human body. The reason we do that in certain cases is when we stuck on day 3 if you remember earlier that babies looking the same and a lot of the embryos good quality at this point only we can push the embryos to blastocyst and culture them in a specific solution that have the certain nutrients that the babies need at this stage.

Now the blastocyst system is designed to test the babies as we mentioned earlier to see which babies are the most stronger and this is who we know which embryos to select for the embryo transfer procedure. This newish system had dawn side as any other risks involved in the IVF which is we might end up on day 5 or day 6 and no blastocyst formation. If you honing to ask me if its worth the risks to put your precious embryos to the test, the answer is yes its worth it because once we select the best embryos to put back, you are literally increasing your chances to get pregnant. So if you met the criteria to have a blastocyst system just go for it as long as you are aware of the risks involved.

Now the blastocyst embryos is more than a hundred cells and consist of three things, first is something like a big lump of cells which is called inner cell mass. And the second part is something like stretched thin cells all around the baby which I call it “the troph” short of trophectoderm. The final part is a membrane surrounding the hole thing.

Now the question is what is this suppose to mean to me? I would break it dawn and say lump of cells is the cells who responsible to form the structure of the baby, like for example the hands, arms, legs, brain and eyes etc. so its pretty much is very very important part of the baby if we want to have full term baby with all the organs intact in one piece.

And the stretched cells all over the baby main body that responsible to feed the baby and keep him a life and thats mean it will turn into the placenta that connect the baby with his mummy. This how the mother feed her baby inside her womb. And the membrane that surround the baby is to protect it from any outside traumas but saying that the membrane have to say good bye to the baby at some point. So when the time comes for the shield that protect the baby or you can called it nature bodyguard that protect the baby, kind of gladiator type thing. And this time starts on day 5 and complete the detachment from the baby by day 6. Then poor baby it going to be on its own. The baby at this stage have no choice except trying to find a protecting place aiming to survive. And that is could explain we are designed for survival.

Now the baby on its own and trying to survive this new environment which is the right environment for him or her to survive but unfortunately there few barriers that could stop him or her from reaching mummy womb wall trying to find a shelter. There is so many factors could interfere in this process for examples the wall of the womb is not ready to receive the baby so the wall could say no to the baby to pass through the wall. Or once we put the baby inside the mother womb, the body could recognise it as a foreign body and start attacking it and therefore reject it the baby and the stop the pregnancy.

Can I freeze my spare embryos ?

Yes you can in two conditions, first you have excellent good quality blastocyst babies to freeze and secondly you have spare ones after you selected the best babies for the transfer procedures. Always remember your priority is to get pregnant and you might loose this focus through this stressful process. Also you can get panicked and try to ask to freeze your embryos so you avoid doing the cycle again. But hold on, we always remind our patients that their priority is to get pregnant and give their cycle the best chance they can. So if you want to maximise your chances to get pregnant your need to allow selecting the best embryos for the fresh transfer and if there is any spare and good quality embryos are suitable for freezing then freeze as a backup. Remember always that you might not need to come back to us again if you get pregnant and that is what we aim for. Oh I mean to get pregnant but you welcome to come back to us anytime.

Now lets talk about why we cannot freeze all the babies that we spare after the embryo transfer. The answer is if your embryos are not excellent quality, it will be difficult to survive the freezing and defrosting process. This is because the babies meant to go to -196 degrees to become frozen so its a traumatic step for them, not mentioning the fact when we defrost them the ice crystals can kills the babies. These days the freezing process so much improved compare to the past therefore the survival improved as well, thanks to the invention of the blastocyst system as the babies are more differentiated and more stronger to resist this type of freezing temperatures. So ladies always aim if you want to freeze for only day 5 babies. However sometimes in certain circumstances it more preferable to freeze in day 1 stage but we will discuss this in the next book in details.

The question that pop up here is. Is it possible my babies can live in this freezing dark conditions? The answer is yes, you will get surprise but these good quality babies are very strong, majority are. The other question that I get asked is that does this freezing conditions results in abnormal babies? The answer for this one is we really do not know, we do not have enough statistics to support this but what I know the majority of the babies come out of it normal like any other babies. And I am gonna discuss in one of my serial books that is hoping to be dedicated to normal and abnormal babies and why and how.

How do you freeze my embryos, would they survive ?

The answer to this, is very simple science, basically we take the babies from body temperature to room temperature which around 25 degrees then straight to -196. Now you gonna ask me how? I would say the solution regarding we going to use is designed to absorb any fluid in the babies in order to prevent the creation of the ice crystals that which is lethal to the babies, basically it will kill the babies instantly by breaking the babies into pieces.

Can I freeze my eggs ?

The answer is yes you can but there is a but. The truth is we are the scientist failed to improve this area so far. Am saying this because the freezing of an egg and defrosted it is not good as the day 5 embryos. I would say the reason behind this is because the egg is so fragile and sensitive to this traumatic process as it did not become a baby and thats one of the big factors of making this process not successful as the day 5 ones. So pleas ladies if you are in a stage of advance maternal age or you got out of long relationship and worried about not having babies so when you are alone do not rush into it. Or do not depend completely on it as the science in this field did not progress as much, I going put this in my dairy and see what can we do about it, nothing impossible nowadays. This IVF did not exist 50 years ago, so yes everything possible but until then be careful when you make a decision like that, consult your scientist beforehand.

Can I have NORMAL baby?

Now this is serious stuff. Now every mother ofcourse would love to have normal child but unfortunately this is not the case all the time. Regardless the outcome the baby will be always mummy baby and she will protect him or her until the last breath. This is nature and its so beautiful. Now the science developed and actually can help the mothers to try to eliminate the risk of having an abnormal babies. This is extremely complicated subject even for me which is my specialty so I am going to try to break it down and make it simple as much as I can. Now there is two different types of screen the babies for abnormalities. The first one called PGD and its for only genetic diseases that exist in the family so the couple try to minimise the risk of passing this diseases to their children and any mother will do that without hesitation, thats the right thing to do. It’s also for the welfare of the child. How does this work is by suspected couple come to us for IVF treatment and then we can prepare the genetic screening for the babies to make sure we transfer the healthy baby back, unfortunately there is no granites in life but at least give you 90 to 95% chance to transfer healthy baby and Its a decent percentage if you ask me. The other type is a normal screening for any abnormalities to all the chromosomes. This is done by taking a biopsy from the babies and send them to the genetic lab for analysis and then we choose the normal good ones and put them back to the patient womb, easy breezy. I will get into this in details in another book for the patients who need it so it can help them to understand what’s going on.

What do I need to do to get pregnant?

This is the question that we are waiting for. To be or not to be pregnant. Let me help you to explain a bit of science that exist to assist you to have babies. First we need to understand our bodies as every individual is different and the response is different and that makes you a unique individual and I am sure we all are. So what do we need to get you pregnant, lets see. You need an egg, sperm, uterus and receptivity into your womb. As long as you have some ovarian reserve and you can produce eggs you are in a good situation and this is the same for your partner as long as he can produce sperm moving and looking good there is always hope and chance. So lets say we have eggs, we have sperm what shall we do. The next step and the most important step is to know where to go, who to trust with the most precious thing you have. This is where your research about results comes handy as I mentioned earlier. Results talks and blah blah walks. I am going tell you the truth about the making babies Business, some people can represent them self very well but no results no action and some people are so much results oriented, they are on a mission and focused to get the patient pregnant so as much you are clinical pregnancy increases means that there is more patients become mummies. And thats what I am taking about. And I will talk to you guys in details in another section. So we have eggs, sperm and the qualified skilled people who going to give you top results and then what. I think the final curtain in this section is how to get the embryo stick in your uterus. Saying that this its a massive subject and there is lots of debates on it and some people believe on it and some do not. We do not forget we live in a free country and every person have the right to express his views. But when it comes that these debates can and could affect your pregnancies, this is where we have to stop for a second and think about it. Which is the immune thing. We did mention earlier the concept where the body can recognise true babies as foreign bodies when we transfer them from the IVF laboratories to the patient womb. And if you ask me, the immune is not my speciality but for me it’s something simple to understand and some clinics offer the immune treatment for their patients. Basically I am going to break it to a very simple equation so we both try to understand it. This how it works, the body get tested for certain type of killer cells. These cells an indicator of what is going on inside the immune system. So if the immune is high that means the baby will be at high risk to be rejected or miscarried. So this immune treatment work by kind suppressing the immune system to convince the body its not a foreign and its okay to keep the baby. Some people believe in this and some they don’t but who cares as long as you get pregnant and use whatever safe technology available to get the job done. 4 decades before this was impossible and if you were discussing it, people will say that you are crazy and look now its a routine technology used by millions so far to get them pregnant.

I am putting the final touches on my second book in my series so once its finished I would like to share it with you here.

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