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Blog Posts (33)
- Progesterone in Oil: Making Shots Less Painful
Whether it's your first time or you are a seasoned pro, the progesterone in oil (PIO) shot is often one of the most dreaded parts of the IVF process. But don't worry- you've got this! And if you are feeling a bit anxious, our Patient Empowerment Coaches (PECs) are here to help. Why does the PIO shot get such a bad reputation? Big Needle: The PIO shot uses the largest needle among all IVF injections Thick Medication: The oil-based medication is thick, so it takes longer to inject Intramuscular Injection: PIO shots are injected into the muscle of your buttocks, rather than the fatty tissue, making it more painful. Quick Tips to Make the Process Earlier: Warm Up the Vial Pro-Tip: You can rub the vial between your hands. The friction creates the right amount of heat to thin the medication, making it a little easier to inject. Warning: Don't use a microwave or submerge the vial in warm water as this could affect the medication's effectiveness. Have an Injection Buddy Having a partner or friend to administer the shot can be a huge help. It's challenging enough to give yourself an injection, especially from behind. An injection buddy can ensure you hit the right spot. You can also look to see if there are local services or nurses that will help you administer shots. If you need help finding someone qualified and can trust, our Patient Empowerment Coaches can help you find someone local! Confirm the Spot Injecting into the wrong area is far from ideal- PIO must be injected into the muscle of the buttocks for maximum absorption. To find the right spot, place your hands on your buttocks and feel where the back pocket of your jeans would be. The ideal injection location is where the upper outer corner of the pocket would be. Still need help? Talk to your nurse in person or schedule a call with a Patient Empowerment Coach who can help show you exactly where to inject. Relax- Don't Flex Your Buns Laying down on your stomach helps ensure your glutes aren't flexing. Staying relaxed will make the shot less painful. Remember to breathe in and breathe out. Apply Warmth at the Injection Site After injecting, use a warm compress can help the oil absorb better. Simply soak a washcloth in warm water and place it on the injection site. Massage the Injection Site Massaging the injection site for a few minutes afterward will help break up the oil and increase absorption into the muscle. Alternate Sides Switching which glute you inject each time helps reduce the risk of swelling and soreness. Additional Resources to Help! Registered nurse, fertility patient, and founder of 412 Fertility , Megan Kukic, wrote another blog post with tips, tricks, and techniques to help make shot administration a little easier. You can read the post here . We also know shot administration can be overwhelming and are proud to partner with MyVitro, a medication organizer for IVF and other fertility treatments. You can go to their site and get $10 off your order with the promo code Grain to help organize your shots and make them a little less overwhelming. Finally, our Patient Empowerment Coaches are here to help with any questions you may have. New Premium Members get a 30 minute call with our Head of Patient Empowerment, Kimberly Schamroth, RN, to better understand your journey. You can sign up for an account today at https://app.grainfertility.com/signup .
- A Guide to Starting Your Fertility Treatment Journey
Embarking on your fertility treatment journey can be both hopeful and overwhelming. When founder Joe Cody and his wife were starting their own journey, they didn't know where to start or what to expect. As a fertility nurse and Head of Patient Empowerment for Grain Fertility, we created this guide to help you through the initial steps of your journey and give you a better idea of what to expect and how to prepare for this significant phase in your life. Phase 1: Initial Consultation Your journey will begin with an initial consultation with a fertility specialist, which includes: Medical History : Be prepared to discuss your medical history, lifestyle, and any previous fertility issues you have had. It is also important to discuss the history of your partner as well to ensure any other issues that could contribute to infertility can be addressed. Diagnostic Testing : Your doctor and care team may recommend tests such as blood work, ultrasounds, semen analysis for male partners, and other assessments to identify potential fertility problems. Treatment Plans : Based on the results, your specialist will outline a personalized treatment plan. This can include everything from lifestyle changes, medications, or more advanced procedures like IUI (intrauterine insemination) or IVF (in vitro fertilization). Step 2 Understanding Your Options There are various treatments available, and understanding each an help you make informed decisions. You should discuss all options available to you in detail with your doctor, factoring in your age, medical history, partner's history (if applicable), and your financial situation. Medications : Fertility drugs like Clomid or injectable hormones stimulate ovulation. IUI : During an IUI procedure, sperm is placed directly into the uterus around the time of ovulation. IVF : During an IVF cycle, eggs are stimulated with injectable hormones and then are retrieved from the ovaries, fertilized in a lab, and the resulting embryo(s) are transferred to the uterus or stored for future use. Other treatments : Depending on your diagnosis and other factors, options like egg or sperm donation, surrogacy, or surgery may be discussed. Step 3: Preparing for Treatment Once you and your doctor agree on a treatment plan, preparation is crucial: Emotional Readiness : Infertility treatment can be emotionally taxing. Our Patient Empowerment Coaches are here to support you throughout your journey. Financial Planning : Unfortunately, fertility treatments are often not covered by insurance and are costly. It is important to understand and plan for the costs associated with your treatment plan and explore the best options for you. Our team is here to discuss options that may work best, help you understand how to maximize your existing benefits, and work to ensure you are not caught of guard by unexpected expenses. Lifestyle Adjustments : Adopting a healthy lifestyle can improve your chances of success. Focusing on a balanced diet, regular exercise, reducing alcohol and caffeine intake, and quitting smoking can all help. Grain Fertility is proud to partner with people who can help address these needs. Step 4: Treatment Depending on your treatment plan, a typical cycle involves several stages: Monitoring : Regular blood tests and ultrasounds monitor your body's response to medications and track ovulations. Your doctors will use these appointments to track your progress and make adjustments to maximize your chances of success. Procedure : IUI's are a more simple procedure that places sperm in the uterus while IVF procedures such as egg retrievals and embryo transfers are more involved procedures that require sedation. Post-Procedure : Depending on the treatment you received, you will receive designated instructions to follow to optimize your recovery. Your doctor may schedule follow-up appointments to monitor your progress. Our Patient Empowerment Coaches can meet with you throughout your treatment to ensure you understand all of the aspects of your own journey and are as prepared as possible. Step 5: The Two Week Wait After treatment, you will enter whats known as the two week wait (TWW) before taking a pregnancy test. This is often an emotionally overwhelming time for patients, but we have a few suggestions to make it easier. Self-care : Focus on self-care activities to manage your stress and take your mind off as best you can. Staying active with gentle exercises, maintaining an healthy diet, meditating and/or journaling can all help. Avoid Early Testing : This is really hard but it is important to wait for the scheduled blood tests to confirm a pregnancy. Home tests can lead to false positives or negatives due to lower sensitivity levels, which can cause unnecessary anxiety. We know this is harder done than said so our Coaches are here to help talk through any anxiety you may have. Spend Time with Loved Ones : Fertility treatment is incredibly personal and often we don't share a lot with our friends and family. However, bonding with your good friends and family can improve your mood and decrease stress. It is important to surround yourself with a positive support system, especially during the two-week wait. But, if you feel like it is too much to be around people, it is also ok to take time to yourself and honor what you think is best. We know it can be anxiety inducing to be around other people, especially if they have children. Step 6: Results and Next Steps Your fertility clinic will schedule a blood test to determine if this cycle was successful. While it is hard to not think of these results in absolute terms, it is important to remember that it often takes more than one try. Positive Results : If you are pregnant, your doctor will discuss the next steps for monitoring and supporting the early stages of your pregnancy. Negative Results : If the treatment was not successful, your doctor and care team will review what happened and discuss the next steps, which may include adjustments to your protocol or exploring other options. No matter the outcome, our Patient Empowerment Coaches are here to help and can help you determine your next steps. Starting the infertility treatment journey is a significant step towards achieving your dream of parenthood. With the right information, support, and preparation, you can navigate this journey with confidence and hope. Remember, your health care team is here to support you every step of the way. We are happy to help in any way we can. If you are looking to explore fertility options further and gain a better understanding of the fertility treatment process, our Patient Empowerment Coaches are here to help. Our coaches are trained fertility nurses with years of experience and Grain Fertility is here to help empower you through your journey. You can sign up for Grain Fertility and meet with our team with a risk-free initial consultation by signing up here . If you are using our free version of the app, you can go to your Account to upgrade your service today and begin meeting with our coaches regularly.
- Coffee, Fertility, and Pregnancy: A Guide
Many people rely on coffee to start their day, but if you are trying to conceive or are pregnant, you may wonder whether it is safe to consume caffeine. This resource discusses the relationship between coffee, fertility, and pregnancy outcomes. It contains excerpts from our Caffeine and Fertility guide available to our Premium Members. What is caffeine? First, it is important to know what caffeine is. It is a natural stimulant found in coffee, tea, soft drinks, energy drinks, chocolate, and some medications. Potential benefits of caffeine include: Stimulating the nervous system: increasing alertness and energy Enhancing cognitive functions: improving memory, mood, and general cognitive functions Physical performance: boosts endurance and performance in athletes Antioxidant properties: it contains antioxidants that combat oxidative stress and inflammation. Potential risks of caffeine include: Sleep disruption: it can lead to insomnia or disrupted sleep patterns if consumed late in the day Dependence and withdrawal: regular use can lead to dependance and stopping suddenly can cause withdrawal symptoms such as headaches, irritability, and fatigue Health health: high consumption may Increase heart rate and blood pressure, which can be problematic for Individuals with cardiovascular conditions Digestive issues: it can cause gastrointestinal discomfort such as acid reflux or upset stomach Dehydration: caffeine acts as a diuretic, which can contribute to or cause dehydration Caffeine and Fertility Most research does not conclude that caffeine is unsafe for pregnancy, but it is recommended to limit intake to 200mg per day. There are some historical concerns, including a 1998 study that suggested women who drank coffee had lower conception rates, but subsequent studies have not confirmed this finding. No conclusive evidence indicates caffeine affects the ability to become pregnant or the time to conception. However, excessive intake (300 mg or more) has been linked to higher miscarriage rates. Caffeine and Pregnancy When you are pregnant, your body metabolizes caffeine slower than non-pregnant women. Caffeine may also increase nausea and dizziness during a pregnancy. Caffeine can also contribute to hypertension (high blood pressure) and tachycardia (a sped up heart rate). This occurs when caffeine crosses the placenta and can increase catecholamines (a neurohormone important in stress responses), potentially raising your blood pressure and heart rate. Recommendations People always want to know what they can or should do to limit the impact caffeine can have as they try to conceive or are pregnant without having to give up their morning cup of coffee to get the day started. It is recommended that you do not exceed 200mg of caffeine per day to mitigate the chance of complications. Below are a few common drinks caffeine content to help you decide what you should or should not have: Drip Coffee: 95 mg per 8 oz Starbucks Pike's Place: 235 mg for a tall coffee (12 oz) Espresso: 63-75 mg per shot Latte/ Cappuccino/ Americano: 75 mg for a tall or 12 oz coffee Cold Brew: 200mg for a tall or 12 oz coffee Decaf Coffee: 2-5 mg per 8 oz Starbucks Earl Grey Tea: 40 mg Green Tea: 55 mg per 12 oz Conclusion Balancing your caffeine intake is important while trying to conceive and during pregnancy. You can enjoy your coffee in moderation, adhere to the recommended limits, and always consult with your healthcare team if you have any concerns. If you are interested in learning more about the impact coffee and caffeine can have or want to become a Grain Fertility member to get a more comprehensive version of this resource, you can sign up here or, if you are a member using our free version, go to Your Account to upgrade your service today!
Other Pages (9)
- Partners | Grain Fertility
Partners We Work With Navigating infertility can be overwhelming. To help you with the many aspects of fertility care, we only work with partners we trust to join you on this journey, providing the support you need when you need it most. OVUM Get personalized fertility care from the comfort of your home with an online, multi-disciplinary clinic. ORGANIC CONCEPTIONS Support and self-discovery programs providing tools you need on your journey to parenthood and beyond. Footprints Coaching Infertility and Loss/Trauma informed coaching to help you become your best, most fulfilled self FERTILITY ANSWERS Ask board certified experts anonymous questions and get same day answers to your fertility questions. EMBRACE FERTILITY Get IVF cycle coaching, 1:1 support, and resources from an award winning Fertility Nurse. LITTLE LIFE NUTRITION One on One Coaching and lifestyle and nutritional counseling to optimize your chances of getting pregnant. THE FERTILITY RN Personalized Fertility Coaching & Education to Help You Navigate Your Fertility Journey. Organizations We Trust Your infertility journey is unique, and so is the information you need. Discover valuable resources from scientific organization, non-profits and trusted sources, selected with care to support you every step of the way. RESOLVE Dedicated to ensuring that all people challenged in their family building journey reach resolution through being empowered by knowledge, supported by community, united by advocacy, and inspired to act. START An organization of professionals dedicated to the practice of IVF, or assisted reproductive technology (ART). THE BROKEN BROWN EGG Inform, empower, and advocate for individuals and couples experiencing infertility and reproductive health issues, with an emphasis on the Black experience of them. RESOLVE NEW ENGLAND Providing the psychosocial support, resources, and advocacy that are critical to those trying to grow their families. FAMILY EQUALITY Ensuring that everyone has the freedom to find, form, and sustain their families by advancing equality for the LGBTQ+ community. ASRM A trusted source for accurate and up-to-date information on reproductive health, fertility, contraception, and pregnancy. JEWISH FERTILITY FOUNDATION Engaging hopeful parents by providing financial assistance, emotional support, and infertility education to those struggling to build their families. Grants You Can Apply For Unfortunately, we know infertility treatment is really expensive. We are working on that. In the meantime, we have put together some amazing organizations that help patients afford infertility treatment. CADE FOUNDATION Providing information support and financial assistance to help needy infertile families OVERCOME infertility. GIFT OF PARENTHOOD Dedicated to taking away the stigma and financial strain of infertility while also offering support, inspiration, and resources to future parents. HADWIN FAMILY FOUNDATION Assisting individuals and families as they navigate their own trials as well as provide support and partner with other nonprofits with like minded missions. STORK FUND Created under the umbrella of the Community Foundation for the Alleghenies 501c3, the Stork Fund raises money to fund fertility treatment and adoption fees The third-party names and trademarks referenced above are the property of their respective owners. Reference to third party marks or other companies here does not indicate endorsement or sponsorship by, or a partnership relationship with, these third parties.
- Grain Fertility | fertility application
Take Control of Your Fertility Journey. Easily store, organize, and share all of your fertility information, helping you make informed decisions and leading to improved outcomes. GET THE APP With Grain Fertility, you can: Feel Empowered Be in control of your information, knowing it's securely in one place and easy to share with your team. Save Time Stop juggling emails and paperwork. Easily access and organize your information all in the app. Stress Less The fertility journey is stressful enough. Have peace of mind and a better experience with our app. Here's how it works: Upload information from across your care team Securely upload, access, and use your fertility records for more informed decision making Easily locate your information using intuitive labeling and organization Track every step of your fertility treatment to have a clearer understanding of your journey Create Timelines Keep track of important dates and milestones Reduce stress and anxiety by having a visually organized record of your fertility journey Integrate lifestyle events to provide a holistic view of your fertility journey Connect with Patient Empowerment Coaches Get one on one guidance from fertility nurses and health professionals Utilize customized educational resources tailored to your personal journey Ensure you have the support you need to feel confident for whatever comes next Simplify your fertility journey. Sign up today! Free Account Everything you need to get started: Upload and store documents and records Personalized fertility timeline Select pre-defined organizational labels Search, sort, and find records and data instantly Expert articles to help you on your journey Discover resources and organizations to help you on your journey GET THE APP FOR FREE Try it Free for 2 weeks! Premium Subscription Only $12.99/month Includes everything from the free plan, plus: 1:1 Expert coaching and guidance Resources and tools timed to where you are on your journey Discounts and offers from Grain Fertility partners Exclusive live community events with fertility experts and leaders Create custom organizational labels Ability to share your information with your spouse, partner, care team, or whoever you choose Personal fertility expense tracking tool START YOUR FREE 2-WEEK TRIAL What Our Community Says Natalie, IVF Patient I never felt prepared for my fertility journey until now. Grain Fertility helped me think through and document all the medical things, all the procedures I went through, my goals and questions I had for my physician. That helped me feel prepared. Lauren Haring, RN Award Winning Fertility Coach "Your fertility journey should be as stress-free as possible and Grain Fertility is the ultimate companion to make that a reality!" Anonymous, IVF Patient As a first time IVF patient, staying organized feels daunting. I want to keep all my IVF info in one easily accessible and organized area. Frequently Asked Questions Why Is Organization So Important During Fertility Treatment? During fertility treatment, you get A LOT of information and patients unfortunately are asked to shoulder a lot of responsibility. Patients are often expected to remember past medical history, update medication schedule and dosage on the fly, and try to keep track of how much all of this costs, all while going through an incredibly hard experience that is mentally, physically, and emotionally difficult. Studies show that patients who access and use their information can have improved outcomes and often report better experiences. Grain Fertility helps you feel more prepared for what comes next, get ready for appointments, and feel more confident about your care. Is My Information Safe with Grain Fertility? We know you are trusting us with some of your most sensitive information, which is why we secure it from unauthorized access with encryption features and access management tools. We pledge to do everything we can to keep your information safe and put you in control of who can see it. What Does Grain Fertility Do With My Information? Grain Fertility was founded with a scientific advancement and advocacy-driven purpose. With this in mind, we do hope to use aggregated and de-identified data to help drive the development of the next generation of reproductive health innovations that expand access, improve outcomes, and reduce costs. We wiIl never share any information from the platform with anyone without your explicit consent. Grain Fertility will only partner with organizations and companies whose values align with ours and are actively advancing patient privacy, health equity, and infertility science. Grain Fertility will be transparent with who we work with and pledges to publicly report how we are helping to advance reproductive and fertility health care. Is the App Free? We believe that you own your health information and should never have to pay to access or use it, so we are proud to offer a free version of the application that lets you access, organize, and use your information as you see fit. However, there are some patients who want additional resources and assistance to help them with their journey, so we are pleased to offer a premium version of the application for only $12.99/ month. We proudly offer new users a two-week free trial to see how a premium membership can help make your fertility journey a little easier. What is Included in a Premium Account? In addition to access to organizational tools and resources offered by the free version, a Grain Fertility premium account offers users: Access to experts to help make their journey easier with personalized coaching and guidance Resources and tools tailored to where you are in your journey that help you better understand and prepare for the next steps and make decisions that are best for you Discounts and offers from Grain Fertility partners Exclusive live community events with experts and leaders in fertility Additional features in the Grain Fertility application including custom labeling, sharing information with others, and other important capabilities that help reduce stress, save time, and make your journey a little easier. The only app available to help you manage your fertility information. Get the app today and feel more confident about your care. SIGN UP TODAY
- Terms and Conditions | Grain Fertility
Grain Fertility Terms of Service Transparency and fairness are core foundations of Grain Fertility. You shouldn't have to have a law degree to understand our policies. We will always be transparent about our terms, policies, the data we collect, and how we use this data to help our users. To help, you can read our full Terms of Service below, with a simply summary of each section. 1. Agreement to Terms Summary When you visit the Grain Fertility application, you are subject to and have agreed to our policies. We can make changes to our Terms of Service at any time but will let you know if we do and what we are changing. 1. Agreement to Terms Welcome to Grain Fertility! These Terms of Use (“Terms of Use”) constitute a legally binding agreement made between you (“you” or “your”) and Grain Fertility, Inc. ("Company," “we," “us," or “our”), concerning your access to and use of the website located at https://www.grainfertility.com (the “Website”), our mobile application (the “App”), including any other media forms, linked, or otherwise connected thereto (collectively, the “Site”). You agree that by accessing or using the Site, you have read, understood, and agreed to be bound by all of these Terms of Use. IF YOU DO NOT AGREE WITH ALL OF THESE TERMS OF USE, THEN DO NOT USE THE SITE AND YOU MUST DISCONTINUE USE IMMEDIATELY. THIS IS A LEGALLY ENFORCEABLE CONTRACT. Modification of Terms of Use. We reserve the right, in our sole discretion, to make changes or modifications to these Terms of Use at any time and for any reason. We will alert you about any changes by updating the “Last updated” date of these Terms of Use, and you waive any right to receive specific notice of each such change. Please ensure that you check the applicable Terms every time you use our Site so that you understand which Terms apply. You will be subject to, and will be deemed to have been made aware of and to have accepted, the changes in any revised Terms of Use by your continued use of the Site after the date such revised Terms of Use are posted. 2. Privacy Policy; User Data Summary Privacy is of utmost concern to Grain Fertility and we have created a comprehensive privacy policy designed to protect your information to the best of our ability. You can get information about this policy here. Please enter information as truthfully as you can. If you do not, we reserve the right to remove you from using Grain and terminate your account. Full Text We care about data privacy and security. Please review our Privacy Policy. By using the Site, you also agree to our Privacy Policy. We will maintain certain data that you transmit to the Site for the purpose of managing the performance of the Site, as well as data relating to your use of the Site. Although we perform regular routine backups of data, you are solely responsible for all data that you transmit or that relates to any activity you have undertaken using the Site. You agree that we shall have no liability to you for any loss or corruption of any such data, and you hereby waive any right of action against us arising from any such loss or corruption of such data. Please be advised the Site is hosted in the United States. If you access the Site from any other region of the world with laws or other requirements governing personal data collection, use, or disclosure that differ from applicable laws in the United States, then through your continued use of the Site, you are transferring your data to the United States, and you agree to have your data transferred to and processed in the United States. 3. Your Use of the Service Summary Don’t use Grain Fertility for anything other than helping to make your fertility journey easier. Please don’t interfere with the security of the site, attempt to hack or attack it, or do anything that could jeopardize the use and security of Grain Fertility. You must either be 18 years or older or have parental permission to use the Site. As a user, we ask you to upload information to the site as part of the service. Please do not upload material that is offensive, violates laws, or knowingly violates any other parts of the Terms of Service. We will protect all personal and identifiable information but we may generally use the information you give us to identify usage trends and evaluate and improve our services, products, marketing and experience. We will not publish any identifiable information without your explicit consent and approval. 3. Your Use of the Service By using the Site, you represent and warrant that: (1) all registration information you submit will be true, accurate, current, and complete; (2) you will maintain the accuracy of such information and promptly update such registration information as necessary; (3) you have the legal capacity and you agree to comply with these Terms of Use; (4) you are not a minor in the jurisdiction in which you reside; (5) you will not access the Site through automated or non-human means, whether through a bot, script, or otherwise; (6) you will not use the Site for any illegal or unauthorized purpose; and (7) your use of the Site will not violate any applicable law or regulation. The Site is not targeted towards, nor intended for users under 18 years old. Persons under the age of 18 are not permitted to use or register for the Site. By using the Site, you represent and warrant that you are of legal age to form a binding contract with us and meet all of the foregoing eligibility requirements. If we become aware that we have the personal data of such children collected through the Site, we will promptly delete it. If you provide any information that is untrue, inaccurate, not current, or incomplete, we have the right to suspend or terminate your account and refuse any and all current or future use of the Site (or any portion thereof). 3.1 Registration You may be required to register with the Site. You agree to keep your password confidential and will be responsible for all use of your account and password. We reserve the right to remove, reclaim, or change a username you select if we determine, in our sole discretion, that such username is inappropriate, obscene, or otherwise objectionable. Your access and use of the Site or App may be interrupted from time to time for any of several reasons, including, without limitation, unanticipated system failures, the malfunction of equipment, periodic updating, maintenance or repair of the App or other actions beyond the control of Grain Fertility or that Grain Fertility, in its sole discretion, may elect to take. Grain Fertility cannot always foresee or anticipate technical or other difficulties which may result in, and Grain Fertility shall therefore not be responsible or liable for, any (a) failure to obtain Patient Information, (b) loss of Patient Information or personalization settings, or (c) other service interruptions. 3.2 Your Submissions You acknowledge and agree that any questions, comments, suggestions, ideas, feedback, or other information regarding the use of the Site ("Submissions") provided by you to us are non-confidential and shall become our sole property. We shall own exclusive rights, including all intellectual property rights, and shall be entitled to the unrestricted use and dissemination of these Submissions for any lawful purpose, commercial or otherwise, without acknowledgment or compensation to you. You hereby waive all moral rights to any such Submissions, and you hereby warrant that any such Submissions are original with you or that you have the right to submit such Submissions. You agree there shall be no recourse against us for any alleged or actual infringement or misappropriation of any proprietary right in your Submissions. 4. Mobile Application License Summary When you use the app, you agree to not do anything to harm the app and agree to our Terms. If you access the app through a store like Apple or Google, we all agree to follow their terms and conditions as well. 4. Mobile Application Licence If you access the Site via a mobile application, then we grant you a revocable, non-exclusive, non-transferable, limited right to install and use the mobile application on wireless electronic devices owned or controlled by you, and to access and use the mobile application on such devices strictly in accordance with the terms and conditions of this mobile application license contained in these Terms of Use. You shall not: (1) except as permitted by applicable law, decompile, reverse engineer, disassemble, attempt to derive the source code of, or decrypt the application; (2) make any modification, adaptation, improvement, enhancement, translation, or derivative work from the application; (3) violate any applicable laws, rules, or regulations in connection with your access or use of the application; (4) remove, alter, or obscure any proprietary notice (including any notice of copyright or trademark) posted by us or the licensors of the application; (5) use the application for any revenue generating endeavor, commercial enterprise, or other purpose for which it is not designed or intended; (6) make the application available over a network or other environment permitting access or use by multiple devices or users at the same time; (7) use the application for creating a product, service, or software that is, directly or indirectly, competitive with or in any way a substitute for the application; (8) use the application to send automated queries to any website or to send any unsolicited commercial e-mail; or (9) use any proprietary information or any of our interfaces or our other intellectual property in the design, development, manufacture, licensing, or distribution of any applications, accessories, or devices for use with the application. 4.1 Apple and Android Devices The following terms apply when you use a mobile application obtained from either the Apple Store or Google Play (each an “App Distributor”) to access the Site: (1) the license granted to you for our mobile application is limited to a non-transferable license to use the application on a device that utilizes the Apple iOS or Android operating systems, as applicable, and in accordance with the usage rules set forth in the applicable App Distributor’s terms of service; (2) we are responsible for providing any maintenance and support services with respect to the mobile application as specified in the terms and conditions of this mobile application license contained in these Terms of Use or as otherwise required under applicable law, and you acknowledge that each App Distributor has no obligation whatsoever to furnish any maintenance and support services with respect to the mobile application; (3) in the event of any failure of the mobile application to conform to any applicable warranty, you may notify the applicable App Distributor, and the App Distributor, in accordance with its terms and policies, may refund the purchase price, if any, paid for the mobile application, and to the maximum extent permitted by applicable law, the App Distributor will have no other warranty obligation whatsoever with respect to the mobile application; (4) you represent and warrant that (i) you are not located in a country that is subject to a U.S. government embargo, or that has been designated by the U.S. government as a “terrorist supporting” country and (ii) you are not listed on any U.S. government list of prohibited or restricted parties; (5) you must comply with applicable third-party terms of agreement when using the mobile application, e.g., if you have a VoIP application, then you must not be in violation of their wireless data service agreement when using the mobile application; and (6) you acknowledge and agree that the App Distributors are third-party beneficiaries of the terms and conditions in this mobile application license contained in these Terms of Use, and that each App Distributor will have the right (and will be deemed to have accepted the right) to enforce the terms and conditions in this mobile application license contained in these Terms of Use against you as a third-party beneficiary thereof. 5. Intellectual Property Summary We worked hard to develop Grain Fertility and own the content on the site. If you want to partner or work with us in any way, just ask! 5. Intellectual Property Unless otherwise indicated, the Site is our proprietary property and all source code, databases, functionality, software, website designs, audio, video, text, photographs, and graphics on the Site (collectively, the “Content”) and the trademarks, service marks, and logos contained therein (the “Marks”) are owned or controlled by us or licensed to us, and are protected by copyright and trademark laws and various other intellectual property rights and unfair competition laws of the United States, international copyright laws, and international conventions. The Content and the Marks are provided on the Site “AS IS” for your information and personal use only. Except as expressly provided in these Terms of Use, no part of the Site and no Content or Marks may be copied, reproduced, aggregated, republished, uploaded, posted, publicly displayed, encoded, translated, transmitted, distributed, sold, licensed, or otherwise exploited for any commercial purpose whatsoever, without our express prior written permission. Provided that you are eligible to use the Site, you are granted a limited license to access and use the Site and to download or print a copy of any portion of the Content to which you have properly gained access solely for your personal, non-commercial use. We reserve all rights not expressly granted to you in and to the Site, the Content and the Marks. Any use of the Sites or Content or Marks other than as authorized in these Terms of Service is strictly prohibited and will terminate the license granted herein. This license is revocable at any time. 6. Third-party Website and Content Summary Grain Fertility links to third-party websites to provide users with an improved experience. Grain Fertility is not responsible for any third-party websites or content. If you have any questions or concerns about the policies of these third-parties, please contact their owners. 6. Third-party Website and Content The Site may contain (or you may be sent via the Site) links to other websites ("Third-Party Websites") as well as articles, photographs, text, graphics, pictures, designs, music, sound, video, information, applications, software, and other content or items belonging to or originating from third parties ("Third-Party Content"). Such Third-Party Websites and Third-Party Content are not investigated, monitored, or checked for accuracy, appropriateness, or completeness by us, and we are not responsible for any Third-Party Websites accessed through the Site or any Third-Party Content posted on, available through, or installed from the Site, including the content, accuracy, offensiveness, opinions, reliability, privacy practices, or other policies of or contained in the Third-Party Websites or the Third-Party Content. Inclusion of, linking to, or permitting the use or installation of any Third-Party Websites or any Third-Party Content does not imply approval or endorsement thereof by us. If you decide to leave the Site and access the Third-Party Websites or to use or install any Third-Party Content, you do so at your own risk, and you should be aware these Terms of Use no longer govern. You should review the applicable terms and policies, including privacy and data gathering practices, of any website to which you navigate from the Site or relating to any applications you use or install from the Site. Any purchases you make through Third-Party Websites will be through other websites and from other companies, and we take no responsibility whatsoever in relation to such purchases which are exclusively between you and the applicable third party. You agree and acknowledge that we do not endorse the products or services offered on Third-Party Websites and you shall hold us harmless from any harm caused by your purchase of such products or services. Additionally, you shall hold us harmless from any losses sustained by you or harm caused to you relating to or resulting in any way from any Third-Party Content or any contact with Third-Party Websites. 7. Site Management Summary Grain Fertility can change or remove content from the application at any time without notice. We also cannot guarantee that the application will work as intended all the time due to issues or maintenance. We will try our best to let you know if there are any issues to reduce any inconvenience. 7. Site Management We reserve the right, but not the obligation, to: (1) monitor the Site for violations of these Terms of Use; (2) take appropriate legal action against anyone who, in our sole discretion, violates the law or these Terms of Use, including without limitation, reporting such user to law enforcement authorities; (3) in our sole discretion and without limitation, refuse, restrict access to, limit the availability of, or disable (to the extent technologically feasible) any of your Contributions or any portion thereof; (4) in our sole discretion and without limitation, notice, or liability, to remove from the Site or otherwise disable all files and content that are excessive in size or are in any way burdensome to our systems; and (5) otherwise manage the Site in a manner designed to protect our rights and property and to facilitate the proper functioning of the Site. 8. Modifications and Interruptions Summary We may change stuff on the site without letting you know. The site may also not work all the time due to maintenance or issues out of our control. 8. Modifications and Interruptions We reserve the right to change, modify, or remove the contents of the Site at any time or for any reason at our sole discretion without notice. However, we have no obligation to update any information on our Site. We also reserve the right to modify or discontinue all or part of the Site without notice at any time. We will not be liable to you or any third party for any modification, price change, suspension, or discontinuance of the Site. We cannot guarantee the Site will be available at all times. We may experience hardware, software, or other problems or need to perform maintenance related to the Site, resulting in interruptions, delays, or errors. We reserve the right to change, revise, update, suspend, discontinue, or otherwise modify the Site at any time or for any reason without notice to you. You agree that we have no liability whatsoever for any loss, damage, or inconvenience caused by your inability to access or use the Site during any downtime or discontinuance of the Site. Nothing in these Terms of Use will be construed to obligate us to maintain and support the Site or to supply any corrections, updates, or releases in connection therewith. 9. Warranty Disclaimer Summary When you agree to the Terms of Service, you agree to use Grain Fertility as is. 9. Warranty Disclaimer THE SITE IS PROVIDED ON AN AS-IS AND AS-AVAILABLE BASIS. YOU AGREE THAT YOUR USE OF THE SITE AND OUR SERVICES WILL BE AT YOUR SOLE RISK. TO THE FULLEST EXTENT PERMITTED BY LAW, WE DISCLAIM ALL WARRANTIES, EXPRESS OR IMPLIED, IN CONNECTION WITH THE SITE AND YOUR USE THEREOF, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. WE MAKE NO WARRANTIES OR REPRESENTATIONS ABOUT THE ACCURACY OR COMPLETENESS OF THE SITE’S CONTENT OR THE CONTENT OF ANY WEBSITES LINKED TO THE SITE AND WE WILL ASSUME NO LIABILITY OR RESPONSIBILITY FOR ANY (1) ERRORS, MISTAKES, OR INACCURACIES OF CONTENT AND MATERIALS, (2) PERSONAL INJURY OR PROPERTY DAMAGE, OF ANY NATURE WHATSOEVER, RESULTING FROM YOUR ACCESS TO AND USE OF THE SITE, (3) ANY UNAUTHORIZED ACCESS TO OR USE OF OUR SECURE SERVERS AND/OR ANY AND ALL PERSONAL INFORMATION AND/OR FINANCIAL INFORMATION STORED THEREIN, (4) ANY INTERRUPTION OR CESSATION OF TRANSMISSION TO OR FROM THE SITE, (5) ANY BUGS, VIRUSES, TROJAN HORSES, OR THE LIKE WHICH MAY BE TRANSMITTED TO OR THROUGH THE SITE BY ANY THIRD PARTY, AND/OR (6) ANY ERRORS OR OMISSIONS IN ANY CONTENT AND MATERIALS OR FOR ANY LOSS OR DAMAGE OF ANY KIND INCURRED AS A RESULT OF THE USE OF ANY CONTENT POSTED, TRANSMITTED, OR OTHERWISE MADE AVAILABLE VIA THE SITE. WE DO NOT WARRANT, ENDORSE, GUARANTEE, OR ASSUME RESPONSIBILITY FOR ANY PRODUCT OR SERVICE ADVERTISED OR OFFERED BY A THIRD PARTY THROUGH THE SITE, ANY HYPERLINKED WEBSITE, OR ANY WEBSITE OR MOBILE APPLICATION FEATURED IN ANY BANNER OR OTHER ADVERTISING, AND WE WILL NOT BE A PARTY TO OR IN ANY WAY BE RESPONSIBLE FOR MONITORING ANY TRANSACTION BETWEEN YOU AND ANY THIRD-PARTY PROVIDERS OF PRODUCTS OR SERVICES. AS WITH THE PURCHASE OF A PRODUCT OR SERVICE THROUGH ANY MEDIUM OR IN ANY ENVIRONMENT, YOU SHOULD USE YOUR BEST JUDGMENT AND EXERCISE CAUTION WHERE APPROPRIATE. 9.1 No Practice of Medicine The Site and/or the App are not intended to be, and must not be taken to be, the practice of medicine or other healthcare services by Grain Fertile. Use of the Site and/or the App do not create a physician/patient or provider/patient relationship with Grain Fertility. Grain Fertility is not recommending or endorsing any specific treatment, physician, healthcare provider or medication. 10. Limitations of Liability Summary Grain Fertility is not responsible for damages arising from using Grain Fertility. 10. Limitations of Liability IN NO EVENT WILL WE OR OUR DIRECTORS, EMPLOYEES, OR AGENTS BE LIABLE TO YOU OR ANY THIRD PARTY FOR ANY DIRECT, INDIRECT, CONSEQUENTIAL, EXEMPLARY, INCIDENTAL, SPECIAL, OR PUNITIVE DAMAGES, INCLUDING LOST PROFIT, LOST REVENUE, LOSS OF DATA, OR OTHER DAMAGES ARISING FROM YOUR USE OF THE SITE, EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. NOTWITHSTANDING ANYTHING TO THE CONTRARY CONTAINED HEREIN, OUR LIABILITY TO YOU FOR ANY CAUSE WHATSOEVER AND REGARDLESS OF THE FORM OF THE ACTION, WILL AT ALL TIMES BE LIMITED TO THE AMOUNT PAID, IF ANY, BY YOU TO US. CERTAIN US STATE LAWS AND INTERNATIONAL LAWS DO NOT ALLOW LIMITATIONS ON IMPLIED WARRANTIES OR THE EXCLUSION OR LIMITATION OF CERTAIN DAMAGES. IF THESE LAWS APPLY TO YOU, SOME OR ALL OF THE ABOVE DISCLAIMERS OR LIMITATIONS MAY NOT APPLY TO YOU, AND YOU MAY HAVE ADDITIONAL RIGHTS. 11. Indemnification Summary You are responsible for the data and content you transmit to Grain Fertility. You are responsible for any potential loss, damage, liability, claim, or demand due to or arising from things you do with Grain Fertility. 11. Indemnification You agree to defend, indemnify, and hold us harmless, including our subsidiaries, affiliates, and all of our respective officers, agents, partners, and employees, from and against any loss, damage, liability, claim, or demand, including reasonable attorneys’ fees and expenses, made by any third party due to or arising out of: (1) your Contributions; (2) use of the Site; (3) breach of these Terms of Use; (4) any breach of your representations and warranties set forth in these Terms of Use; (5) your violation of the rights of a third party, including but not limited to intellectual property rights; or (6) any overt harmful act toward any other user of the Site with whom you connected via the Site. Notwithstanding the foregoing, we reserve the right, at your expense, to assume the exclusive defense and control of any matter for which you are required to indemnify us, and you agree to cooperate, at your expense, with our defense of such claims. We will use reasonable efforts to notify you of any such claim, action, or proceeding which is subject to this indemnification upon becoming aware of it. 12. Term and Termination Summary If you use Grain Fertility, you are agreeing to our terms. If unfortunately there are components of the agreement you don’t agree with, you may stop using the Site. 12. Term and Termination These Terms of Use shall remain in full force and effect while you use the Site or the mobile application unless and until terminated by you or Grain Fertility. You may terminate these Terms of Use as they apply to you at any time by ceasing to use the Site. Grain Fertility may terminate these Terms of Uses at any time immediately and without notice, and accordingly deny you access to the Sites, for any reason in its sole discretion; however, the provisions that relate to intellectual property, indemnification, disclaimer, limitations of liability, and choice of law shall survive any termination of these Terms of Use. If we terminate or suspend your account for any reason, you are prohibited from registering and creating a new account under your name, a fake or borrowed name, or the name of any third party, even if you may be acting on behalf of the third party. In addition to terminating or suspending your account, we reserve the right to take appropriate legal action, including without limitation pursuing civil, criminal, and injunctive redress. 13. Copyright Infringements Summary If, for any reason, you feel we infringed on anything you worked hard to create, let us know ASAP and we will work to fix it. But please don’t falsely accuse us of infringement. 13. Copyright Infringements We respect the intellectual property rights of others. If you believe that any material available on or through the Site infringes upon any copyright you own or control, please immediately notify us using the contact information provided below (a “Notification”). A copy of your Notification will be sent to the person who posted or stored the material addressed in the Notification. Please be advised that pursuant to applicable law you may be held liable for damages if you make material misrepresentations in a Notification. Thus, if you are not sure that material located on or linked to by the Site infringes your copyright, you should consider first contacting an attorney. 14. Governing Law Summary The Terms of Use are governed by the laws of Maryland, where we are located. 14. Governing Law These Terms of Use and your use of the Site are governed by and construed in accordance with the laws of the State of Maryland applicable to agreements made and to be entirely performed within the State of Maryland, without regard to its conflict of law principles. 15. Dispute Resolution Summary If for any reason you bring a dispute or claim against Grain Fertility, you agree to first attempt to negotiate informally before initiating arbitration. If we can’t work something out, we would use binding arbitration to resolve the dispute. 15.1 Informal Negotiations To expedite resolution and control the cost of any dispute, controversy, or claim related to these Terms of Use (each "Dispute" and collectively, the “Disputes”) brought by either you or us (individually, a “Party” and collectively, the “Parties”), the Parties agree to first attempt to negotiate any Dispute (except those Disputes expressly provided below) informally for at least thirty (30) days before initiating arbitration. Such informal negotiations commence upon written notice from one Party to the other Party. 15.2 Binding Arbitration If the Parties are unable to resolve a Dispute through informal negotiations, the Dispute (except those Disputes expressly excluded below) will be finally and exclusively resolved through binding arbitration. YOU UNDERSTAND THAT WITHOUT THIS PROVISION, YOU WOULD HAVE THE RIGHT TO SUE IN COURT AND HAVE A JURY TRIAL. The arbitration shall be commenced and conducted under the Commercial Arbitration Rules of the American Arbitration Association ("AAA") and, where appropriate, the AAA’s Supplementary Procedures for Consumer Related Disputes ("AAA Consumer Rules"), both of which are available at the AAA website: www.adr.org. Your arbitration fees and your share of arbitrator compensation shall be governed by the AAA Consumer Rules and, where appropriate, limited by the AAA Consumer Rules. If such costs are determined by the arbitrator to be excessive, we will pay all arbitration fees and expenses. The arbitration may be conducted in person, through the submission of documents, by phone, or online. The arbitrator will make a decision in writing, but need not provide a statement of reasons unless requested by either Party. The arbitrator must follow applicable law, and any award may be challenged if the arbitrator fails to do so. Except where otherwise required by the applicable AAA rules or applicable law, the arbitration will take place in Montgomery County, Maryland. Except as otherwise provided herein, the Parties may litigate in court to compel arbitration, stay proceedings pending arbitration, or to confirm, modify, vacate, or enter judgment on the award entered by the arbitrator. If for any reason, a Dispute proceeds in court rather than arbitration, the Dispute shall be commenced or prosecuted in the state and federal courts located in Montgomery County, Maryland, and the Parties hereby consent to, and waive all defenses of lack of personal jurisdiction, and forum non conveniens with respect to venue and jurisdiction in such state and federal courts. Application of the United Nations Convention on Contracts for the International Sale of Goods and the Uniform Computer Information Transaction Act (UCITA) is excluded from these Terms of Use. In no event shall any Dispute brought by either Party related in any way to the Site be commenced more than one (1) years after the cause of action arose. If this provision is found to be illegal or unenforceable, then neither Party will elect to arbitrate any Dispute falling within that portion of this provision found to be illegal or unenforceable, and such Dispute shall be decided by a court of competent jurisdiction within the courts listed for jurisdiction above, and the Parties agree to submit to the personal jurisdiction of that court. 15.3 Restrictions The Parties agree that any arbitration shall be limited to the Dispute between the Parties individually. To the full extent permitted by law, (a) no arbitration shall be joined with any other proceeding; (b) there is no right or authority for any Dispute to be arbitrated on a class-action basis or to utilize class action procedures; and (c) there is no right or authority for any Dispute to be brought in a purported representative capacity on behalf of the general public or any other persons. Class Action Waiver. You agree to not participate in a class action or class-wide arbitration for any claims covered by this Dispute. You are waiving the ability to participate as a class representative or member in any class or collective claim you may have against us, including any right to class or collective arbitration or any consolidation of individual arbitrations. 15.4 Exceptions to Informal Negotiations and Arbitration The Parties agree that the following Disputes are not subject to the above provisions concerning informal negotiations and binding arbitration: (a) any Disputes seeking to enforce or protect, or concerning the validity of, any of the intellectual property rights of a Party; (b) any Dispute related to, or arising from, allegations of theft, piracy, invasion of privacy, or unauthorized use; and (c) any claim for injunctive relief. If this provision is found to be illegal or unenforceable, then neither Party will elect to arbitrate any Dispute falling within that portion of this provision found to be illegal or unenforceable and such Dispute shall be decided by a court of competent jurisdiction within the courts listed for jurisdiction above, and the Parties agree to submit to the personal jurisdiction of that court. 16. Electronic Communications, Transactions, and Signatures Summary When you sign up for Grain Fertility, you agree to receive electronic communications, which includes any signatures or delivery of notices. 16. Electronic Communications, Transactions, and Signatures Visiting the Site, sending us emails, and completing online forms constitute electronic communications. You consent to receive electronic communications, and you agree that all agreements, notices, disclosures, and other communications we provide to you electronically, via email and on the Site, satisfy any legal requirement that such communication be in writing. YOU HEREBY AGREE TO THE USE OF ELECTRONIC SIGNATURES, CONTRACTS, ORDERS, AND OTHER RECORDS, AND TO ELECTRONIC DELIVERY OF NOTICES, POLICIES, AND RECORDS OF TRANSACTIONS INITIATED OR COMPLETED BY US OR VIA THE SITE. You hereby waive any rights or requirements under any statutes, regulations, rules, ordinances, or other laws in any jurisdiction which require an original signature or delivery or retention of non-electronic records, or to payments or the granting of credits by any means other than electronic means. 17. California Users and Residents Summary If you live in California and aren’t satisfied with us, you can contact the Complaint Assistance Unit of the Division of Consumer Services of the California Department of Consumer Affairs 17. California Users and Residents If any complaint with us is not satisfactorily resolved, you can contact the Complaint Assistance Unit of the Division of Consumer Services of the California Department of Consumer Affairs in writing at 1625 North Market Blvd., Suite N 112, Sacramento, California 95834 or by telephone at (800) 952-5210 or (916) 445-1254. 18. Miscellaneous Summary These terms outline the agreement between you and us for using the website. They cover rules, enforceability, transfer of rights, and our limitations of responsibility. The terms are valid to the fullest extent allowed by law. Using the site doesn't create a partnership or job relationship. You agree that the terms are fair, even if we wrote them. 18. Miscellaneous These Terms of Use and any policies or operating rules posted by us on the Site or in respect to the Site constitute the entire agreement and understanding between you and us. Our failure to exercise or enforce any right or provision of these Terms of Use shall not operate as a waiver of such right or provision. These Terms of Use operate to the fullest extent permissible by law. We may assign any or all of our rights and obligations to others at any time. We shall not be responsible or liable for any loss, damage, delay, or failure to act caused by any cause beyond our reasonable control. If any provision or part of a provision of these Terms of Use is determined to be unlawful, void, or unenforceable, that provision or part of the provision is deemed severable from these Terms of Use and does not affect the validity and enforceability of any remaining provisions. There is no joint venture, partnership, employment or agency relationship created between you and us as a result of these Terms of Use or use of the Site. You agree that these Terms of Use will not be construed against us by virtue of having drafted them. You hereby waive any and all defenses you may have based on the electronic form of these Terms of Use and the lack of signing by the parties hereto to execute these Terms of Use. 19. Contact Us Summary If you have a complaint or need anything regarding use of Grain Fertility, you can contact us at: Grain Fertility, Inc. 9918 Grayson Ave Silver Spring, MD 20901 United States Phone: (314) 520-8024 joe@grainfertility.com 19. Contact Us In order to resolve a complaint regarding the Site or to receive further information regarding use of the Site, please contact us at: Grain Fertility, Inc. 9918 Grayson Ave Silver Spring, MD 20901 United States Phone: (314) 520-8024 joe@grainfertility.com