Welcome!

Welcome!

This blog addresses various emotional aspects of experiencing infertility. It is written by a clinical psychologist who specializes in infertility counseling. Thank you for reading, and best of luck with your journey!

Thursday, August 26, 2010

Relationship issues with your reproductive endocrinologist; the other kind of "transfer"

One of the most important facets of infertility treatment is managing your relationship with your reproductive endocrinologist and fertility clinic. If you do not have open lines of communication and a certain level of trust in your doctor, your ability to make treatment decisions can become compromised.

While on the surface it may seem straightforward to develop and maintain your relationship with your doctor and his or her staff, in truth obstacles often develop. Many times, these stem from emotional issues and expectations on both the part of the patient and the part of the doctors and nurses. In this blog entry, I will describe some common emotional patterns that can impact the quality of the doctor/clinic/patient relationship from both the patient and clinician perspectives.

The patient side of the equation


In my opinion, one of Sigmund Freud's greatest contributions to the field of psychology was his development of the concept of transference. Transference occurs when we transfer our feelings and expectations about one emotional relationship (let's say our parents) to another relationship. Although Freud observed this within his therapist-patient relationships, in truth we all do this with many different types of relationships all day long. As children, we develop basic patterns of interactions, and expectations of how others are going to react to us. We then use this as a sort of emotional "shorthand" and apply it to other situations and relationships in our lives. As long as our early relationships with those important in our lives were reasonably healthy, this usually doesn't create any problems, especially if the relationships aren't emotionally intense. So transference, while it may be occurring, shouldn't pose any problems with your relationship with the person behind the counter at the drug store, or your dog groomer, etc.

However, infertility treatment is often an emotionally intense situation. The desire to have a child comes from some of our deepest and most central feelings, and these feeling often get stirred up by infertility treatment. So it is quite likely and understandable that infertility patients will at times experience strong emotional reactions to their doctor, nurses, or their clinic as a whole. A problem can occur when these reactions interfere with a patient's ability to listen to or communicate with their treatment providers. Let me give you some common examples I see in my practice.

1. Not wanting to challenge authority

Many times, I have observed clients who have been quite reluctant to ask questions or challenge their doctors on diagnoses or treatment decisions that didn't make sense to them. Despite feeling uncomfortable (and often, by the way, being correct in their own assessment of the situation) they were willing to go along with the doctor's opinion--until I started questioning them about their reasons for their passivity. Then it would often come out that they tended to have parents who were more authoritarian--and thus they were more likely to view others in emotionally important positions in their life as authority figures, rather than as peers or collaborators. Questioning someone they viewed as an authority figure was not something with which they felt comfortable. Although doctors have a great deal of knowledge and experience, they are still human, and thus not perfect. They may misunderstand things, miss some details, or just plain make mistakes at times. Without feeling like we can advocate for ourselves in medical situations, we put ourselves in danger of not getting the best possible treatment.

2. Not wanting to hurt the doctor's feelings

Many times, I have noticed that clients are resistant to getting a second opinion, even when it is obvious that their situation is very complicated and they are stuck in their current treatment situation. When asked, they often say they don't want to hurt their doctor's feelings by requesting their records and getting an appointment elsewhere. Often, these clients had families that placed a high value on loyalty, and they feel that being disloyal is one the worst things they can do. I personally think loyalty is a wonderful and essential part of human relationships, but it may be a bit misplaced in the context of a doctor/patient relationship. After all, reproductive endocrinology is a big business, and fertility clinics aren't treating clients just out of kindness and love--they want to make a profit. In addition, different reproductive endocrinologists have different strengths and areas of expertise, and thus fit is extremely important. Most physicians I have talked to about this issue are very open to and welcome the idea of a second opinion. So overvaluing loyalty in this context may prevent you from finding the best treatment providers and options for you.

3. Not wanting to listen to anybody

This relational pattern is on the opposite end of the spectrum of the first two, and perhaps the most dangerous of the three. Sometimes, if people have control issues with authority figures, they tend to take a rebellious stance with others, refusing to follow directions and advice even when it is in their own best interest to do so. This can spell disaster in infertility treatment. Although doctors may not be perfect, it is pretty likely that they still do know more than you do about this particular subject, and ignoring their recommendations on principle can make it very hard to proceed.

The doctor's side of the equation

In addition to describing transference, Freud also observed the phenomena of countertransference, which is simply the doctor's emotional reactions to the patient. Just like transference, countertransference occurs all the time, and most of the time, it doesn't cause any problems at all. At times, though, countertransference can create difficulties in the reproductive endocrinologist/patient relationship.

To see what I mean, I want you to think about what psychological factors might contribute to a person wanting to be a reproductive endocrinologist in the first place. In all of our career choices (and don't even get me started on the factors that might make someone want to become a psychologist!), our emotional issues or challenges are often a large part of why we are drawn to one career over another. So it stands to reason that your RE is no different from any of the rest of us. And getting lots and lots of people pregnant can't help but be an emotionally interesting experience. For example, I once had an RE who, whenever I was at the crossroads in making a treatment decision, would put his arm around me and say, "Lisa, if you were my wife, this is what I would tell you to do." Which was a little confusing and a little weird, frankly. How do you argue with that? After spending more time hanging around the clinic waiting for appointments, and talking to other patients, I soon realized that he was saying this to all of us--we were all his "wives". Once I overheard him comment to a nurse that his patients in the waiting room were different than those of the other RE's--they were friendly to each other, and fun to be around. Clearly, this was a man who liked his "wives".

I don't think it's a stretch to say that this doctor was getting some other psychological benefits out of his job other than the joy of helping others. And I think it probably impacted his ability to be objective about his patients and for them to be objective about him, which can't have helped their treatments.

This is just one type of example of how countertransference could cause problems for infertility treatment. As people are so unique, there are endless possibilities for transference and countertransference to occur.

So as you consider your own relationship with your doctor and clinic, think hard about what patterns and expectations you might be bringing to the table--as well as those that might be occurring with your treatment providers. By being more aware of these patterns, you can make the conscious choice to do something different--and that may make the difference between success and failure in infertility treatment.

192 comments:

  1. Thank you for this. Reading your list of reasons why patients do not want to change doctors was a wake up call. I am exactly number two. The logical part of me knows that it will not hurt the doctor's feelings, really. But, loyalty is a HUGE thing in my life and family and it is a hard thing for me to let go. I think it is time for me to change doctors because I have been questioning my RE's treatment for a long time, now, but it has been a very hard thing to do.

    ReplyDelete
  2. Thank you very much for starting this blog.
    I found you from LFCA.
    Your post about choosing a doctor based on success rates and not how much you personally like him is very helpful.
    I look forward to following your blog.

    ReplyDelete
  3. Here from LFCA. Thank you for an interesting post and a different perspective. I have a lot of residual bitterness to the way I was treated by some medical professionals along my infertility journey. Seeing things from their side helps in my healing.

    ReplyDelete
  4. Thanks so much for your comments! It is my belief that relational issues have a huge impact medical treatment in general, and infertility treatment in particular. Katie mentioned feeling bitter about some of the things that have happened in her treatment, and I think that is very common. I think IVF clinics are continuing to work on becoming more sensitive to the patient's perspective, but we probably all have more than one upsetting example to share.

    The most important thing is to try not to let it derail you from your process, and to take up too much of your emotional energy.

    Thanks again for reading and commenting!
    Please let me know if you have any questions or suggestions for future topics.

    And best of luck to everyone in their infertility journey.

    ReplyDelete
  5. Thanks for this. It is good to see both perspectives.

    (here from the creme)

    ReplyDelete
  6. I am lucky enough that I have never been to an RE but I can totally understand how these situations would arise. Thank you for explaining all of this so clearly, I'm sure it is very helpful to a lot of people.

    ReplyDelete
  7. I'm here from the Creme (a little late, but still here).
    As I'm getting ready to change IF doctors (because of insurance coverage, not because I want to), this is interesting stuff to ponder.

    ReplyDelete
  8. Thanks for this post! It helps me a lot to see things from a different perspective. I was also very disallusioned by many drs, some gynaes and some RE's, and I am the complete opposite of the loyal people. I must have seen something like 12-15 gynaes and RE's in the last 15 years or so and I've changed many times after only one consultation when I was unhappy about the dr's response to us. Some were not very friendly and or blunt and uncommunicative which I did not like much and others did not respond well to my questions and suggestions about treatment options, saying that they are the dr and know best, and that I should stop reading up on the internet.

    I never realized that the doctor could have been counter transferring (is that the right frase to use?) from what I said or done. I was not the easiest of patients, especially when it started to take a long time to get pregnant.

    In the end and after many years I found 2 RE's at one clinic that fit us perfectly - someone who was friendly, caring and communicated well and who listened patiently to my questions and actually took my suggestions seriously and that was the clinic that finally got me pregnant (after 10.5 years of ttc,I might add).

    And I must say with a treatment approach that they did not think would help us (intralipids), and after my pregnancy and one other about 2 weeks later they use it all the time now with their other patients. I was told recently that they talk about the other lady and I as pioneers! So I my case it was a good thing to educate myself and insist on specific treatments (I can understand that it might not be best in all situations), but I was just getting tired of hearing that I should have been pregnant by now, yet it didn't happen. I kept on looking for other possible problems and treatments, and the only way to get to that stage was to get to a RE that was responsive to suggestions.

    ReplyDelete
  9. This comment has been removed by a blog administrator.

    ReplyDelete
  10. I wonder why other professionals don’t notice your website much m glad I found this.
    Discover Rainbow Systems

    ReplyDelete
  11. Your content is shows potential, m gona add this to my bookmarks.
    Relationship Tips by Cowi's Bi

    ReplyDelete
  12. These blogs are valuable because these are providing such informative information for all the people.
    Learn More About Milvia Design

    ReplyDelete
  13. I love really this blog site because it provides me the big deal of superb information. Visit Leonardo Spencer

    ReplyDelete
  14. You have done a amazing job with you website.
    mis sold ppi

    ReplyDelete
  15. I feel pleasure to read the content that you are posting. cash advance payday loan

    ReplyDelete
  16. I have visited lots of the blogs but this blog is truthfully wonderful. ppi

    ReplyDelete
  17. I’ve been admirer of your website because I have got the great articles
    Good Relationship With CIAM

    ReplyDelete
  18. I am confident you've got a great enthusiast following there.
    payday loan

    ReplyDelete
  19. Modern times when internet has so much facility of gossip and stuff, your articles have awfully refreshed me.
    infographics design

    ReplyDelete
  20. This is very essential blog; it helped me a lot whatever you have provided.
    infographics design

    ReplyDelete
  21. Modern times when internet has so much facility of gossip and stuff, your articles have awfully refreshed me.
    infographic

    ReplyDelete
  22. I think I have really come on the right place for getting the perfect info.good infographics

    ReplyDelete
  23. Really amazing blog, I’d love to discover some extra information. good infographics

    ReplyDelete
  24. The blog is good enough, keep up writing such type of posts.automobile insurance for used cars

    ReplyDelete
  25. You entirely go with our expectation and the range of our information.
    payday loans washington

    ReplyDelete
  26. These are the great blogs; I assure you that I really enjoyed a lot in reading. infographic

    ReplyDelete
  27. Awesome blog! Now In anticipation of a follow-up ….infographic

    ReplyDelete
  28. I really enjoy reading and also appreciate your work.
    blood sugar levels chart

    ReplyDelete
  29. This post is really valuable that designed for the new visitors. Pleasing work, keep on writing.
    whole life insurance

    ReplyDelete
  30. These articles and blogs are certainly sufficient for me personally for a day. car insurance

    ReplyDelete
  31. Really very informative content is here, thanks for sharing such info.cheap car insurance

    ReplyDelete
  32. Finally.. I read the work again and understand that it is one more good article of you.

    ReplyDelete
  33. I even have been getting a lot of helpful and informative material in your web site.
    crack zip password

    ReplyDelete
  34. Your blogs and each of its stuff is so pleasurable and valuable it is making me come back soon.asos customer service

    ReplyDelete
  35. Superb way of explaining, and great blog to get wonderful information.click here

    ReplyDelete
  36. Your blogs and its stuff magnetize me to return again n again. english help online

    ReplyDelete
  37. My name is Roland monica from Houston,taxes.i never believed in love spells or magic until i met this spell caster once. when i went to Africa in June 28th 2013 this year on a business summit. i ment a man called DR omoba. He is powerful he could help you cast a spells to bring back my love’s gone,misbehaving lover looking for some one to love you, bring back lost money and magic money spell or spell for a good job.i’m now happy & a living testimony cos the man i had wanted to marry left me 3 weeks before our wedding and my life was upside down cos our relationship has been on for 2 years… i really loved him, but his mother was against me and he had no good paying job. so when i met this spell caster, i told him what happened and explained the situation of things to him..at first i was undecided,skeptical and doubtful, but i just gave it a try. and in 6 days when i returned to taxes, my boyfriend (is now my husband ) he called me by himself and came to me apologizing that everything had been settled with his mom and family and he got a new job interview so we should get married..i didn’t believe it cos the spell caster only asked for my name and my boyfriends name and all i wanted him to do… well we are happily married now and we are expecting our little kid,and my husband also got a new job and our lives became much better. in case anyone needs the spell caster for some help, email address: dromobaspellhome@gmail.com

    ReplyDelete
  38. congratulations guys, quality information you have given!!! schaumburg restaurants

    ReplyDelete
  39. congratulations guys, quality information you have given!!! fitness coach

    ReplyDelete
  40. Great details here, better yet to discover out your blog which is fantastic. Nicely done!!! comment pirater un compte facebook

    ReplyDelete
  41. I agree. You have made the nice blogs with the great info in the contents. hacker un compte facebook

    ReplyDelete
  42. A very helpful website, My political career is deeply affected by the grace of this website. bubblegum casting

    ReplyDelete
  43. Nice to read this article will be very helpful in the future, share more info with us. Good job!
    auto insurance

    ReplyDelete
  44. I am really appreciating very much by seeing your interesting posts.
    steam wallet generator

    ReplyDelete
  45. Keep up the best work guys, nice posts are here to get more benefits.http://www.amazon.com/gp/product/B00GR0ESK0

    ReplyDelete
  46. If truth be told informative and valuable detail is here.

    vietnam travel

    ReplyDelete
  47. Fantastic work guys I’m a die-heart fan of your web site.is bubblegum casting legitimate

    ReplyDelete
  48. The complete blogs are really inconceivable and definitely everyone will share this information.
    buy twitter followers UK

    ReplyDelete
  49. This blog post is really great; the standard stuff of the post is genuinely amazing.buy twitter followers UK

    ReplyDelete
  50. The stuff written in the blogs have allured me!!!
    vietnam visa on arrival

    ReplyDelete
  51. I wanna thanks to a great extent for providing such informative and qualitative material therefore often.
    queens central booking

    ReplyDelete
  52. It’s my first time to visit this site & I’m really surprised to see such impressive stuff out there.

    vlc streaming server

    ReplyDelete
  53. I have never been to such type of posts before truly remarkable stuff it has.

    ftp filezilla download

    ReplyDelete
  54. I get pleasure from reading and revalue your changes. bubblegum casting reviews

    ReplyDelete
  55. This is really pretty cool place I like it because it has everything I want more on this blog soon.Thanks you have provided the nice blogs for us, I am glad about you.

    ReplyDelete
  56. Waooow!! Nice blog, this will be greatly helpful.vietnam holiday

    ReplyDelete
  57. Amiable articles and the blogs really helped me a lot, thanks for the valuable information.vietnam travel

    ReplyDelete
  58. I want to say thank to you people for this great and helpful info. Thanks!!!vietnam travel

    ReplyDelete
  59. I'd be trampled if all sites gave articles like these awesome articles.
    sewing kit

    ReplyDelete
  60. I read this post fully concerning the difference of latest and former stuff, it is awesome article.
    best credit repair services

    ReplyDelete
  61. It’s really such nice information to get advantage from.

    adt security

    ReplyDelete
  62. I love all details that you give in your articles.vietnam holiday

    ReplyDelete
  63. Amazing work pals, I really enjoy reading your interesting blogs.vietnam travel

    ReplyDelete
  64. Your website is for sure worth bookmarking.vietnam holiday

    ReplyDelete
  65. Your blogs stuff is purely enough for me personally.vietnam travel

    ReplyDelete
  66. Great webpage buddy, I am going to notify this to all my friends and contacts as well.
    electrician brisbane northside

    ReplyDelete
  67. I am confident you've got a great enthusiast following there.

    central booking new york

    ReplyDelete
  68. These blogs and articles are fully good enough for me.
    queens central booking

    ReplyDelete
  69. This text may be value everyone’s attention. How will I learn more? criminal lawyer ny

    ReplyDelete
  70. I have looked for so several posts about the blog lovers except this post is of course a nice one, keep on. check these guys out

    ReplyDelete
  71. This article has some vast and valuable information about this subject.

    Go Here

    ReplyDelete
  72. I sent your articles links to all my contacts and they all adore it including me.

    link

    ReplyDelete
  73. Hi guys, when I am actually willing of reading these blog post to be updated regularly. It offers fastidious stuff.check this

    ReplyDelete
  74. I agree. You have made the nice blogs with the great info in the contents.

    best credit repair services

    ReplyDelete
  75. Outstanding efforts for making this blog!! Your writers and your work are really appreciative. phlebotomy training

    ReplyDelete
  76. Amazing work pals, I really enjoy reading your interesting blogs.

    life ins

    ReplyDelete
  77. I’m trampled by your contents carry on the wonderful work. sky blue credit reivews

    ReplyDelete
  78. It’s amazing in support of me to truly have a blog site, which will be valuable meant for my knowledge. Thanks admin.
    best philips shaver review

    ReplyDelete
  79. I'm in no doubt coming back again to read these articles and blogs. braun series 7 790cc pulsonic shaver system review

    ReplyDelete
  80. Cool blog site friend I'm about to suggest this to all my listing contacts.

    sewa mobil

    ReplyDelete
  81. Best work done guys, creative contents are here.

    Electric Shaver

    ReplyDelete
  82. This blog is very informative the stuff you provide I really enjoyed reading.phlebotomy training

    ReplyDelete
  83. Info is implausible, I would want to see more and more from your writers.
    best electric razor 2014

    ReplyDelete
  84. Your blogs stuff is purely enough for me personally.

    italian recipes

    ReplyDelete
  85. I definitely respect and am grateful for your point on every single object.exercise

    ReplyDelete
  86. how to lose man boobsThis written piece gives fastidious understanding yet.

    ReplyDelete
  87. Hi buddies, it is great written piece entirely defined, continue the good work constantly.credit repair

    ReplyDelete
  88. Thanks for sharing such an informative posts so keep it up man!! facebook marketing

    ReplyDelete
  89. Info is implausible, I would want to see more and more from your writers.
    home security systems

    ReplyDelete
  90. Hey to everyone, it’s my first visit of the blog site; this blog includes awesome and actually best info for the visitors.ovation credit

    ReplyDelete
  91. healthy dietIt feels awe-inspiring to read such informative and distinctive articles on your websites.

    ReplyDelete
  92. This post is really valuable that designed for the new visitors. Pleasing work, keep on writing. best security system

    ReplyDelete
  93. Here at this site really the fastidious material collection so that everybody can enjoy a lot.

    home security systems

    ReplyDelete
  94. This text may be value everyone’s attention. How will I learn more? Best Electric Shaver For Men

    ReplyDelete
  95. This short article posted only at the web site is truly good. payday loans online in ky

    ReplyDelete
  96. Wonderful, just what a blog it is! This blog has provided the helpful data to us continue the good work.cheap Villas Marrakech

    ReplyDelete
  97. Congratulations guys, quality information you have given!!! personal cash advance loans

    ReplyDelete
  98. Thank you so much you have given the great blogs site by which we can get more advantage. online tutoring service

    ReplyDelete
  99. Your articles are very well written and unique. home security system

    ReplyDelete
  100. Amiable articles and the blogs really helped me a lot, thanks for the valuable information.
    besthome

    ReplyDelete
  101. Exceptional blog you guys have conserved there, I absolutely appraise your effort. how to get a cash advance

    ReplyDelete
  102. You have done really a superb job with your web site. Marvelous stuff is here to read. best remington electric shavers

    ReplyDelete
  103. I certainly appreciate your stuff provided in the blogs.
    repair credit

    ReplyDelete
  104. I've been trying to find hours and now I have got such splendid work.vaginal tightening surgery

    ReplyDelete
  105. This blog is truly extraordinary in all aspects.top labiaplasty surgeons

    ReplyDelete
  106. Wasp dudes! Amazing stuff continues the good work. How to lose stomach fat

    ReplyDelete
  107. I even have been gifted for hours and I haven't suffered such awesome stuff.

    http://anarkalisuits.bravesites.com/#builder

    ReplyDelete
  108. I was getting bore since morning but as soon as I got this link & reached at this blog, I turned into fresh and also joyful too.
    Height Increasing Shoes

    ReplyDelete
  109. frontpoint
    Nobody can reject the info you have given in the blogs, this is actually a great work.

    ReplyDelete
  110. adt review
    I even have been getting a lot of helpful and informative material in your web site.

    ReplyDelete
  111. Beef jerky wholesale
    Hey buddies, such a marvelous blog you have made I’m surprised to read such informative stuff.

    ReplyDelete
  112. credit repair companies
    It’s amazing in support of me to truly have a web site that is valuable meant for my knowledge.

    ReplyDelete
  113. ovation credit
    I'd like to take the power of thanking you for that specialized guidance I've constantly enjoyed viewing your blog.

    ReplyDelete
  114. best electric shaver reviews
    Your blog is such like that I have run out of words!!! Really superb

    ReplyDelete
  115. braun series 7 790cc pulsonic shaver system review
    Your blogs have allured me a lot. I’ll again visit this great site to get more valuable stuff.

    ReplyDelete
  116. dentist reseda
    No wonder why you receive countless of feedbacks.

    ReplyDelete
  117. NY Medicaid fraud attorney
    It is extremely nice to see the greatest details presented in an easy and understanding manner.

    ReplyDelete
  118. who's calling me
    Superb posts with lots of information!!! This is really the most miraculous blog site dude….

    ReplyDelete
  119. best seo company
    Your writers are extremely fantastic that have made easy to understand everything for us.

    ReplyDelete
  120. The quality of your blogs and conjointly the articles and price appreciating.
    auto insurance quote

    ReplyDelete
  121. Read More Here
    I see the greatest contents on your blog and I extremely love reading them.

    ReplyDelete
  122. write my essay for me
    It’s amazing in support of me to truly have a blog site, which will be valuable meant for my knowledge. Thanks admin.

    ReplyDelete
  123. These are actually wonderful some ideas in the blog. You have touched good quality points here. In whatever way continue writing. lifestyle fitness

    ReplyDelete
  124. watch repair
    Great details here, better yet to discover out your blog which is fantastic. Nicely done!!!

    ReplyDelete
  125. This is actually a fantastic blogs! More of these details are superb -it is nice to see one that current. payday loans online

    ReplyDelete
  126. This blog Info is fabulous; I must wanna see best more from your writers.
    lifestyle definition

    ReplyDelete
  127. Your contents are too straightforward to browse and easy to understand.
    healthy lifestyles

    ReplyDelete
  128. Bundles of thanks for providing such kind of blogs with the informative and impressive articles. panties for sale

    ReplyDelete
  129. I am dreadfully thankful to all of your team for sharing such motivating information.
    healthy lifestyles

    ReplyDelete
  130. You have really selected the suitable topic; this is one of my favorite blogs.
    Loch Duart Salmon

    ReplyDelete
  131. When I searched the blogs suddenly I saw this one and when I read it, amazing stuff out there that compelled me to comment.

    what age do i have be before my automoble insurance come down in south carolina

    ReplyDelete
  132. healthy lifestyle
    If you really desire to get such type of information, visit this blog quickly.

    ReplyDelete
  133. This is one amongst the informative blogs that you shared with us.
    life insurance rates

    ReplyDelete
  134. It’s truly awesome; you have imparted truly great knowledge.
    android incredible phone

    ReplyDelete
  135. This is quite impulsive post, I liked the way you write and explain all the things clearly. Thanks
    how many payday loans licence in oregon

    ReplyDelete
  136. That’s really so good to visit this site, the blog has helped me a lot in my thesis, before I was quite worried to clear my concepts, thanks
    vitiligo makeup

    ReplyDelete
  137. Keep the ball rolling you have done the great job here.
    watch

    ReplyDelete
  138. I am actually delighted to read this post that carries countless of helpful information, thanks!!
    loans online

    ReplyDelete
  139. You have actually made the good points here. I did lots of search on the same topic and didn’t find such informative blog like yours.
    life insurance quote

    ReplyDelete
  140. Extremely energetic blog, I loved that a lot because of attracting info.
    bestcitation.com

    ReplyDelete
  141. Hello!! Great job this is so great blog. Thanks!
    adt security

    ReplyDelete
  142. Bundles of thanks chum!! Very helpful post! It’s impressive too….
    home security system

    ReplyDelete
  143. Really amazing blog!!! I enjoyed the complete article? enormous written.

    instagram for business

    ReplyDelete
  144. I have really inspired from your blog post, I truly never got this type of informative things which I got from there.
    responsive wordpress website

    ReplyDelete
  145. I am actually delighted to read this post that carries countless of helpful information, thanks!!
    online pay day loans

    ReplyDelete
  146. Oh yes!! This was the thing I was searching for, pretty great….
    watch brands

    ReplyDelete
  147. Thanks for such superb info; this in actual fact comes in handy.
    whole life insurance quotes

    ReplyDelete
  148. Thanks fellow your posts are really very good for me since it make good sense for me.
    electric razor

    ReplyDelete
  149. Really amazing blog, I’d love to discover some extra information. Best infographic

    ReplyDelete
  150. For a long time me & my friend were searching for informative blogs, but now I am on the right place guys, you have made a room in my hea best home security system

    ReplyDelete
  151. This source is really helpful for me and others as well. Thanks for sharing this. Password Manager

    ReplyDelete
  152. I am so happy to visit your site; it carries plenty of superb facts that pleased me. hajj packages

    ReplyDelete
  153. Really it is quite edifying article just that I was on the lookout for. blog post service

    ReplyDelete
  154. Your blog is really one amongst my most favorite blogs, it’s so creative. alarm systems

    ReplyDelete
  155. Thank you so much for your all great explanation, I liked reading this. when do i have to pay my auto insurance deductible

    ReplyDelete
  156. I hope you will share such type of impressive contents again with us so that we can utilize it and get more advantage.payday loan

    ReplyDelete
  157. This is really a remarkable topic close to my heart thanks. Keep up the good working! SEO Conference

    ReplyDelete
  158. Thanks for sharing such a nice knowledge with us. A must read blog. business credit builders

    ReplyDelete
  159. The writer understand better the mind of people what they want to learn through their writing therefore this article is outstanding. Thanks!!!payday loans

    ReplyDelete
  160. This information is quite useful, I truly enjoyed. judi bola online

    ReplyDelete
  161. Hmmm informative post, what actually I was looking for!
    building business credit

    ReplyDelete
  162. This is so special blog for me; I’ve bookmarked this whenever it will my heart good to learn more new things I can come back…
    payday loan

    ReplyDelete
  163. I love your blog... Very nice colors & theme as well as the topic you selected is superb, in final words I can say that this is truly great! cheap insurance life

    ReplyDelete
  164. Your style is so exclusive compared to other individuals. Thank you for posting when you have the chance, guess I would just make this bookmarked. zip codes and insurance

    ReplyDelete
  165. I wished to thank you for the immense post!! I undeniably enjoying a lot, I am bookmarking this to look into new stuff you post… fast way to build business credit

    ReplyDelete
  166. Hmm this post is truly effective; you have defined the core factors in your write-up. Thanks www.healthinsurancefinder.co.uk

    ReplyDelete
  167. Hi to all, here all people are sharing this type of experience, so it’s good to read this blog; I daily visit this site to learn more awesome things. Calgary Paint contractor

    ReplyDelete
  168. Enormous experience… best high quality blog there is. orogoldcleopatra.com

    ReplyDelete
  169. I was seeking this convinced info for a long time. Thank you for offering such great information and good luck. http://garciniacambogiahowto.com/dr-oz-free-trial-supplements

    ReplyDelete
  170. I love your blog... Very nice colors & theme as well as the topic you selected is superb, in final words I can say that this is truly great! http://livetofitness.com/the-flex-belt-review

    ReplyDelete
  171. Pretty! This was a truly superb post. Thank you for your offered information. Joseph Tacopina

    ReplyDelete
  172. I am so happy to visit your site; it carries plenty of superb facts that pleased me. Book of Ra deluxe

    ReplyDelete
  173. Cheers! You have really allured me; I have no words to explain my feelings about your post. http://yostopaydayloans.com/

    ReplyDelete
  174. This is really a remarkable topic close to my heart thanks. Keep up the good working! Health Insurance Tallahassee

    ReplyDelete
  175. Hello! After browsing some amongst the post I felt this is totally new to me. Anyhow, I’m absolutely happy to find this. healthcare insurance company

    ReplyDelete
  176. The most wide-ranging data I have ever got on this topic on the net. I will be right back soon to the same site…. florida family health insurance companies

    ReplyDelete
  177. This blog posted at the website is really first-class. It made me happy. Health Insurance Palm Bay

    ReplyDelete
  178. Having studied this I considered this post was very edifying. I appreciate you have put the nice efforts in this blog. orogold cosmetics

    ReplyDelete
  179. This is my destiny to visit this site and got the necessary details here that are also in quality. vine vera reviews

    ReplyDelete
  180. Incredibly nice article, accurately what I was in search of. Thanks vine vera

    ReplyDelete
  181. You fully match our expectation and the selection of our data.payday loans online direct lenders only

    ReplyDelete
  182. This information is quite useful, I truly enjoyed. wwwcarsinsurancecom

    ReplyDelete
  183. I’ve been married for over 9years, me and my husband have been trying to conceive, We have gone to almost every were to seek for solution, but it was very hard for me trying and it got to the point where i was almost giving up, Everybody deserves a bundle of joy and i was thinking my own has skipped right over me until my sister showed me so many testimonies of different women and families testifying about a great EKA that has helped them with their problems and problem similar to mine was also been solved,i took courage to contact DR EKA (dreka14demons@gmail.com) and did all he ask me to do online and as he promised me he did cast the pregnancy spell and 6weeks later i went to the clinic for medical checkup and it was confirmed that i was pregnant , today marks my babies one year birthday and am using this medium to tell every woman out there who is in one time situation to contact DR EKA for help. you will be surprise the way his spells work miracles (dreka14demons@gmail.com) i hope my story also gives someone out there hope

    ReplyDelete
  184. Excellent quality work brought to a destination ahead of time. That’s extremely good! pool builders wylie

    ReplyDelete