Fertility Musings, Questions & Answers and News

Monday, September 14, 2009

Book Excerpt - Making Babies by Theresa Miller

From the introduction to Theresa Miller's book - Making Babies - a book about IVF Experiences*

"I was conceived accidentally by a couple of teenagers in the back seat of a 1960s pink Ford Zephyr at the drive-in movies in Adelaide. I don't know what was playing that night, but it obviously didn't capture my parents' attention. Four months later, my Catholic grandparents marched their disgraced children down the aisle...

Except for my grinning father wearing a tight borrowed suit, my 18-year-old mother and the rest of the family looked grim faced in the wedding photos. My parents went on to have my little sister three years later. Their marriage lasted 15 years, which is not a bad track record for a shotgun wedding.

And so it was, that my mother warned me not to make the same mistakes she’d made. “Don’t get married young, see the world, go to university, have a career, have lots of boyfriends before you settle down and most importantly, don’t get pregnant accidentally!”

Dutifully, I followed my mother’s instructions. I went to university and studied journalism, landed a job as a TV reporter, worked in London and Europe for six years, lived with my violinist boyfriend in Switzerland and traveled the world.

When I met my husband-to-be, Stuart Ziegler, in Sydney, I was 31 and ready to settle down. Within a few months, I fell pregnant accidentally. I was excited but Stuart wasn’t so thrilled. Our relationship was still new and he was worried about how he’d support us. My mother’s words were ringing in my head, “Don’t ever make a man marry you because you’re pregnant.” So with a heavy heart, I had a termination. A decision, we both came to deeply regret.

Six months later Stuart and I were married. I threw my contraceptive pill away and we tried in earnest to start a family. Nothing happened after the first year. I wasn’t too worried. I was working as a TV reporter and traveling often. It was probably just bad timing, I told myself. After the second year, I began to worry I’d damaged my fallopian tubes somehow with the termination. Tests revealed everything was fine.

By the third year, the strain was taking its toll on our marriage and I blamed Stuart for ‘making me have an abortion.’ We began to argue more than we were having sex. By the fourth year, family and friends stopped asking about the ‘pitter patter of little feet.’ When I heard about friends falling pregnant easily I’d smile and congratulate them and go home and cry.

I started to investigate IVF but the only books I found were technical manuals and a devastating memoir by a woman who tried unsuccessfully for years and suffered terrible side effects from the drugs.

At first, I stubbornly rejected IVF, saying, “We’ve conceived once naturally, we can do it again!” Instead we spent a fortune on acupuncture, naturopaths, Chinese herbalists, spiritual healers and ayurvedic medicine. By now, my sense of humour was drying up and according to my doctor, so were my eggs.

Around the time of my 37th birthday I met a woman at a party who told me she’d just had twins using IVF. When I told her my age, and that we’d been trying to conceive for five years, she said, “For God’s sake woman, get yourself down to the Baby Factory and get on the IVF program. You’ve got no time to lose!”

So that’s exactly what we did. After talking to the nurses at Sydney IVF, I threw down my visa card and said, “Book us in.” At last I felt like we were doing something proactive. Every morning Stuart would inject me in the bottom and except for one jab, which made me feel like my legs were crawling with ants, I didn’t have any adverse reactions to the drugs.

I didn’t tell anyone at work what we were doing, but every morning I felt buoyed by my secret when I logged on to my computer with the password “Zoë Ziegler.”

Harvest or egg pick-up day was the first anniversary of September 11. As I placed my legs in stirrups and winced while the doctor extracted eggs from my pumped up ovaries with a long needle, I wondered what sort of world I would be bringing a child into. But the human instinct to procreate seems to override logic, good sense and even fear.

My pride at producing the grand total of nineteen eggs ­ as if I was a prize-winning chook ­ was dashed the next day when only three fertilised. I couldn’t help wondering whether my crusty old eggs were to blame or my husband’s lazy sperm.

At Sydney IVF, they grow the fertilised egg for five days until it’s a multi-celled blastocyst, before transferring it into the mother’s womb. It seemed surreal, that while we were at work or out to dinner, our ‘offspring’ were growing in a petri dish in the city.

Every day Stuart would ring the lab to see how ‘the little guys’ were doing. In the meantime, I tried to convince Stuart we should have two embryos, rather than one, transferred to increase my chances, even though our doctor had warned us we could end up with twins. I left a letter on Stuart’s desk headlined: ‘Ten Reasons Why We Should Have Twins’ followed by bullet points. Stuart still laughs about it today and wished he’d kept that paper to remind me whenever I complain what a handful one child is.

As it turned out ­ we didn’t have the twin option. According to the lab, one blastocyst was way out in front as an ‘A’ grade specimen, which meant the cells were dividing rapidly while the other two were growing more slowly. They recommend transferring the good one and freezing the other two as back up. As it turned out, the slower blastocysts stopped dividing and simply disintegrated before they even got to the freezer. I was devastated. The doctor tried to reassure me. “It’s not every day I get to transfer such a good looking blastocyst,” he said.

I’ll never forget looking down the microscope at what we nicknamed, the ‘blasting blastocyst’ that was to become Zoë Ziegler. After the doctor had transferred the fertilised egg into my uterus, I asked him if I should go home and put my legs up, so it wouldn’t fall out. He laughed, “There are women out there who have no idea they have a five-day-old embryo growing inside them and they’re drinking champagne and dancing all night. Now it’s simply up to that embryo whether if wants to become a baby or not.”

Somehow, I found that strangely reassuring. For all its incredible technology, IVF still has to leave room for the magic and mystery of creation.

Zoë is Greek for ‘life’. As I look at my beautiful, bright and bubbly three-year-old daughter, I don’t just marvel at the wonder of IVF; I marvel at the wonder of her and all children.

Why does new life sometimes spring unbidden from a once-off romp in the back of a car and other times refuse to blossom despite years of yearning? My newfound awe sent me on a quest to interview other people who’d also experienced IVF. I sought both men’s and women’s personal stories. As it turned out, it was mostly women who responded. I was touched by their open hearted and candid stories. Together we sat in their kitchens or on their sofas and laughed and wept at their journeys.

Not all the stories in this book have happy endings like mine. Some have given up IVF after years of trying without success; others are still on the treadmill.

After countless miscarriages, one woman finally gave birth to a baby, which tragically died weeks later from a rare congenital disease. Another couple gave birth to twins after a friend donated her eggs, while a mother of three impulsively donated her eggs to a stranger.

Women also tell of enduring personal tragedies in their quest for a child; while one woman mourned her brother’s suicide, another was dumped by her partner in the middle of her IVF cycle. Neither gave up their dreams of becoming mothers.

I also spoke to a remarkable young woman who was the product of one of the earliest IVF programs. At school she was teased and called a ‘test tube baby’, now she’s an ambassador for an infertility network.

Assisted reproductive technology has also made it possible for gays and singles to be parents too. A gay male couple and a single woman in her forties share their stories of baby hunger.

All these memoirs are very different. All display courage, determination, vulnerability, love and proof that the desire for a baby is bigger than us all.

P.S. As I wrote this introduction, my pregnant belly pressed against the desk. After Zoë turned three, we decided not to do IVF again and be content with one child. I gave away the high chair, the pram and my maternity clothes. A month later my hands shook as I held the pregnancy test and looked at the two red lines showing a positive result. Our second daughter, Sienna - the homegrown type, was born in January 2007.

See: www.MakingBabiesIVF.com

*reprinted here with permission from the author

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Wednesday, July 08, 2009

Confetti Love - By Miriam Zoll

Miriam Zoll wanted to share this short story - Confetti Love - with the readers of FertilityStories. Enjoy!

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Confetti Love
by Miriam Zoll

At the red light I jumped out of the car into the cold December night. We had been fighting these last few weeks. Quibbling was really the right word. Putting our fingers on the small pulses of our life together and offering polite critiques like rabid political pundits during the presidential season.

This evening Michael was pointing out the negative ways I continued to frame the disappointments of my life. He wanted desperately to have a glass half full but I was still half empty.

“I will not paint a smile on my face where one does not exist,” I told him angrily as I slammed the car door.

It was just turning cold enough to see your own breath and he watched as small puffs of white air trailed behind me like the trail of breadcrumbs Hansel left for the woodcutter. But he decided not to follow me. I turned right at the intersection and he turned left.

I watched him drive away then stood still for a moment in my thin leather jacket looking up at the tops of tall sugar maples backlit by the streetlights.

“What am I doing here?” I wondered. We had been so warm and affectionate that morning and now I was standing alone in the cold in the middle of an unknown town. It was truly like a Star Trek episode where Spock and Bones and the Captain are beamed down to some distant planet that is completely alien to them. All of my physical readings looked normal: I could breathe the air, stand on solid ground, place one foot in front of the other and walk all the way to Timbuktu if I wanted to. But inside my emotional compass had lost all of its bearings. I was no longer capable of steering my life or his on an even keel. Now here I was unsure of whether our marriage would make it through to the morning. Over the last few years our love had been shredded like a letter. What we were now experiencing was the confetti of our love; the little bits and pieces that comprise the whole, the little bits that are so disjointed you can’t really tell where we fit together anymore. In the middle of that intersection I realized I could head north, south, east or west. One path could lead to motherhood. One path could lead to divorce. One path could lead to a life of asceticism, like the gaunt and bony holy homeless of India. Which path would I take?
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Read the rest of the story here.

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Monday, June 29, 2009

Book Excerpt - Riding the Infertility Roller Coaster

Iris Waichler, who wrote Riding the Infertility Roller Coaster was willing for me to share an excerpt with you. It seems (from what I've read on her site and in reviews) that she's chosen to approach the big picture a little more practically than some others - talking about, for example, how to find a doctor or lawyer and the possibility of deciding to stop pursuing treatment and to remain childless.

Here's the last chapter of the book. Enjoy!
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SOME FINAL THOUGHTS ON THE RIDE

This summer I took my daughter to an amusement park. We went with a friend who also has a daughter as a result of infertility treatment. We ended up taking a ride on one of those chute roller coasters that ends up splashing in water. Kids my daughter’s age and size were allowed to ride it. I hate roller coasters and haven’t ridden one in over twenty years. We slowly inched our way up and I thought this isn’t so bad. Suddenly we were at the top of a forty foot drop. Our car began falling down the tracks. My heart raced, my anxiety level shot up, and my head throbbed. I had my daughter in a death grip. We made it to the bottom of the ride and hit with a big splash, before gently floating into the stopping point.

My friend and I staggered out of the chute car. We were shaken. Our girls jumped up and screamed, “Let’s do it again and again.” I thought: let’s try another ride (not a roller coaster). There was a giant pirate ship that moved back and forth like a pendulum. We climbed on that, and as it began to rock back and forth, I lost my stomach on the second swing. I closed my eyes praying it would end soon, and hoping that keeping my eyes shut would ease my suffering. It didn’t! My friend and I got off that ride and I looked at her and said, “The things we do for our kids. I’m sure that’s not the last time we’ll do something for them we would never do otherwise.” She nodded and smiled knowingly. It was also somehow comforting to have my friend there with me going through it. She totally understood what I was thinking and feeling without me saying much of anything.

I thought about that day as I began to write this last chapter. There is the obvious parallel of the roller coaster, which I use as a metaphor throughout this book. I thought those rides that day really did mirror infertility treatment for me and many others. I would do something that terrified me, that wreaked havoc on my body and my mind for my child. I would take what I perceived as a personal risk for her. When I knew I couldn’t handle the roller coaster anymore I chose another ride, hoping that different ride would work, and it would please her and end successfully for both of us.

Those of you reading this book will be in many stages along your infertility journey. There will be days when things will go well, when test results are promising, or when you actually learn that you are pregnant. The day may finally come when it is time to leave and go bring home your newly adopted child and start your family. You may get word from your clinic that they have found a donor match for you or that a surrogate has been identified who will help make your dream of becoming a parent come true.

There will also be days where your test results will show that you are not pregnant. And days when you learn the medication you have been taking is not working, and you will have to try something new. Perhaps, you will continue to be unsuccessful at getting pregnant, and your physician won’t be able to identify the reason for your infertility. Maybe you will get to the point where you feel that if you have to undergo one more needle prick you will scream. You may ask yourself what is wrong with you or your partner—or what “bad thing” you did—that you are unable to create a child, no matter how many treatment options you use.

There may also come a day when you and your partner decide to stop infertility treatment and begin your post-treatment life, choosing to live childfree. It may be hard to imagine this day coming, depending on who you are, and where you are in your infertility journey. Not everyone succeeds, but life can have many fruitful outcomes.

All of these scenarios are emotionally charged. Whatever happens to you and your partner as you continue along the path of your infertility treatment, you can be certain you will be forever changed by your infertility experiences. Your relationships with your partner, your family, and your friends will also be impacted by your infertility experience. Your infertility will challenge and perhaps change these boundaries. You will be forced to make difficult decisions along that way that will test you in new ways. Your infertility journey may cause you to question your own instinct and your judgment. It will force you and your partner to look deeply inside yourselves to understand and define your values, religious beliefs, and life choices. By definition, the need to undergo infertility treatment creates a life crisis.

My hope for you is that you also recognize that you do not need to be a passive passenger on this difficult infertility journey. After reading this book, I hope you can and will be able to assume an active role. If you have a doctor that does not seem to be meeting your needs, you can find another one. You can hire an attorney to offer you information and provide you with the legal protection you need as you negotiate surrogate, adoption, or donor arrangements. Remember, you do not need to go through infertility treatment alone. If you are having difficulty coping with the challenges that arise, you can seek counseling on an individual or support group level. There are lots of places to go to get the specific information that you need to make informed decisions along the way. Friends and family can be educated by you and your partner, and if you enable them, they can help you meet your needs as you proceed through your infertility journey.

The surprising part about the challenges of infertility is that facing them can become an empowering experience for you. You will need to arm yourself with the proper tools, knowledge, and support systems. Don’t be afraid to rely on existing support systems or, if necessary, you can help build new support systems to aid you and others to get to where you are going. Allow yourself the flexibility you need to alter your course along the way, as your circumstances change. Your infertility journey may help you achieve a new and greater level of intimacy with your partner, your family, and certain friends. Your ability to overcome the crisis that may occur can strengthen you. You may make new and lifelong friends along the way. You can actively determine if and when your journey comes to an end. Give yourself permission to look at and consider all of the options that are available to you. Take comfort in knowing that the number of treatment options available to you is growing. The technology, science, and research are ongoing, and ever changing. As doctors gain a greater understanding of the realm of infertility, the success rates for infertility treatment are improving. There is no reason to think that this trend won’t continue.

There is no doubt that, wherever and whenever you emerge from your infertility journey, you will be forever changed. There is no way to know the outcome or what it will make of you. You will certainly be changed in ways that you had not considered when you began. The person you become as a result of this experience will be better equipped to deal with other life challenges that will undoubtedly arise in the future. The resiliency of the human spirit, and the potential capacity that we all have to cope with uncertainty and crisis, is something that has never ceased to amaze me in my many years of work as a social worker.

My hope and wish for you is that, wherever your own personal infertility journey ultimately takes you, it is a place you can accept and look forward from. Whatever our outcomes, we all need to find a future direction where we want and choose to go. My wish is that, wherever this leads for you, it ultimately offers you some sense of peace, belonging and fulfillment.

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Find out more about Iris Waichler's book at her site - Riding the Infertility Roller Coaster

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