Showing posts with label brave new world. Show all posts
Showing posts with label brave new world. Show all posts

Wednesday, March 2, 2011

Meet The Beatle! (a.k.a. we picked a donor)

I think we're over the hump. I should say that I think "I" am over the hump as I'm not sure M ever really had a hump to get over. She has been so great over the past few weeks - giving me wide berth to sort through my smorgasbord of emotions but checking in frequently and letting me talk it out as much as I've needed to. I think it came organically to some extent because she doesn't have a lot of strong feelings about this stuff, and as I have nothing BUT strong feelings about it, it was easy for her to defer to me. Because of that, I can't say I know for sure how she felt deep down at each step along the way. I probed her constantly for her input, hoping she'd say something that would sway me one way or another, and occasionally she did, but for the most part, she would tell me she was leaning gently toward X or Y, but she would back whatever course of action gave me the most peace.

One night, we had a conversation in which I said I just still really, really, really wanted to use KD, but I knew that wasn't a good option for many reasons, so I was ready to start looking at donors in hopes we'd find one that I could get excited about. I thought it might be too much to ask to have The Great Unknown beat out KD in the battle for my heart, but if I could pin a face or a profile to it... Maybe that would be bridge I needed.

I am always fascinated by the various criteria people use to choose donors - what is important to one person versus another. Last time we went sperm shopping, we chose based upon the overall vibe we got from his responses to the open ended questions and his essay. I remember clearly that we chose the donor we'd most like to be friends with, with the hope that his constellation of personality traits would most closely resemble ours. This time around, my priorities were for someone with English heritage (M is 100% English) so the answer to the "what are we?" question would be the same for both (all?) of our children, and for the donor who looked most like KD so that our children would be most likely to resemble each other*. (I realize this sounds shallow, but it's part of how I've come to terms with this course of action. And hey, I must not be alone in this desire given the number of banks that offer face matching services!) Oh, and we also wanted the donor to be ID-Release to mitigate one of the concerns I blogged about beforeIn Loco Parentis had given me a tip that she and her partner found Xy.tex to provide more information than some of the other banks, so while we skimmed a couple other options, that was where we started our search in earnest. We figured we could always switch to another bank if none of the Xy.tex donors floated our collective boat. M and I perused the profiles that night I brought it up and pulled out half a dozen that we liked. She picked one as her favorite. I was still feeling too unsettled about the whole thing to care much for any of them myself.

A few days later, I got an email from Xy.tex offering a discount on the membership package we'd planned to purchase anyway. We figured we'd wait until closer to our actual cycle, but I never met a sale I didn't like, so we took the plunge. We purchased the membership at something like 10pm and M headed straight to bed while I stayed up for the next several hours reviewing the profiles of every Caucasian, ID-release donor who had an adult photo on their site. There was a clear winner, and I knew it as soon as his photo popped up on the page. His baby photo (in which he is not a baby so much as a kindergartener) could easily be Elliot's brother or cousin, and his adult photo looks very much like the pictures I have seen of KD 20 years ago. Both M and I (and KD) are very musical and this donor is playing the guitar in his adult picture. That, plus his full British heritage and the features to match make me think he looks just like a Beatle, hence the blog nickname which I plan to hold on to. :-)

Imagine my delight when I scrolled down to read his profile and - I kid you not - out of the 102 Caucasian, ID-release donors with adult photos on their site, he was the very donor M had already picked as her favorite from our review of the basic profiles several nights earlier. How's that for meant to be?

His inventory is pretty low right now so we're trying to decide if we're committed enough to purchase some now and store it at our RE's office until we're ready to use it. I think we are.

Tangent: I have this one lingering anon donor sperm question that I haven't resolved yet. For those of you who have used donor sperm, how open were/are you in comparing donor numbers with other families using the same bank? For those who are still in the planning stages, what are your thoughts on this? I think I'm a little gun-shy in this area after we panicked a friend by nearly using the same donor as she did, but is there something weird about conceiving half-siblings of people you know, in or out of the computer? Or is it fine, or even desirable, because hey, there are gonna be X number of half-sibs out there whether you like it or not - at least this way you can be connected to one or more of them. Alternatively, is it easiest to stick your head in the sand on the half-sib issue altogether and take a "don't ask, don't tell" approach to other donor sperm families? I have no strong leaning on it myself (yet - ha ha), but I'd love to hear what everyone else thinks.

So, that's the story of how two people fell in love... with a donor. My world sure is spinning fast these days.


*If I'm completely honest, I don't really know what M's priorities were this time, and I'm not sure she did either. The last time we talked about it, she admitted that she was feeling pulled in multiple directions about what was most important to her. It sort of became a moot discussion point once we started looking at profiles and flagging favorites, so I'm not sure what her final ranking of priorities would have looked like. I should ask her.

Friday, February 18, 2011

WTF indeed

First of all, thank you SO much for your kind comments on my last post. It's delicate subject matter and yet everyone was able to hold my hand across any differences of opinion or experience and I really appreciate that. Just one more example of how our community kicks @ss.

So... WTF appointment yesterday. No real surprises there, except that I couldn't stop crying during the meeting. I kind of thought my shit was more together than that. Pretty much everything is on the table. Her recommendation is to go straight to IVF with anonymous donor (AD) sperm but she will support us in any of three main options with a handful of variables:
  • Up to 4 IUIs using AD, with or without clomid and/or monitoring (estimated cost $850 each without monitoring or $1200 with, pregnancy rate 15%). She recommended an HSG first which I vetoed. Not going down that road ever again.
  • IVF with AD, with or without ICSI (estimated cost $12,500 without ICSI or $14,000 with, pregnancy rate 56%). This is where she would recommend we start. She initially said we don't need ICSI since we did it on half our embryos with KD and it made no difference, but when I reminded her we'd likely be using a different donor this time around, she conceded that we might want to consider it as an insurance policy because "weird things happen."
  • IVF with KD, MESA and ICSI (estimated cost $19,000, pregnancy rate 56%). While she agreed to help us if we go this route, it was clear she didn't think it was a good option due to cost, level of invasiveness, and logistics of KD being out of town. She estimated the cost of MESA to be around $5,000 but admitted that was only an educated guess as she is fairly removed from the financial aspects.
I have no idea what to do. My resolve to switch to AD took a serious blow while we were sitting across the table from the RE, preparing to make it all official. Any clarity I thought I had a couple of days ago seems to have evaporated into thin air. I just can't seem to reconcile my grief over the potential change to AD. Is my unease worth paying an extra $5,000 for? It shouldn't be - that I know - but what if I just can't get over this hurdle? Does the idea of spending nearly $20,000 on a high-pressure IVF cycle sound better? Not really. I just want to wake up and find out this is all a bad dream, but I know that isn't going to happen.

Wednesday, February 16, 2011

paradigm shift

Disclaimer: I am petrified to hit publish on this post. I can't imagine a greater emotional landmine than how and why and with whom we build our families. I'm baring it all here, even the unflattering bits, as part of my own process of sorting through it all. If you feel the need to check me on something, please remember that I'm in a fairly raw space right now and be gentle if you can. And also, please believe me when I say that I genuinely value and respect all of you and just because I may feel on a gut level that one path is a better or worse fit for me and my own family, it doesn't mean I think I'm "right" or that anyone else should feel the same way. I LOVE the way the glbt and infertility communities I am a part of have quilted families together in the most diverse and wondrous and creative and resilient and loving of ways. Please don't revoke my membership card when you see where I am struggling. OK, enough fine print. On to the post...

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If you'd told me a week ago I'd be writing this post today, you'd have been able to knock me over with a feather.

I think we might skip the appeal to KD and proceed with anonymous donor sperm. I'll pause while you pick yourself up off the floor. Oh wait, that was me that just fell out of my chair, not you.

Our WTF appointment with the RE isn't until tomorrow and we're not sure what she will present to us in the way of options, but here are the four courses of action as I see them now:

1. We cut our losses and embrace the idea of raising Elliot as a single child. We accept that while we will always be smaller in number than we hoped, we will have more available money, time, and other resources with which to enrich our lives in other ways.

2. We pursue fostering and/or adoption. While I think being a foster parent is possibly the highest calling that there is, I can say without a doubt that I'm not cut out for it. My parents fostered for a while after I left for college so I know whereof I speak. 99% of what I know of adoption I have learned from my blog friends and what I have taken from them is that the process is hard and expensive and risky and hard and long and hard. I exist in constant awe of adoptive parents and those waiting to be matched. I just don't know if I have the strength (or the finances) to do it myself.

3. We approach KD with our hearts on our sleeve, pleading with him to undergo MESA in service to our family. We commit to out-of-pocket IVF ($10000) plus meds ($3000) plus MESA ($3000) plus ICSI ($1250) and hold our breath through the highest stakes IVF cycle one can imagine. Hopefully we'd get snowbabies, but there are obviously no guarantees. Speaking of no guarantees, it's possible they wouldn't even get enough viable sperm from him to complete the cycle and since they prefer to do MESA at the same time as the egg retrieval, we could get all the way through stims and retrieval and then have no transfer to attend.  There is always a chance an IVF cycle will fall apart at any stage, and this just adds one more major hurdle for the cycle to trip over. Yes, this risk can be mitigated by doing the MESA in advance and freezing, but then we are further compromising the quality of already iffy sperm. We have a lot of questions for the RE about all of this and it's very possible Dr. Google has steered us wrong in one or many ways. Lord knows we are not experts (or even amateurs) in the male factor arena.

4. We buy some sperm off the internet and continue TTC with that. My official infertility diagnosis is Unexplained, but everyone's "hunch" is that I had endometriosis. Since E was born, my periods have been dramatically lighter and less painful, which adds credence to this theory since pregnancy can reverse symptoms for a while. With that in mind, we could ask the RE (I can't believe I'm about to type this) if it would be a worthwhile exercise to go back to IUIs. Don't get me wrong - I would NEVER retrace the steps we went through to get to Elliot. I'm talking about 2-3 cycles, tops, just to rule out the possibility that it could be that simple. It would certainly be nice to pay $1000 for a BFP via IUI versus $15000 for the same outcome via IVF. This wouldn't be an option with KD because MESA requires the use of IVF with ICSI (again, per our internet research, which we would love for the RE to contradict us on).

Let me pause here for a moment to sound like a spoiled child and state that I want NO PART in ANY of these options. None of them. I am filled with a mountain of grief and a streak of rage that this is the crossroads we are at. I have spent the past couple of weeks mourning the fact that I have to walk down any of these paths, but walk down one (or more) I must because as you probably noted, doing nothing isn't actually doing nothing. There are many times in life that you can legitimately avoid a situation by remaining still. This is not one of those times. We have to do Something or Nothing and every single pathway has lifelong outcomes attached to it. And from where I sit today, I hate them all - giving up on a second child altogether, subjecting ourselves to the gauntlet of fostering or adoption, imposing upon KD and taking on $17000 in IVF debt when we still haven't finished paying off Elliot, and walking away from our chance of a bio-sibling for E. I'll pass, thanks. Here is what I want: I want to go back in time to before KD's vasectomy to bank a dozen vials of sperm so that we could proceed with the conception of a bio-sib for E in our own way, at our own pace, and with plenty of reserves to take the pressure off. But the door has closed to that possibility and I am left with four alternatives that pale in comparison to the option that was lost. My job now is to pick the one that makes me feel the least eviscerated, even if only by the narrowest of margins. I know I won't always feel this way and I'm slowly easing myself over the hump. Really, I am. I'm just not quite done being sad and angry about it yet.

Here comes the shift; the lemonade, if you will...

M and I had a good talk on Friday night in which I rattled off every stream-of-consciousness thought that had run through my head since we'd last discussed the situation several days earlier. It was a bunch of "And then I think.... but then I feel like... which leads me to.... but on the other hand..." The initial crack in my reasoning came when I said "I just don't want a future child of ours to approach KD in 20 years and ask why he was the donor for Elliot but not for him or her, and I can't imagine that KD wants that either," followed almost immediately by "well actually, that doesn't really hold water considering any future kid who would be in a position to ask him that wouldn't ever have existed if KD had continued to be our donor." Hmmm...

In the end of that conversation, the plan was that M and I would collaboratively draft an email to KD laying it all on the line - our myriad reasons for asking him for something that was very possibly unreasonable to ask for as well as the financial and logistical hurdles we were prepared to take on to make it happen - and if he said yes, we'd find the money (read: credit) somewhere because we agreed it was worth it to us. One of the (many, many) things I said that night was that the decision came down to what we wanted the story of our family to be. It was a quick comment and, if I'm honest, was used more in relation to what I did NOT want the story of our family to be, but it planted a seed that grew roots overnight and on Saturday afternoon, I told M I'd changed my leaning.

A big part of me honestly believes that everything happens for a reason. The rest of me believes that our psyches generate meaning for whatever happens to us. Either way, the end result is that everything ends up feeling As It Should Be, and I know that will be the case with whichever path we choose. This is cemented all the more by the fact that there will - hopefully - be a living, breathing child at the end of our road (yep, option 1 is sooo off the table, but I'm guessing you knew that already) and that child will provide the ultimate meaning and purpose for whatever path we choose. That particular end will justify any means. So knowing that, and having faith that whatever option we choose will feel right in the end, the questions become: What do we want our story to be? What do we think our story is meant to be? What decisions can we make now to ensure that our story is one of empowerment and choice and not just extra struggle?

Is it meant to be that we just have to cry more, work harder, and go deeper into debt to have the full bio-sib we we're meant to? Are we simply supposed to have to overcome more hardships to strengthen ourselves and/or our relationship, or to affirm that building our family the way we always envisioned it is worth any cost, no matter how outrageous? Can that really be the answer? Maybe, but it just doesn't seem right somehow. Alternatively, is there a completely different child out there waiting for us and KD's vasectomy is simply the signpost for the detour we need to take to find him or her? If that is the case, we can beat our heads against the signpost and maybe even get around it, but at what cost? If we can find faith enough to follow it, what great rewards await us then? Perhaps our story is that we had to let go of what we hoped our family would be to make room for something even better. Perhaps my story is of challenging my own misguided notions of Normal and Perfect to find the family that is actually perfect for me. Another thing my mom has always said about me is that since my personality first emerged, if I decided 5+5=10, then 5+5=10; not 4+6, not 7+3... 5+5, and only 5+5. It's not a good quality to have, and maybe the universe is pushing me to evolve past it.

One of the things I have struggled with a lot since learning of KD's vasectomy is the certain knowledge that I would not have agreed to use him as our KD had I known this would happen. We were clear with KD from the first conversations we had about him being our donor - we wanted at least two children and, barring some unforeseen tragedy that would leave he or I unable to reproduce, we wanted them to be full bio-siblings, so if there was any sliver of doubt in his mind that he wasn't in this for the long haul, we wanted to know up-front. The awareness that his vasectomy would have been a deal-breaker for me is a bone-chilling thought when I consider what would have been lost. We would never have had Elliot, and what an unthinkable tragedy that would have been. We'd have a different child that I'm sure we'd love just as much, but it would not be him and so yet again, I am reassured that everything happens for a reason. We needed to not know KD's vasectomy was in our future in order to have Elliot, and now, perhaps we need KD's vasectomy (and my chemical pregnancy) to have occurred to steer us in the direction of our next child.

I realize that my obsession with bio-sibs is uncomfortable for some of you to read and I want to clarify a few things about that:

(1) I don't think full bio-sibs have any inherent importance, but in our specific scenario, I do believe they could serve a unique purpose. We're in uncharted territory with the "special-uncle-slash-KD" situation we've embarked upon. I don't have any murky feelings about it myself and we have always planned to be open with Elliot about how and why we did what we did. I trust that in the long game, he will be able to see the beauty and love in his conception story and I hope he will always feel positively about it, but realistically, I'm sure there will be one or more times in his development where the weirdness factor will win out. In those times, I wanted to be able to give him the gift of at least one other person on Earth who is in his exact shoes, and he in turn would provide that for them. I wanted our children to know no matter how much confusion or anger they felt toward us or how isolated their unique origins might make them feel at times, there would be someone else in their family to lend just a little normalcy to their experience, and to make them feel less alone.

(2) I am not against anonymous donor sperm. When we switched to it for a couple cycles while TTC Elliot, it was a non-event for me emotionally. In fact, the prime emotion I recall was relief to be trying something different that might finally WORK, damn it. If one of those cycles had worked, then yes, my preference would be to use the same donor for future children, but I do not believe it would feel as critical to me as it does in this case. However, given where we stand today, I have this persistent discomfort with the thought that for one of our children, we can facilitate access to any shred of family history he may wish to inquire about, but for our other child, all we'll have is a detailed medical history, an interview transcript, and a baby picture. It's not the lack of history I can't get past. Again, we rolled the dice on that a couple of years ago and it was no big deal. What I'm hung up on is the injustice of being able to give something to one child that I can't give the other. Not insurmountable by any means, just something to come to terms with.

And finally, (3) I will fully admit that I love to notice how Elliot's jawline is identical to M's fathers, how E and M have the same hair color down to the last reddish-blonde highlight, and how I sometimes catch expressions fleeting across E's features that I have seen before on M's. And you know what? I am not going to apologize for that. I'm not saying it carries even an ounce of weight in defining our family and none of those things make M "more" E's mother than she would otherwise be, but it's fun. Who among us doesn't enjoy seeing resemblances of themselves or their loved ones in their children? Can't we all agree that in an ideal world, we'd love to conceive a child that was a direct biological descendant of both ours and our partners? This isn't a possibility for so many of us for so many different reasons, but is it really wrong of me to like the fact that M and I - through nothing but pure luck - were able to get pretty darn close the first time around? Yes, seeing those traces of M and her family in Elliot are meaningless in the grand scheme of things, but it's something I treasure and will miss when we do things differently the second time around.

Did you catch that? I said when. I'm waiting to talk to the RE tomorrow before officially moving all of my eggs to the other basket, but I think I have a good idea where we are headed. There is a very real possibility we'd be forced into anonymous donor sperm anyway if KD said no or our cycle with him was a bust. Rather that run that risk, I'm inclined to proactively heed the cues the universe is sending instead of waiting to be steamrolled by them. Yes, our options have already been restricted somewhat, but there is still power to be claimed at this point. If we decide now to skip straight to anonymous donor sperm, it will be our choice, and we will always know that, instead of feeling like it was something we were forced into when we literally had no other options left on the table.

This doesn't mean I don't have moments of looking at Elliot and realizing we'll never get to meet the reshuffling of his gene pool that feel like a white-hot poker right through my gut, but I know they are simply part of the process of getting to where we need to go. The bottom line seems to be this: When we look back at the decisions we made at this all-important juncture, do we want to say that our family was built on a foundation of genes and money or flexibility and love? Put that way, I don't even feel the need to dignify the question with an answer.