Monday, April 13, 2009

IVF In Black and White

That's kind of what I was expecting today, almost hoping for. I really wanted Dr. Optimistic to spell it out for us: this is what you need to do, this is when we will do it.

Instead of black and white, I got varying degrees of muted gray. I thought that today would be the start of The Plan -- the thing that would finally bring us baby. Instead, I've got more questions, and tons of decisions to make.

I'm not sure that I am up for it.

Two things that Dr. Optimistic threw our way today that I wasn't expecting. The first was that we could try another IUI, this time with Antigone (sp?) to help prevent my early surges. Since we have HAD to trigger each time because I was already starting to ovulate on my own, this may help us "cook" our eggs a little longer, giving us more of them "in the strike zone" as the RE put it. This would increase our chances of conception, but doesn't address my biggest concern which is Mo's extremely low sperm counts / motility.

The second thing was a fairly strong push for Shared/Donated IVF. This would alleviate a large portion of the financial burden (about 2/3 of the cost) in exchange for my donating half of my eggs. Mo seemed really okay with this idea -- which surprised me. What surprised me even more was how HURT this made me. Why is this? Why does the idea of helping out someone who needs it, of sharing my miracle, make me want to cry? I tried to explain to both Mo and Dr. Optimistic that I didn't think I could handle it if my "don-ee" (yes, I know that's not a real word) got pregnant and I didn't. "Well, we just wouldn't find out," was Mo's response. "It remains anonymous" the RE assured me.

But I would always wonder. And I don't know how I feel about that.

And so I feel selfish. And guilty.

You see, the money that is financing this journey comes from Mo's father, who passed last summer. Without it, we would be stuck. Our credit is okay, but we just bought a house and we still have some other debt -- I don't know if we would qualify for financing (especially in this economy). So, I am blessed to know that we can pay for this ourselves. And yet, with that blessing, comes the guilt that I am not helping, that Mo is essentially footing the bill. And then I feel obligated to ease that burden as much as possible.

I honestly think that, had I never been through IF, I'd be fine with donating my eggs. If I had three kids sleeping in the other room, it would be easy to reach out and say, sure, I'll share. I've got more than enough.

But, in a feast-or-famine type of situation, it's much harder for me to be willing to share, not knowing if I will ever see the fulfillment of my baby dreams.

I am so torn. I've seen the generosity of this community, and always wished I could do more. I've seen dreams become reality through the selflessness of others. I've even been the recipient of donated meds and more support that I ever dreamed of. So why is it so difficult for me to give back? Shouldn't I be willing to do what I can to help someone else whose situation is probably even more complicated than mine?

Mo is being wonderfully supportive. He says that it is all up to me, it's my body, he wants what I want. While that is great in theory, what I really want is someone to just say to me "Do this. This is the right thing to do."

Instead, it appears that I have to decide what is right. And while this seems easy in other areas of my life, I am struggling with this, much more so than I ever dreamed. Why is it so hard? Why can't I just say, okay, this is what I want -- and not worry about what everyone else wants? Why can't I be selfish, and be okay with it? And what the hell happened to my self-confidence anyway?

Chalk it up as one more IF fatality - the ability to make easy, clear-cut decisions and know, without doubt, that I did the right thing.

10 comments:

  1. I've often referred to IF and IVF as the Great Gray Hole. Nothing is black and white and it gets to be so frustrating. Wouldn't it be amazing to go to an appointment and just have a flowchart or spreadsheet laid out with THE PLAN? No questions, no moral dilemmas, no stupid gray areas!

    I don't think you're being selfish by the way. You're still processing, and decisions like this require lots of processing. I think it's probably really normal to feel the way you do and my first reaction would have been similar "What if they get pregnant with my eggs?" It seems like that would be the most unfair thing on this planet, and yet so freaking wonderful for them. Ack! Stupid gray. It should be stricken from the color wheel.

    Oh and as for feeling selfish about money, don't. You're a team and sometimes one team member has strengths the other doesn't. That's what working as a team is all about. If you're in this together you can't pick and choose what burdens you shoulder, you get to do that together too. In the end you have one score, the team score, no individual stats.

    Hoping you feel better about all of this soon. And go put on a nice RED sweater, just for the heck of it!

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  2. I hear you. I definitely have wanted someone to just tell me, this is it, this is what you should do and here's a calendar with dates circled and a packet with instructions.

    Oh, and because I can't help the lawyery-overeducated part of me coming out, donee is a word, just like you used it. :)

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  3. As someone using someone else's eggs to hopefully conceive, even I understand you wanting to hold onto your own eggs right now. You are in the mnidst of tryng to conceive your own child, you NEED those eggs. I guess it depends on how you feel about it. If you don't think you want to, you don't HAVE to. Trust me, you don't want to feel like you were forced into donating your eggs for the rest of your life. You can finance this without donating. Don't do it unless you're comfortable with it. Good luck deciding!

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  4. Wow - I don't think if I were in your position I would consider doing a shared cycle. Right now you need to take care of you and if you do IVF and get a bunch of eggs you will hopefully get pregnant and, if you are lucky, you can freeze any extra so that you can have another. (If you want more than one.) It is no small thing to donate your eggs, especially when you are faced with the IF issues you have. It doesn't make you selfish at all. If this works and you have embryos that you and Mo won't use then you can choose to donate them. (There are tons of people who would take you up on that kind of offer.)

    I can relate to the pressure you're under with regards to where the money is coming from - I make about a third of what my DH makes so he is basically financing this - and he isn't exactly thrilled with doing so. It has caused some additional stress for us in an already stressful situation. Every so often it comes up and we work through it and come to the conclusion (repeatedly) that it is our money and this is what we need to do. In the middle of going through this it is easy to forget that we are equal partners who each bring value to the relationship.

    I'm sorry for going on and on! I do want to say one more thing: I would advise you to go straight to IVF and not continue with IUI. My RE finally admitted, after we did two IVFs, that he would have preferred we move to IVF sooner (due to success rates) but didn't want to push us into it before we were ready. We were ready all along - we just needed someone to tell us to do it. So I did about 9 IUIs when I probably should have gone to IVF after the first failed injectible IUI cycle.

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  5. I'm sorry that things are feeling so gray right now. It's hard enough to process all of this IVF stuff without all of the extra nuance.

    My two cents about the egg donation -- don't do it unless you're absolutely sure it's what you want to do. You have no idea how you're going to respond to the meds, how many eggs you'll get, how many will fertilize, etc. If it were me, I'd be so resentful and angry if I didn't end up with enough to have a successful cycle, and those are not emotions you want to add to all of the other drug-induced ones you'll be experiencing.

    Oh, and one other opinion (since I seem to have so many today) -- I totally agree with wereyoulookingforme regarding going straight to IVF. I'm sort of surprised your RE didn't push you more, given the male factor issues. Ours didn't really either, but he was very honest that our chances of conceiving were about 4-5% with IUI, and about 50% with IVF.

    Anyway, sorry for the ramblyness and all of the opinions. Please feel free to ignore. :)

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  6. Thank you so much for the kind and inspireing words on my blog you really made me smile.
    I wish I could offer something wise to give you comfort right now. I truely wish I had the answers and a step by step plan to give you your dream.

    I don't have any expirence of this process yet myself but I see it in my future and it already scares me..I can completley understand your reluctance to donate your eggs I would feel the same way you need them right now and that shouldn't make you feel guilty.

    Know that like so many others I'm rooting for you 100% as you make these difficult choices.

    Take care

    xX

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  7. Personally, I think the time for giving back would be after you conceive and carry home your own little chick. Your eggs need incubating before you give them to someone else. In my opinion. That's not being selfish, I just think you (and I)just don't have enough for yourself, much less to give to someone else for the moment. Take care of you, with all of your eggs in one basket before you start the egg toss/spoon races with someone you don't know. (Remember those games from VBS? You stand a few feet apart and toss the egg back and forth until one of you drops it and it splats everywhere. Great up till about 11 years old.)

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  8. I meant that I don't have enough to give either. Did that make any sense to anyone besides me? I hate when that happens.

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  9. Ditto what Victoria (wereyoulookingforme) said--donating your eggs is no small matter. Ditto what many above said--don't do it unless you're sure and you feel really good about it (at "peace" about it). Donating your eggs is a MAJOR decision and should not be made strictly based on finances, nor strictly based on the fact that there are people out there who need eggs. It will be a decision that you will have to live with.

    Please do what you can to take your time with this decision. I know that everyone feels the IF rush--but this is a biggie. There is a lot of wisdom and experience in this community and a lot of people would love to be there for you.

    Thinking of you (and thank you, as always, for your encouragement and support).

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  10. Sweets, you know what? There are other ways to give back, and not wanting to donate your eggs does not make you selfish or unsupportive of other infertiles out there. IT DOESN'T. That is one burden that you shouldn't have to carry.

    I could NEVER be an egg donor (and I have four kids), because I would always have that question of wondering. I can't separate the idea of my genetics and motherhood. Now, this is just my PERSONAL feeling. Thank God there are other generous women out there who CAN make that distinction and go wholeheartedly into being egg donors. They are angels. You're an angel, just maybe not in that way. :)

    Debasing how you feel emotionally shouldn't come at the expense of helping to defray the financial cost of IVF. Sometimes, saving emotional cost is far more important than saving financial cost. Keep your heart in tact, hun. :)

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