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My
wife and I were living in the Far East when I found out quite by
accident that I was infertile. I had been referred to a local urologist
for a routine minor complaint when, one day he telephoned my office
to ask "did you give me a urine or a semen sample?" Clearly surprised,
I half-jokingly replied 'a semen sample of course - why can't you
tell"?
"Well
I haven't got my notes in front of me but the analysis shows no
sperm at all, so I was thinking it might have been a urine sample!"
Assuming
that there must have been some mistake, I decided not to worry my
wife unduly until I had returned a couple of weeks later having
taken a course of tablets to stimulate sperm production.
The
re-test showed the identical diagnosis. I was 100% azoospermic.
I
remember walking out of the doctor's office in a daze. It just seemed
impossible that on such a 'normal' day with the sun shining, I could
be calmly told that I would most likely never have my own biological
child - and there was nothing I could do about it.
As
soon as I started to tell my wife that evening the floodgates opened,
and we both cried in each others arms - it was one of the most devastating
days of my life. From an emotional point I really felt that it was
like all my future descendants had died that day. It just seemed
so final and brutal. I also felt I was responsible not only for
the fact that I had failed my wife in the most basic of male 'responsibilities'
but had additionally failed my family in that, with both my parents
dead I had failed in not continuing the line.
At
the third visit, the doctor suggested a wild shot. He proposed conducting
a biopsy of my testes that would involve taking a sample from both
testicles, to see if there were any sperm cells present. If present,
they could then be used to fertilise an egg by IVF. He acknowledged
that the chances were low, but we immediately jumped at the chance.
The operation was duly performed in Hong Kong, but sadly, despite
the feeling of having been kicked by a horse, proved to be negative.
They had found none.
It
was at this point that we decided to get on a plane to London and
visit some UK doctors. Surely there must have been some mistake.
I think looking back, visiting different doctors allowed us to avoid
the feeling that we had completely given up and to believe that
in effect there might be someone out there who could treat me. Luckily
the company that I was working for included male infertility in
the company medical scheme.
Whether
as a result of masochism or thoroughness, we visited 4 clinics.
One, an eminent urologist, having examined my records, and with
the pictures of his family resting on his desk said to me " there's
nothing I can do, so you either adopt or use a donor, but there
are probably too many people on the planet anyway"! I look back
now and feel surprised that I didn't sock him one!
One
of the other clinics however offered us a lifeline. The doctor having
analysed my notes suggested that the result of the biopsy could
have been incomplete. He told us that new evidence suggested that
the production of sperm is not carried out evenly over the surface
of the testicle and that it is therefore possible to miss very localised
areas of sperm production if only one sample is taken from each
testicle (as had been the case with my previous operation). His
solution was to perform another operation where multiple samples
would be taken so as to be sure as not to have missed any areas
of sperm. Even if they were only to find one, this could then be
used in conjunction with ICSI and IVF. So, back I went to the operating
table, whilst my wife flew home.
We
had discussed the fact that this, in all probability, really would
be the final effort. I felt that I had owed it to myself and my
wife to go the extra mile by having not one but two operations,
but at some point we had to accept the inevitable. I know that my
wife hoped that this doctor would answer our dreams but I feared
the worst.
Three
days after the operation, and whilst staying at my sister-in-law's
house to recuperate, the doctor telephoned to say that he was terribly
sorry, but the operation had been a complete failure. They had not
found one sperm. To hear this a second time was almost worse than
the first time because it was clear that this was the end. I retreated
to the bathroom and sat in the bath once more in tears.
We
decided to leave the whole thing for a few months, as we were both
so emotionally drained by the whole thing. Whilst I don't think
that at any time my wife blamed me for my condition, it just seemed
that all we talked about was 'the problem' and possible solutions,
and it started to get too much.
We
had never really considered D.I. as my wife had assumed that I would
have a problem with it. It was my brother who suggested it on the
basis that as my wife was still healthy, why go through all the
problems associated with adoption when we could still 'have our
own'. Coming from him, it suddenly struck me that even if we couldn't
have 100% of our own child, why throw away the chance to have 50%
of our own child! D.I. was the way forward.
When
we had been in London, as part of our fact-finding mission we had
also visited three of the better-known D.I. clinics. Both of us
were very concerned at the fact that the number of donors from which
our perfect match would be made was in reality very low. Even the
largest clinic admitted that they would make the choice from a universe
of only 10 suitable people. Not only that, but we felt that the
general attitude was patronising to the highest degree possible
- "don't worry, you don't need to know all the details about the
donor, we're pretty good at this sort of thing and we'll make the
choice for you". For us, this was not acceptable. We felt strongly
that we wanted to have not only a great deal more donors to choose
from, but also to be able to make a better, more informed choice
of the potential match.
It
was at this point that a friend suggested going to the States as
he had done. Using the internet, it was relatively easy to conduct
a search of 'cryogenic storage facilities' and we eventually opted
to investigate one in Washington DC a little bit further by taking
our summer holidays in the US.
We
followed directions to a high-tech industrial park where the company
was located and met the doctor in charge. The essential message
that came through loud and clear was that, like all medicine in
the States, if you're prepared to pay for it, you just can't go
wrong. The difference couldn't have been greater. We were shown
a list of their active donors running into the hundreds, which they
attributed to the fact that they heavily promote themselves around
the local universities and pay the donors a commercial rate. Although
the donors still maintain total anonymity the amount of information
provided was equally impressive.
Having
sifted out the clearly unsuitable candidates by height, race etc
,you can then obtain a full detailed sheet on your short list (for
additional payment!). This provides details on eye colour, ear lobe
type, (!) height, weight, hair colour and type, lip shape, nose
angle etc etc. In addition, you are provided with similar details
for his siblings (if any), his parents and also grandparents. Finally,
to complete the picture you get details on medical history as well
as interests, language skills and academic records for the whole
family. By the end of it, I felt that I knew the donor and his family
better than I knew my own!
The
doctor was at great pains to point out that they will not advise
on the choice of donor at all. They see their role as ensuring that
the samples available have been exhaustively screened for disease
and congenital abnormalities and that these are then supported by
the type of information described. This is in total contrast to
the British experience where we felt that we were essentially being
asked to give up all personal involvement or choice in the process
because "they know better".
A
month later, we made our choice. The next bit seemed almost too
easy. I paid by credit card for 10 samples, which was processed
over the Internet. When I asked how it would arrive, I was told
that Federal Express would be taking care of it. So there we had
it - when in trouble, FedEx it!
It
duly arrived. Another three months later and we were ecstatic to
find out that my wife was pregnant.
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