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When
Nick and I met in 1987 (him 41 and me 29) we never thought about
having children. There were too many other exciting things to do:
careers to forge, selves to express, and a world to change.
When
we got married four years later, there was some vague agreement
that although Nick didn't really want any more children, he recognised
that I might, and would reluctantly reconsider if I insisted. Nick
had a seventeen year old daughter already, and had had a vasectomy
several years previously.
Years
ticked by, we got a bit bored with our other projects and started
to moot the idea of babies. I mooted more than Nick. But we still
ummed and ahed about it all for ages, not quite sure enough if that
was the way we wanted to go. In the end we agreed that he should
have the vasectomy reversal operation anyhow, so that we would at
least be in a position to have a go - as it were.
The
operation isn't always sucessful and it takes a while to know for
sure. It was not till six months later that we heard that Nick's
sperm count was still zero. I don't think it seemed like the end
of the world, we were busy with new careers and jobs and trying
to move home. It wasn't until we started following the progress
of some friends' attempt at creating a longed for family - their
fertility tests, different treatment options, and subsequent pregnancy
- that the old itch began to vaguely twitch again.
Then
our friends had some problems far on in the pregnancy and their
baby died in a very premature birth. We grieved with the bereft
parents, and also became aware of the baby that WE didn't have.
And
so the part of us that did want children came to the fore. Our friends
had told us of this new treatment called MESA (Micro Epididimal
Sperm Aspiration as I recall) where they can actually get sperm
straight out of the testes of men with irreversible vasectomies.
MESA is done in conjunction with ICSI (Intra Cytoplasmic Sperm Injection)
which is where they get eggs from the woman and inject a single
sperm into each egg under a microscope. It's like IVF (In Vitro
Fertilisation - 'test tube babies') but even more state of the art.
Oh
yes, once we got the hang of all these long words we really knew
we had arrived in the roller coaster world of fertility treatment!
We had heard of a clinic with a track record in the then new ICSI,
and made an appointment (privately). We were enroled for MESA and
ICSI, and put on the waiting list. A few months later we started
the six week programme of drugs and monitoring that is the first
part of an IVF or ICSI treatment.
Basically
what happens is that you take drugs to suppress your menstrual cycle,
and then more drugs to recreate a super-cycle which is controllable
and which will produce many more eggs than through normal ovulation.
You may have seen television documentaries about the whole procedure
(A series called 'Making Babies' with Tanya and Ray about three
years ago?).
It's
arduous and stressful and can turn into a real nightmare when you
are desperately hoping for a baby - and once we started the whole
business we began to want our baby more and more. The thing about
IVF is that you have to go through so much, but the chances of success
are so slim. The combination of not knowing what to expect, and
having no control over what happened (or over the outcomes at each
different stage of the treatment) was really stressful. We often
ended up in a row just before or after a hospital appointment.
Anyhow,
after many scans, daily injections, and several blood tests, my
eggs were deemed ready for 'collection'. This is done by a small
operation through the vagina. I opted for a general anaesthetic.
At the same time Nick had to have his sperm 'collected' through
another operation (in his case also under general anaesthetic).
The doctors were pleased because they got ten apparently good eggs
from me and what seemed like good sperm from Nick. Whilst we were
both coming round in our day beds, the lab technicians were busy
injecting ten of the best sperm in to the eggs.
Back
at home the next day we heard that six of the eggs had fertilised.
So far so good. Next we had to wait to see how many would divide
up into four cell embryos. We were planning to put three back into
my womb and freeze three for the future (yes it's a bizarre concept
- in every sense of the word).
But
shock horror, we heard the next day that only one embryo was dividing
ok. When we went to have it transfered into my womb, the doctors
told us it was of poor quality and unlikely to implant in the womb
lining. We were upset, but clung to the hope that it might survive.
There
followed two agonising weeks of alternating optimism and pessimism.
When my period came it hit us - and particularly me - hard. Our
friends were all very sympathetic and it was particularly helpful
to talk with other people who were going or had gone through similar
things.
By
this time we had joined the fertility organisations (fantastic source
of information and support) and had other friends on the fertility
train. And partly to avoid facing the sadness and loss, I started
researching and planning our next move. We could have tried again
with ICSI and MESA, but we were told that Nick's sperm had not after
all, been of very good quality, probably because of the many years
since his vasectomy. Also Nick had felt upset at how major his operation,
wound and recovery time had been and didn't feel like being chopped
up again (by the way, not every man needs such invasive surgery
in order to retrieve sperm).
I
rather perfunctorily filled in a membership form for the DI Network
(you name it, we'll join it. The idea of donor insemination seemed
strange and quite far down the line, but I got a call from the Network
very quickly. They were having a barbecue round the corner from
us the following weekend - would we like to come? Always interested
in finding out about new things, we trotted along. We met lots of
people who had been through similar things to us, some with their
DI children. A thoroughly mixed and welcoming bunch of people and
their lovely, naughty, normal kids. So many people were very generous
in sharing their stories with us. We came away unexpectedly inspired
and somehow knowing that we'd found our way ahead.
Although
you're not supposed to rush into these things, we did. I was on
the phone to a recommended clinic the following day, and we got
an appointment quickly, trying get everything organised in the week
or so before my next ovulation! Thankfully we didn't make the deadline,
so Nick and I were forced to take some more time to face the sadness
of the failed ICSI. Also we had more time to mull over all the implications
of donor conception, both for ourselves and for any children who
would be born to us. There were never really any doubts for us.
We were lucky in this respect because choosing to have donor insemination
or donor eggs can be very emotionally and socially complicated.
But Nick and I felt very positive about this choice and were completely
open about the donor insemination with everyone around us. It was
also very clear that there would be no secrets with any children
that we may be lucky enough to have.
We
spent some time looking for the right donor. We'd met some people
who'd recruited and chosen their own donor through the Independent,
but the paper was now refusing such ads. We thought of trying the
internet, but then you'd have to meet everybody, choose one person,
and make agreements etc.. It seemed that this route would just take
more energy than we had to spare.
So
we started to search for the donor through the sperm banks of fertility
clinics - definitely not ideal as there would be little information
from which to make our choice, and little information to pass on
to the children.
This
country already has open adoption but there is no possibility for
a child who is born through DI at a licensed clinic to make contact
at any time with his/her donor. We think that many children will
want to know more about their donors as they grow up. In some other
countries donors can choose to give their sperm or eggs either openly
or anonymously - and prospective parents can also choose which way
they want to do it. But we had no such options.
We
did spend a long time phoning around sperm banks, explaining that
we didn't really care about the hair or eye colour of the donor
(which is what everyone thinks you want to match up), but that we
did want to know about education and interests. The idea behind
this was that at least we'd get someone who seemed compatible with
ourselves. We'd have some sense of who they were, and some details
to pass on to the children.
Anyhow
we eventually found a donor/supply of sperm, ordered lots of samples
and began the relatively low-tech and non-intrusive procedure of
IUI (Intra Uterine Insemination) with donor sperm. This is done
on a natural cycle. I had to pinpoint my most fertile day with home
ovulation kits, and then make an appointment with the clinic. They'd
thaw the sperm and insert it directly into my womb through a little
tube. Not too difficult.
Except
for the two weeks waiting time each month, which felt quite agonising.
After four months and no luck, we decided we couldn't bear the waiting
anymore. Our consultant suggested we consider standard IVF (In Vitro
Fertilisation) with donor sperm.
We
agreed to cut to the chase, as it were, and started again with the
now more familiar regime of drugs and scans. Everything went smoothly
(and stressfully of course). I produced seven eggs. Six of them
were collected ok. Five of them fertilised. And best still - four
of them divided up into good four-cell embryos!
We
decided to put two embryos back inside me, and freeze the other
two. As I lay there with my feet up in stirrups having the job done,
the consultant announced from between my knees that he 'had a good
feeling about this one'. Two weeks of sleepless nights, dreams and
fears. Then the pregnancy test. I knew before I looked at it - I
was pregnant.
The
clinic offered an eight week scan, to make sure everything was ok.
And when we were told that there were TWO heart beats we nearly
died of surprise and joy! How amazing. A double whammy.
The
pregnancy was great, I loved it. The birth (vaginal delivery) was
pretty dreadful and I didn't love that one bit. But we got a beautiful
baby boy and baby girl.
Twins
are unbelievably hard work. All those vague rosy pictures I'd wafted
round with during the pregnancy bore no relation to reality. But
that's another story.
Our
wonderful children are two years old now, and we have been thinking
about more...
We
tried to have the other two embryos put back a few months ago -
but they didn't survive the thawing (a common problem with frozen
embryos). We had thought of these embryos almost as our other babies,
so it was a sad occasion.
At
the moment we're lined up for another IVF (with the same donor sperm).
It will be our last, as we both feel we've really had enough fertility
treatment. We feel very fulfilled with our two children, and although
we'd like more, there's not the same urgency this time. So it's
just this one try. It would be glorious to have another baby, but
we're happy to leave it in the lap of the gods.
But
there's another line of thought. We both feel very positively about
adoption. In a way, the two children we have are half adopted. There
are lots of children in this country waiting for families, and we
would like to have one or two more children in our family. I'd hope
that we could provide some of what a child out there needs, and
have the privilege of loving that child and being with her or him
as she or he grows.
And
that's what we all hope for when we parent a child, isn't it? I
don't know how our story will unfold, but there may be another article
in there somewhere.
Judy
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