Donor egg update - ups and downs

We've been moving forward toward our donor egg cycle at what feels like a snail's pace.

We found a donor we really liked, and who looks a lot like me at one of the frozen egg banks. We were matched with her and set to get a cohort of 11 eggs.

We passed through the gauntlet of testing at a new New York-based clinic (after the Denver clinic only had 4 donors on their list, we kind of gave up on them, sadly).

The new NY clinic nurse called me and we spoke about my complicated history for almost an hour. Everything seemed to be a go.

I started to get excited. We were looking at cycling next month in April.

Then the phone rang. It was the frozen egg bank. They said they had somehow overlooked that this donor's eggs can ship anywhere except for one state - NY. That they hadn't asked her at the time of her donation how many sexual partners she had had in the past year when she donated (New York stipulates that you can't have had more than two sex partners in the past year). That they hadn't asked her age on some specific form, even though her records clearly state her age. Because of New York's crazy requirements that are apparently more onerous than any other state, the match was off.

I thought we had been on the fresh donor match waiting list at the new clinic for several months as well. We'd asked to get on that list as a back up, just in case. Then I found out that no, we weren't on the list. I had failed to send in a picture of myself, and so we would be at the back of the line, but not even added to the line until a picture of me and Will was received. Of course no one had bothered to mention this to us, despite multiple conversations.

I felt so frustrated. We just want to move forward.

Today I spoke to the medical director of the new clinic, who is our doctor. He doesn't usually handle donor cycles, but because he's been someone we've consulted with throughout the years, he agreed to take our case. I told him about what happened with the frozen egg bank, and he commiserated. I told him about what happened with the fresh donor list at his own clinic and he was really upset. While we were on the phone, he wrote a stern email to his team about it. He said he would see what he could do.

Ten minutes later, one of the nurses called and said they have a donor in mind for us. She apparently looks like me and apparently has other similarities. She is currently cycling for another couple, but if she does well and wants to donate again, the nurse said we should strongly consider her.

It's been a week of highs and lows. Of imagining we'll be pregnant again very soon and then despair and now hope. But I don't want to hope too much until something for sure comes through.

So stay tuned....hopefully there will be progress soon... but who knows. It feels completely out of our hands.

Mo

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Miscarriage #8 genetic results

We got the genetics back on miscarriage #8.

The OB's nurse had called me with the results and said it showed a mosaicism. I asked her to tell me the exact results and she started reading...and then kept going...and going...

In a nutshell, our latest pregnancy had some normal cells but then three different kinds of chromsomal errors going on, depending on which of the cells were tested. But it was not just that some of the cells were normal and some were abnormal.

In our embryo, there were normal cells and then three different kinds of chromosomal errors in different segments of cells, including one jumping translocation. Basically the embryo that implanted was a genetic clusterf*ck.

It was a relief to get these results, because these results show completely clearly that this embryo could never have made a living baby in a million years. So there is no "what if" there.

I've spoken to the Denver clinic's head geneticist after she called today, and she thought that the particular type of errors our embryo showed likely occurred later in development. She thought they could stem from the sperm rather than the egg and is calling our local hospital to see if they can run an origin of aneuploidy test on the remaining tissue.That would be helpful I think, in case we go the donor egg route. God forbid we have some previously undetected problem on the sperm side that could be contributing to our many losses.

I also spoke to Dr. Schl. who was very kind and nice and informative and thinks we should look into the origins of this loss but said that his bets are on egg donor and Will's sperm being a viable way to go.

We have begun the donor egg process, both at the Denver clinic and at a local clinic. And we've been looking into going with a frozen egg bank versus a live donor, so stay tuned on that.

On the home front, we've just been enjoying Magpie to the fullest this holiday season. She is so enthusiastic and so verbal. She loves the Christmas tree. She loves the ornaments. She loves the Nutcracker music and story. It is wonderful to see her joy in all things holiday related. A joy to be her mama.

Mo


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Egg donor compensation - it's complicated

The question of how much egg donors should be compensated is a tough and complicated question.

The NY Times has published two articles about egg donor compensation after a group of egg donors filed a lawsuit alleging they were undercompensated for their donations. The first piece is a reported article about the topic, and the second an op-ed piece.

Personally, I feel of multiple, conflicting minds on this. My first reaction is that egg donors aren't donors in this country and should be able to name their price. But my second thought is that of a clinical researcher. Some of the trials I run offer clinical compensation, and I am expressly forbidden by the Institutional Review Board from offering too much compensation, because that might coerce someone to enroll in a trial just for the financial benefit who wasn't truly comfortable. So from that vantage point, it seems there should be limits.

As a potential user of donor eggs, I was sent an egg donor profile from an agency yesterday and the donor is requesting $35,000 compensation. That's on top of the hefty fees for the agency and the clinic. Which is OMG yowza. She is smart and attractive and she's cycled before, but $35,000 - really? Mostly I've seen agency donors receiving compensation in the $5,000 to $10,000 range. Besides $35,000 being way more than we could ever afford, it seems ethically dicey to be priced beyond a certain amount (on the other hand, I was saddened that at least one woman in the NYT article was compensated only $2,000 for her cycle, which seems far too little). The articles also raise the question of how much the agencies and clinics profit off of these women, and that seems a fair question. It shouldn't be that the agency gets $20,000 and the donor only $5,000, when she is the one going through a somewhat invasive and emotionally wearing process.

I don't have the answers, but of course this lawsuit, and these articles come at an interesting time, since we are considering this route ourselves.

I was curious what others think about egg donation and compensation. Should there be limits? What is fair to all?

Mo

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Hanging out in pregnancy limbo, 7w2d

Welcome to pregnancy limbo. Where you're pregnant, maybe, sort of. I mean definitely pregnant, but probably not in any kind of lasting way.

Sigh.

Emotionally, I'm detached from the outcome at this point. I'm allowing myself to imagine the possibility that this could turn around, but I'm basically resigned to the idea that it almost certainly won't. Physically, I'm doing all the things to support the pregnancy: PIO daily, endometrin suppositories, estrogen suppositories, prenatals, prednisone, etc, which I guess is the most important part.

Interestingly, Will seems to still be very hopeful. I was packing up some of Magpie's baby toys to take to see my sister and her new baby, and Will said, "You know, it seems like we might be needing that stuff ourselves pretty soon." Which surprised me. Because all I'm thinking I'll need is a box of tissues to wipe my tears when we find out shortly this is over.

I called another clinic here locally that is more open about use of donor eggs (agency and in-house, egg banks, etc.) than our local NYC clinic. We have an appointment there on November 16. When I mentioned that I wanted to set that appointment up, Will advised we just do one thing at a time. But I know for me that if I wait until this gets called over, and then I can't get an appointment until January, and then everything will take 6-8 months or so to line up after that, I will not be a happy camper. So I went ahead and booked it. I don't even know if we'll want to go that route. Maybe we should just say we tried and it wasn't meant to be? We have Magpie after all, and maybe that's enough? Maybe using donor eggs after having our genetic child is trying too hard? (I wouldn't think that about anyone else). I know now that I would have no problem loving a donor egg child just the same as Magpie, or, you know, differently, since they will be their own selves but equally fiercely.

Magpie was struck down by her first preschool illness starting this weekend. She sounds croupy, has a painful throat, has had a fever of 103 (although it seemed lower last night). She has just been a poor little miserable girl. I took her to the pedi yesterday and she tested negative for strep, so that was a relief. So no school yesterday or today. Imagining she'll be well enough to return to school tomorrow. Hoping that she won't be sick on a weekly basis, but I'm guessing that more frequent illness will be part of the learning curve as she starts school. Prior to her illness, she was loving school and doing great with the separation thing. Hoping this brief absence won't set us back too far with her adjustment to the new routine.

I have two pee sticks left to get through to Monday with, so won't do any more home testing until later in the week. I fully expect the lines to be getting lighter by that point, but we will see.

So that's all from limbo-land. I hope you are all doing well.

Mo


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Parenting, yes. Normal? Not so much

I took a day off work yesterday because Magpie's caregiver couldn't make it to our place in the snowstorm. So my busy busy busy girl and I spent the day playing and in the course of things had a playdate with a neighbor mom and her child who is about the same age as Magpie. Yay for in-building playdates on snow days!

Some of the mom-mom interactions during playtime brought up what is usually dormant for me now but used to be this huge barrier between me and "normal" people. By "normal" I mean, in the case of this mom - she is very nice, but (1) not infertile; (2) much younger than me (because she tried and succeeded to get pregnant and have a baby, not spending years and years in the process like us); (3) she has no loss history.

It's funny. Because for the most part, I think I've fully accepted our history and road to having Magpie. And hey, she's here, right? Which is what counts. So in that way, I wouldn't really change a thing. It might sound weird to say I'm "over it," and while that's an oversimplification, I don't dwell on our journey in any mournful kind of way. If anything, as many of you know because I've written about it repeatedly, I'm just still in this "pinch me, is she really here?" kind of place.

But then something happens. Some small interaction that would be nothing if not for our history.

Sometimes it's someone innocently asking if we're planning to have another child. Sometimes it's someone asking if Magpie is my only child. Or why we started our family so late. Sometimes it's someone complaining about the "annoyance" of being pregnant or trying to engage me in the discussion of "optimal" spacing between children. (Ha ha!)

Yesterday it was a benign comment: "Wow, Magpie doesn't really look like either one of you! Who does she look like?"

Um...

So we've actually been told by many others that Magpie is the spitting image of daddy (the majority), and by the minority that she looks like me (usually that she has my eyes). But why do people always have to comment on who she does or doesn't look like, anyway? No idea. But people are obsessed with this.

Because we came so so close to Magpie NOT being related to me genetically, because we were a hairsbreadth away from using an unrelated egg donor and would have done so if the donor hadn't turned up with a rare chromosomal abnormality (and been quite happy with that choice, I might add), I had a different reaction to this comment than I might have, without that context.

So my reaction was a little bit of indignation. What do you mean?! Um, Magpie looks like herself, you know?! And also just a noticing of my potential reaction - that if she had been an egg donor baby, this is the type of question that might have stung a bit, might have poked at that tender place of loss about the genetic relationship that I was unable to share with her.

So there I was, on our playdate, holding both realities. Knowing Magpie IS related to me, but is so very much herself. Knowing that she might not have been related to me genetically, which would have been wonderful too, but different.

And feeling that chasm reveal itself for a minute between me and the "normal" mom. The one without infertility, without a loss history, the one who's never had to consider the idea of having a baby who is not her genetic relation.

And that this is my new reality: to be the incredibly lucky person who got out the other side of a terrible situation and is left immensely grateful. To be the incredible lucky person who gets to parent, but is not quite normal.

 Mo

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Plan B and C and...

So today we are pregnant. At least a little bit pregnant. 4w4d, but who's counting? Only maybe pregnant, right? No beta has been drawn since Monday, so it could all be over by now. Maybe the IVIG killed the embryos. Hopefully not. Of course, I haven't felt anything cramps-wise in almost 12 hours, so you never know.  Ok, I do think I know sometimes. This never, ever works out for us. This is our seventh pregnancy in less than five years. Yowza. And last I checked, no live children. Still, it could work out, right? Maybe. But hard to tell. Hard to figure out anything, really.

That happiness I felt yesterday? Elusive, I tell you.

Ugh.

It is tough to believe in even the moment here sometimes. This all still doesn't feel very real most of the time. (I find myself weirdly experiencing the feeling of being over the moon and in simultaneous disbelief and denial.) And it feels very necessary to try to protect myself as much as possible. So that if everything falls apart (negative thought - when everything falls apart), we are ready to move forward toward having a child.

So we are moving ahead with our alternate plans - donor and gestational carrier - so we don't get left high and dry when this silly delusion I've been having that I'm pregnant reveals itself to be a fantasy.

So where are we at with our alternate plans?

There is a wonderful woman I've mentioned before who came to us and offered to be a carrier if we need it (unbelievable, really) - she has sent all of her medical records to the Denver clinic and they are reviewing them. She will be able to go for a one-day work up in May or June 2012...three months after she finishes breastfeeding her youngest daughter. We still have two euploid embryos and one no result embryo left, which we could potentially transfer to her. It's also possible I might do one final fresh IVF cycle to see if we could make anything more decent/higher quality for her to carry if I lose this pregnancy. So that's percolating.

We're also still in the process of screening potential agency egg donors...and this process continues to move at a glacial pace. We're pre-screening them ourselves rather than have another donor fail the stringent standards of the Denver clinic, because boy, that sucked.

Here's where things are at:

Donor #1 (E) - the twenty-three-year-old donor we loved with great AMH, 33 resting follicles, low E2 and FSH...but the inversion on chromosome 9 - we have asked a great clinic here in NYC if they would let us cycle with her and do CCS, eliminating of course all aneuploid embryos...They are thinking about it and talking to their geneticists and getting back to us.

Donor #2 (R) - a scary bright twenty-something physician - has a great AMH and is FINALLY expecting her period after going off the pill in December. So once that happens, we will get antral follicle count, FSH, E2 drawn. If that's all good...we'll go on to genetic testing. She's almost too good to be true on paper (dad's at NASA, sister's a Rhodes Scholar, etc...), so we're also seeking some confirmation of her narrative., just to make sure she really is who and what she says and not trumping some of this stuff up. To clarify on this, we'd be fine if half of the stuff wasn't true, but if she was being untruthful, THAT would be very concerning. We'd like to tell our child real things about their donor, not some made-up fantasy.

Donor #3 (K) - Has great AMH, good FSH and E2, good but not stellar AFC, is now undergoing genetic testing. This is a boatload of stuff because she is half-Jewish. Her personality and interests are also not so similar to mine (she's an aspiring actress. I'd rather hide in the closet than be the center of attention any day)...still trying to figure out if that matters.

Donor #4 - Seemed like a great match on paper for my personality and interests and she is super bright, and young, and is already a mom, so we know she is fertile. Her dad committed suicide, so that was a bit nervous-making, but there is no other psych history in the family, so we decided we could deal with it...Unfortunately, she has decided she is not interested in donating at this time, so she is out.

So those are the back-up plans, and the back-up plans to the back-up plans. Sigh. Probably seems really weird if you haven't had a ton of miscarriages, but, well, we are weird and we have had a ton of miscarriages. It's so strange and almost out-of-body all of this, both the being pregnant, and the being sure it can't last, and the trying to be ready to take big alternative steps if we need to to move forward.

I wish I could tell you this all brought me peace, but it doesn't. I am a bundle of nerves right now. I am so trying not to get sucked into believing in this pregnancy and getting my heart stomped on again. Trying to not think about it, or not feel too much about it really. I just don't want to get burned again. I feel like with each loss I've lost a little piece of myself. I hope it's not permanent. I hope I don't have to lose any more. I hope that having back-up plans helps make things a little less risky. I don't know that it does, but I'm hoping.

Mo

Photo: Management Briefs

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(Yet another) talk with Dr. Schl.

I spoke yesterday by phone with Dr. Schl. in Denver. Originally this call was set up to discuss whether it made sense to go forward with my sister as an egg donor, but once we received her AMH results, we knew that we wouldn't be cycling with her. Then the question became: How serious is this for her? What do I tell her?

At first, Dr. Schl. said my sister's situation wasn't so serious. Although she wouldn't be a good ART candidate, she would only need a single egg a month to have a baby, and at age 31 the quality would likely be fairly high. He said he estimated that she has a 50% chance of being able to have a child naturally and just needs to get started immediately. But then I told him that she is single, that she is not ready to have a family any time soon. His tone changed. In that case, he said, she has a big problem. In his opinion, she only has a couple of years left to have a child if she wants one. Ugh. Ugh, ugh, ugh. He said if she is not ready to have a child now, she should definitely consider freezing her eggs if she wants a child in the future. He recommended two clinics for this - his and a clinic in Atlanta - as the only two places to go.

I asked what I should say to her, how to phrase it, and shared how terrible I feel that we've uncovered this concerning news for her. He offered to speak to her by phone if I/she would like and explain to her the results of the tests, that he would like to take some of the burden off of Will and me by doing that. Which was a really kind offer, and which would be a huge relief. So I will be talking to my sister over the holiday and trying to arrange this. I wish all of this were not the case, not the reality. But I am grateful to have some expert help in framing the news for my sister so she can make whatever decisions she would like to about her future.

I also informed Dr. Schl. about what had happened with the first donor we chose. Told him that she looked great, had 33 resting follicles, everything panned out and we were good to go....and that then she turned out to have an inversion on chromosome 9. Those of you who know Dr. Schl. know that he is on the dry and non-emotional side, so I was quite taken aback when he said, "You're kidding me!!! An inversion on chromosome 9?!" I assured him that yes, that is what had happened, and remarked that Will and I have had a knack for hitting on rare and unlikely events during the course of our attempts at procreation. That's when Dr. Schl. said, "Wow! I wouldn't want to buy a lottery ticket with you two!" Um, ahem, no. You probably wouldn't want to. Typing this, I realize that it might sound like he was being insensitive, and maybe he was, but I actually found his response - his rather emotional response - validating in a strange way.

We talked about some other technical details on testing donors and the possibility of me getting an endometrial biopsy done soon that I won't bore you with.

But the other main topic we covered was the question of what I should do next. I am nearing the end of a grueling two month course of Depot Lupron. I will not have a donor ready to cycle with any time soon, it doesn't look like. So I asked him the unanswerable questions: What does he recommend I do at this point? Should I transfer back some of our genetically normal embryos? Or should I wait...does he think I need a surrogate?

His answer was interesting. "I think you will do fine with donor eggs."

Ooookkkkaaaayy.... I took this to mean at the time that he was voting we probably don't need a surrogate, despite what he has said at other points in time. But that my eggs are pretty cruddy, genetically normal or not.

He said that we can tell the embryologist what to transfer if we decide to transfer back some of our normals into me - maybe not transferring all of my very best ones all at once so that we have a bit of a backup plan in the (very likely seeming) case of failure.

After I got off the call with Dr. Schl., I remembered that at the beginning of the call he had said that the Denver clinic's computers were down. So then I wondered if he'd had my chart with him when we spoke, and whether he'd remembered exactly who we are and what our history is when advising me.

Hoping so. These are pretty big decisions facing us.

Emotionally, I am in a very bad place. It took everything I had not to burst out crying several times during my call with Dr. Schl. Things feel fragile and tenuous. I am so afraid of making the "wrong" decision but also feel that doing nothing is contributing to how down and out I've been feeling.

Hard to believe that Christmas is a couple of days away. I feel like we'll be going through the motions a bit this year with me in this dark place and Will grieving the loss of his father keenly.

Wishing you and yours a Happy Holiday. Hoping that 2012 brings all of us the things we have been wishing for most, which of course are most likely not things at all.

Mo

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One foot in front of the other

Wow, it's been a rough time lately. Thanks for your thoughts and comments on our situation. We've really appreciated it. It still completely sucks to find out that we can't use my sister as an egg donor and further that her fertility status is worrisome. It sucks even more that this comes on the heels of finding out our perfect egg donor turned out to have a rare genetic abnormality (but only after we'd sunk a huge amount of emotional capital and an even huger amount of money into her and her agency). The holidays are approaching and with them, the growing sense of loss that we are celebrating yet another child-centered holiday, surrounded by our families' children and without children of our own. And my 40th birthday is just around the corner...creeping up like an enormous, dreaded milestone to mark five years of trying for a baby, six pregnancy losses, and no end in sight. And, not to whine, but geez being on Depot Lupron for two months makes dealing with all of these things inexorably harder.

Add to those difficulties the fact that the stars are aligning (or misaligning?) workwise so that I have been dealing with an unprecedented amount of psychological crises the past week clinically, including coping with a serious suicide attempt last weekend, having to provide a large-scale crisis intervention for a group of people following a gruesome murder, and needing to help one of my trainees who is struggling to deal effectively and competently with a patient in increasing distress. All in a week's work, I guess, but boy it's been a tough time.

Will and I spent the weekend trying to climb back out of the emotional hole we have recently found ourselves in. And for me, I knew I had to do something to de-stress massively. We brainstormed what would feel most immersive, what would call us to be present, what would allow us to just be mindful for a time and let all these problems sit to the side for a bit. And we came up with two ideas. One was going ice skating Saturday - which turned out to be very fun. The second was to go indoor rock climbing on Sunday, which was super tough and scary (I'm deathly afraid of heights), but ultimately liberating and enthralling. Several times at the beginning, I thought I would give up, that it was too frightening, that I wasn't strong enough, or agile enough, to find the next handhold or foothold, to keep moving forward. But I stuck it out and reached the top of the walls several times. I even learned to not panic when letting go and allowing the rope to hold my weight as I was lowered down to the ground. I think there's a metaphor in there somewhere, but I'll leave it to you.

Mo halfway up the wall

It was great to have a break from all the stresses and losses facing us this weekend. But we didn't want to wait too long to begin to process and problem-solve this situation we find ourselves in infertility-wise. Right now things feel hopeless, but I know the situation is only truly is hopeless if we give up.

So, we have devised a multi-pronged attack on what we have officially dubbed the "End Mo and Will's Childlessness Campaign."

• Rather than continue to scour dozens of agencies ourselves for the donor we are seeking, we signed up with a service that searches agencies for you. We spoke to the owner late last week, sent a bunch of pics of me and described what we are looking for. They go out there and do the footwork and try to find a number of donor candidates who are currently available who would be a good match. We've found one who we are highly interested in, and a few runners up...no one who seems a "perfect" match yet in terms of the mix of qualities we hope to find (of course, we know no one would be a "perfect" match...but still...). We are hoping to get a few of them started with basic blood testing in the hopes that at least one of them will demonstrate the ability to actually pass the Denver screening process. We are only taking another donor to Denver who we are fairly certain will pass the screen.

• We continue to search the Denver database...still not so hopeful about this and no good matches there for us at this time.

• We have a call in to a NYC clinic to begin the process of getting on their donor recipient list. Not super optimistic about it, but figure it would maybe allow us a way out of this if all else fails.

• We have a phone appt with Dr. Schl. on Thursday. This was originally to discuss using my sis as a donor but now may center on how and what to tell her about the news we found out about her fertility. We also want to discuss the pros/cons of transferring my own embryos back to me (since I've been doing Depot Lupron prepping for a transfer) and whether there is any point to me trying to do one last IVF cycle to make more normal embryos, which would make it feel safer to risk transferring some of our embryos into my body... we may or may not attempt this...but if not...we need to come to closure with it.

• Our potential gestational carrier, should we find out I can't carry even a donor egg pregnancy, is getting her medical records together to send to Denver for review (G_d bless her for this), so hopefully we can start to get a sense if she would be eligible.

So we're working on things on a few fronts. It feels good not to sit still, but feels terrible if I let myself stop and just experience the emotions of it all. I'm back to feeling somewhat uncomfortable with using an egg donor at all and deeply sad that it looks like my family line may die out with my generation if it turns out neither my sis or I are able to reproduce.

One foot in front of the other. Hopefully we can find a way out the other side. I am so, so ready to be in a different place with this.

So ready.

Mo


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Pondering

From Firefall Vision's Etsy Page

So my sister needs to go back to the lab to get the AMH test redone, because somehow the lab messed up the sample. And she didn't feel that she could do that until the weekend because she already was late to work once due to getting the baseline ultrasound and antral follicle count done.

In response, I wondered wryly (but refrained from asking) how in the world she could do a whole IVF cycle for us, which would require daily bloodwork and almost-daily ultrasounds and would surely make her risk lateness to work if her boss is already raising objections.

But why say this? Because really, it looks like we may not get to the place of her doing an IVF cycle for us.

We aren't ruling it out, either. Will and I are waiting on the AMH results and then will have a regroup with Dr. Schl. in Denver and get his thoughts. But I have to say, things don't seem overly promising.

Not dismal, maybe either, but not overly promising.

In the meantime, we're taking a few steps back and reconsidering our options.

Could we take the donor we already fell in love with, the one with the rare chromosomal abnormality, to another clinic, do CCS testing on her embryos, and use her despite the inversion on chromosome 9? Would we want to? Would any clinic let us? (Interestingly, the agency is still listing her as available to donate... now also saying she has "proven" fertility and has been a "prior donor." Seems a bit disingenuous to me). She is perfect in every way but for the slight chromosomal issue, so mildly thinking about it.

Do we want to just proceed with a transfer of our embryos into my body and hope for the best? Leaning toward this at the moment. This is a surprise, as I thought we would never do this. However, originally, our NYC RE and Dr. Schl. suggested that trying another transfer of our embryos in my body was the most reasonable option. It's just that we didn't think we could take another loss - and what if those are the last chromosomally normal embryos that I could ever make? Can we survive another loss now? Maybe. Can we tolerate it if we try this and fail and then have nothing left for a gestational carrier? Thinking on this.

I'm in month two of Depot Lupron. It would feel good not to "waste" these two months of Lupron I've been on. It has not been easy, and I hope it hasn't been for nothing.

Perhaps if transferring our embryos into my body didn't work, we could throw a huge IVF stimulation party, cycle my sister, the donor, and me all at the same time and see just how many embryos we could make.

I'm kidding.

Mostly.

These are the fertility-related things rattling around in our brains. Today, at least. Tomorrow brings another AMH test for my sister. We've requested the results stat. Not sure how fast that will bring them, but we are hoping for quickly.

We're tired of waiting in limbo.

Mo

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And the psychologist sez...

Will and I met today with a NYC psychologist who specializes in infertility to discuss using my sister as an egg donor. We wanted to get a sense of  the issues we should make sure to consider that we might be overlooking.

We really liked this psychologist. Were impressed by her (and as a fellow psychologist, I can be sometimes be a tough sell). She was a good mix of smart and practical and just empathic enough without overdoing it, and she kept us on track when we started to veer.

Her bottom line was fairly simple, and she stated it a few times in case we were slow learners.

She said emphatically that barring a substance abuse issue or major mental illness in my sister, using my sister as our egg donor is an ideal next step, a potential solution to the very tough situation we find ourselves in.

She reiterated variations on this theme a few times throughout the meeting. That assuming that my sister is on board with this idea (and my sis is downright enthusiastic), and assuming Will is ok with it (he is), this is a wonderful, wonderful option.

How nice to hear. I'd half expected to hear the creaking sound of Pandora's box opening and of us being faced with cold, hard issues we'd somehow missed in our exhaustive attempts to think through every nook and cranny of this decision.

But no. The psychologist said it sounded really good (even with our faults and my sister's imperfections). And that it shouldn't substantially change our relationship with my sister.

Her take home message was that my sister's ability to donate eggs to us would be a gift, an amazing gift. And one that we might need to work a little harder on just learning to receive and say thank you for, rather than analyzing it and then analyzing it some more.

The psychologist gave us permission to stop all of the second guessing as well as my specific tendency to think I need to decide for Will and me and also somehow decide what's best for my sister, too.

The psychologist offered to meet privately with my sister when she's in town sometime and then meet with the three of us to discuss again as a group if we wanted. But basically, she gave us the psychologist's version of her blessing.

Still processing this, but generally it feels like a huge weight has been lifted off of my shoulders. Like we've been given approval to go ahead, and that I will not harm my sister by accepting her offer, or scar my child, or any other negative and scary outcome.

Feels like a big relief to get an expert's opinion that yes, this makes sense, that yes, it is a good idea.

Now let's just hope Marina can pass through the gauntlet of testing that faces her and come out the other side successfully.

Here's hoping.

Will and I at the psychologist's...
Can you guess who is who?

Mo

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Sister egg donation musings

Still working over here on the veeeerrrry sloooooow process of getting my sister screened as a potential egg donor for us. She's getting some blood work done locally in the next few days and Will and I are slated to meet with a psychologist Monday to talk about what we (and my sister) should consider before moving forward.

We saw my sister this weekend and she is still cool as a cucumber about donating her eggs to us. Basically said she made the decision a few years ago before she approached us the first time and hasn't flinched or second guessed since then.

While we're on the topic of sister egg donation, I wanted to share a New York Times "Modern Love" column from 2010 that Mommacommaphd recommended.


I like some of the questions it poses about using a sister as a donor (in this essay, it's for her gay brother and his partner): "She was young and unattached. She wanted her own children but wasn’t ready. So was she prepared for someone else to have her child? And how would she explain this particular brand of baggage to a potential husband someday? Most of all, would she be satisfied always being Aunt Susie to this child and never, you know, the m-word?"


I wish I could follow this couple and find out how it all works out for them and their twins. 

But just to read this slice of their life was really nice, and I recommend it for anyone considering using a relative as a donor. Made me feel like it's not a freakish choice but could actually be, well, just lovely.


Mo


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