When I was eleven years old, I went on a school skiing trip in the Sierra Nevada mountains, a few hours’ drive from where I lived in Spain. Already tall for my age, skinny, and knobbly-kneed (my mum used to call me “Olive Oyl” or “Baby Giraffe”) I was unused to my higher centre of gravity. Skiing was, putting it mildly, something of a challenge. But I was determined to give it my best shot. Besides, the thrill of the wind in my face as I snow-ploughed my way down a hill was intoxicating. I fell down a lot. After a few days, I tried a more ambitious slope. My shorter friends happily sped down the mountainside. I, on the other hand, somehow ended up veering to my left and onto a frightening new slope. It was icy and textured, like thousands of little rocks were beneath the ice. My skis shuddered as they glided over the ice, and I had a hard time stopping. Soon, I fell. I tried to move, but each time I slid further down the slope. At the bottom of the slope, not so far below where I was crouching, there was a flat, round patch of ice. I got it in my head that it was a glacial pond, and that if I landed on it, I would be dragged under and quickly drown. I kept trying to get up but kept slipping further towards the pond. After several attempts, I clung to the mountainside and wept, terrified. Some time later, a Spanish man with a look of kind determination on his face, confidently skied over to me and put out his hand. He towed me back to safety, and together we skied slowly to the bottom of the slope. I only remember saying Gracias and he was gone.
♥
The elation of being matched with a fabulous donor has worn off and the reality of what we are about to do has set in. This has been aided by several things.
First, learning that, allowing for the attrition rate of
1) number of eggs retrieved (say, 16), that then
2) are mature (13), and then
3) fertilise (10), and then
4) survive to Day Five (8), and finally
5) test genetically normal,
we end up with just six embryos. Six! That might sound like a lot to a regular Fertile, but to me that means we have a total of three chances of having a baby. Three, because we would transfer 2 embryos at a time — the success rate is far higher when transferring two, even though there’s a good chance (30%) of having twins. There’s also a 30% chance that each of these three transfers could fail. Put another way: I have as much chance of having twins as I do zero children from six embryos. Those are stark numbers indeed.
Of course I’d rather have twins than nothing, that should go without saying. But everyone seems so excited by the prospect. Twins are a novelty. Twins are two-for-the-price-of-one. But a high-risk pregnancy, on bed rest and a caesarian delivery where my babies are whisked away at birth and put in the NICU for a month or two, is not exactly what I had in mind. And don’t even make me think about the higher risk of birth defects twins can have — the very thing we are trying to avoid by using donor eggs.
Second, I have moments where I’m living in the future.
Oh, we must be careful to slowly introduce tomatoes to the kiddos — what if they inherit my allergy?
**FAIL BUZZER**
They won’t inherit shit from you, Lauren, remember?
Another day, when DH goes for a blood test to see if he carries the gene for Cystic Fibrosis.
It doesn’t matter if you do, babe, because it’s a recessive gene — meaning both parents have to carry it — and I tested negative.
**FAIL BUZZER**
Hey, Lauren! You’re forgetting that your genes don’t matter! Remember? Cheer up, Nellie tested negative, so you’ll be fine!
Oh. Yeah.
Third, at least DH has a normal male karyotype — 46,XY. It broke my heart when he asked if that made me feel worse. Of course it doesn’t — I am so relieved that he is genetically normal. But I understand why he felt the need to ask. I am truly alone.
Fourth, my genetic truth is beginning to sink in. What do I look like to a genetic counsellor? When I say alone, I mean this:
THIS: 46,XX,inv(8)(p21.1q23.14)
If you’re female and reading this, chances are you’re simply 46,XX without all that extra ugly shit at the end that is absolutely unique to me. I look at that string of letters and numbers and think, Ha! that would make a really good password, and then my face darkens. If only I could rub out the ,inv(8)(p21.1q23.14), maybe everything would be alright…
Fifth, in the meantime, I emailed our Egg Donor Coordinator to see if she could match me with a woman who, like me, has a genetic anomaly and proceeded with donor eggs. Her response? There is no one. No one. Of all the reasons why a woman would need donor eggs, there is no one in this clinic’s database who has a genetic anomaly. There are men and women for DH and me to talk to about the egg donation process, challenges, emotional rollercoaster, but there is no one who understands what it feels like to learn that there is something seriously fucking wrong with you at a fundamental genetic level. I am a freak of nature.
Six, I applied for membership to — and was fucking accepted by — Unique (www.RareChromo.org). I joined the pericentric inversion of chromosome 8 section and saw there are only SIX (that fucking number again) individuals listed. I will be the 7th. Only one other person has similar breakpoints (the two parts of the gene’s “barcode” between which the genetic information is flipped 180˚) but not identical.
DH tried to put a positive spin on it. He said I am the only one who gets to have this experience — if you’re going to experience infertility, isn’t it more interesting at least to be the astronaut stuck on Mars instead of the moon? I can see his logic, but as I said to him, I didn’t choose to be catapulted into outer space. I want to stay on earth. I want to be conventional. At least the astronaut on Mars can have a little fun walking around. There’s nothing fun about this.
Meanwhile, DH came up with a theory that chromosomes become inverted when nature is trying something new — it’s how we split off from the rest of the ape kingdom, he surmised. And you know what? My brilliant husband is absolutely right. I am living proof of the evolution theory. Don’t I feel so special?
No, I don’t. These days I feel like I have more in common with the specimens in jars at the Mütter Museum (trigger warning: don’t explore the site if you are squeamish). I am what geneticists call ‘underdominant’ (i.e. someone who is likely to miscarry over and over again). I am the experiment that didn’t go completely wrong (because here I am, living and breathing and outwardly ‘normal’) but didn’t go completely right (I cannot reproduce).
So, DH is genetically normal and has good sperm. I am abnormal, but have a good uterus. We’ve both tested negative for HIV, HLTV, and a host of other pre-IVF tests. We’ve been matched with a fabulous donor. Full steam ahead with DEIVF. Next stop, mock cycle in as early as 3 days to a week. I should be excited, right?
Wrong.
I feel like I’m clinging to the side of the mountain at the bottom of which I can see there’s a pond covered in thin ice. It’s a slippery slope I’m on, and I can easily see myself falling into the icy waters of depression. I’m fighting it, but it’s so hard when all around me people are pregnant or have young families, blissfully unaware of what it’s like to struggle and make tough decisions. And I know I have to fight, even though I’m exhausted, because I know there’s no man with a kind and determined expression who will come and save me.
Brave IVF Mama says
Can I ask why you intend on transferring two at a time? With tested embryos, the success rate per single transfer is quite good, and as you’re concerned about the risks and costs of twins, one at a time might be the way to go.
Lauren says
Of course you can! Because we were told that transferring one has a 30% success rate, but two is closer to 60-70%. They way the doctor explained it was that a second embie often acts as a cheerleader. Our attitude is that we’d rather have twins than nothing, so we’re okay with transferring two.
Brave IVF Mama says
Hmm. 30% success for a tested embryo sounds very low. We were told 40% for an untested embryo, 50-60% for two untested embryos and 60-70% for one tested embryo. Anyway, as long as you’re open to twins, two makes sense.
Brave IVF Mama says
You might want to look at my blog posts about my two donor cycles to see how our stats worked out.
http://bravingivf.blogspot.com/2011/11/fast-forward-to-transfer.html
http://bravingivf.blogspot.com/2012/03/good-news.html
http://bravingivf.blogspot.com/2012/03/final-count.html
Also this post might be helpful:
http://bravingivf.blogspot.com/2011/11/what-cgh-results-look-like.html
Lauren says
Thanks for those posts, they’re great! I had already bookmarked the the CGH one a while back, I thought it was fascinating! Thank you so much xoxoxo
Mandy says
Lauren, I’m really sorry about all this horrible news. Your writing about it is so thoughtful and eloquent. I was reading on another forum tonight (searching for my own autoimmune and clotting disorder BS), and ran across a poster with a pericentric inversion of chromosome 8! Maybe it’s bizarre to post this for you, but I thought you might want to connect with her. Link:
http://forums.thebump.com/discussion/7810545/lovenox-is-expensive. Her username is chusum and her history is:
1st BFP | EDD 10/23/10 | Natural M/C 03/27/10 | 10w 0d
2nd BFP 06/26/10 | EDD 02/25/11 | Natural M/C 07/17/10 | 8w 1d
3rd BFP 12/17/10 | EDD 08/24/11 | Natural M/C 12/31/10 | 7w 4d
4th BFP 06/22/11 | EDD 02/25/12 | M/C D&C on 07/27/11 | 9w4d
5th BFP 09/17/11 | DD Paige Lily born 05/16/12
6th BFP 08/11/12 | EDD 04/11/13 | CP
7th BFP 09/29/13 | EDD 06/04/14 | Natural M/C 10/27/13 | 8w1d
DX: Pericentric Inversion of Chromosome 8 & compound heterozygous for MTHFR mutations
RX: Lovenox/Heparin & Folgard
Lauren says
OMFG!!!! That. Is. INCREDIBLE! Thank you so much for sharing this, I will be certain to reach out to her! I’m astounded at this coincidence, thank you so much for connecting us!
Annie says
I’ve been thinking of you often, friend, and sending encouraging thoughts your way. I love the story about learning to ski and the way that metaphor carries over into the steep slopes you’re having to navigate now. The kind stranger comes in many forms, and I believe there will be gentle guides to steady you on this journey, even though it will seem like you are alone much of the time. I know that you have been the kind stranger to me and many others, offering a generous hand when the world seems cold and lonely.
Lisette says
Oh hun, you are bound to feel the highs and lows of this process as you venture through it. You have been, are going through, so much so fast. So much has been taken from you. There is no right way or wrong way to be feeling right now, you can only follow the dips and troughs.
I feel your fear of statistics, the sadness, the grief, these are strong, powerful feelings. I also truly believe that when you get that rainbow baby nothing else will matter. Thinking of you all the time xxx
Sadie says
Lauren, sweetie, firstly I want to say that no one can tell you how you ‘should’ be feeling right now. I truly believe that the excitement will come, in it’s own good time, and it seems totally normal to me that you’d be terrified and full of trepidation right now with what you’re about to confront. It’s a big deal. A big deal that I so ardently hope will bring you the fulfillment of your maternal wishes, but a big, overwhelming, scary deal nonetheless. Let yourself feel what comes right now and the rest will follow, when it feels right.
And as for the genetic legacy you will leave your children, they may not come of your eggs, but there will be so much that you pass on, biological as well as social. After losing my son, another loss mom shared with me an article about how mothers and babies exchange cells in utero, even just via the placenta. Our babies are present in us, no matter how they started. For me at the time, it was a huge comfort to know that there was some tangible, biological legacy that my son left, and now to think that may be passed on to the sibling I’m carrying. The fact is, you’ll carry your baby, you’ll nurture it with a placenta that means you’ll exchange cellular material. I know you don’t need me to tell you that there is so much more than genetics, but I still think it’s kind of cool and amazing to think that pieces of our children – those we lost and those still to come – will remain in us. You’ll be giving your kid that; and so much more of course.
I can’t pretend to know how lonely it is to have such a rare diagnosis, but I also know that for so many reasons there is much about each IF/loss journey that is painfully lonely. I wish it wasn’t all so hard. Please keep sharing with us here, because so many of the emotions are not unique and we want to support you. Holding out a hand for you when you feel yourself on that slope, and sending so much love. xo
Momsicle says
Oh, my sweet, sweet one. You know what really sucks about the guy coming down the mountain? You have absolutely no control over when he arrives or if he exists. Hindsight lets you say, “By the grace of God I was saved by a kind Spanish man.” But in that moment, paralyzed by fear, all you can think of is how you would give anything, absolutely anything, I mean you would make a deal with the Devil, to be magically transported off the hill.
I really felt you on this one.
The angel skier might exist for you, and we might be discussing his just-in-time appearance over a lovely glass of wine and an incredibly decadent grilled cheese sandwich a year from now. But that really doesn’t matter at all. Because it seems totally implausible, and because RIGHT NOW the agony of living with the uncertainty and the totally unmanageable risk and the crushing defeat is simply too much. I love you!