Finding the light at the end of the tunnel

submitted by Barb, who responded to a woman on the Choice Mom discussion board who was feeling stressed about the challenges of fertility

I completely understand how you're feeling. I was there myself once. It is really so much a part of the process. You're reeling with a lot of different emotions, some of which you don't even know are there until something unexpected happens. I am currently in the process of trying to have a second child and every little speed bump or unexpected test result instantly shoots my emotions to the surface... and I remember how hard this was the first time.

It is a process you have to get used to. I know that probably isn't much help, but it's true. You really can't live your life expecting the unexpected or expecting things NOT to work, but you do have to start setting your life up to cope with the occasional setbacks and speed bumps. Even if all that means is that you should find a support person or someone you can vent to when things don't go as expected.

I vividly remember calling my friend Rhonda from the parking lot of a pharmacy after they didn't have my prescription for progesterone suppositories and they sent me to another pharmacy two miles away. The other pharmacy DID have what I needed, and it turned out to be no big deal. But in that moment, full of hormones and overwhelmed with the emotions of what I was undertaking, it felt like some giant sign from God. Why can't this be easy? Maybe I shouldn't be doing this. Maybe I'll never be a mother. My friend Rhonda just listened and reminded me that things were worse because of the hormones, and she didn't over-react when I barked at her insensitively.

And that moment passed. That drama passed. That day of fear and anxiety passed.

But there were many, many more of them on my journey to becoming a mother. Poor fertility test results. Insensitive doctors. Young, married friends who had oops pregnancies. Scheduling problems at a clinic. Panic over sperm delivery. The entire process was a series of dramas and emotional challenges.

But I learned how to cope with them. With each new drama that I survived I learned to stay calm, learned to wait to see what I was dealing with, learned how to keep my brain from spiraling off into my-god-what-am-i-doing-will-i-never-be-a-mother land.

And in the end it all worked out. I wouldn't change it for anything in the world. The process I went through to become a mother was good for me. It made me a better parent than I might have otherwise been. And it helped me learn that some things you just can't control... a big thing you will rediscover over and over and over again when you are a mother.

And you will be a mother if you really want it.

Your test results may not be great. But people with perfect test results can try for years and never get pregnant, and lots of women have bad results and end up pregnant right away. Medical science can do so much, and there are drugs and shots and procedures to help tackle so many fertility hurdles. The important thing is that you've made the decision to start this journey. That's a big commitment. It's scary. And it will be challenging. Over and over and over again. But you'll look back on this later and be so glad that you had the courage to try.

IVF or bust??

After a Choice Mom-in-the-making wrote to the discussion board about her fifth unsuccessful attempt at IUI, and her inability to pay for the more expensive IVF cycle, women chimed in with supportive words and resources, which we are collecting for the ChoiceMoms.org website.

Here was one strong post of encouragement, reprinted here by permission:

I am so sorry that you are having to see a stupid BFN!!! I hope you will be comforted a little by knowing that you are not alone. Be gentle to yourself, cry all you want, scream if you have to, chuck a sickie at work, and feel free to gorge yourself on chocolate or have a nice big BFNtini.

As far as IVF goes, don't give up hope. If my IUIs don't work (I get six tries with insurance) then I will be in the same boat as you and I've been looking into ways to make it cheaper.

Here are a few suggestions. While not simple or fast answers, they might help you find a way to reduce the cost.

1. Check out the Fertile Dreams website. They give out an annual grant for folks who could otherwise not afford IVF. There are a few other groups like this out there, and many of them seem very couple-focused, but Fertile Dreams is one I contacted and they were really cool about me being single. If your story is compelling and you show that you can provide a great home, you may well be a contender.

2. Look into international IVF. There are several countries that offer IVF for near 1/3 the cost of what it is in the U.S. Shop around and check with folks about the reputation of each place.

3. How about a fundraiser? I know several people who did adoption fundraisers. Why not an IVF fundraiser? If you have a strong community of supporters (church, clubs, family, friends) and rally them to your cause, you could do one of those candy sales or a car wash or rummage sale and make a few thousand that way. There are some organizations out there for this sort of thing too, that help you by providing a non-profit type status so that people who donate to the fundraiser can also get a tax deduction for it.

4. Depending on your age, some IVF clinics will reduce the cost of IVF if you agree to be an egg donor for another couple. Also, I know several people who "haggled" with their IVF clinic and shopped around. These clinics are making profit on their treatments and there is certainly room for them to bring their prices down. I'm a HORRIBLE haggler so this doesn't appeal, but my brother is a haggling genius (I call it the Jedi Mind Trick) so if it ever comes to IVF for me, I'm going to have him haggle for me.

5. Consider doing another IUI with more aggressive fertility meds. When we are older, a lot of the eggos can't get us preggo. If you are willing to agree to a selective reduction, some docs might allow you to do an IUI with greater stimulation.

Editor's note: Choice Mom friend Reproductive Science Center of the Bay Area is one place that is offering a 25 percent discount in 2009 to celebrate its 25th anniversary.

Hope: the four-letter H word

Just prior to the holidays, a little girl who tends to like to dance in front of the sanctuary whenever our music plays, did a dance that made many of us weep. My favorite Unitarian Universalist minister, Kate Tucker, then got up, still teary, to deliver her sermon about Hope: The four-letter H word.

She talked about people in a conversation circle with her who described their own visions of hope. The person who said we get energy from hope. The homeless man who teaches people trying to finish their high school education. A woman who found hope through infertility to adoption.

Kate said that hope is about reaching out to find the help we need in order to make things happen. Because being without hope -- hopelessness -- is stuckness.

When we reach out for it, hope becomes our partner. We have the choice to sit and hope for something to happen. Or, with hope as our helpmate, we can proactively do a huge amount of work to propel us forward.

With hope, she said, it is not that we are then able to find something/someone who lines up with our pre-selected requirements. But that we are then able to recognize and be released into our own power.

Kate said that hope:

• sees what is possible when others do not;
• can imagine a way out, a way in, another way;
• is active waiting;
• does not yield;
• is the moving current that carries us forward;
• has the power to heal;
• is living in a world where everything -- frozen grass, snow scrapers, warm bed, coffee -- is holy.

I had only an eyeliner pencil in my purse, and used it in place of a pen to scribble down phrases as fast as I could.

Since then, I have seen the power of hope in so many ways. And how dejected and stuck we are without it. I have also seen that it is not an external power that chooses us. It is us who choose it.

In the Trying stage, there are naturally times of fear and hopelessness and despair and impatience. But always around us, available when we want to grab for it, is the comforting, energizing cloak of Hope, the healing, holy four-letter word that can help us realize the dreams that WE set in motion.