There’s been a lot of chatter on the message boards about fertility treatments today and yesterday. Apparently there’s another Natalie Sulemon wanna be out there that’s pregnant with 12 babies. As a result, I typed up a sort of PSA and figured I’d preserve it in the blog.
-Fertility drugs of any kind should not be taken without close monitoring. If your ob/gyn gives you Clomid and says “call me when you’re pregnant” run far, far away. Fertility drugs have risks associated with them and should be taken seriously.
-Even just taking Clomid can result in high order multiples (HOM) if not appropriately monitored.
-Although it’s what we see in the news, fertility treatments resulting in HOM is quite rare. That is because the vast majority of fertility doctors and fertility patients take fertility treatments seriously and are responsible about it. A cycle involving drugs that stimulate the growth of multiple follicles is generally closely monitored and if the cycle is a timed intercourse or IUI cycle the cycle is cancelled if too many follicles are produced.
-IVF generally involves the transfer of 1 or 2 embryos and rarely results in a pregnancy of more than twins. In our case, we transferred 2 embryos, but even transferring that many was a huge debate. We weren’t sure we were ready for twins and when you transfer 2 fertilized embryos twins is a real possibility. In the real world, people take these sorts of decisions seriously.
-Sometimes IVF does involve transferring more than 2 embryos. This is decided on a patient to patient basis depending on their history and the likelyhood of the transfer actually resulting in a more than singleton pregnancy. Taking away the ability of doctors to make these decisions with their patients based on their individual situation makes parenthood even less of a possibility for many couples.
-IMO, any fertility patient that puts themself in a situation that could result in HOM and is not open to selective reduction is a highly irresponsible individual. If you are not open to selective reduction, you either need to take precautions in your treatment to prevent HOM or you need to pursue options other than fertility treatments.
-Infertility is a treatable medical condition. You don’t tell a person pursuing fertility treatements that infertility is God’s way of telling them something unless you feel perfectly comfortable saying the same thing to someone pursuing treatment for cancer or a heart condition.
-There is no such thing as “just adopting”. Adoption is a difficult and expensive path. Most people are choosy about what agency they will use and those agencies are also picky about what clients they will take. Depending on what path you wish to take, adoption can cost upwards of $30,000. Depending on what type of agency you wish to use, you can be quickly eliminated as a potential parent for things that are pretty darn common. Some things that eliminate DH and I from some agencies are treatment for panic anxiety disorder, age, 2 working parents (some want a stay at home mom). All things considered, in many cases, fertility treatments are cheaper, easier and have higher success rates.