Yesterday was tough. L and I talked for a number of hours about our low fertilization rate and what that might imply for the future. She was upset, worried, and dejected. I was mostly depressed.

Up to now, we’ve been very optimistic about our long-term chances of success with IVF. Our doctor seemed to feel good about us. We were accepted by and participated in a “shared risk program” (a sort of IVF package / insurance deal), which I’m sure uses actuarial tables to statistically minimize their risks.

L did a fine job cooking up the eggs. And, my spunk seemed dandy.

Yet, only 2 of the 7 eggs managed to fertilize. 2 of 7! That’s about 28%

Dr. Google tells me that IVF/ICSI usually has resulted in a 70% or higher fertilization rate in clinical trials. Of course, some unfortunate couples (about 3%) suffer from “total (or complete) fertilization failure,” meaning no eggs successfully fertilize through ICSI. The primary cause for ICSI fertilization failure seems to be (paraphrasing from the medical literature) either “fucked up sperm,” or “fucked up and/or too few eggs.” All of this leads me to believe that IVF will not be as easy as I’d hoped. 

Could we still be successful on this cycle? Yes.

But, yesterday was definitely a hard, cold slap of reality.

Time to repeat my Eeyorish mantra:

It can always get worse.

Today, we’ll find out how the embryos are doing.

Tags: In Vitro Fertilization

I found a blog post today which attempted to generalize the communication differences between men and women related to IVF as a means of explaining (or perhaps justifying) the blogger’s husband’s unwillingness to discuss infertility and apparent apathy toward having a child. Specifically the author said:

I still think it is unbelievably frustrating that we were never really on the same page in our thoughts, concerns and fears regarding infertility. However, I do have to concede that I honestly don’t believe it is a result of communication conflicts between my husband and I. Rather, I think it is more the fault of inherent communication conflicts between men and women.

My take: what a load of crap!

As a man in the midst of infertility treatment, I’ve spent countless hours talking to L about our situation. We’ve discussed, planned, argued, compromised, consoled, and comforted each other throughout the process. For us, communication is not a problem.

That said, plentiful communication doesn’t always equate to like minds.

And, sometimes communicating our personal truths to each other has been painful.

For example, I am (or at least was) more ambivalent about having children than L. For her, it’s a need. She feels like she has to be a mother in life. For me, it’s a want. I’m excited (and also made somewhat anxious) by the prospect of being a father, but it’s more of the icing on top of the cake (and not the cake itself) for me.

To me, it sounds like this blogger’s husband was in a similar place to me emotionally. But, he appeared unwilling to express his feelings. And, really, she didn’t seem to want to hear that he wasn’t as “into it” at the time as she was anyway.

Of course, L didn’t want to hear this from me either. At least not initially. Yet, I felt it was important for us to fully understand both our individual and shared feelings. Having had this dialogue, we’ve been able to reach common ground, understand one another better, and proceed through treatment with relatively little drama, supporting one another along the way.

In the end, I think communication is important. But, empathy is probably even more so.

Tags: In Vitro Fertilization, men and infertility

Yesterday’s aspiration yielded eight (8) eggs. 

Today, L received a phone call from the fertility clinic indicating how we’ve done thus far. Of the eight (8) collected, seven (7) eggs were mature. That’s pretty good.

Now for the bad news: only two (2) were successfully fertilized.

They’re not what caused the poor performance. L’s eggs looked good and were in the desired quantity. Likewise, my sperm “cleared” yesterday in terms of having sufficient quantity and quality. What is more, ICSI, which we opted for due to my “borderline normal” semenalysis results, should have resulted in a higher success rate… but, needless to say, something didn’t quite go as expected.

Given these results, we’re now queued up for a Day 3 transfer on Friday. My hope is that the two good embryos continue as such until Friday. If so, and they’re of top quality, the odds of success are still fairly high (perhaps 35-40% for a live birth per embryo).

Bottom line: these odds are still infinitely better than with L’s blocked tubes (the primary source of our difficulties). And, I’ve always stressed that we should think of Cycle #1 as a “trial run.” 

Nonetheless, you’re always hopeful that you’ll get lucky (which we still might) and thus are disappointed when obstacles (whether real or imagined) appear. Putting this cycle’s eventual outcome aside, we’re mostly fearful of what (if anything) this portends for the future. That is to say, is something else “wrong” with one of us?

Tags: In Vitro Fertilization

Where to start? I’ve setup this blog to document my journey through “fatherland.” You know: that (for me) mysterious and (so I’m told) wonderful amusement park of male parenthood. Fatherland.

Of course, as any kid who like me grew up in Florida knows, the real adventures don’t start until you reach the theme park. But, despite some fun games during the ride—or perhaps more accurately some fun rides as part of the game—our car keeps hitting potholes. Month after month we’ve wondered, “are we there yet?” And, the resolute answer has come back “no.”

To wit, we eventually sought professional counsel (more on that later) and learned that the usual “highway of love” was going to be for us a one-way trip to Nowhereville (more on this later too). The road to Fatherland (and Motherland) for us will involve a different route… one that currently has us making a pit stop at the Assisted Reproductive Technology Cafe.

So, why start this blog today? Because if all went as planned (and it might well have not), we will have hopefully conceived a child (or more accurately several children!) following a pharmaceutically-fueled, surgically-assisted, and monetarily-depleting regimen that I’ve come to call the “The Long Fuck.”

You probably know it by its more common name: In Vitro Fertilization (or more simply IVF).

While we’re waiting to know whether or not our science experiment was successful, I’ll provide more background over the next few days / posts: who we are, how we got here, why we’re doing this, etc. To that end, I’ve already placed a little background detail on this page.

Tags: In Vitro Fertilization, IVF