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Finding Hope For Childless Couples: Understanding Options For Fertility Treatment

Finding Hope For Childless Couples: Understanding Options For Fertility Treatment

Babies and children are everywhere. And while it is, of course, a massively happy event when friends or family members happily announce they are about to start or grow their family, the painful truth is that pregnancy is not as easily achievable for every couple who wants a family. And many couples can find themselves in a difficult and upsetting situation where they may have to find that having a family will not be possible for them at all.

Today however, the situation is not as bleak as it was some years ago. Now couples facing a struggle to start a family either medically or biologically have options available to them. Remaining childless or having an incomplete family does not always have to be the only option anymore.

This article will take away the mystery and confusion about fertility treatment and help you have the family you’ve always dreamed of having. Each option is different and a clinician will ultimately be the best person to help you select the right path to take. However, it may help you to understand a little more about the options beforehand and what is involved with each.

In vitro fertilization (IVF)

IVF is a process proven by considerable amount of time. It has been almost forty years since the birth of the first baby, Louise Brown in 1978, in a process created by Nobel Prize winner Robert G. Edwards. Often known as “test tube babies”, there are well over five million children born by this process.

The IVF process involves eggs being extracted from the donor and fertilized in the lab with the partner’s sperm before being implanted in the uterus.

Before the process, your doctor will monitor your ovaries and the timing of the egg release, ensuring that your ovaries are producing eggs, and that your hormone levels are normal. It is normal to take fertility drugs during IVF. These are used to stimulate the ovaries into producing eggs, which is crucial to the process because having more than one egg available will increase the chances of becoming pregnant. In the case that the woman cannot produce eggs, it is possible to use a donor to supply eggs to make IVF possible.

The process may cause some discomfort, but generally no pain is felt and the process can be completed quickly. Typically, it will take between four to six weeks to complete a single IVF cycle and it may take two or three attempts before pregnancy occurs. However, after this, it is a normal pregnancy.

Fertility treatment - IVF

    Pros and Cons of IVF

    As with any fertility treatment, there is not a 100% guarantee of success. The success rate is dependent upon age with younger women being more likely to have a successful pregnancy via IVF. The chart below displays the success rate of IVF procedures in women by age.

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    Fertility Treatment - IVF Success Rates
      IVF Success Rates

      As you can see from the graph, the success rate drops off at higher ages. However, IVF can still be an option for older women to become pregnant.

      One of the potential advantages of IVF is it allows screening of donors not only for genetic conditions, but also for the selection of characteristics, including ethnicity and physical attributes.

      The average cost of IVF is $12,000 to $30,000 per cycle and in most cases, up to three cycles are required for a successful pregnancy.

      Fertility drugs

      Women with infertility issues may be suitable to use fertility drugs, which work by causing your body to release reproductive hormones that control the ovulation process. Fertility drugs can be effective with a success rate of about 40–50% in women who ovulate, helping them get pregnant typically within three cycles. They are often used as a first option for women who have fertility issues.

      Fertility Treatment - Drugs

        Fertility drugs should be avoided if the recipient has damaged Fallopian tubes or endometriosis.

        A course of treatment can cost between $10 – $100 per month for pills, or up to $6,000 per month for a course of injections. Generally, it will take between three to six months before either conception occurs or another treatment should be considered.

        Fertility drugs can cause more than one egg to develop in a process called multiple gestation. This can affect 1 in 3 women who are taking the treatment.

        Surgery

        Surgery may be used in cases when there are blocked Fallopian tubes, to remove endometriosis tissue, to treat PCOS, or for other anatomical abnormalities. It can also increase the chances of becoming pregnant using natural conception.

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        The success of any surgical procedure depends on the damage to the Fallopian tubes. There is an estimate that between 21–59% of women who undergo Fallopian tube surgery and 40% who undergo laparoscopic surgery do conceive. In addition to the usual risks associated with surgery, there is a small risk of an ectopic pregnancy, where the fertilized egg implants outside of the womb.

        The cost for surgical procedures varies depending on the surgery required and can be between $2,000 and $10,000.

        Fertility Treatment - Surgery

          Artificial Insemination

          This is a process where sperm is deposited directly into the uterus using a thin catheter in a process called intrauterine insemination (IUI). Artificial insemination is especially used when the couple are unable to have vaginal sex, perhaps due to disability or for same-sex couples.

          For a woman to undergo successful artificial insemination, her Fallopian tubes, which connect the ovaries to the womb, must be open and healthy because this is where the sperm will fertilize the egg and how the embryo moves down into the womb. The Fallopian tubes can be checked using a laparoscopy where a fiber optic camera is inserted through a small cut in the stomach. Alternatively, an X-ray or an ultrasound may be used.

          The success rate for artificial insemination depends on age. There is usually a 10% to 20% chance of conception per cycle. However, this increases to 60-70% with six cycles of treatment. The average cost is $865 per cycle.

          Doctors may recommend fertility drugs in addition to the procedure to ensure a safe pregnancy. As with other fertility treatments, artificial insemination can increase the chance of multiple births.

          Intrafallopian Transfers

          There are two main types of intrafallopian transfers:

          • Gamete intrafallopian transfer (GIFT): the egg and sperm are placed in the Fallopian tubes to allow fertilization to occur naturally.
          • Zygote intrafallopian transfer (ZIFT): multiple eggs are collected from the ovaries and mixed with sperm. During ZIFT, fertilization occurs in a lab and the zygotes (fertilized eggs) are inserted in the Fallopian tubes rather than the uterus, which is the main difference between ZIFT and IVF.

          Intrafallopian transfers can be used in cases when the woman’s Fallopian tubes aren’t blocked or damaged and the man has a low sperm count, or there are problems with the sperm in general. It is also used where there the couple object to IVF, for example, for religious reasons or where previous attempts at IVF have failed to result in pregnancy.

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          It will typically take 4 to 6 weeks to complete one cycle at a cost of between $15,000 and $25,000 per cycle. Again the success rate varies with age, but generally it is around 22%. The process is considered more invasive than IVF as it does require use of a laparoscope inserted through a small cut in the stomach.

          Surrogacy

          Surrogacy is when another woman carries and gives birth to a baby for a couple who otherwise could not have a child. The surrogate becomes pregnant either via IVF using the intended parents’ embryo, or through artificial insemination using either the father’s sperm or a donor’s sperm.

          Surrogacy has one of the highest success rates when there is a healthy egg, sperm, and surrogate. However, it can take about one and a half years to complete the process of matching, IVF, and pregnancy. The cost of the process varies between $130,000 and $200,000.

          The surrogacy process allows for extensive screening where you can select a surrogate that will provide the best match and be the best surrogate to carry your baby.

          In addition to surrogacy being suitable for couples who are unable to safely carry a pregnancy to full term, it can also allow gay couples to have children. In the US, there are specific LGBT surrogacy agencies who can provide advice and assistance through the process.

          How to approach fertility treatment as a couple

          Of course, fertility treatment is more than just a surgical procedure or arrangement for surrogacy. It is vital that the emotions involved with any form of treatment be considered and that the emotional stress not be overlooked for couples involved.

          Amanda and her husband had been trying to conceive for over a year before they were referred for treatment. They found her husband had a low sperm count and so IVF was suggested as a way to have the family they so desired.

          “Finding out was awful and came close to breaking us apart. I could not envision going through the ordeal of treatments and Tony just felt like a failure.” However, Amanda found the medical staff were able to provide the support they needed. “The medical people were very good at telling me all the stages and everything involved. I also found online communities to find out more details.”

          After the initial trepidation, they went ahead with the procedure and she found that approaching it together helped and built a stronger relationship between them. “We got through it and thankfully, we were lucky by having our daughter with our first treatment. We became a great team.”

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          Of course, not everyone can be as lucky as Amanda and Tony were with being successful in the first cycle. It was a truth she learned herself as they tried for a sibling and had two failed cycles. “We hit the rocks again as we both felt like failures. It was pretty tough,” she recalled. Thankfully, their next cycle was a success and they have two beautiful children to show for it.

          Amanda has the following advice for couples facing fertility treatment: “Get as much advice as possible. You need to remember to never play the blame game. It’s no one’s fault you’re going through treatment. It’s no one’s fault if your treatment does not work first time. Remaining positive is the only way to get through it.”

          Preparing for fertility treatment

          Your doctor or specialist can help you find the best fertility treatment for you. However, there are things you can do before you attend your first meeting to ensure they have the clearest information to help you.

          • Keep a detailed chart noting when your periods start and finish. You can use a spreadsheet or one of the many apps to help you record information.
          • Record if/when you are ovulating.
          • If you experience any pain or PMT.
          • Note how often you are having sex with your partner and when this takes place in your cycle. This will give your gynecologist vital clues to your whole cycle, which will help in the choice of the fertility treatment that will be best suited for you.

          Other things you can do to help your fertility include reviewing your diet to give you the best chance of conceiving. Look closely at your alcohol intake and give up smoking, strive to eat healthily with lots of fruit and vegetables, and, if either of you are overweight, see if you can lose a little. Even a 10% weight loss can greatly improve chances of successful conception. Think about possibly going to the gym together. It is a great way to spend time together and it will build up your stamina for when you do have children!

          Children for LGBT couples

          Only in recent years has the option been available for lesbian, gay, bisexual, and transgender people to raise their own biological children. Scientific research conducted by organizations like the American, Australian and Canadian Psychological Associations consistently show that gay and lesbian parents are as fit and capable as heterosexual parents to raise children and that their children are as psychologically healthy and well-adjusted as those reared by heterosexual parents.

          There is the option of adoption and fostering, as well as surrogacy and IVF for couples.

          The United States supports commercial surrogacy for same-sex couples and in the states where it is supported, there is support for surrogacy contracts and automatically naming the couple as the legal parents of the unborn child.

          In conclusion

          Just because you are struggling to conceive does not mean that you will never have a family of your own one day. As you can see, there are numerous tried and tested options available. Take the time to speak to your specialist.

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          Published on May 24, 2019

          How to Raise a Confident Child with Grit

          How to Raise a Confident Child with Grit

          My husband and I facilitate a couple’s marriage and parenting group. Recently, the group discussed qualities, characteristics, and traits we wanted to see our children develop as they grow up. One term that came up that all parents seemed to upon agree as a highly valued trait was that of grit. The question from our group was:

          “Can grit be taught to our children?”

          The answer is, yes. Parents can help their child develop grit.

          What is grit? Dr. Angela Duckworth is the top researcher on this subject and wrote the book Grit. She defines grit as “passion and perseverance for long term goals”. This new buzz word is popular in the adult realm, but what about our developing children? What if we could help our children develop grit as young children.

          Grit is more crucial to success than IQ. Duckworth, through her research at Harvard, found that having grit was a better predictor for an individual’s success than IQ. This means having the smartest kid in the room doesn’t ensure any level of success in their future. They can be brilliant, but if they aren’t properly intrinsically motivated, they won’t be successful.

          Grit determines long term success. If a child can’t pick themselves up and try again after a failure, then how are they going to be able to do it as adult?

          What a gift it would be to our children to engage them in a manner that helps them recognize their passions, talents, and develop a persevere to purse their goals. Below are some tips on how to raise a confident child with grit.

          1. Encouragement is Key

          When a child wants to learn how to ride a bike, do they keep going after they fall down or do they quit after the first fall?

          If they aren’t encouraged to get up and try again, and instead are coddled and told they can try again some other day, then they are being taught to play it safe.

          Safe and coddled don’t exactly go hand-in-hand with building up grit. The child needs to be encouraged to try again. This can be a parent saying “you can do it, I believe in you” and “I know that even if you fall again you will try again and eventually you will get the hang of it”.

          Encouragement to keep trying so that they can build up perseverance is very helpful in building a child’s confidence. This confidence is what will help them strike out and try again.

          If they feel that they can’t do it or shouldn’t do it, then they won’t. The mind is a powerful thing. If a child believes that they can’t be successful in doing something, then they won’t be successful. Part of building that mentality of believing in themselves comes from encouragement from their parents, care givers, and teachers.

          Cheer Them On

          How many times have you heard a story of success that someone had in life that all began because someone believed in that person?

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          A coach, a mom, a teacher can have a huge impact by believing in the child’s ability to be successful and voicing that encouragement to them. Words are powerful. Use them to build up a child, by telling them that they can do it even if they have try again and again.

          Be their support system by being their cheerleader. Cheerleaders don’t just cheer when the team is winning. They cheer words of encouragement to keep the team going.

          The same goes with children. We need to cheer for their successes, but also cheer for them to keep going and fighting the fight when life gets tough!

          You Can’t Force Them

          Keep in mind that you can’t force a child to keep trying. They have to do it themselves.

          For example, when my daughter was learning to tie her shoes, it was a real struggle. She gave up. I couldn’t make her want to try to do it again. She had to take a break from the struggle for a few months and then try again.

          She was more successful the second time around, because she had matured and her fine motor skills had improved. It would have been ridiculous for me to force her to practice tying her shoes for the three or four months in between, with tears and arguing taking place.

          No, instead we took a break. She tried again later. Forcing her to learn something that she wasn’t ready to learn would have pit us against one another. That would have been a poor parenting move.

          There are boundaries that parents can set though in some cases. For example, if your child begins an activity and wants to quit mid-season because they are terrible at the sport, you have the opportunity to keep them in the sport through the end of the season to show them that quitting is not an option.

          Although they may not win another tennis match the rest of the season or win another swimming race all year long, finishing the commitment is important. It will help with the development of grit by teaching them to persevere through the defeat. It is character building.

          If your child is great at all things all the time, they will not develop grit. They need to try things that challenge them. When they aren’t the best at something, or for that matter, the worst, it creates an opportunity for them feel real struggle. Real struggle builds real character.

          2. Get Them out of Their Comfort Zone

          My daughter wanted to try cheerleading this past fall. She has never done this activity in the past, nor is she particularly coordinated (sorry sweetie). For that matter, she couldn’t even do a cartwheel when cheer season began.

          However, we signed up because she was so excited to become a cheerleader. I signed up to coach because there was a need for more cheer coaches. We were all-in at that point.

          Once the season began, I quickly realized that cheerleading was far outside my daughter’s comfort zone. The idea of cheerleading was great in her mind. The reality of memorizing cheers and learning physical skills that were hard for her made the experience a struggle. She wanted to quit. I said to her “no, you were the one who wanted to do this, so we finish what we started.” I had to say this more than once. I don’t think anyone on the squad knew this was the case, because she kept at it.

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          She kept practicing those cheers every evening. It did not come naturally to her at first, so it was uncomfortable. She always seemed to be half a beat behind the other cheerleaders, which made it very awkward and uncomfortable for her. However, letting her know that quitting mid-season was not an option made her try harder. She wanted to learn the cheers so she wouldn’t stand out on the squad as the girl who didn’t know what she is doing.

          By the end of the season, she became a decent cheerleader. Not the best, but she was no longer half a beat behind the rest. She learned skills that were hard for her to conquer. Now that she felt success in achieving something that was uncomfortable and hard for her. She knows she has it in her to do that in other areas of life.

          That is why it’s ok for us as parents to let our kids feel the struggle and be uncomfortable. If they don’t experience it when they are young, they will as adults, but they won’t be equipped with the perseverance and inner-strength built from years of working hard through smaller struggles as they grew up.

          Allowing our children to struggle helps them build that skill of perseverance, so that they have the grit to achieve hard things in life that they really desire to accomplish.

          3. Allow Them To Fail

          Your child will fail at things in life. Let them. Do not swoop in and rescue your child from their personal failures. If they don’t fail, then they don’t have the opportunity to pick themselves up and try again.

          If I had pulled my daughter from cheerleader once I realized that it was going to be a real struggle, she wouldn’t have experienced failure and struggle. Letting her have this small failure in life taught her lessons that can’t be taught in a classroom. She learned about the power she has within herself to try harder, to practice in order to make change happen, and to push through it even when you feel like giving up because it is embarrassing.

          Failure is embarrassing. Learning to handle embarrassment is taking on a fear. When kids learn to do this at a young age, it is practice for adult life. They will experience failure as an adult. They will be better equipped to handle life’s disappointments and failures if they have learned to handle the fear of embarrassment and failure when they are young.

          Practice builds up the skill. Processing and handling fear, embarrassment, and failure are skills.

          If I had pulled my daughter from cheer and allowed her to quit, I would have taken from her the opportunity to learn how to process and handle the embarrassment and failure she was experiencing at each practice and games. She learned to keep trying and that practicing the skills would lessen the embarrassment and feelings of failure.

          Learning the value of practice and how to preserve through the fear and failure are priceless lessons. We may want to rescue our children because we want them to be successful at the things that they do, but how will they be successful in this competitive world as adults if they are provided with only opportunities in which they succeed?

          Failure is needed to learn to thrive. Success in adulthood does not come easy to children who are protected from failure because they haven’t built up the ability to persevere.

          Perseverance comes when they have learned time and time again how to take the fear of embarrassment and failure head on and practice to get better.

          4. Teach Them to Try Again

          Encourage your child to try again. Don’t let them quit on the first try.

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          Life is hard. If we quit the first time we tried at things, we would never amount to anything in life. We need to teach our children that trying again is simply part of life.

          Help them to give it a go by providing encouragement and support. Offer to practice with them, provide them with tutoring or coaching if necessary — whatever it takes to get them back on the proverbial horse and trying again.

          Break it Down

          Sometimes failure occurs because they are trying something all at one time and they haven’t mastered the smaller components.

          For example, a math student isn’t going to jump into calculus as their first high school math course. No, of course not. They build on their skills. They begin with basic math, then algebra, geometry, trigonometry, and pre-calculus to then they get to the calculus level.

          If they are thrown into the deep end by taking on calculus before the foundation of their math skills are built, they will fail.

          Help your child try again by breaking down what it is they are trying to achieve.

          Going back to my cheer example… my daughter was not the best at learning the cheers when we began. It then dawned on me that we needed to break down each cheer phrase by phrase. Once we learned the phrase and movements that went with it, we could then learn the next one. Once these were learned, we could combine the phrases, practice them together, and then try to move to learn the next phrase in the cheer. It was a tedious process, but it worked.

          Not all skills come easy for kids. Helping them learn the skill of breaking things down into manageable tasks is another way we teach them about grit. They are learning to build skills by persisting, practicing, and building upon previous experience, knowledge, and skills.

          Grit is put into practice in childhood when they learn how to break down large tasks into smaller achievable tasks in order to build toward a greater goal.

          5. Let Them Find Their Passion

          Your child may be a wonderful pianist. However, if they aren’t passionate about the skill, then they likely won’t be happy or fulfilled in becoming a concert pianist.

          It’s great to help your child discover their talents, but also let them discover what they are passionate about in life.

          True success will come because they are passionate about the activity, not because they are the best. The best usually become that way because they are passionate first. Therefore, let your child experience a variety of activities and interests so that they can discover what they love to do.

          6. Praise Their Efforts, Not the Outcome

          Praising their efforts keeps them motivated and trying. If you focus on outcome, then when they fail, they will become defeated and discouraged.

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          Focusing on the fact that they tried hard and pointing out specific ways that they did well in terms of effort will support them in trying again. When you make a habit of focusing on outcome, then failures are avoided at all costs, including taking risks.

          Risks are needed in order to become successful. Therefore, make a habit of praising their efforts, even when the outcome is not what they had hoped and tried for, because eventually, if they keep trying their efforts will result in success.

          7. Be a Model of Grit

          If you are a parent or a caregiver for a child, then you are a model to that child. Children naturally look up to the adults in their life that are closest to them, especially their parents. They will look at your ability to persevere and achieve. Your grit will show.

          Your children are watching. They may not know the term grit, but they will learn about working hard, not giving up, trying again after failure, and all that grit entails from your actions.

          How you handle life is being watched by your children. You can work on your own grit by reading Angela Duckworth’s book Grit .

          Develop a Growth Mindset

          Helping your child develop a growth mindset is also helpful to your child in their development of grit. Dr. Dweck, author of Growth Mindset and researcher at Stanford, developed a theory of fixed versus growth mindset.

          Basically, what it means is that if you have a fixed mindset, you will fear failure and easily give up. Someone with a growth mindset believes that their talents, skills, and abilities can be improved with hard work and learning. Parents and caregivers can help with the development of a growth mindset.

            Some of the ways that a growth mindset can be developed include:

            • Teaching your child how the brain works: neuron connections, right brain versus left brain.
            • Teach them to set goals.
            • Teach them to have a “can do” attitude.
            • Teach them to develop a strategy when they want to achieve something.
            • Teach them that mistakes are an opportunity to learn.
            • Teach them that failure is a normal part of life.
            • Teach them about self talk: Self Talk Determines Your Success

            There are a great deal of activities and materials online for helping your child develop a growth mindset including these resources below (each site contains at least some free content):

            The Bottom Line

            Grit is not just for adults, it is something we can help our children develop. Grit is more critical to success than IQ, so we should be helping our children develop this quality early in life.

            As a parent, being a model of grit, is one of the first ways to help our children become “gritty”.

            Featured photo credit: Gabriela Braga via unsplash.com

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