Another Child

It honestly feels weird to think about another child at this moment. Both because I am borderline overwhelmed with parenting the one and also because I am content. But I know I probably won't always be content. That's not a reflection on Garrison; I always wanted a big family. The itch for another child will return. I'm not sure when that typically happens. When do normal, fertile couples begin to think about trying again? Surely not at 5 months. But here's the thing. It took us almost four years to get Garrison. If we don't want Garrison to be starting kindergarten before a sibling arrives, it feels like we need to get started.

While in Jacksonville finalizing our adoption of Garrison, we stopped in at FIRM, the clinic where we did IVF. We have four (maybe three) embryos frozen there. We have decided that before we pursue any other family building opportunities, we will complete our frozen embryo transfers. In a lot of ways, these embryos feel like a weight. And that's totally not fair; I know. They are our children, long awaited for, fought for, prayed for, but it appears that it is very unlikely that we will ever meet them. The doctor confirmed that it is unlikely we will see a bring home baby out of this IVF cycle. And yet, we feel that we must give them a chance. 

When we completed our IVF cycle in January 2014, we paid to keep our embryos frozen for two years. At the time, it seemed like we would not need the full two years. We knew our embryos were lower grades and we figured that even if we got lucky, we'd try for a sibling within two years. But then the first transfer failed. And then the second. And then an entire year passed by. January 2016 will be here quickly. I know that as the months with Garrison just fly by. I feel as if I'm constantly sticking a round sticker on his onesie and exclaiming "another month went by so fast!" We have a few months to decide what to do, but the decision is (as always) complicated. 

We met with a different doctor for our consult as my doctor was out of the office and we were only in town the one day. This doctor was more of a straight shooter. He agreed that in light of our past transfers and the quality of our frozen embryos, the odds of success with any of our remaining embryos is low. He didn't really bat an eye at our request to transfer all four...that's always a really bad sign. He agreed that the Endometrial Function Test would be a good next step just to rule out any implantation issues. If something came up, he said we'd correct it and then his recommendation would be to transfer two. He agreed that our issue is very likely embryo quality (with a root cause in egg quality) but that if he had proof that there was a problem with my lining, he would be unable to say with certainty that our previous cycles failed because of embryo quality and transferring four would be riskier. However, his bet is that all is normal with my uterus and lining. That's my bet too, but I've never been one to turn down answers. 

And I guess this is where my ideas on family building and next steps are changing. I'm just not sure how much more money I'm willing to throw at my body. There are other ways to build a family, ways that I'm really open to and even excited about. I do believe that given all the money in the world there is likely a doctor out there with enough expertise to help me get pregnant with my own eggs and Sam's sperm. But we don't have all the money in the world, and if I'm being honest, there are other things I'd rather do with money (like pay off student loan debt) than throw darts at $30,000 a toss at a moving dart board with a shrinking bullseye. 

The doctor did mention and agree that this test for my lining (at $1,500) would be valuable information for later transfers, whether that's our embryos or donor embryos. And while IVF may be less and less glamorous to me, embryo adoption still holds a lot of appeal. So we have to decide if we want to do this test. It needs to be completed about 2 cycles before our transfer. We also have to decide if we want to attempt to transfer these embryos before the middle of January (when our payment runs out and we'd need to pay $500). To do the transfer without the test would cost approximately $2,500 including travel and medication. Adding in the test would bump that to about $4,000. That's a TON of money to come up with in 6 months, especially while paying for daycare at the cost of $10,000 a year. Which ultimately brings up the biggest  question: are we ready (and can we afford) another kid? Yes, the cycle is VERY unlikely to succeed, but I can't help feeling negligent if we don't calculate our ability to provide for another child if the cycle were to succeed. 

I have a feeling the answer is no. In fact, I know the answer is no. Daycare alone is almost $1,000 a month, and we don't have $1,000 margin in our budget each month. Will we ever? Absolutely. But in January, no probably not. The wisest thing to do would be to table the "another child" conversation and work diligently to pay off our student loans, start college funds, save for retirement, etc. But fear and doubt always wiggle back in from the depths of my mind when I think about postponing a second child. The doctor so kindly pointed out that "his recommendations would be different if we were having this conversation and I was still young." Gee, thanks. It's interesting that at 28 I was "so young and healthy" but at 29 I'm "no longer young." The clock is admittedly ticking (probably far faster for me as my egg quality already sucks) if we want to try IVF with my own eggs again. But even outside of IVF, I feel the clock ticking. Family building outside of the sheets takes time...lots and lots and lots of time. So do we table it, relishing in our current joy, and continuing to pay to have low quality embryos frozen? Or do we recognize (and maybe even embrace) our circumstances and the ways our family is likely to be built and begin the journey anew with the start of the new year by jumping with both feet back into the TTC game?

I have no answers. Time will tell. 

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Guys, can you go over to my sweet, sweet friend's blog and give her some love? She just miscarried again and is having a really rough time. My heart is absolutely broken for her. I know she'd appreciate some love and support during these hard days. She was ready (like really ready) to start her long-awaited cycle at CCRM only to discover she was pregnant...surprise. But now it's over and it's so hard to answer the big questions when what appears to be the greatest blessing ends in more despair.