Sunday, June 23, 2019

Motherhood and Cancer, Part 2


When does motherhood begin?  This is a question that has raised much debate in law, medicine, religion, and spirituality. I don’t know the answer to this question, but to me, motherhood might start even before one knows she is pregnant. When I felt mentally and emotionally ready to try to get pregnant, something inside me changed. I started to think about this potential baby that could change everything, for better or for worse. And since that moment, even before I was pregnant, I started to change my lifestyle, to think ahead, to plan for this potential human being that I hadn’t even met yet. For me, this is when motherhood began.

Most people know that I have always wanted a baby girl. Don’t tell Landon, but when I first found out that Landon was a boy, I cried! Of course now, I can’t imagine my life without him and I love everything about him, but I still have this burning desire to have a little girl. I have a deep, hidden away balloon in my head with images of me and a little girl. I imagine dressing her up in bows and lace. I imagine baking and decorating cookies with her and teaching her how to braid her hair. I imagine getting my nails done with her, picking out her prom dress, her wedding dress. When I found out I had to get chemotherapy I also found out that up to 30% of women go into permanent ovarian failure after completion of treatment. At that moment that balloon hidden away in my mind flew away and popped. I was devastated that I may not be able to have a baby after my treatments.

So began my whirlwind tour in the world of reproductive endocrinology. Leaving my fertility up to chance was not an option for me. I did a bunch of research and eventually found the USC Fertility Clinic. I saw a wonderful female physician who specializes in oncological cases like myself. And for two weeks my life was about preparing for my future baby, not about cancer.

 The two weeks that led up to freezing our embryos were stressful to say the least. I only had time for one round of egg retrieval because I couldn’t delay my chemo much longer. My future hopes for having a baby depended on this one round of retrieval. I had to put all my eggs into this one basket (pun intended)!

So I started with the daily injections to stimulate my ovaries to form follicles. 2 shots everyday at the same time. I was still working during all of this so there were times I had to inject myself at work which was not fun. I had to go into clinic every other day, sometimes everyday to get my blood work checked and to get transvaginal ultrasounds to check of the progress of my follicles. By the end of all of this my arms and belly were covered in bruises from the blood draws and injections. I felt so bloated from my ovaries being the size of baseballs on each side. But the good news was that I was progressing well and had many follicles.

The day of egg retrieval, I went into the procedure center. The whole thing took only about 30 min under conscious sedation. When I woke up I was groggy but received the great new that she was able to retrieve 23 eggs! The rest was a waiting game but I felt good starting with such a high number so I wasn’t too worried.

A week later I found out that of the 23 eggs, 20 were mature enough to fertilize. 14 of the 20 actually got fertilized and in the end, 7 of those 14 developed into the blastocyte stage. Initially I was shocked that I started with 23 eggs and was down to only 7 embryos, but on second thought, 7 embryos seemed like a great number because I sure don’t plan on having 7 more kids!

We decided to get karyotypes/genetic testing on these 7 embryos. The results took about 2-3 weeks. Of the 7, 3 had chromosomal abnormalities that would have led to miscarriages if we used them so those were discarded. We were left with 4 good quality embryos! Thanks to the karyotype, we were able to find out the gender of the embryos. We have 2 boys and 2 girls!! I was so excited to learn this!! And just like that, the balloon with images of me with a daughter that I thought had popped floated back into my mind. 

I can’t believe that this whole process is even possible. I am thankful that I live in a time where science is so advanced that people like me can have the option to have a child after chemo, but I can’t help but think that we are playing God a little bit which seems amazing but dangerous at the same time.

So there you have it, after a crazy stressful 2 weeks, somewhere in a freezer in downtown LA, I have 4 potential kids waiting to be brought into this world. Dan and I will likely only have one more child, and in my mind that child is going to be my daughter. And just like that, in my heart, I have already started being a mother to her, years before she is actually born.

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