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More Than You Can Imagine

I met Kirsten and Mike when they were well into their infertility journey.  They’d had a spontaneous miscarriage at 18 weeks.  “When you go through a miscarriage that’s further along in a pregnancy,” Kirsten said, “a big, huge hole opens up in your life.  You feel like you’re completely isolated.  You know in your mind that other people have gone through this, but you never expect it to happen to you.”

When they felt ready to try again, they had four unsuccessful IUIs and an IVF cycle that resulted in no embryos.  Their doctor, a well-known infertility expert, told them they had infertility “of unknown origin” – and then dropped a bomb.  As Mike recalled, “The doctor actually said to us, ‘You will never have kids.’  It took every bit of emotional strength to try to get through it.  Kirsten was nuts.  She was hitting herself and saying, ‘I’m worthless!’  It was really tough.”

Their doctor pushed them toward egg donation.  Mike was willing to think seriously about international adoption.  But Kirsten felt a need to try IVF one last time.  “I needed a period at the end of the sentence that said, ‘It will not work.’”  They found a doctor at Cornell who was trying a new IVF protocol.

When Kirsten woke up from the retrieval, they’d recovered ten eggs.  “Now, there was hope,” Mike remembered.  A couple days later, there were five embryos.   After the transfer, they flew home and waited for test results.  The call came.  She was pregnant.   “I didn’t relax the entire pregnancy,” said Mike.  “It was horrible – I was so anxious something would happen.  I didn’t exhale until the babies came.”

Two of them.  A boy and a girl.

“God can do anything, you know—far more than you could ever imagine or guess or request in your wildest dreams! [Eph 3:20]”

Their dismal track record indicated no chance.  Their doctor said, “not possible.”  Their common sense told them:  not realistic.  Their fear repeated, “not happening.”  But their faith affirmed: “I still believe.” And God breathed life into their hope.

The story doesn’t end there.

They brought their twins by to visit me recently.  Laughing as they shared the news, they told me, “We’re pregnant again!”  This time, it’s completely natural.  Unplanned.  Definitely unexpected.  A total gift from God.

He can do anything.

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A Dream Alters the Course of Infertility

What does it mean when something more-than-coincidental happens?   Two nights ago, a friend had a dream that altered the trajectory of her infertility story.

Nancy dreamed that her reproductive endocrinologist was out of town, so another physician from the practice performed the retrieval.  He put her eggs in a glass container, added water, then dumped sperm into the glass.  When she discovered what had happened, she was hysterical and had to be moved to a different room where nurses tried to console her.

It would be easy enough to write this off — an infertile woman, stressing prior to her last IVF cycle, continues to worry during sleep – except that the next day, the dream proved prophetic.

Nancy went to her appointment.  Sure enough, her physician was out of town.  A colleague would see her.  It was the man from her dream.  Laughing, she told him, “I had a dream about you last night.”  She shared the whole story, and he decided to pull her chart.  The chart said IVF, but no mention of ICSI.  Just as her dream had shown her, sperm and egg would be combined, but not using the right protocol.

Was God in that?  It’s easy to stand outside the story and say, yes, of course.  But it’s harder to be in the middle of the story – in the midst of infertility – and believe that God is actively participating in how it unfolds.  Why is that?  Maybe because our expectations can limit God.  We’re not sure He shares our dream of parenting, or we’re not sure He cares enough to get involved in our story, or we don’t believe He actually talks to anyone any more.  Whatever the reason, our lack of faith limits our ability to perceive His presence.

The Bible says, “…God does speak—now one way, now another—though men may not perceive it.  In a dream… he may speak in their ears…” [Job 33:15].  Nancy did not initially perceive her dream as a warning, but still, she shared it.  Her substitute doctor did not initially sense a problem, but still, he checked on it.  By responding to the message of the dream – and the possibility that it held meaning – they invited God to alter the trajectory of the story.  That led to another discussion which opened the door to another blessing.  The doctor told her about a new, experimental protocol that could further increase the odds of success.  Nancy qualified; was she interested?

Would she have told her regular doctor about the dream?  Would that doctor have double-checked the chart?  Would the mistake have been caught in time?  Would anyone have noticed if it hadn’t?  Would the experimental protocol have been mentioned?  Would all of this (or any of it) have happened without the dream?

Nancy doesn’t know… and she’s still waiting to see what the outcome of this IVF cycle will be.  Maybe there will be a baby, and it will be clear in hindsight that God willed this series of events into being.  Or, maybe there won’t be, and she will have peace that everything scientifically possible was done correctly on her last IVF cycle.  Then, she and her husband will turn confidently to adoption.  Either way, she knows she is moving in the direction of God’s best, and she’s confident that He is part of her story.

Listen, and He will speak to you in yours.

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To Everyone Who Doesn’t Understand Infertility…

On September 27th, a baby boy was born to a Catholic couple in Ohio.  Why was that news?  Not because their baby boy was conceived using IVF, but because the implanted embryo wasn’t theirs.  It belonged to another infertile couple whose fertilized eggs were mistakenly implanted.

With all its inherent controversy, this story – which received national coverage — invited readers to stare in disbelief at the terrible collision of two families’ dreams, just as we often do at a horrific highway accident.  Look at that tragedy, we were prompted to think.  How devastating for the families.  How heartbreaking.  And then, having seen all there was to see, we were expected to accelerate past the suffering and get on with our lives.

Why not?  Was there a more appropriate response?

Actually, yes.  Unlike gapers who block roads for no greater purpose than to satisfy morbid curiosity, when we slow down to look carefully at this story, we learn important things about the challenge of infertility and the powerful witness of those who face it.

Infertile couples are all around us.  One in every six couples of childbearing age is currently struggling with it.  Because of the perceived social stigma, and society’s tabloid fascination with other people’s suffering, most of the struggle goes on silently and secretly.  Infertile couples crave community to fight off isolation and compassion to offset grief, but rarely do they find it.  Even at church.  So, they cling to their spouses and hope that God hasn’t abandoned them.

When the Catholic couple discovered they were pregnant with another couple’s child, they faced a terrible choice:  abort, or carry a stranger’s baby to term.  An impossible, gut-wrenching decision no longing-to-be parent should ever have to make.  What did they decide?   “At the end of the day, there’s a life coming,” said Sean Savage, the surrogate-father-to-be.  “Even though it’s in an unusual way, it’s still a gift.”

Despite their deep desire to have a baby, they chose to trust God’s purpose over their need.  They decided to live into their faith in God’s goodness in the midst of their nightmare.

On the surface, that’s a shocking response to a head-on collision between the dream of parenting and the reality of a fertility clinic error.  “Why me?!” seems much more likely.  But, the struggle with infertility can be a blessing-in-disguise when it tests – and strengthens — our faith, and when it gives us an opportunity to live what we believe.

The Savages faced an impossibly difficult situation and chose to rely on grace, one day at a time, for nine painful months.  According to the news coverage, they made it.

Other infertile couples can, too.

How can you help them?

First, remember that childlessness can be – but isn’t always – a choice.   Even those with children sometimes struggle to conceive again.  And, infertility stories are painful.  So, as with a multi-car accident, get involved only if you plan to offer help.  If you have nothing to offer, keep moving.

Second, encourage your local church and community leaders to provide support for infertile couples.  It’s possible to educate, extend compassion and build community at virtually no expense – and with great results.  Be a part of bringing blessings into the lives of those who long for them.

Third, if you know a couple struggling with infertility, remind them that they are not alone.  Encourage them to talk with friends, family, counselors or other congregants.  Do whatever you can to give them hope and help them heal.

That’s a much better response than just driving by.

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Exceedingly, abundantly… Despite Infertility

I met Kirsten and Mike when they were well into their infertility journey.  They’d had a spontaneous miscarriage at 18 weeks.  “When you go through a miscarriage that’s further along in a pregnancy,” Kirsten said, “a big, huge hole opens up in your life.  You feel like you’re completely isolated.  You know in your mind that other people have gone through this, but you never expect it to happen to you.”

When they felt ready to try again, they had four unsuccessful IUIs and an IVF cycle that resulted in no embryos.  Their doctor, a well-known infertility expert, told them they had infertility “of unknown origin” – and then dropped a bomb.  As Mike recalled, “The doctor actually said to us, ‘You will never have kids.’  It took every bit of emotional strength to try to get through it.  Kirsten was nuts.  She was hitting herself and saying, ‘I’m worthless!’  It was really tough.”

Their doctor pushed them toward egg donation.  Mike was willing to think seriously about international adoption.  But Kirsten felt a need to try IVF one last time.  “I needed a period at the end of the sentence that said, ‘It will not work.’”  They found a doctor at Cornell who was trying a new IVF protocol.

When Kirsten woke up from the retrieval, they’d recovered ten eggs.  “Now, there was hope,” Mike remembered.  A couple days later, there were five embryos.   After the transfer, they flew home and waited for test results.  The call came.  She was pregnant.   “I didn’t relax the entire pregnancy,” said Mike.  “It was horrible – I was so anxious something would happen.  I didn’t exhale until the babies came.”

Two of them.  A boy and a girl.

“God can do anything, you know—far more than you could ever imagine or guess or request in your wildest dreams! [Eph 3:20]”

Their dismal track record indicated no chance.  Their doctor said, not possible.  Their common sense told them, not realistic.  Their fear repeated, not happening.  But their faith affirmed, I still believe.  And God breathed life into their hope.

The story doesn’t end there.

They brought their twins by to visit me recently.  Laughing as they shared the news, they told me, “We’re pregnant again.”  This time, it’s completely natural.  Unplanned.  Definitely unexpected.  A total gift from God.

He can do anything.

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Less is More – Even with Infertility

“Taking the 5 loaves and 2 fish and looking up to heaven, Jesus gave thanks…” [Mark 6:41].

My friend, Toni, is jokingly referred to as “the one egg wonder” by the staff at her reproductive endocrinologist’s office.  Having crossed the imaginary line between fertility and infertility on her 35th birthday, she was told to get busy getting pregnant.  “When we talked to the doctor about statistics,” she says, “we realized we’d better try to do something, or it might be too late to do anything.”

Many failed IUIs later, after extensive soul-searching, she decided to go forward with IVF.  The retrieval resulted in one egg.  Toni was ecstatic—until her doctor explained that one egg was statistically dismal.  Not easily discouraged, Toni chose to cling to the hope that one egg was all she needed.

“The doctor told me, ‘you may want to consider adoption.’  Before even trying the IVF she was already expecting a negative outcome!  I remember saying, ‘I know you can only do what you can do, but there’s another factor involved here.  I didn’t want to say, ‘God is doing the work’ because I didn’t want to offend her, but that’s what I was thinking.”

Everyone at the doctor’s office regarded Toni as mildly delusional—until her son was conceived and delivered.

What did she know that they didn’t?  What gave her the sense that something virtually impossible was perfectly possible?  And how did she hold on to that confident expectation, even when the experts thought she was crazy?  According to Toni, she prayed with a thankful heart.  “I’ve always prayed ‘thank you’ for everything.  I learned the scriptures that were relevant to infertility.  Once I had that going for me, I just felt really confident.”

Jesus modeled that same confident expectation just before feeding 5,000 people with just 5 loaves and 2 fish.  Everyone around him saw lack, but Jesus saw plenty.

In the midst of infertility, it is our tendency to dwell on insufficiency.  We become obsessed with numbers that aren’t high enough, follicle counts that aren’t large enough, options that aren’t plentiful enough.

One egg?  Get serious!

We need to remember that the gap between our “realistic” perception of insufficiency and God’s knowledge of plenty is enormous.  And there’s only one way to bridge it:  by faith.  We aren’t given the gifts of foreknowledge or control; those are God’s territory.  But, we are invited to believe that “very little” can be “more than enough.”

It worked for Jesus.  It worked for Toni.  It could work for you.

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Obsessing Over Infertility

AP news release (11/09) – Doctors have long worried about a link between fertility drugs and ovarian cancer.  But, Danish researchers recently analyzed medical records of 54,362 women and found that, over a 13-year follow-up period, those who took fertility drugs faced no greater risk of ovarian cancer – even if they’d undergone 10 or more treatment cycles.

Why is it that obsessing over when we’ll get pregnant isn’t enough?  We have to compound our suffering by worrying over other things we can’t control—like whether the fertility drugs we take now will bring on some new kind of suffering later.

“Fear and faith seem like opposites,” writes Joel Osteen, “but both ask us to believe something we cannot see.  Fear says, ‘believe the negative.’ Faith says, ‘believe the positive.’”  Why is so much easier for us to embrace fear?  And if we hate feeling fearful, why do we choose fear as our response to uncertainty?

The truth is, it doesn’t feel like a choice.  Loss of control flips a panic switch somewhere deep inside us.  Our instinctive fight-or-flight response takes over:   Hurry!  Fix this!  Solve it!  Now!  We don’t want to feel afraid.  We hate it.  So, in response to fear, we fight for control—struggling to maintain a steady course down an unfamiliar road toward a destination we hope we can find.

Parenthood.  Is it just up ahead?  We want to believe we’re on the right road… but something tells us we’re lost.  And alone.  In growing darkness.  Uncertainty compounds our panic and, before we know it, we’re careening down a dark road at top speed – scared to death, and hoping to make it in one piece.

Is there any other way to make this journey?  Yes…, but it requires us to do the unthinkable:  relinquish control.

Letting go in the midst of infertility is completely counterintuitive.  It feels like giving up.  But it’s not.  It is simply a humble admission that we are not in control.  We desperately want to be, but we’re not.  Unconsciously, we’ve resisted facing this obvious truth.  Why?  Out of fear that we’ll be overwhelmed by despair.  We’ll see how small and helpless we truly are in the face of intractable infertility, and heartbreak will become defeat.

But it doesn’t have to be that way.

When we admit we are not in control, we make room for God to enter the story.  Will He help us?  Will He care?

“Don’t be afraid; just believe.”

Those were Jesus’ words to a panicked father when he heard his daughter had died.  Jesus understood the man’s instinctive response was fear and grief.  But Jesus told him:  don’t choose fear… choose faith.  Trust me… not what they tell you, or what you see.

What is your visceral response to bad news?  Do you rush to embrace grief and fear?  Or do you believe (“walk by faith…”), despite what you see (“…not by sight”)?

It’s your journey.  And it’s your choice.

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