Cofertility

Just learned about this company today – the latest in the fertility industry/adoption industrial complex predicated on the “right to parenthood”. With some young women delaying motherhood these days, only to discover later on in life they can no longer conceive, I can understand the allure of participating in this venture. Beyond that, I really can’t encourage anyone to do this but clearly it is something that some couples are turning to in order to further their efforts to conceive.

The company notes – Whether you want to freeze your eggs for free when donating half to another family or you’re looking to build your family through egg donation, we’ve got you.

There are concerns in the donor conceived community regarding the right to fully informed consent. It was noted that there are also attempts to game-ify adoption by companies that are using swiping apps designed similarly to Tinder to match expectant mothers with hopeful adopters. 

At the company’s website, they have a link called LINK>”Our Stance“. It notes that they stand for reproductive choice. And egg freezing is just that — a choice that a woman makes over her own body and future. The American Society for Reproductive Medicine (ASRM) states that egg freezing “promotes social justice by reducing the obstacles women currently face because their reproductive window is smaller than men’s.” We couldn’t agree more, and we’re proud to do our part to lessen constraints placed on women by offering more accessible egg freezing options. That said, we acknowledge that egg freezing and egg donation are not without their critiques. The processes come with big questions, and we want to be transparent about where we stand.

I agree with Cofertility that there is a dearth of fertility education. Many women do not realize how early in their life, their ability to conceive will become “old age” in that regard. I know that was honestly the situation with my husband and I. We did the whole ovulation prediction and timed sex thing, only to discover that my own eggs where almost all gone and the ones that remained unlikely to develop into a viable pregnancy. It is still the wild west out there – when it comes to couples who are experiencing infertility finding some way to build their family. Polarized politics are not helping the situation. Sellers and buyers need to be as fully informed as possible.

Anonymous Sperm Donation

On Dec 3 2023, Emily Bazelon published an article in the NY Times – LINK>Why Anonymous Sperm Donation Is Over, and Why That Matters. She notes that while activists are trying to end secrecy for sperm and egg donors — it is a campaign that troubles some LGBTQ families.

The article begins with this story (and blogger’s note – I’ve read quite a few others with similar trajectories) –

A few years ago, when he was in his early 30s, Tyler Levy Sniff took a home DNA test he received as a gift. The results revealed a staggering truth: His father wasn’t biologically related to him. Levy Sniff confronted his parents, who explained that after years of trying and failing to have a baby, they turned to a sperm donor. Following the standard advice at the time, they decided not to tell him for fear of driving a wedge into their family.

Levy Sniff felt as if he’d found a key to his identity that he was looking for. “It made sense of why I felt different from my family,” he said recently. He wanted more information about the person he called his “bio father” to understand his genetic heritage. “It was so important to me to know my bio father’s life story, his personality and talents and struggles,” Levy Sniff says.

But by the time he found his donor, through relatives on two genealogy websites, the man had died — another revelation that shattered him, he says. To Levy Sniff, the value of knowing where you come from is self-evident. “A lot of influence comes from your biology,” he says.

Recent findings in behavioral science show the role of genetics in shaping certain individual characteristics. Questionnaires from doctors routinely ask for generations of family medical history. And learning about your genetic ancestry can be emotionally powerful — one reason millions of people buy inexpensive at-home DNA tests and sign up for genealogy websites.

Blogger’s note – in my own roots discovery journey, both Ancestry and 23 and Me, contributed invaluable assistance in my finding my own genetic, biological heritage and connecting with people that I am thus related to, though for over 60 years, neither they nor my self knew of one another. Adoption (both of my parents were adopted) robs us of important knowledge.

Lesbian couples and single parents make up 70 percent of the people who now use sperm donors, according to a 2022 study of an assisted-reproduction clinic. Some of these families fear that disclosure laws will open the door to recognizing biological donors in some way as parents — possibly granting them parental rights and more broadly undermining the legitimacy of LGBTQ families.

In sperm and egg donation, secrecy was the old-school choice — the one that seemed easier to many heterosexual couples as they raised their children. But now it’s nontraditional families who are most nervous about ending the practice of anonymous donation. It’s one thing for parents to choose transparency, but it’s quite another for the state to mandate it — enshrining into law, some fear, the notion that genetics are an essential part of being a family. In many states, if you are part of a couple raising a child, and you never marry or you get a divorce, and your partner wants to sever the connection, you can be deemed a legal stranger to a child you helped raise but with whom you don’t share a genetic tie.

Blogger’s note – Being honest about how one’s children were conceived tends to strengthen parent-child relationships. My family chose that strategy. My husband, our egg donor, and my sons all did 23 and Me DNA testing. That site allows for private communications (should my sons want that) with a donor they have had only minimal physical contact with in the past (several times we have had the opportunity to get together with her and at least one of her children). Thanks to Facebook, I have been able to show my sons photos of the donor and her genetic, biological children over the years – so that they have some sense of these other relationships that may someday be important to them (or not). They seem well adjusted to the reality.

Financial Compensation Truth

Some suggestions in my all things adoption group today from a former foster care youth, adoptee and mother who lost her own child to adoption –

What I want to discuss is the financial compensation foster and adoptive parents often receive (not always). If you are a Foster Parent or Adoptive Parent – listen: Do not try to hide the fact you make money from this. Communication and transparency is important, regardless of age. Express that it’s THEIR money, earned for them.

Example: “Our family receives this check to help support you. You’ve been growing so big and I think it would be fun to use this money on new clothes! What do you think? We could also put it into your savings account.”

Don’t downplay it by expressing how it’s ‘not enough’.. Of course not, no government assistance ever is. But at the end of the day you are being paid money to parent another person’s child. That is an unnatural concept and can make a child feel dehumanized, like an item to be bought and sold.

Do you know what it feels like to look around and realize your family is being paid to love you? If you think “Pft nooo we LOVE them! my FC/AC would know it’s not like that–” then you clearly need more time listening to the broken hearts of stolen children. Sometimes all the love in the world can’t cure that “I was paid for” feeling. It takes therapy.

For me, I never knew people profited from my custody. I was a foster youth, adopted at 12, and then my adoptive parent died when I was 15. I down spiraled and by 16, I was raising my premature son in a shelter/group home. A month in, staff hands me a check for $1.7k with my name on it. My legal guardian on paper (the ex-husband of my dead adoptive parent) had been cashing these checks every month, despite not having lived in our home for two years. I was told by my social worker that they’d last until I was 21 and she helped me open a savings account for my son. I used my final checks for a down payment on my first apartment. I was a homeowner by 25.

Moral of the story is that it’s wrong to hide from kids that the foster or adoptive parent receives compensation. Yes, the aid ‘isn’t enough’ to help some struggling families, but IMO those people should have stabilized their situations prior to fostering. You shouldn’t depend on subsidies as an income; The child is not there to support you. You wouldn’t give birth to a child and expect them to somehow contribute financially to the family, right?

Financial literacy is such a vital skill to learn and this is a great opportunity to teach it to them from a young age. Begin a conversation. We deserve it!

Reality. Finally this from the LINK>Foster Parent Journal – Foster-to-adopt parents are entitled to continuing support after the adoption. This may include a monthly per diem subsidy, medical insurance, reimbursement for expenses, a federal tax credit, and help later with college tuition.

In some cases, the reality is it IS about the money and NOT about the welfare of a child. Some of these people are not saviors but opportunists.

Processing Grief

From my all things adoption group –

Posting for a friend who does not have Facebook. We are both adoptive parents. Her adopted daughter is 7 years old. My friend just found out that her adopted daughter’s mother passed away before Christmas. It was a fluke that she even found out as they did not have regular contact. Her adopted daughter has experienced 2 great losses this year (biological grandmother and adoptive grandmother) and is still struggling with these. They are very open about her adoption and biological family but her adopted daughter does not want to engage in any conversations about her adoption, so they tread carefully between offering information and following her lead.

The question is… when and how should they approach the conversation about her mother passing away. The adoptive mother and her husband have a bit of a different view. She feels sooner than later is best but also acknowledges the fact that their adopted daughter is already struggling with lots of grief and loss (naturally) and some other new challenges that have recently popped up. Her husband thinks they should wait until the adopted daughter asks about her mom but she doesn’t feel that’s appropriate. I would love to be able to offer some specific information and ideas, if possible. Though I told her about this group, she asked that I post this on her behalf.

First response was this – Her husband is 100% wrong. This child needs a therapist and a safe space, if she doesn’t have one already. They need to tell her.

From an adoptee – Life doesn’t operate at a pace that is necessarily easy for any of us. We can’t control that. But the thing that all parents can control is whether or not they prove to their children that they are reliable and transparent. I understand, wanting to protect this child- but it’s not going hurt any less to find out later. It would just complicate the issue with a lot of questions about the delay. I would treat this in the same way that any other death was treated. She has recently learned about two people dying, why should her first mother’s death not be an immediate conversation ?

From another adoptee – Transparency is extremely important in building and maintaining trust between adoptees and their adoptive parents. Further delaying this information can damage this trust.

Secrecy v. Privacy

I belong to a group that almost 20 years ago divided into a “tell/don’t tell” perspective. I often wonder how that has worked out for the don’t tell group. And if it has served, at what point might their offspring do a inexpensive DNA test and thereby learn the truth – that they were lied to their entire childhood. I’m glad we never thought to go in that direction.

My blog today is inspired by an article in Psychology Today LINK> Secrecy v. Privacy in Donor Conception Families, subtitled Walking the fine line between privacy and secrecy is inherent in donor families. Some of the differences – Privacy is the choice to not be seen, while secrecy is based in fear, shame, or embarrassment. Privacy involves setting comfortable and healthy boundaries. Carrying a family secret is a heavy burden. Donor families based in honesty and transparency have more meaningful and deep relationships.

In that group I mentioned, we each recognized a right to privacy for each other and honoring their right to privacy demonstrated our respect for their choice and was a foundation for trust among us. Withholding information for fear of the consequences implies a negative kind of secrecy. Secrets require a lot of emotional energy and are a heavy burden to carry. Secrecy undermines trust and is therefore harmful within relationships. Privacy, which includes creating healthy boundaries is generally beneficial. Learning when and how to create boundaries is a good lesson to teach one’s children, especially in this age where information seems to flow so readily and once out there, can’t be taken back.

The stigma of infertility is still very present in society and is often the reason why a couple may not want to be open about how they were able to conceive their children. Yet there is also a sense of social responsibility that has mattered to me from the beginning. Women are generally NOT fertile beyond a certain expiration date. When someone conceives at such an advanced age as I did (46 and 49), that could give the wrong impression to another younger woman that they have more time in which to begin their family desire fulfillment than they probably do. There are always exceptions to anything age related but that is a general rule. Much harder to conceive after the age of 40. I conceived very easily in my 20s.

Many children not told the truth about their origin – whether it was adoption, a donor facilitated conception or an illicit affair – still feel that there was something being withheld from them. When they discover the truth, they often feel anger. Even with the more modern openness, such origin stories are still not the norm. Many who are aware of their status may have little opportunity to talk about it to others who understand. Some may not have the language to speak about their experience.

I have given my children the gift of 23 and Me testing and accounts. Both their egg donor and their genetic father are there. This has led to questions from relatives of the donor to one of my sons. My advice to him as tell them to ask their donor about whatever they are curious about. When one donates genetic material, they must be aware that questions may arise in the future. It is only natural. Still, it was my perspective it is up to her as to what or how much she wishes to tell one of HER own relations about the circumstances. Having the 23 and Me channel gives my sons a method of privately communicating with their donor. I also frequently show them photos of her and her other children, so they are more aware of these persons with which they are genetically related. Distance prevents closer, in person relationships at this time, though they have met her in person more than once. I have an interestingly close, psychic and emotionally connected, relationship with my sons. My belief is that it comes from a combination of carrying them in my womb and breastfeeding them for over a year plus being in their lives pretty much 24/7 for most of their childhood (though there have been brief absences for valid reasons).

A Potential Egg Donor Asks

A woman asked for perspectives today in my all things adoption group (basically they are about 100% against and I understand why). Here is her story –

Since before I was an adult even I have felt so sure I wanted to donate eggs, the desire and resolve only grew stronger over about a decade but I wanted to have my own child first. Now I have and coincidentally found this group around the same time. It has made me completely rethink egg-donation. I had a kid and I don’t have much time left to decide due to age, so I have to decide. I know there are some donor-conceived people in this group as well and I’d so so much appreciate your thoughts on whether it’s even an ethically okay thing to do? Anyone that wants to can answer of course. Would I inevitable cause trauma to the resulting child by donating eggs?

Extra info in case it matters to anyone’s perspective: I live in a country where I won’t get paid for it except medical expenses covered, and the law says the children will get their donor’s identity if they want at 18. The family services and all related health and social carers (they are excellent here) will strongly encourage all recipients to tell their children of how they came to be from the very start.

Here is my own response –

I can only speak from experience. Back in 1998, after 20 years in a marriage where the understanding was that he was glad I had been there, done that (I have a grown daughter and 2 grandchildren from my first marriage), my husband sprang on me that he wanted to have children after all. We did ovulation predictors, were referred to a doctor who does assisted reproduction and got a booster shot when I saw my last egg. No pregnancy resulted. Then, he told us about another way – egg donation.

We did everything ourselves. Vetted potential donors by email. One said something that reminded my husband of something I would say. We chose her. She already had 3 children of her own. But she had promised another couple first. In the end, they treated her very badly and I thought she would change her mind about us but she did not.

We have always respected her and what she did for our family. After our first donor conceived son was born, my husband immediately wanted another. I had a cycle between our two boys where my womb failed to develop a good lining and had a D&C. Our donor moved from the location of the first doctor – who only did 4 procedures that year with only one success – ours. We followed her to the new location with a doctor who was one of the first in this country to do these procedures. We succeeded in having our second son. Donating was not physically easy for her. We did what we could to alleviate what we could post-extraction.

Our boys have met her more than once. I show them pictures of her or her children sometimes via Facebook because distance prohibits a closer relationship. She did 23 and Me, so I bought a kit for my husband, then for our oldest son and then for our youngest son. She is shown as their genetic mother there. 23 and Me provides a private messaging channel should they want to communicate with her. She has said she is open to that. I send her photos about once a year and updates when appropriate.

I’ve only known about issues related to donor conception since I went on my first roots discovery journey in 2017 after my parents died (they were BOTH adoptees). Fortunately, we have been honest with our sons about their conception since day 1. The 23 and Me results allowed us to fully discuss their conception now that they are much older and more mature. They understand they would not exist otherwise.

Knowing what I do know about in utero bonding, I am grateful they gestated in me, I breastfed them each for 1 year + and I have been in their lives pretty much 24/7. They are now 18 and 21 and seem well adjusted. Only twice have they indicated their perspectives to us – once my older son asked if he was supposed to be grateful to her – we said No, but we are. The younger one asked if she was his mother at a very young age. I explained that I am his mother but that without her, we would not have him.

I think the respect we have for her and she has for us has been an important factor. I think our willingness to be transparent with our sons was crucial. Back in 2000, some of the mom’s in my donor egg mothers group chose not to tell. With the advent of inexpensive DNA testing and matching, I wonder what their experiences have been and whether they have any regrets but we don’t communicate as frequently or openly as we once did.

Both Genders Drive Adoption

For some time now, my husband has been making use of old photos to create slide shows as a screen saver. I enjoy looking at these . . . memories. One of my current favorites is of my husband lying on his chest looking at our oldest son as a 3 month old infant lying on the bed. They are both smiling at one another. Clearly, there is a real connection between them, an energy. And it is true, while my husband does honestly love both of his sons, he does a lot of work around our farm with the older boy. They seem to be in-sync so well. Of course, the older one, now 21 years old, is more mature but over the last several years, they have replaced roofs, planted trees and both worked for the 2020 Census and could share stories each night when they got home. Just as I saw with my in-laws respect for my husband’s opinions, there is a respect on my husband’s part for each of his sons’ perspectives. It is a beautiful thing to see. For my part, I am inspired by both of them and who and how they are developing into maturity.

Becoming a father came at the right time for my husband in his own maturity. When we first married (my second marriage), he was not interested in having children. He was glad I had been there and done that – so no pressure on him. And it is also true that because I gave birth to my daughter at the age of 19, I had already known motherhood. Indeed, she has made me a grandmother twice. She was there for me each time one of my parents died (only 4 months apart) and through the challenges of being the executor of their estate, including giving me the benefit of her expertise in real estate selling and negotiating the final contract with a buyer.

Even though my early motherhood was a good experience for me, I was totally blown away when after 10 years of marriage, my husband did a 180 on me and wanted to become a father. Unfortunately, it turned out that age had produced in me secondary infertility and we had to turn to assisted reproduction and an egg donor to have our sons. 20 years ago, no one saw inexpensive DNA testing and the matching sites 23 and Me as well as Ancestry becoming so popular in use. Fortunately, we have handled the situation of having two donor conceived sons as well as any ignorant parents could (both had the same genetic sources and so, are true genetic and biological siblings). By handling the situation, I mean we have always been honest about their conceptions with our sons. They really did need to become older to understand the details. Getting their DNA tested at 23 and Me (where their egg donor also had her DNA tested) gave us the opening to fully describe the details, which does not seem to have troubled them at all. Before we had theirs tested, I also gifted my husband with a kit from 23 and Me.

For me, having lost the privilege of actually raising my daughter when she was 3 years old due to my own poverty and her father’s unwillingness to pay child support (and even so, he ended up paying for her support by raising her himself) – these second chance opportunities to prove I could mother children throughout their growing up years has been a true blessing for me. Experiencing motherhood now has healed much – including a decision to have an abortion after my daughter’s birth and the subsequent discovery that I carried the hep C virus – thanks to pre-treatment testing related to my oldest son’s conception. (BTW, this week I will finally complete, after living with this virus for over 20 years, a very expensive treatment regime which required a grant for the co-pay as well as Medicare Part D because otherwise, I still could not have afforded to have that virus treated).

All this just to share that this morning, I was reading an accusation about infertile women driving adoptions. One woman noted this – “we seem to be letting the guys off scot-free. The dudes who want a Daddy’s Little Girl or to play football with their own Mini-Me. I am not saying that childless woman are not a huge factor in the adoption industry, but I am saying that we live in a patriarchy and men also have a macho thing going on from birth … carrying on the family name, the stereotypical being the breadwinner for their very own brood instead of watching other guys’ families from the sidelines as a failure. And sometimes it isn’t the woman’s inability but the guys’ faulty minnows and that is definitely a macho & emasculating situation that they can rectify by sheer force (IVF or adoption are ways no one else will really be the wiser if they keep these secrets). They can be saviors and still be Daddy Dearest at the same time win-win.”

I know that in the case of infertility, the “blame” is statistically equal – one-third of infertility cases are caused by male reproductive issues, one-third by female reproductive issues, and one-third by both male and female reproductive issues or by unknown factors according to the National Institutes of Health. Clearly in our case, because 50% of each of our son’s DNA clearly establishes that their father’s sperm did the deed, the problem was my age. We didn’t start our efforts until I was already 46 years old.

What Biology Prefers

In my all things adoption group – the post acknowledges what I also believe is a fact –

Biology programs us to prefer the children we gave birth to. You can try to be “fair” but I firmly believe biology and the subconscious takes over. This is how it’s supposed to be. It’s natural instincts. What does it say about biological connection when one says they love a stranger’s natural child the same or just as much? How do biological children in the home feel about this? Is it really possible? What are your thoughts?

I remember reading once that children often physically resemble their fathers so that the man will accept responsibility and care for the family. Of course, it doesn’t universally turn out that way. Yesterday, I was looking at an old picture of my husband’s father’s parents and marveled at how much he looked like both of them in a photo nearby. My sons each have some resemblance and some of the best qualities of their father. I carried my sons during pregnancy and nursed them at my breast for over a year. While they know the truth of their egg donor conceptions, which we have never hidden from them and even facilitated their ability to contact this woman by connecting them to the donor on 23 and Me, they would seem, to my own heart, to be as bonded to me as they ever could be. I am “Mom” to them and no one could be more their mom. I may not have been able to pass my genes on to them (though my grown daughter and grandchildren do that for me) but I am their mother biologically and I do believe that makes a difference. Honesty helps as well.

One commenter posted an article at science.org titled “Do parents favor their biological children over their adopted ones?” subtitled – Study tests the “wicked stepmother” hypothesis. My daughter remains quite fond of her deceased step-mother and yet, I also know that my paternal grandmother, who’s own mother died when she was only 3 mos old, did suffer an absolutely wicked stepmother. The article notes that “Wicked stepmothers would seem to be favored by evolutionary theory. The best way to ensure the propagation of our own genes, after all, is to take care of children who are genetically related to us—not those born to other parents.”

Even so their study found that parents did not favor a biological child over an adopted one in all instances. Researchers compared data on 135 pairs of “virtual twins”—siblings about the same age consisting of either one adopted child and one biological child or two adopted children.

What does support adoptees who feel their adoptive parents did not treat them well is this detail – adoptive parents did rate their adoptive children higher in negative traits and behaviors like arrogance and stealing. Yet, it is interesting that when it came to positive traits like conscientiousness and persistence,  they scored both adopted and biological children similarly. 

This study came to the conclusion that the strong desire to be a parent—no matter the source of a child’s genes—can override evolved, kin selection behaviors that might otherwise lead parents to invest more time and resources in their own offspring.

A Basic Human Right to Know

Most U.S. citizens raised by their biological parents never question whether the information on their birth certificates is accurate. With the evolution of adoption and alternate means of conceiving a child, “accurate” is an increasingly subjective term.

Is the purpose of a birth certificate to portray a biological account of a person’s birth parents, or is it an account of one’s “legal” parents — the ones responsible for raising them?

The US Census Bureau created Birth Certificates in the beginning of the 20th Century as a means of tracking the effects of disease and urban environments on mortality rates. The task of issuing birth certificates was transferred to the Bureau of Vital Statistics, a division of the Department of Health and Human Services. In 1946, the recording births was decentralized into today’s varied state systems (and in reality, based on my parents births in the 1930s, this existed well before the 1940s). This has caused there to be 50 different sets of regulations concerning how, when, why and if access to original birth certificate information can be obtained.

The document has become an important (if not our sole) means of identification when we obtain anything from a driver’s license to a passport. It is an indispensable tool for genealogical researchers.

For adoptees as well as donor-conceived persons, there is oftentimes a clear distinction between one’s genetic parents, those with whom you share DNA, and one’s legal parents, the ones who have rights and responsibilities attached to their parenthood, and most-times, the ones who are raising them.

Our birth certificate practices concerning non-biological parents began with adoption. In the mid-20th Century, there was rising concern that adopted children’s birth certificates read “illegitimate.” In response, states began to issue adoptees amended birth certificates, listing the adoptive parents as if they were the genetic parents, thus hiding the shame of the child’s illegitimacy and the adoptive parents’ infertility. The originals containing the biological parents’ names were sealed and not available to anyone (including the adoptee) except by court order. The new birth certificates showed no indication that they had been amended, which gave adoptive parents an easy way to not tell their children of their adoption. In about half of the US states (including large population ones like California and Virginia as I personally found with my two parents adoptions), adoptees original birth certificates remain sealed.

Women who use donor eggs to become pregnant are listed as mothers on birth certificates. When our donor informed me she had her DNA tested at 23 and Me, I made the decision to provide my children with the information and private access to her (with her consent) that DNA testing and that site’s design make possible. It is unsettling to see someone else listed as my two sons “mother” even though they grew in my womb, nursed at my breast and have been cared for and nurtured by me 24/7 for almost every day of their entire lives. Yet, I knew this was the proper path to establish for my own children their personal reality.

There are a whole host of concerns raised by adoptees and the donor-conceived, including the right to identity, ongoing medical history, biological heritage, and the right to know their genetic parents and I for one believe these issues are valid and should receive transparent answers.

The US Surgeon General reports 96% of Americans believe that knowing their family history is important. It certainly has made a world of difference for me as the offspring of two adoptees. I suppose this has given me a broader perspective on the importance of a person knowing from where their genes originated. The United Nations has acknowledged the right of the child to preserve his or her identity, including nationality, name and family relations.

I believe that all people have a moral right to know the truth about their personal history. Where the state has custody of relevant information it has a duty not to collude in deceiving or depriving individuals of such information. Growth, responsibility, and respect for self and others develop best in lives that are rooted in truth.

There has been a recommendation made that the Standard US Birth Certificate be revised to expand upon the “two parent only” format to include categories for Legal Parents, Genetic Parents and Surrogates. In the case of adoptees, the child’s birth name and parentage should be recorded along with his or her legal/adoptive name.

The time for birth certificate reform is now. Unfortunately for many, it should have happened decades ago.