Tag: Twin Pregnancies

All In One

Mom via adoption, IVF and surrogacy

Infertility is a difficult path for any woman. For many of us the expectation is that we will have children at some point in our life. The Atluri family now has 7 children but it took every trick in the assisted reproduction toolkit to get them to this outcome. Josephine is one of the 1 in 8 women requiring fertility assistance, and also one of the 1 in 4 women who have experienced a miscarriage or pregnancy loss.

My blog today comes thanks to an article in LINK> The Huffington Post by Josephine Atluri. The family also had decisions to make regarding their frozen embryos, a situation in light of the uncertainties brought about by the Supreme Court’s overturning of Roe v Wade and the rush to close and lock doors in many Republican controlled states. Not that this was a factor in the Atluri family’s calculations but it has become a factor for many couples who have used IVF now.

The first child added to this family came by way of adoption. During the 3 years they attempted to create their family with assisted reproduction through IVF, she experienced chemical pregnancies, miscarriages and flat-out failed cycles. After losing a twin pregnancy at 17 weeks, she realized that she could no longer handle the physical, mental and emotional toll of another IVF cycle. Thus, half a year after the loss of their twins, they pivoted in their approach to parenthood and pursued an international adoption. They adopted a 10-month-old boy who became the physical manifestation of their hopes to have a family.

After a year of joyful parenthood, their sense of optimism had renewed enough to try one more IVF cycle at a new fertility center in Denver. Thankfully, they succeeded, becoming pregnant with twins again and this time the pregnancy went to term. They became the parents of healthy boy and girl twins.

The happy ending did not erase the pain experienced from infertility, miscarriage or pregnancy loss for Josephine. This eventually manifested in a fight to control her body as untreated mental health issues snowballed into bulimia. During the healing process, she discovered that she felt the need to “control” her body through her eating disorder partly because it was uncooperative reproductively. 

Every year after the birth of their twins, they received a letter from the storage facility that safeguarded the many embryos from their last IVF procedure. For four years they decided to keep them frozen. On the fifth year, her husband said, “I think it’s time we give these embryos a chance.” After a drawn-out moment, she expressed another truth she had confronted during her healing journey. “I can’t. I just can’t do it again. I’m so sorry.”

It was at this point they decided to pursue surrogacy. She says, “At every step of the process, an unthinkable level of trust, vulnerability, collaboration and communication was required.” Without complications, their surrogate gave birth to their twin boys. Even so, they continued to receive annual reminders regarding their remaining frozen embryos, They tried surrogacy again and two decades after their first IVF cycle, they are now the proud parents of seven children: a 15-year-old son, 13-year-old boy/girl twins, 6-year-old twin boys and 1-year-old twin girls.

She thinks of herself as a warrior in a 17 year long war against infertility. Thanks to the support of online community, she was able to find strength in her story and voice. She speaks up about women’s physical and mental health issues in an effort to destigmatize and normalize these important conversations. She has become a fertility, pregnancy and parenting mindfulness coach.

Stigma Isn’t The Issue

If I had never learned about the trauma of separating a mother from the baby she has carried in her womb, I would have more support for surrogacy.  Because I have learned about this (as part of my own journey coming to terms with all of the adoptions that are part of my immediate family’s experiences) I cannot condone it.

A woman recently posted a very compelling op-ed to The Washington Post about why surrogacy became necessary for her.  First of all, she does have a child.  She writes that she is a genetic carrier of HY-restricting HLA class II alleles and goes on to explain that this means her son’s Y chromosome lingers and attacks all subsequent pregnancies. In essence, she had this small genetic component and she gave birth to a boy.  From then on, her odds of successfully carrying another child became slim to none. Her husband and she found they could create an embryo, but her body could not carry it. So the couple started down the rabbit hole of surrogacy.

My own sister-in-law did eventually become a parent by surrogacy.  I am happy for my brother-in-law that he has a son.  I also know there is a deep subconscious issue that they are unlikely aware of.  In our family, we were not supportive of this couple becoming parents because the woman always was a basketcase full of all kinds of psychotropic drugs.  They also acted as though creating a child was simply creating another possession and intended to have a nanny after the baby was born.  And they did but she didn’t last long and my brother-in-law has ended up the primary caregiver for this young boy.

A developing fetus is constantly bonding with the mother in who’s womb the infant is growing.  That bonding process continues after birth for months/years into the young child’s life.  The case described in this op-ed is of a surrogate who is carrying twins for this couple.  There is a definite bond between twins and multiples.  Maybe that will help but will not entirely remove the wounds of losing their gestational mother.

One can argue that genes matter and I know this.  I assume the soon to be parents do have a genetic connection to these twins based on other details in the op-ed.  However, there is more to this situation than genes alone.

I do not wish any child to be stigmatized because of the details of their conception.  I have a lot of personal compassion for that issue.  This woman admits that surrogacy is more political than she realized but I know she still doesn’t realize the full import of their choice.  She admits to knowing that there is an array of advocates trying to end surrogacy on a national level.  I understand why.