The first step in donating our embryos is to fill out a huge questionnaire with a variety of questions. Some were really basic: hair and eye color as infants, hair and eye color now, medical history, family medical history, and daily medications taken. They asked if our skin burns or tans, if we have musical or athletic abilities, what our jobs are. There were "Describe your personality" types of questions and "Why do you want to donate these embryos?" and the hardest: "What do you want to say to the recipients of your embryos?" I already mailed everything back in, but I told them "I'm so sorry you have to go through this, but I hope your ending is as wonderful as ours was" or something like that.
It's hard to describe yourself in just a few lines. I tend to list adjectives "Perfectionistic, critical, demanding, anxious" and then I realize I sound AWFUL and try to balance it out. They're going to think I'm insane. It would have been easier for me to describe A and for him to describe me.
We had to include a picture or two of ourselves as toddlers for the recipients to see. I had to also send current pictures of us for just the clinic. We had the option of specifying our embryos go to the next person in line or to the next married couple on the list. We chose the next waiting person.
There is a long informed consent that we have to sign once it's determined we're eligible to donate (not sure what would deem us ineligible or what we'd do then) that was interesting. It seems like we COULD donate to someone we already know, but that's the only way this clinic does open donations. I can call in a year or two to see if a pregnancy or birth resulted. I don't know that I would - I'm very okay with ambiguous endings, Inception. The consent acknowledges that "there may be unknown psychological risks both to us and our offspring in connection with our decision and we agree to assume those risks." At the end, we also agree to report serious changes in our health and our children's health to the center so that they can report those changes to the recipients.
The next step is to go in for a physical and counseling appointment. From there, there is a three month waiting period. Then we stop paying storage fees and the embryos are matched with recipients.
(TIME PASSES, ABOUT 3 MONTHS)
Hello again! Last month A went in for his physical and counseling appointment and I went in this morning. Now I can wrap this up.
Because he has been well trained is thoughtful and sensitive to my needs, he called me on the way to work and told me about his appointment. Mine followed a similar path. The counselor asked some general questions of A that she did not ask of me: how we met and how we got to IVF. I guess she didn't want to hear the same story twice, so I didn't get to tell it. Here's what she asked us both:
Have we told E and L that they were conceived with IVF? Will we? Will we tell them about this embryo donation?
Kind of. We haven't had the sex talk yet even though L has asked some roundabout questions. They do know that we had a doctor help us get pregnant and he put them into my uterus when they were really really tiny. He used a skinny straw. They've seen the pictures of themselves at 4 cells big.
Yes, we will tell them (and C, obviously) about this. I'm not interested in being a family of secrets. Infertility and infertility treatments are not shameful. There are a lot of different ways to make a family and our story is just that: our story. Ten years ago, I wouldn't have chosen it, but I love it and would never change it. I claim it; it's mine.
Do we have any specific requirements for who gets our embryos?
I wasn't quite sure what she meant by this, but it turns out there are people who have made it their goal to "adopt" frozen embryos, like it's the Humane Society and they're adopting a puppy. She said this is NOT adoption - the law clearly defines adoption - but with the hullabaloo about "Snowflake babies" or whatever GWB called them, there are people who are trying to "Save the Embryos." A and I - in our individual appointments - were both immediately, "NO. DON'T GIVE THEM TO THE CRAZIES." It turns out that we can specify our embryos go to a couple with an infertility diagnosis - can you believe we have to SPECIFY that?! We declined to offer a preference on sexuality or marital status.
Any history of depression or antidepressant usage?
I told her that I probably had undiagnosed depression while we were going through IF treatments. She nodded with understanding.
Do we think that genetic parents are superior to non-genetic parents?
A had told me about this question and we had talked about how sneaky (and smart) it was, but she totally slipped it casually into conversation and I didn't realize I was answering it until my mouth was open and words were coming out. I said, "No. You can't tell me that parents who adopt are inferior. Genetics does not make you a superior parent." I imagine answering yes would be a huge red flag for them. I wonder what would happen.
She was very honest about the degree of anonymity that they offer. They used to promise complete anonymity, but as the first generation of kids conceived through donor eggs/sperm/embryos gets older, some are vocal about knowing their whole story. There is no guarantee that a child/children that result from this donation won't find us some time in the future. There are entire websites out there that attempt to match children and genetic donors. All kids are different. One kid may need to know and another may not. She pointed out that OUR kids may need to know a genetic sibling, once they find out there is one. It's an unknown and we have to be okay with that.
The recipients may be able to get a court order to find us in the event of a catastrophe where genetics matter, like a bone marrow transplant.
Then I had to have a physical. They're looking for obvious STDs and since embryos are regulated by the FDA, there were a bunch of questions like when you donate blood. I think it's just a hoop to jump through, probably unnecessary since our embryos were created in 2003, but all boxes needed to be checked. I was sitting there, nekkid from the waist down with a CLOTH SHEET NO PAPER covering me, and in walked the doctor. I said, "I know you!" and she said, "I know you, too!" FABULOUS. She did a month long residency on my unit, I took care of her grandma recently, AND I work with her sister. PERFECT. She did offer to find someone else, but I declined. Then she asked me a bunch of invasive questions, stuck her fingers up my hoo-ha and checked my ovaries, and I left, hoping that she remembers HIPAA and doesn't mention our encounter to her sister.
They drew a couple tubes of blood, I signed the HIV consent form, and the embryo donation coordinator told me that they would mail us a check for $100 to compensate us for our time/gas/work loss.
I left, again, with a feeling that I would love to work in that office. I think about what I would do if I leave acute care, and a ferility clinic would be awesome.
To sum up: we have three months to change our minds and then they'll match our embryos with a recipient couple. The thaw and transfer usually takes place within 3-6 months of that. We can call any time to find out if a pregnancy or live birth resulted. Right now, I lean toward not finding out. A doesn't have a preference.
Questions? Legitimate ones, please.