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A Path to Motherhood

When my husband and I started trying for a baby we were young, healthy and hopeful.  Everybody in my family got pregnant.  Nobody ever seemed to have trouble.  I would be a mama before I knew it.  We tried for a year before getting our first positive pregnancy test- on my birthday too!  We told everybody.  Parents, siblings, friends, stranger in the store.  We were just so happy.  Until Christmas Day 2001 when I woke up bleeding.  The day was spent at the hospital for them to confirm what I already knew- I had had a miscarriage.  Don’t worry, it’ll happen again.  I heard that statement every time I turned around.  Nobody seemed to understand how depressed I was, how this had rocked my world, how it had broke my heart.  
 But we kept trying.  And one month turned to a year, and a year turned to two.  I finally went to my OB/GYN and he put me on Clomid and sent me home with high hopes again.  Cycle one, failed.  Cycle two, failed.  Cycle three and four, failed.  They ran tests.  They looked at my husband.  They finally told me there was nothing else for them to do.  So after another year, I found PREG.  Scared out of my mind, we drove the three hours to see them.  And again they filled me with hope.  We started with our first IUI.  Then our second, then third and forth.  Nothing.  Unexplained Infertility.  No idea why I couldn’t get pregnant.  Other heartbreak.  Other break from trying.

  
 Two years later we returned to PREG with IVF on our minds.  Again, we were hopeful.  We went through the IVF class where my husband learned how to give me shots.  Where we learned everything we needed to know.  IVF- here we come.  It wasn’t easy.  The shots hurt.  The medications made me sick.  But in the end, it was worth every poke, every morning of waking up at 4am to make the three hour trip.  In the end, I got a positive blood test.  In the end, our first IVF worked.  I was going to be a MOM!

In January 2008, my son was born…8 long years after my husband and I first began trying for a baby.  I wouldn’t wish the road we walked on anybody.  But we made it through it.  With PREG’s help, and God’s blessings, we had a baby.  And I’m thankful for him every day of my life.

Posted in Family, Fertility Specialist, Health, IVF, Infertility, Miscarriage, Pregnancy | Tagged , , , , , , , | Leave a comment

Designer Babies or Healthy, Loving Families? By Carolyn Keating, Nurse Practitioner

A number of years ago, a couple came into the fertility practice where I worked. They were not infertile and in fact had quite easily conceived a beautiful baby girl. This child was born perfect in every way except one- she carried a lethal genetic defect that began to show symptoms when she was about 3 months of age. They loved and cherished her until her death shortly before her 1st birthday. Genetic testing revealed an unusual defect that it was predicted would affect 1 of every 2 children born to them. Their OB had told them to go home and try again and maybe this next time the baby would be OK. After watching their first child die, they could not face a 50/50 chance of that happening again.
Pre implantation genetic diagnosis (PGD) had recently become available through most fertility centers and they came to us asking whether this would be an option for them. This technique was (and still is) somewhat controversial as many people equate this with sex selection and “designer babies”. While PGD can certainly select for sex, its main use is in helping couples who might pass on a serious or even fatal condition. Designer babies is a media fantasy, as curls, intelligence and athletic ability are not conditions available for testing.
All options were discussed with this couple- including PGD, simply trying again, early amniocentesis with early termination, donor eggs/sperm (not an option for this genetic condition) adoption and child free living. They elected to do in vitro fertilization with PGD.
The wife underwent a standard IVF cycle and 10 embryos were obtained which showed apparent normal fertilization. A single cell was removed from each of these 10 embryos and sent for genetic testing. Nine of 10 carried the lethal defect. (Genetic predictions of 50/50 were not quite accurate.) A single genetically normal female embryo was transferred and a healthy baby girl was born to them 9 months later. This was a baby they could watch grow and anticipate each tomorrow, not watch and wonder if tomorrow would be the last day. PGD did not design a Miss America or a potential Nobel Prize winner, (at least not that I know about) but it did design a family with all the potential for happiness and heartbreak that we all hope for in our families.

Posted in Donor Egg, Donor Sperm, Embryo Adoption, Family, Health, Infertility, Pregnancy, Uncategorized | Tagged , , , , , | Leave a comment

In The News

Just in cased you missed it, our fabulous docs here at PREG have been in the news quite a bit lately!

Dr. Payne was featured on Fox 21 News discussing diet and male infertility.

Dr. Payne was again featured in an article by the South Carolina Medical Association about “White Coat Wednesdays” at the State House.

Dr. Nichols spoke to FertilityAuthority was featured in a great article on diet and male infertility.

And the BIGGEST news of all…

PREG has been listed in the Top 20 IVF Clinics in the US!!!

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From His Side (a guest blog by a counselor who has faced the trials of infertility)

I often find myself looking back to my youth and thinking of what my ideal vision of my future looked like. College, a great  job, wife, kids and that nice house with a picket fence. Visions of  kids playing in the yard, soccer games and those glorious cookouts with neighbors and friends. Grandma and Grandpa playing with the children on a Sunday afternoon. Yes, you read right. I said children. Plural. Many of us have this dream of having those 2.5 kids that we were conditioned to believe is the ideal family.                                                           

Society places a plethora of standards on us as married couples. These standards bring  many stresses, fights, unforeseen crisis and sometimes conditional love . One of the main standards that affect couples is when we are supposed to have kids. Those who marry young have a couple of years to wait and then there are those of us who wait until later in life to get married, like late twenties. Laughing out loud here. Like this is late in life. I pray to live to be in my nineties. My soul, in the bible people were having babies in their nineties. Boy, have times changed… Well, back to those of us who married later in life. We have to get started right away because most of our friends have children already so we keep getting that nagging question, “So when are you guys going to have kids?” I believe we all have been there at one time or another- young or old.

A man has to deal with his friends saying, “So what’s going on man? You guys need to get moving and have a few kids!” Being the macho man (that most men are) the general reply is, “We are working on it!” or “Just taking our time.” Don’t get me wrong, I know trying is fun, but then 6 months go by– and then a year –with no luck.  You find yourself scratching your head and wondering… Is it me? Is it her? Is it both of us? Are we doing something wrong?  You revisit the birds and bees to make sure you are doing everything right. You pull out your calendar, look at charts, and find stuff online. You have the conversations while in line at Target as women tend to feel free to share the old wives tales of what you can do.  You hear everything from turkey basters to standing on your head. Then after all the odd male and female conversations that each of you have dealt with, you are left with that awkward conversation with each other…what do we do now? I guess looking back, that was probably the easiest part of the process. But, don’t forget that there are some who just keep everything private and deal with it alone.

One thing we all can attest to is that infertility has no boundaries, it does not discriminate based on sex, race, creed or religion. It affects all of us in some way. Many of us have to live with it, some of us have to live through it and then there are those who have lived along side it. Some are lucky enough to know the cause, while some never know why.

One thing that we are unprepared for is that period of crisis after discovering that the journey of infertility is upon us–starting the awkward process of fertility treatments…the questions, decisions, money, loans, second mortgages, and how long can you hide it from your friends and family. Do we really want to do this? Should we adopt first?  There are so many thoughts and conversations that others have no clue about. The spiritual questions may arise– God says to be fruitful and multiply. Most women have that God given urge to have children and then in a flash it could be no more.
Then there is that first real office visit. I can remember my first visit in the office (for “my” testing.) Sitting in the waiting room looking around and knowing what would be expected of me in a few short minutes. Picking up the magazine so I don’t have to make eye contact with others. Suddenly it is my turn to go back.  The nurse takes me to “that” door, gives me the layout of the room, and directs me to “the drawer” and identifies the visual aids. Now I am really embarrassed. So, being a cowboy who farms, I politely look at her with a smile and say “Thank you, but do you have any tractor magazines?” We both ended with a laugh. I guess as I have looked back over the years at the whole process– the defense mechanisms we put up can be endless. Some couples or spouses are very open and share with others and some are very private and prefer not to make their struggles public knowledge.

 
For many who have an outgoing personality or need to seek the advice of outsiders, it is hard (but imperative) to respect the wishes of their spouse… which leads me to the grieving process of infertility. Most couples who are struggling with infertility often grieve alone. This can be made even more difficult if it is combined with the spiritual crisis that infertility may bring. In my years of pastoral counseling and research one of the most common questions I get is “What have I done for God to do this to me?” Being one who has built an academic career based on the journey of my own infertility, miscarriage experiences, and later only to live the horror of pre and post adoption care (or should I say lack of,) I have had my fare share of spiritual crisis and confusion. As a result of all of this, I find myself  buried, years deep in the research of identifying grieving processes for a plethora of crisis, traumas, losses leading to secondary losses. All of which stems from my own journey of infertility, miscarriage, and pre-post adoption care… 

My heart is to let you know that I understand. I have been there and I live with infertility and there is HOPE! Many of us have the desire to move forward despite of our circumstances. Moving forward takes work, understanding, and requires the help of others. We cannot do this alone. As for me, my faith and hope lies in Christ. He is there as our stories are being told. He has come along side us throughout the journey and He will carry us no matter what. He loves me despite all my imperfections and He loves us enough to carry that burden for us. It is my spiritual crisis that, most of all, intrigues me. But I will leave that for next time. In the end I have always been amazed at how God always pulls the plan together. I am just thankful I didn’t get in the way too much!

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A Patient’s Journey With Recurrent Miscarriage

Four years ago, God blessed my husband, JJ, and I with the most precious gift of a baby boy, Bryce.  We conceived quickly and were thankful for a healthy pregnancy and delivery.  Everything seemed just perfect.  Little did we know that the next few years would be full of heartache, pain, and hopelessness as God led us on a journey of five miscarriages in a row.  This is our story…A story of God’s ultimate healing.

 Less than two years after Bryce was born, JJ and I decided to try again for another child.  After only two months, I was pregnant again.  Oh, how wonderful it was!  As a control freak, I was convinced “my plan” of timing out this pregnancy was just right.  Our second child would be born the same month as Bryce had been born, so if it was another boy, I wouldn’t have to buy a thing!  All of my maternity clothes would be in just the right seasons.  Needless to say, I had quite a false sense of control.

 As a couple of weeks passed, I just didn’t quite feel pregnant.  I never had the early pregnancy symptoms that I had experienced with Bryce.  I knew every pregnancy is different, but my gut told me something was wrong.  At seven weeks along, I began to spot.  When I first saw the slight bleeding, I didn’t panic, as I knew this could be implantation bleeding.  However, by the end of my work day, the bleeding was much heavier.  Full of questions, swollen eyes, and heavy hearts, JJ and I headed over to the emergency room. 

 We were shocked to experience cold, uncompassionate doctors who did not seem to understand that a miscarriage is not something we deal with on an everyday basis.  I do understand that these doctors see miscarriages everyday in their practice, but to a hurting mother who is in the process of losing a child, it is devastating.  A simple pat on the shoulder and a kind word would have been so appreciated.  We were even told, “We don’t do ultrasounds after five o’clock, so you will have to wait until the morning to see if your baby is still alive.” 

 Totally numb, we walked out of the hospital feeling worse than ever.  All night long, I waited for the cramping to begin, but it never did.  The next morning, our hope was renewed during the ultrasound when we saw a seven week old baby with a beating heart on the screen.  Oh, how we rejoiced!  That afternoon, I sat at my bedroom window for hours, begging God to save our child.

 By the next day, my bleeding got much worse, so we headed back to the doctor’s office.  Emptiness.  The screen was empty…totally black and dark.  Nothing was there.  Less than 24 hours before, our child was on that screen.  Now, there was nothing.

 JJ and I left the doctor’s office that day, holding hands with a heart full of questions.  “Where was our baby?”  “Why did this happened to our baby?”  “What caused this to happen to our baby?”  Our baby…

 Our friends and family did the best they could to comfort and support us.  But, oh…how people just say the wrong things to hurting moms who lose a child to miscarriage!  There are so many lies, myths, and misconceptions regarding miscarriages, and most people manifest those ideas in attempting to comfort a mom.  Many people said to me: “Oh, you were working too hard.”  “You have too much stress.”  “That child probably would have had health problems.”  And the worst statement, “You can have more children in the future.”

 I just wanted to scream at them…”But we wanted THIS child…handicaps and all.  Maybe I CAN’T have more children, but regardless, THIS one was taken from us and we WANTED it!”

 After my first miscarriage in February of 2009, I went on to experience four more losses in the next two years.  By the last two miscarriages, I never even bothered to go to the doctor.  I got very good at “dealing with it.”  I’m not just speaking of the emotional effects, but the physical effects on my body as well.  As soon as I would see spotting around five-seven weeks of pregnancy, I knew exactly what would happen with my body in the following week. 

 All five miscarriages were the same on my body, but EACH one was so different on me emotionally.  As every child is different, I was affected differently by each miscarriage.  My third miscarriage left the greatest impact on me.  One reason is because I carried it the longest.  The entire ten weeks, I knew to expect the worse.  I never had a single pregnancy symptom.  I knew my hormones were not high enough for me to experience the normal early pregnancy cues.  Since this baby was ten weeks along, when I passed it I was able to see my baby.  Yes, I saw a precious, sweet face that only a mother and God could love.  I saw the right and left sides of his little brain.  I saw his eyes.  I saw his nostrils.  I saw his mouth.  I saw the face of my child.

 This wasn’t just a “fetus” to me.  It was a baby.  A baby, who we later learned through genetic testing was a boy.  He was a child of God…a masterpiece created by the same God who rules the universe.  For reasons I’ll never understand this side of heaven, God chose to take that precious child from me.  But, I am comforted to know and believe that God loved this child as well.

  “From birth I was cast upon you; from your mother’s womb you have been my child.”  Psalm 22:10 

 “Before I formed you in the womb, I knew you, and before you were born, I consecrated you.”  Jeremiah 1:15

 During those terrible two years of five miscarriages, my biggest regret is not seeing a specialist earlier.  A lot of unnecessary heartache and pain happened because I never sought further help beyond my normal gynecologist. 

 In November of 2010, I was referred to Dr. Payne at PREG by my sister-in-law who was having trouble conceiving.  From the moment JJ and I sat down to meet with Dr Payne at the consultation, I felt comfortable.  With tears in my eyes, I told him our complete story and medical history.  He never talked over my head or in “doctor language.”  He was always very sensitive to the fact that we had lost five children.  I was not just another patient to Dr. Payne.  He knew me.  He knew my name, and he knew my story.  One day, he was introducing me to a new nurse and rattled off my entire medical history from the top of his head.  I trusted Dr Payne.

 Oh, Nurse Carolyn!  I’ve told her more than once that she is my best friend!  No one else in the world knew my cycle or my “timed relations” schedule like Carolyn!  I’ve never trusted a doctor or a nurse like I trusted Carolyn.  I actually still have her direct line programmed on speed dial!

 After many tests that all came back negative, it was finally determined that I was ovulating very late in my cycle.  I have long cycles, and I usually don’t ovulate until around days 21-25.  Dr. Payne formulated a “recipe” of medications for me in order to force my body to ovulate sooner.  In only one month, I went from ovulating on day 23 to ovulating on day 15.  JJ and I only prayed the medicine would work…and it DID!  Not only did I ovulate on time, but I am currently 24 weeks pregnant!  The day I graduated from PREG, Dr. Payne was more excited that me!  I even begged him to deliver this baby, but I eventually went back to a normal gynecologist!

 Miscarriage is a taboo subject.  Those of us who have experienced one or many miscarriages live in a secret society, as many women never tell anyone about their experience.  I too was very private while suffering during those two years of my losses.  But, I am now determined not to let my miscarriages be a secret.  God has healed my body and my heart.  He is giving me another child in January.  I want to shout from the rooftops what God had done in our lives. 

 In multiple aspects of my life, God had given me more trials in my 30 years of life than most people endure in a lifetime.  One common thread between all of my trials is that God continually gives me opportunities to share my experiences.  When I see how sharing my story encourages other hurting people, I know my pain was not in vain.  It is extremely healing for me to share my story so that other people may be encouraged during their journey.

 In January, I will see the face of another little baby boy.  A sweet gift of life.  Oh, how I pray I will never take his life for granted or forget that he had five siblings come and go before him.  He is a miracle.  “For this child I prayed; and the Lord answered my prayer.”  1 Samuel 1:27.

 Jeanna Beasley

Posted in Family, Health, Infertility, Miscarriage, Pregnancy | Tagged , , , , , , , | 3 Comments