Author name: Dr. Deborah Simmons

Coping with Infertility, oldposts

Dealing With the Pain of Infertility as a Stepparent

It is not uncommon for people to marry after one or both of them have a child. It can certainly make sense to want to have a child together as a way to cement and celebrate a new relationship, but often it is not easy, as stepparenting rarely occurs when people are in their 20’s. It can then be quite a shock to find out that the dreamed-of chance to have a child will end up in a fertility or urology clinic, especially if previous children were easy to conceive. Parenting a child can feel very different than having one’s own genetic or biological child. As a Stepparent, The Desire to Parent Your Own Child Can be Real Step-parenting, like all parenting, can bring joy and challenges. Today’s stepparents are often active participants in children’s lives. That can be a good thing, and even feel good, but it can leave some stepparents wanting more. Parenting a child can feel very different than having one’s own genetic or biological child. “These aren’t really my children. They already have parents. I am the coach, the friend, the associate and cruise director,” said one woman in my office. “You are—and are not—one of the sports parents. I want to be THE mother.” Some women want the pregnancy experience they have dreamed of for years. Some men would like to have a child from their own genetics. Now with a new relationship, there is a chance to fulfill the dream of having children of your own. This can be a very normal desire, but there are additional realities that come with this that you and your partner may need to consider. Both Partners Really Need to Be on the Same Page When it comes to wanting more children, both partners should share that desire. Conversations about children are often deal-breakers. I have told many people that if a potential new mate says that they do not want children, believe them. No means no—not we’ll convince or persuade the other person to give in…eventually. The longing for a child can settle in, leading to complicated conversations between partners. Having a child at any cost can be a high cost indeed—both financially and emotionally. Infertility Has a Finacial Reality For Many Many men have had vasectomies, signaling that they were finished having children. In order for men to have another child, they will require something quite invasive, usually a surgical procedure on the testicles to retrieve sperm. This procedure is usually not covered by insurance. For women of advanced maternal age, donor eggs may be part of the equation. If we then add in the need to do in vitro fertilization (IVF) and the costs of undergoing an egg retrieval procedure, or the cost of donor eggs, this can become a source of conflict for couples. Discussing finances in a relatively new relationship can also be challenging. Financial resources in the new household must be taken into account, as well as what is owed outside of the household, like child support or spousal maintenance. Having a child at any cost can be a high cost indeed—both financially and emotionally. Managing The Emotions of Being a Stepparent While Experiencing Infertility The pain that many stepparents feel about infertility is often overlooked or misunderstood, even between spouses. It is not that stepchildren aren’t good enough, it’s that the parenting experience feels unfinished or incomplete. One person has what the other wants. If empathy is not front and center, the situation can be a set up for unfairness, jealousy, resentment, burden, anger, loss, and despair. Raising someone else’s children with little credit or appreciation does not work and is not sustainable. It is crucially important that each spouse speaks honestly. Swallowing feelings and defensiveness will build more negative emotions. Individual and couples therapy is important as it can lead to decisions that both spouses can live with. It is not that stepchildren aren’t good enough, it’s that the parenting experience feels unfinished or incomplete Questions to Ask Moving Forward Working together on a new project, including fertility treatment, can allow each partner to show the best of themselves. There can be a sense of shared effort and shared reward. Should you find success in adding a new family member, a child can be truly treasured. But questions may remain: Will one more child be enough? Are there extra embryos requiring further decisions? (Read: What Are Your Options For Your Remaining Embryos?) Will each child in the family, regardless of how and when each child came into the family, be treated equally? These are additional tasks to address in a blended family; with love, fairness, and negotiation, all of these issues can be resolved.

Coping with Infertility

Saying Goodbye to Biological Parenthood

Most people yearn to have children the “normal” or “easy” way. You know, a good bottle of wine and lots of time to enjoy a cherished partner; do it one time with the best orgasm ever. Thinking about when you will get pregnant and how many children you will have? It’s simple, you just… (fill in the blank for every dumb thing anyone has ever said to you about getting pregnant). The reality is that one in eight straight couples in the United States doesn’t have an easy story. That’s a lot of people. While lesbian, gay and transgender intended parents often see family-building options as a wonderful opportunity to have genetic or biological children, their efforts may also not result in having a child. Assisted reproduction—whether it be inseminations or in vitro fertilization (IVF) with donor sperm, the use of donor eggs, or gestational surrogacy—and adoption cost money, time, a heck of a lot of effort, and the kindness of other people. Infertility and "The Big Fear" Everyone who struggles with infertility has what I call “The Big Fear”: not being able to have genetic or biological children. Genetic refers to using one’s eggs or sperm. Biological refers to being able to carry a child to term. In this article, I am talking about saying goodbye to biological parenthood. You started out with hope and access to enough cash to try to have a baby. Maybe you have been thinking This will work! When your cycle doesn’t result in pregnancy, you might calm yourself by reminding yourself, It doesn’t always work the first time. Next time will be the lucky charm! At some point, though, your enthusiasm or financing is wearing thin. Let us say that you have tried everything that you feel comfortable with to achieve a pregnancy, but you have not had success. The Big Fear has come true. Maybe you must now consider letting go of the dream of a biological or genetically-related child. My heart goes out to you. This happens to other people, right? Why is this happening to you? Whether you have a medical answer to this question or not, the result is grief, deep and unfair and raw. You have had plans and dreams for your children and for yourself as a parent. You imagined how this child would resemble you or your cherished partner. That part of your dream may have come to an end. Know That Loss Doesn't "Go Away" One does not “get over” this loss. Rather, you must live in the hurt, as you learn to live with and find peace with this terrible reality. This is a time of transition to the next part of your life. There is no particular timeline for this transition period. You may be open to parenting in a different way, like using donor eggs, donor sperm, donor embryos, surrogacy, or adoption. All of these are excellent paths to parenthood. I hope that you will open your hearts and minds to these options when you are ready. Or maybe you are considering living childfree. One does not “get over” this loss. Rather, you must live in the hurt, as you learn to live with and find peace with this terrible reality. How do you start moving forward to explore these options? For now, working through the following questions can guide your process toward healing with some sense of peace and dignity. Questions to Guide Your Healing Who am I now? Who is my partner now? Who am I/we without a biological or genetically-related child? Have I done everything that I could to achieve the dream of a biological child? Has my partner done the same? (Remember, everyone will decide how much effort, time, and money are enough.) When do I/we stop trying to conceive, with or without fertility treatment? What is fulfilling in my relationship that can sustain me and us in the future? What losses do I need to grieve in order to live a fulfilling life? What are my dreams in life? How can I work toward those and new dreams? How will I separate my ideas of femininity/masculinity from procreation? What would I like to do with the love I have saved for the desired child? How will I deal with any negative feelings toward others who have a biological or genetically-related child? How might surrogacy/adoption/donor eggs/donor sperm/donor embryos work for me and my partner? What is my role in my family? Can I/my partner/our families bond with an adopted child? What are the current and future issues that might arise related to adoption? What is my comfort level with living childfree? Listen to your head and heart, and know that you can get through this and have a fulfilling future. Consider Incorporating Rituals In addition, rituals can be helpful in marking the transition from parenting a biological or genetically-related child to parenting an adopted child, a child born through surrogacy, donor eggs, or donor sperm, or living childfree. Be creative in expressing your feelings. Ask for support and comfort from family, friends, therapy, and your faith. Open your heart to God (if you are religious) and your partner. Listen to your head and heart, and know that you can get through this and have a fulfilling future.

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