Strollerderby

NYT Asks: Are There Too Many Ways to Conceive?

Posted by Jen Chaney

Lisa Belkin over at the NYT's Motherlode blog wonders if the pursuit-of-parenthood market may be oversaturated. 

Citing the recent examples of the Sarah Jessica Parker/Matthew Broderick surrogate twins and the woman attempting to become a surrogate grandmother by using her dead son's sperm, Belkin asks if science -- with its IVF, egg donations, fertility drugs and other advances -- has perhaps given us too many options. She quotes The Washington Post's Liza Mundy, who recently wrote a book about assisted reproduction: "When there is always something else to try ... there is no permission to stop. That’s the hardest part of the process for couples. For most of them, the ‘permission’ to stop comes when they run out of money."

Mundy mentions a key word there: money. I suspect that the only people who may feel overwhelmed by the vast conception options out there are people with either a. unbelievably awesome health insurance, or b. sizeable amounts of wealth.

For the average, fertility-challenged couple, it's more like: try the old-fashioned way, maybe pursue fertility drugs or IVF for a short period of time, then start looking into adoption. (Which, for the record, ain't cheap either.) As Mundy rightly points out, people usually exhaust their options when the funding runs out, and that can make them feel guilty. But I think most parental hopefuls realize their resources are limited. It's a terrible feeling to spend all that time, energy and cash on one conception option or another and still not have a child as a result. I guess I'm not just sure how many people cope with that feeling by, say, turning from in vitro fertilization to intracytoplasmic sperm injection.

I think it's valid to raise the questions Belkin mentions, for sure. I just think most Americans won't ever have to answer them because practical, economic factors will steer their decisions more than any excess of scientific options ever will. As a commenter on Belkin's blog post put it: "I agree that the possibilities can be wonderful for people who very much want to become parents, but those possibilities right now are only available to those with deep pockets. Insurance does not cover most infertility treatments."

Related Links:

Babble Talk: Can You Detach the Womb from the Woman?

Handy Tips for Infertility Awareness Week

Genetic Mom Gets OK to Adopt Baby Carried by Partner

Mom Gets OK to Collect Dead Son's Sperm

 

 

 


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Comments

 

katlady500 said:

I once read  a heart wrenching piece about deciding to quit trying to have children. And for the few  people that have enough money to keep on trying beyond the point where they have any semblance of mental peace, there may be too many options. But I generally believe that more options are better than fewer.

April 29, 2009 10:39 PM
 

laura said:

I really struggle with this. When we first started fertility treatments we decided that we would do x,y,and z, but stop after that.

What you don't know when you begin is how incremental the changes are. You start at one place and when that doesn't work there's one more thing to try. But it's not a big step, just a tiny step. And another tiny step and another tiny step until you look back and you can't even see where you began. With every little change you think, "what if this is the thing that will work? it's such a tiny thing... there's really no difference between this thing and the last."

Sometimes I wish someone would just say "you are infertile. it will never happen for you." Then we could just stop.  

April 30, 2009 9:26 AM
 

Sara said:

I agree. For me, the non-financial suffering involved with treatments was a trivial consideration next to the financial considerations. I suppose that if I was tremendously wealthy, maybe it would be hard to know when to stop it with the drugs and needles and everything else, but as it is, the money was the only real consideration. Some couples hit their emotional wall and say "enough's enough" earlier in the process, obviously, but for them, the plethora of choices shouldn't be a problem either. I'm really glad that there are an increasing number of options for infertile people.

April 30, 2009 10:09 AM
 

leahsmom said:

I've always been curious about the financial issue with assisted reproduction - as someone who never ventured into this area myself, being a firm believer in adoption and not feeling any need to pass on my genes.  When people are trying to figure out how much money they can afford to pay for treatments, does the cost of raising the child enter into that calculation?  Or is it more about available resources at the time?  I know that adoption isn't cheap, either - but the most expensive part, for me, is actually raising the child you have, and providing them with healthcare, education, shelter, food and water, and even entertainment.  It's always more than I think it's going to be.  Are there resources out there for folks thinking about this?

April 30, 2009 1:51 PM
 

Sheri said:

We had insurance, it paid for almost everything. We would have loved to go straight to the adoption route, but that would have cost us a ton, and I do fear the birth mother would change her mind, and in our state, she has six months to do so.  

Yes, the costs of raising a child is something we considered along with everything else, but think of this....You do not need to buy thousands of dollars worth of clothing at one time.  Same with diapers or formula....(if you don't or can't breastfeed), college funds can be opened and money can be deposited slowly.

Most people who do go through ivf, iui etc usually have tried to have a bio child via sex, so I'm sure the financial aspect of raising said child has crossed their minds.  I don't know many people who don't think about it...except maybe the octomom.

April 30, 2009 4:41 PM
 

JJ said:

Is it suddenly become smug to want biological children?  Did I miss something?  When did wanting to get pregnant and have a baby become a statement on the awesomeness of one’s genes?

April 30, 2009 6:19 PM
 

shannon LC Cate said:

I do wish folks would stop saying "adoption is so expensive" because it need not be.  It very much depends on what kind of adoption you're talking about.  Ours cost us very little out of pocket, as the federal tax credit for adoption covered about 95%.  (And ours were healthy, newborn adoptions, not older kids from foster care--another stereotype about adoption and costs.)  You may not want to adopt and you may have great reasons.  That's fine.  Not everyone SHOULD adopt.  But don't pretend that out of pocket fertility treatments are cheaper.  We couldn't have covered one single IVF attempt with what we paid to adopt two children.

May 2, 2009 3:44 PM

About Jen Chaney

Jen Chaney is the movies editor and a DVD columnist for washingtonpost.com. Her byline has appeared in The Washington Post, People magazine, USA Today and the Utne Reader as well as various other newspapers around the country. She is the mother of a one-year-old boy, who has not yet learned the word Xanadu. But he will. Trust us, he will.

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