I have three children: DS1, DS2, DD. Both DSs were created by IVF; DD was adopted. DS2 has significant SN. (Brace for more acronyms to come!)
In the first months of our TTC, I was sure I would never resort to anything as immoral and disgusting as IVF. But when the time came I was grateful, and now can?t remember why I ever quibbled. Now I know a lot of women of all nationalities who did the same, and even now I seem to be the only one who isn?t ashamed of having used IVF and doesn?t consider it a secret to be hidden from what we bitterly called ?civilians.? My point: many people feel shame or disgust at something that isn?t, logically, wrong.
While trying TTC DS2, we enquired about pre-implantation genetic testing (PIG). We didn?t ask about gender, but I admit considering it. My father was one of 7 boys, his father was one of 9 boys, and of 25-odd cousins alive, I am the only girl; DH is one of 3 boys, FiL one of 3 boys. IVF is known to lead to more boys ? perhaps the petri dish favours fast (male) sperm over endurance (female sperm). My mother died when I was young, and I think my father and I had ever since cherished a notion she might be ?reborn? through my daughter some day ? those of you who worry about confused expectations around gender selection are not wrong.
In the end DH and I didn?t ask about sex; we did ask about genetics. Because of our years of TTC, I was nearly 40 and at risk for Down?s. The doctor recoiled in sincere horror: in that country, it was illegal to pre-screen embryos in any way. But, he added generously, if I conceived, he would give me a free amnio and do any necessary abortion himself. Imagine how we in turn recoiled.
Ironically, it was the child conceived then who is SN. Equally ironically, he doesn?t have Down?s or any disorder that either PIG or amnio would have caught. It was because I couldn?t consider abortion that I had asked about PIG. But I believe abortion should be legal, and my father and I have always felt my mother died young mainly because she spent time in jail for fighting for women?s rights, including abortion. Abortion is now legal in my birth country, and is beginning to skew the gender balance. I despair of finding a right answer here.
When we applied to adopt our third, we were automatically asked which gender we preferred ? even in UK it is normal to specify both gender and health of child. Again much heart-searching. Though people often assume adoption is more ?altruistic? than IVF, it too is a maze: do you think all those mothers in China really want to abandon their daughters? Have you read the scandals in Asia, in Latin America, of adoption brokers buying or even abducting babies from poor families? But is it really immoral to want children that nature makes impossible? Our Catholic priest reminded us that IVF is a sin. We adopted our third, and we asked for a healthy girl.
Having TTC for over 10 years, I saw so many situations. I have a friend who applied to adopt and was matched with what she was told was a healthy girl. After 24 hours it became clear the baby wasn?t healthy. My friend got medical checks, then gave this baby back and got a different one. I know my friend thinks of this ghost daughter when she looks at her three healthy adopted DC. I know she will never tell her DC about this choice. I?m too exhausted by my own moral struggles to judge her; I am so glad I never had to face such a choice.
I have several friends who, while I was still unable to get any child, conceived and aborted (as late as 6 months) after amnio showed major genetic problems. I have two friends who conceived with donor eggs, fertilized with their DH?s sperm and implanted in their wombs. I chose traditional adoption, but after all, the adoption of our DD involved donor egg, donor sperm, and surrogate uterus, didn?t it?
Certainly, if I could have controlled my life, I would never have chosen to have a SN child, to adopt, or even to use IVF. Does that mean I don?t love my children, or love less the disabled one or the adopted? The fact that I had to face choices makes me more, not less, grateful for my three so-hard-won miracles.
Decades ago, I attended a conference with one of the doctors who developed the technique for the two-egg IVF that has just become available (basically you combine the yolk from one egg with the white of another). Asked about the ethics, he answered: after spending my whole life working on the edge of an invisible and wavering line, I?ve concluded that when you start limiting the freedom of choice of people who are already here in favour of people not yet even conceived, that?s when you risk becoming a eugenicist or tyrant.
If our relatively homogenous community at Mumsnet don?t agree on this stuff, then I don?t think there is an answer obvious enough (yet?) that a government should make it law.