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Not sure whether to conceive naturally or try egg donation

9 replies

SELE97 · 12/01/2024 17:52

I have a genetic disorder which runs in my family and is maternally inherited. Myself (26) and my partner (26) started a specialised IVF treatment in 2021 to enable us to have a child while reducing the risk of my genetic condition being passed on. We had to wait over a year just for the application to be approved and then another 6 months for funding to be approved. I had my first egg collection in Jan 23 which didn't end well because of my condition I had a bad reaction to the sedation drugs so they could only get 4 eggs before cancelling the procedure half way through. I then had my second egg collection in May 23 under general anaesthetic and they managed to collect 12 eggs. So in total we had 16 in the freezer. We then had a long gap in between due to waiting lists.

We finally got to embryo transfer stage last week (Jan 24), and it didn't go well. By day 1 we had no embryos that made it. Apparently because of my specific type of genetic disorder my eggs don't cope well with freezing and thawing so after ICSI and another new technique the embryos were abnormal. I should mention that this type of IVF procedure is still a research project and is very new so they did not predict this would happen. They're not sure what the best steps are going forward as it seems this specialised IVF specifically for people with my genetic disorder doesn't work on my mutation of the disorder. I am heart broken, after all these years we finally thought this was it and now we're told its not going to work because of my specific mutation.

I am at the point where I've given up and I just want to TTC naturally, however my partner doesn't entirely agree with this because our child will 100% have my genetic condition passed down to them. Even if the special IVF technique succeeded there was still up to a 70% chance that my condition could still be passed on, but we wanted to try everything we could to make sure there was a reduced chance. Now I'm torn as I the only way to not pass the condition on is if we use an egg donor, which I really don't want to do, I know it doesn't matter to some people but it is really important to me to have a child that's biologically mine, I wish I didn't feel this way but I cannot help it, it's all I've ever wanted. But I know that I will pass on my condition and it's such a hard decision. At the start of the IVF journey I was dead set on not getting pregnant naturally as it wasn't fair and I would do everything I could to prevent that. But I just feel that I'm desperate now and the IVF journey has worn me down, my heart says to concieve naturally but my head says to use an egg donor.

My type of genetic disorder is a muscle disease that causes problems with energy production, my symptoms are reduced mobility and lactic acidosis for which I have been hospitalised twice in my whole life and recieved IV fluids for. My grandmother, auntie, mother, and 4 siblings all have this condition (they were not diagnosed until recently so didn't know they had it and therefore passed it on). I sometimes have to use a wheelchair for airports, shopping, long distances etc but the rest of my family are fine in general. It is a serious disease but also I would say we all live a happy life, we just have to adapt and find different ways of doing things.

I suppose my question is am I the most selfish person for conceiving naturally knowing my child will inherit my disease?? Any experiences with egg donation??

OP posts:
GreenTurtle75 · 13/01/2024 16:17

I understand the desire and your concerns. It sounds like a really tricky decision and honestly I don’t know what I’d do in your situation. I can’t speak for your specific situation but what I would say is that whatever you and you partner decide, you both need to be 100 per cent sure about it. If one feels the tiniest bit like they were pressured by the other, it could breed some serious future resentment.

SELE97 · 13/01/2024 16:29

@GreenTurtle75 thank you, yeah that's what I'm concerned about. We're both discussing it without trying to persuade or convince each other, but we are struggling to come to an agreement at the moment.

OP posts:
SErunner · 13/01/2024 22:43

You need to access some specialist genetic counselling. This isn't a decision to make without specialist support to protect both your future relationship and possible offspring.

Cherry35 · 14/01/2024 07:24

I would assume that you do normal IVF and once you have 5 day Embryos they do the PGT testing to rule out embryos with your condition, is it not like that? I believe that they don't test standalone eggs.

If that disease has been in your family for generations, do you really want your child suffering from your same condition? I think you have to think about it very carefully and agree with your DH, make a plan, e.g. try one more time IVF with your own eggs and perhaps a new clinic before considering the next step.

Donor egg is just another way of becoming a mother. I'm doing IVF for years now so I know how hard it is.

SELE97 · 14/01/2024 10:53

@Cherry35 PGT testing isn’t an option for us as due to complicated genetics they know that my condition will be passed on 100%. This is why we were doing this specific type of IVF, it was our only hope at not passing on the condition. Unfortunately this type of IVF is only licensed in one clinic in the whole of Europe which is in the uk but a 5h30m drive from where we live so we’ve been doing that journey up and down there for the past 2 years. That’s why the application and funding was so complicated. If we can try it again we definitely will, but we won’t find out if that’s an option until 3 weeks time.

I’ve been looking into egg donation but it just doesn’t feel like the right thing for me. I want it to be, and I know that blood isn’t everything. My dad (who is not blood related to me) brought me up since age 3 and is MY dad, he’s more of a dad to me than my biological father, who was in and out of my life before he died. So I know first hand you don’t need to be biologically related to love someone. However my mother went on to have 4 other children with my dad (stepdad) and I’ve always felt like the odd one out as I look so different to all of them and I wished they were my full siblings. I cannot change these feelings that I have, I’ve read up on egg donor conceived children and their experiences and I don’t think I could live with my child feeling like they’re not mine or feeling different and never being able to find out where they came from.

But obviously I don’t want my child to have my condition either. Neither of these options are ideal which is what makes it such a hard decision.

I talked to my family who have the condition and they all seem to lean towards TTC naturally. My 16 year old sister actually said sharing the condition with our mum makes her feel closer to her and understood. And she liked the person she’s become because of having the condition. She said she would rather be related to our mum and have the condition than feel like there’s always a part of her missing if she came from an egg donation, she said she would feel really strong about finding her ‘genetic mother’. And I’m not saying that’s bad, the parents who support their children in finding out this information is admirable but I’m not sure I could do it, it would break me.

I’m definitely going to look into genetic counselling to help make this decision.

OP posts:
Cherry35 · 14/01/2024 17:03

@SELE97 definitely seek genetic counselling. The IVF process that you have to follow is much more complicated than usual. Hopefully you can get more funded IVF so you don't have to take that decision.

Good luck!

Rosequartzz · 14/01/2024 21:42

Would Mitochondrial transfer be an option for you if you were do go with IvF again ?

SELE97 · 15/01/2024 12:24

@Rosequartzz As in mitochondrial donation IVF? (Sometimes referred to as 3 parent baby IVF?)

If so, this is the type of IVF we’ve tried and unfortunately it was unsuccessful.

OP posts:
Rosequartzz · 16/01/2024 09:20

@SELE97 yes that's correct. Oh man, I'm so sorry to hear this. I honestly thought this was a great thing to have available

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