Lay buy your future fertility

Let me start off with a (true) story about my first taste of ‘fertility shock’. It wasn’t pretty….

 

My definition of fertility shock is – the official moment it dawns on you that you may have left it too late to have a baby!

 

My fertility shock came about when I was working in radio and a colleague invited me to a free seminar hosted by her client, an IVF clinic – a talk aimed at single, career focused women, about fertility - I was asked to come along to make up the numbers. I took a seat in one of the front rows, in a room solely filled with women in their 30’s and up.   

 

Two key things struck me that morning. An (IVF) doctor advised the audience that being ‘stressed’, was not a valid reason as to why a woman cannot fall pregnant. His reasoning? Women in worn torn Syria were still have babies mid bombing attacks...so what was our excuse?

 

In just one moment he diminished every woman in the room, we each looked around ashamed for experiencing first world problems.  If women can fall pregnant during a war, then what was stopping us? It struck me as a tenuous link at the time and now all these years later with experience under my belt, I know it is also bullshit.

 

Stress may not be the only reason you are not falling pregnant, but it certainly CAN affect your chances at falling pregnant. Bodily stress is very different to outside stresses, so to compare yourself to someone in Syria was close to ludicrous, you shouldn’t have to compare the stress of staring down a barrel of a childless future, to an awful war.

 

The second thing that struck me (and a lot of the women in the room that day) is that the IVF cut off age for freezing your eggs is 36, as after this time the quality of your eggs goes a bit south. The problem is that eggs after this time fail to ‘bounce back’ when they are defrosted, their quality diminishes ** (note this was a couple of years ago now and the technology with freezing is constantly improving)**.

 

In that small white seminar room, there was literally gasps, little shock noises escaping from the mouths of women who thought they had more time. For one poor woman in the very back row, tears. Loud sobs that I couldn’t help but feel myself, tears welled in my eyes.  Why were these women all so upset? Because we were 37 years and older and we had just been told we had missed the boat. We were experiencing fertility shock.

 

It hurt on so many levels, but one reason was a couple of years earlier, I told my GP that I was thinking of freezing my eggs. She pulled a sideways mouth face to me and said, I don’t think it’s a great idea. It’s expensive & the chances of it working are very very low…and back then only a few companies were doing it. They likened it to freezing an old squishy strawberry, then when you unfreeze it – it is still a poor quality old squishy strawberry but with even lessor quality thanks to the freezing/unfreezing process. Note this is for eggs only. Freezing embryo’s is a different story (which is for another blog post).

 

Instead, my GP’s advice at the time was to see if I could make a go of it with the guy I was seeing for the last month. I couldn’t and didn’t. I also never called any companies about freezing my eggs as a medical professional told me it was a total waste of time and money. I would have been 35 at the time.

 

So here I was a few years later only to find out I was past the cut off age and my time here was done. I was also very single at the time. I kicked my 35 year old self for not acting on safe guarding my future fertility. The breakfast seminar fell a bit flat after that, no such thing as a free breakfast!

 

That was 10 years ago, and a lot of things have changed since then. The technology has improved vastly for freezing and thawing eggs, age limits with companies have risen and costs have come down and now there are companies and health funds etc that can help with costs.

 

As with always, timing has never been my friend, I always feel like I was born 10 years ahead of where I should’ve been…..Had this moment happened now, they would have taken my money, sold me the hope and who knows, maybe some of that sickening pressure I had from the age of 35 to 42 wouldn’t have been felt.

 

In 2020 one Melbourne IVF clinic noticed a 119% increase in egg freezing (the first year of Covid) with numbers increasing even more so in 2021. There is also a trend for women in their lower 30’s to start freezing their eggs. Source: The Age 6/7/21. During Covid we were meeting less people out, dating was as uncertain as the situation around us, so it makes complete sense to put that baby stuff on hold whilst you are stuck at home alone in your tracksuit pants.

 

Added to this, if you are like me, you might only really be hitting your career straps in your mid 30’s and that is taking up most of your life right now. The advantage you have over me, if you are in this age demo now – is the quality of technology…and if you have spent most of the last year at home watching Netflix, you might have some savings to afford it.

 

I should stress here that by no means does having frozen eggs in the IVF freezer guarantee a baby down the track. Frozen eggs are not as viable as a frozen embryo but it’s a start. And my advice is, if you can afford it and you’re prepared to go through the IVF process (which can be gruelling) then it’s better for your mental health to know you have done all you can to ‘future proof’ yourself.

 

So now we have agreed on that, my next point is this: if you are going to freeze your eggs, one thing they may not tell you is, you can improve your egg quality before you freeze them. Consider it maximising your investment. If you are going to spend $5- $10k to freeze your eggs, you would want to make sure you have put your best eggs forward, wouldn’t you?

 

Research shows it takes 120 days for an egg to reach maturity and in that time, did you know you can increase your egg health? Refer here: https://www.cathminter.com/egg_quality.html

 

This means that if you are considering an egg collection round for freezing, you could work on your egg quality in the 3 months leading up to the process, to ensure you are giving it your best shot (pardon the IVF pun) on what you put in the freezer.

 

Let’s talk diet:

If you are anything like me in my 30’s, your week may look like this, caffeine for breakfast downed with a muffin or Vegemite on toast as you run through the office door. Lunch could be a salad, sushi or a stir fry. Swallow that down with a Diet Coke or a juice and you think you’ve had a healthy day. Some chocolate or someone’s left over birthday cake and that is your sugar rush to get you home. Maybe hit the gym and then a late dinner and a gulp or two of wine before you pass out on the couch. You wake up early in the morning to go for a run or F45 – you say to yourself, I am healthy, I am fit, and I am balanced and you probably look and feel great!

But then on the weekend you have a smallish night, just a couple of wines and pizza with some girlfriends and then Saturday night, is the night to party – a boozy night. All good because Sunday will be the day you lay on the couch watching trashy TV. Can I just say – NO JUDGEMENT HERE. This was me – and to be honest, it sounds like a bloody good life too!!. It was, and I have great memories (well truthfully my memory from this time can get hazy) but it was great.

 

But here comes the BUT. One reason why it’s easier to fall pregnant when you are in your 20’s is because you haven’t done as much damage to your eggs yet. You have only been drinking (legally) for a couple of years and that hasn’t taken such toll on you yet. But once you add a stressful job, 10 more years of drinking, late nights studying or working late, some stressful situations or trauma (breakups, loss of friends, jobs, people) all the sudden at 35 you may be feeling like you did at 20 but how are your insides looking compared to the 20-year version of yourself? Older, more tired, and maybe a shitload of toxins & stress has been sucked in over that time.

 

Toxins:

Now that you are in your 30’s you can afford the nice stuff: perfume, makeup and hair products – and you wear these every day as you want to look your best.  Have you ever looked at the back ingredients on these products? Can you pronounce any of them? Do any look like actual words? There’s a high chance that besides the ingredient aqua, a big percentage of the rest will be man-made chemicals that you are putting on your face to make those wrinkles seem a bit smaller. Same goes for Botox – you are putting a foreign body into yours and assuming it won’t affect you in some way?

 

I am not a medical person by any means but there is plenty of literature out there to support me on this. It’s not to say you can’t fall pregnant this way, there’s examples of this everywhere - we all hear stories where someone feel pregnant after a big night out. Oh, how we cringey laugh but it sure is NOT funny when this doesn’t happen to you.

 

So if you are investing up to $10k cash to freeze your eggs, wouldn’t you go the extra mile and make sure your investment was worth the cost. You need to ensure the quality of those eggs are the best quality you can provide, as this is your baby insurance you are putting into the future bank. Consider it short term pain (if you call being healthy painful) for long term gain (believe me you don’t get many things more long-term than a child).

 

So here’s my top 7 tips to increase egg quality in the lead up to an IVF egg collection

1.     Drink lots of filtered water: your body loves hydration!

2.     Take supplements: (amino acids, pre-natal are a good start but check out the book ‘It starts with the Egg’ by Rebecca Fett, for lots of details on supplements for building egg quality).

3.     No alcohol: hmmm yes, I know this bit sounds shit but it’s just for 3 months…. plan a time that avoids party season?

4.     Organic fruit, Vegetables & meat if you can stretch it: (I know it costs more but think of all the money you will save from not drinking for 3 months)

5.     No Sugar – same as the alcohol, run out the door every time someone calls out ‘cake’ in the office

6    No preservatives (as little pre-packed food as possible)

7.   Avoid takeaway unless it is wholefoods style food, such as Barewholefoods.com.au or organic cafes etc

 

Now is not the time for fad diets, juice fasts, crash dieting, over exercise or big nights out.

 

Obviously, this is just an overview and by no means meant to substitute for medical advice but get reading and Googling, the decision is then yours to make.

 

Let your ‘Fertility Shock moment’ be turned into an opportunity to turn a future that currently looks scary and upsetting into a positive, by doing the best you can to future proof your fertility.

 

The good news is that this is 2021 and you have more options available to you than I did almost a decade ago. You have choices and with choices there is hope and with hope there is happiness and with happiness there is self fulfilment. It’s a decision only you can make but make the decision knowing, you gave it your all!

Best of luck x

The Baby Business

A short while after we had finished our second round of IVF, 4 Corners on the ABC advertised an upcoming episode called the ‘Baby Business’. People were talking about it, we even had a friend text us about it in case we wanted to watch it.

We didn’t. Why watch on TV - something you have felt first hand. No thank you. I mean thanks….but no thanks.

So no surprise when a couple of nights after it aired, we decided to watch it!

Let me warn you, if you’re currently in the process or considering IVF and you are approaching 40, I will give you a heads up, this can be hard to watch. Viewing this is a little like holding a mirror to your face, reflecting your current story and could possibly end with a very heart-breaking story. For us it was a significant moment.

If you’re not in the over 40 age group but thinking you can rely on IVF later on down the track – consider this your warning!

You can watch the ‘Baby Business’ here:

https://www.abc.net.au/4corners/the-baby-business-promo/7449646

 The patients featured in this documentary are just like me. They could be me. They’re in their 40’s eating healthy organic food, downing their supplements and re-mortgaging their homes to have a child. They had been through 5+ rounds and absolutely nothing to show for it….but a lot of zero’s in their bank balance and a whole lot of heartache that cannot be healed.

These families are chasing their tails – getting one more fix – it’s almost like gambling at the pokies, I just need to do one more round – this one will pay off for sure! I know the odds are bad but the payoff is unreal! If we do it enough times we will get it. Phew! Except you’re gambling with your body, spiking it with a hormonal cocktail month after month.

The truth is they don’t provide you with the success rates when you start. Leo asked many times but never got a straight answer!

In the documentary we got the answer – wait for it…..for over 40 year olds the success rate is less than 3 % a month. A 97% chance of it not working per month!

At 12 minutes into the 4 Corners program a Professor and an early IVF pioneer- Rob Norman, claims something that I found to be true for me and could be, for a number of women in their late 30’s and early 40’s he says “…you may not need IVF in the first place and the phenomenon of the IVF treadmill is you just keep running on it and you can’t get off’.

THIS – THIS is why I believe that IVF is not right for everyone. You may not need it. I spent money, time and a hell of a lot of heartache pouring into a treatment that was not right for me. And once I got off that treadmill….I fell pregnant….naturally!

But at the time, watching this program, it was a very deep sob and a lot of sorrow that out poured from me and when I turned to look at Leo sitting next to me on the couch, I could see it was hitting him hard too.  As I sat looking at him, I felt massive guilt that I was putting him through this, you see I am 5.5 years older than him. If he was with someone his own age or younger, there was a good chance (in my mind) that he wouldn’t be dealing with this right now.

It was a massive ‘come to Jesus’ moment. A subject that had been on hold for the last month, we had not talked about ‘what next?’… but now the facts were being laid out in front of us with some very sobering statistics and a bleak outcome – for both the women on the show and for people like me watching it.

I didn’t talk to him during the program, I couldn’t and it took some courage to turn and look at him once the credits were rolling and say something. We spoke, I cried. Leo felt his suspicions about success rates were confirmed and I was in despair. I honestly thought that this could be the end of us. If I couldn’t have a child with him, was I taking away his right to have a child with someone else? Now I know that this is something that can really fire some people up...I can hear them saying, ‘Oh but if he really loves you it shouldn’t matter (with many exclamation marks following and looks of aghast expressions)... But I will throw this at you – if you really love someone shouldn’t you ‘let them be free’. Do you burden someone you love with something you cannot provide them but someone else could? Could I live with the forever guilt of holding back his own future happiness?

It’s a conundrum and that’s what we were in. A spiral of confusing thoughts that were all up in the   air and we had no idea what would spit down back at us…and who knew if we could catch the falling debris when it did eventually fall back down. It had been almost a month since our non- successful IVF round.

As they say in the documentary, at some point you need to decide when do you quit IVF?

The next morning still down about the statistics, I joined a friend on our morning walk and told her about our experience of watching the ‘Baby Business’. She was quite pregnant at this stage, prior to falling pregnant, she had always thought she would need IVF because she had a low AMI (Anti – Mullerin hormone) test results years earlier and was convinced she would have difficulty falling pregnant. (In fact she fell pregnant easily both times and has two gorgeous little girls).

Back to our walk….my friend listened to my concerns and said she had been on the phone the previous day to two of her friend’s - both who had watched the 4 Corners episode and were inconsolable. One of her friends had been trying longer than me and for her this last glimmer of hope had been smashed. She hit a new low, dreams were snuffed that night and reality crept in. (fast forward to now and she has since had a successful IVF donor egg pregnancy).

The thing is I have read and I can tell you from my own experience, that women want to try with their own eggs first, moving onto the concept of donor eggs is not a decision that is easily met. This is a decision her friend had to make after years of trying and unsuccessful IVF attempts.

To be honest, I think a lot of hearts were shattered that night from watching the “Baby Business” but maybe long term financial heartache was preserved?  Maybe it was a sucker punch we all needed to hear? Turns out that IVF for over 40’s isn’t the Holy Grail. With a 3% success rate, it’s not something we should rely on for our future. I can tell you I was never told these odds and I had no idea they were so low. Would you sign on that dotted line if you knew these odds? I don’t think I would. There is no ‘money back guarantee’ with IVF and they will take your money if you offer it and focus on the treatment rather than the odds. And I’m sure everyone one of those women that’s going against these odds, hopes they are the lucky 3%

On the night of watching the doco, we were left between a rock and a hard place - who knows maybe one day they will bring something new to the technology that can help with this? But right now the IVF Companies are owned by shareholders and are designed to make a profit back to these shareholders. Many women under 40, use IVF clinics every day to fall pregnant and a lot have been successful. I have met many a beautiful child that has come from a successful IVF round.

DISCLOSURE: I personally have frozen embryos stored, so I am not suggesting you discard the IVF process entirely and I am not saying it is NOT for you. IVF is a future option if you have tried and failed with your own eggs and want a donor egg (or sperm) or if you have frozen embryos from earlier rounds when you were both younger. But for the option for women over 40, using your own eggs, doing fresh rounds - the low stats are the stats.

In addition to this, if you are thinking you will rely on science to get you over the line in your 40’s to have your own DNA, your first port of call doesn’t have to be an IVF doctor! They are not the most reliable source of information on infertility when they have your money in their hands. IVF is not the only option for women who want to have their own child.

If you have tried everything and you are willing to use a donor egg or sperm, different scenario…..but this was not my scenario.

Too many women walk through the doors of IVF clinics without doing the research, without trying other options, without seeing if their issue is actually something that can be overcome in a different way. Do you have MTHFR? Do you have blood clots? Do you have a bacterial infection? Is the problem with your partner – not you?  If you have POCS – then treat POCS, if you have Endometriosis, don’t try to bypass it with IVF as a first option. If you have blood clots there are ways to treat this without going straight to IVF. Have you really dug into the real problem before accepting a referral to the IVF Clinic?

I feel like IVF is the first suggestion to come to mind when you haven’t fallen pregnant in your desired time frame. It shouldn’t be. Although GP’s serve a very important role in our lives and our communities, most are not specialised in fertility and writing a script to see an IVF clinic is not always the best firat option. As Professor Rob Norman claims …you may not need IVF in the first place.

I saw one GP when I was trying to conceive who told me I could only possibly fall pregnant every second month, as I only had one fallopian tube! I had to correct HER. So please take it from me to always push for what you think you need, research, ask for recommendations, referrals, question everything but most importantly – arm yourself with a reputable fertility naturopath. One who will question every aspect for you.

The outcome from watching the doco was this: we decided to park the IVF conversation and go back to basics.

So the matter was back in my hands and I dedicated everything I could to it.

I had already done all the physical hard work so now it was trying something new, I knew I had my diet right, I had all the supplements to support my egg reserve and my body was healthy. I was also getting past the Adrenal Fatigue hangover.

We upped the anti on detoxifying the house – cleaning chemicals were banished, no swimming in chlorine pools, keeping wifi at a minimum, I opened my bathroom cabinet and got rid of my expensive moisturisers and cleaners that were full of ingredients I couldn’t pronounce or spell.

I slowed down, started basic yoga and my holy grail – weeks after the documentary, I started Vedic Mediation….the icing on my fertility cupcake!

IVF expert Dr Rob Norman suggested in the Baby Business documentary that women need to understand their fertility window. I can tell you that I fell pregnant on what I thought was outside my fertility window that month. According to a Clear Blue Ovulation indicator, that window was closed two days earlier – yet somehow that was the month I fell pregnant and consequently 9 months later had a baby.

Coming up in future blogs I will touch on what a Fertility Naturopath is and what they do and why you need one in your life. when trying to conceive.

A lot more to come on this!

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The Baby Business

How a 4 Corners Episode changed everything…