Tag Archives: Infertility

The Blessing of “Unanswered Prayers”: An Adoption Story

I am still in awe of how abundantly my husband Tom and I have been blessed. Like country music star Garth Brooks states so well in one of his songs, “I thank God for unanswered prayers”. For years we prayed so hard to conceive a child. We could not even begin to have known how much more joy God’s plan for us would bring.

Early years of marriage: waiting for a child

Tom and I met during our freshmen year of college so we knew each other fairly well when we married a year after college. At the time of our marriage, we were aware that my medical history of severe endometriosis might make conception difficult. (Endometriosis is a common health problem in women in which the tissue that lines the uterus grows outside of the uterus and on other organs of the body.) We were lucky in that we had the opportunity to discuss this before marriage as well as the fact that adoption was an option that we were both comfortable exploring. But it didn’t make pregnancy announcements from friends and family any less difficult as we clung to the hope of conception for five years.

One of the most challenging part of those years of trying to conceive was attempting to navigate the world of fertility treatments and their moral implications. At that time we had only a vague sense that most fertility treatments were in opposition to the Church’s moral teachings. (We have only in recent years come to understand the richness and beauty of the Church’s wisdom on this. [1]) Nonetheless, we stayed true to Church teaching and began exploring adoption.

Beginning the adoption process

For at least a year, we attended multiple information sessions of state run adoption programs, private agency programs, and even met with an adoption consultant. Because we desired a newborn baby, we ruled out international programs and chose to pursue private domestic (within the US) adoption. Most children adopted from overseas are older than infancy.

I was in graduate school in Boston at the time and had a faculty member who had just adopted a baby. I set up a meeting with the same private agency that she used and we quickly compiled the vast ream of paperwork that the agency required. (By the end of this process, I think that the agency knew more about us than our own parents did!)

Our application was submitted in January 2000. We then began a series of home study meetings with the agency. Contrary to popular media’s portrayal of these meetings as involving a stern looking woman entering your home for a white-glove inspection, nothing could be further from the truth. The social workers that we met with were partially there to assess our motives and suitability to become adoptive parents. At the same time, their goal was also to try to help prepare us for the process, experiences, and possibly even challenges that adoption could bring to our lives.

Receiving the call

Although the matching process can vary by agency, these days, many private agencies give the birthparents the opportunity to select their baby’s adoptive parents. So we prepared a photo album that gave a sense of who we were and we wrote a letter to the birthparents to be included in the album. The agency then forwarded albums to the birthparents so they could choose an adoptive family for their child. I can only speculate, but I think that getting the call from an agency saying you’ve been selected by birthparents and the match has been made is somewhat synonymous to getting the much coveted call from the doctor’s office saying that your blood test was indeed positive for a pregnancy. From this point, the little girl whose birthmother had chosen us to adopt her child was, in our minds and hearts, fully our child. There is a saying that a biological child grows in the mother’s tummy but an adopted child grows in the parents’ hearts. Nothing could be more true.

In August 2000, our first child, Katie was born. Unlike many couples who are blessed with a more direct path to parenthood, we took nothing for granted with our blessing. We “fought” for our turn to change her diaper (weird, huh?), feed her, and hold her.

Adopting again

In May 2002, Tom had a new job and we were preparing to move to another part of the state. Katie and I were having breakfast with a friend who asked if we were planning to adopt again. It seemed like a crazy time to proceed since we were trying to sell one house and were in the middle of building a new one. Her questions seemed to light a fire in me though, and I became a woman on a mission. The details fell easily into place (despite the fact that we had to change adoption agencies) and by June 2002, we had submitted our second adoption application. Even though we had so much on our plates with a toddler, a move, and an impending adoption, I felt a profound peace from that day in May straight through to the day in January, 2003 when we were blessed with the birth of our second daughter, Meaghan. (I was even fortunate enough to be at the birth!) Meaghan was born in Georgia, which required a two week stay as we waited for the legalities of the adoption process to be finalized. Gratefully, we were blessed with mild Georgia weather while our home state was buried in snow and a record-breaking cold spell.

A boy and a girl!

In December 2004, we submitted our third application for adoption. The process was uneventful and much easier by the third time. Katie was four years old at this point and whenever we asked her if she thought this third child would be a boy or girl, she confidently replied “Both!” We would soon discover that she must have had a direct line to God. Our son, Andrew, was born in Ohio in September 2005. Once again, we remained in Ohio for a couple of weeks as we awaited the legal process.

The day after we returned home, I was sorting through a box of baby clothes (and putting away the pinks and purples), when I was moved with a profound longing for another little girl. Now, mind you, I was thrilled to have Andrew in our life. He was a sweet and easy little baby. So, I was befuddled why my heart felt this so keenly. One week later, I had my answer.

When Andrew was only three weeks old, the adoption agency that we worked with to adopt Katie called to inform us that Katie’s birthmother was pregnant again and wanted to know if we would be interested in adopting this child who was due in four months. I suddenly understood my strangely timed interior longing for another girl and chuckled as I reflected on Katie’s childlike prophesy of “a boy and a girl.” I knew, without a moment’s hesitation, scared as I was by the situation, that this was God’s plan for our family. Molly was born in January 2006, and once again I was blessed to be present at the birth.

Life as an adoptive family

Almost eight years after the birth of my fourth child, I rarely think about the fact that these are adopted children. I just know that they are “our children”. They know that they are adopted and it comes up periodically in conversations. They just started at a new school and were commenting on how people often don’t believe them when they say that they were adopted. Minimally, we reflect on it at that point each year around their birthdays when we send letters and photos to their birthparents (via the agency). Otherwise, at this point we have no direct contact with the birthparents. I have no doubt that at some point, some or maybe even all of our children will seek out a meeting with their birthparents. When that time comes, and they are of the appropriate age and maturity to do so, Tom and I will stand by them and support them in this process of self-understanding.

There are times when something like completing parental health history on their medical forms call to mind that they are adopted. There are also the occasional school projects about the students’ ethnicity that creep up. Otherwise, we chuckle on the many occasions when Tom or I have been told how much our children look just like us!

I would be misleading you if I told you that it was all easy. The adoption application process, at times, felt profoundly invasive. But if you talk with many new mothers, I think they might describe the birthing process as rather invasive. There are some challenges that are unique to adoptive mothers and fathers. It is difficult to explain to adopted children that just because they were “given up” for adoption, it does not mean that they were not “wanted”. (The term used more widely now is “placed for adoption,” which helps highlight the selfless generosity of birthparents in choosing an adoptive family for their child.) When we reflect on our children’s future weddings, we understand that there is a remote possibility that we might have to share the “parent pew” with their biological parents. Then we remember that these four little blessings were only given to us to “borrow” for a short period of time, but they don’t belong to us, or to their biological parents. They belong to God.

About the author
MaryPat and her husband Tom, shown above with their children, have been happily married for 20 years, regardless of the fact that they have very few common interests – except for God and family – proving that opposites really do attract! MaryPat worked in college admissions and as a high school guidance counselor until she became the full-time mother of four adopted and much beloved children. With all four children now enrolled in school, MaryPat has begun working with families as an Independent Educational Consultant through her new business, Compass College Advisors. Tom is employed in the banking industry and spends his time sharing his deep love of the Catholic faith with anyone willing to listen. They reside in the Archdiocese of Boston.

Notes
[1] See USCCB document about infertility and ethical reproductive treatments: “Life-Giving Love in an Age of Technology” (2009).

Hope for Married Couples Who Want to Have a Child

Alone in the bathroom, staring blankly at the negative test, you tearfully ask yourself, “Why am I not pregnant yet?” Later, you may find yourself talking to your doctor about a “take-home baby” and come face to face with the costly, invasive and sometimes morally questionable reality of fertility treatments. You wonder, “Is there any hope for me?” As a Catholic gynecologist working with a team of pro-life physicians, I want to tell you, there is hope.

You may have tried to conceive for a year, the minimal duration to be considered infertile. However, you are a person, not a statistic. Your desire to be pregnant is real and is screaming, “Now!” As a physician, I agree. Now is the time to find out why you are not conceiving. You are not alone, and there is help.

More and more couples find themselves childless after “trying” for a period of time. After being married for six years, Jen and Bob were still childless. Sadly, Jen was diagnosed with Chlamydia as a younger woman, and she always thought that it might prevent her from having children. Although she had quit smoking and improved her nutrition to optimize her fertility, she also sought medical help due to worsening pain at the time of her periods. Through laparoscopy, we found mild adhesions from her Chlamydia infection long ago, and many manifestations of endometriosis. The problems corrected, six months later Jen came into our office carrying her positive pregnancy test, with a smile and a tear of joy after many years of trying to conceive.

Diagnosed with irregular cycles since she was a teenager, Hillary knew she had a hormonal imbalance. Starting abruptly after college, Hillary gained weight, became constipated, noticed the drying of her skin and began to feel cold all the time. She and her husband of one year, LeVar, came into the office to talk—not only about their desire to have a child but more importantly about the riddle of her hormonal health. A good health history and physical exam complemented the Natural Family Planning (NFP) charts Hillary had done for the last six months. Blood tests done on particular cycle days and the finding of low temperatures during the first half of her cycle, led to a diagnosis of polycystic ovaries. Hillary also had low thyroid function. Once her thyroid function was regulated and her insulin resistance addressed, Hillary began to have more regular cycles, and she showed signs of increasing fertility. Recognizing her suboptimal ovulation, she was given medications to help her ovulate more efficiently. After several months, Hillary walked into our office with that same smile Jen had shown us. She said she appreciated both the help with conceiving and the attention to her underlying hormonal problems.

But what happens when no underlying problems are found? That is the story of Miriam and Cole. In their early thirties and after being married two years, they came to the office to see why they were not yet pregnant. Both worked in high-stress jobs, and time was at a premium. Though meticulous and thorough, their history and physicals didn’t reveal the “why” behind their infertility. Laboratory tests showed no chronic diseases. Cole was given a collecting kit, enabling us to test a semen sample after marital intercourse and determine that it was normal. Dye studies and ultrasound tests showed that Miriam had a normal womb and Fallopian tubes indicating no physical blockage. Sequential hormonal testing throughout Miriam’s cycle indicated healthy female hormones in the right ratios, peaking and valleying at the correct times. Her laparoscopy showed neither endometriosis nor adhesions. Multiple cycles of attempting to tweak her ovulation with medications did not produce a pregnancy.

Stressed beyond their tolerance and depressed at not yet being parents, Miriam and her husband wanted a second opinion from a local, highly successful clinic specializing in in vitro fertilization (IVF). That procedure involves removing mature eggs from the mother’s ovaries, fertilizing them in a glass dish (in vitro is Latin for “in glass”), and then inserting the resulting embryonic children into the mother’s womb in the hope that one (but not multiple children) will implant and develop normally. As Christian physicians, we had to counsel them: “The central question you and your husband must answer before you go is this: Are the embryos made at the clinic your children or your property? If they are children, which your faith says they are, you ought not to experiment on or freeze them, or miscarry three to get one “take-home baby.”1 We lost contact, but several years later, Miriam and Cole were back in the office with two children, Jason and Jackie. Both were adopted. Smiles and tears were shared along with hugs. Miriam said they never found out why they could not conceive, but it no longer mattered. They were a family, and they had peace: “Adoption grew on Cole and me. It became a real option for us.” At a defining moment, her faith helped her see the humanity of any embryonic children she may help produce and the dangers to which she’d be exposing them through IVF. And she was thankful for the guidance.

Restorative, holistic, integrative, respectful, and effective—these words describe how our faith wants us to approach the misery, agony and challenge of infertility. There are scientifically sound, as well as surgically and medically effective ways to treat the causes of infertility in a thoroughly compassionate manner. There are doctors across the nation who have learned the art and science of looking into the causes of infertility and, as appropriate, addressing a couple’s condition medically, surgically, psychologically, and spiritually.

Many successful options exist for Christians who want a morally sound way to treat infertility, and who need help combating the sadness, frustration, and even anger that can come from the inability to “have a child.” We all need to discern the course God has for us—physicians as well as couples. Sound science based on the dignity of the human person is available to help couples to cooperate with our Heavenly Father and conceive a child. Some may be called to adopt a child whom God has sent via another set of birth parents. Or perhaps some couples have a unique vocation that does not involve raising children. It is our challenge as believers of the living God to know that he loves all of us profoundly and that he knows us better than we know ourselves. When we align our will with his will, and respect his great gift of human life, there is hope for us all!

About the author
John T. Bruchalski, MD, FACOG (Fellow, American College of Obstetrics and Gynecology), a practicing obstetrician- gynecologist, is chairman of Divine Mercy Care and founder of the Tepeyac Family Center in Fairfax, Virginia.

Notes

1 IVF raises many grave moral issues. These are explained in the USCCB statement Life-Giving Love in an Age of Technology (Washington, DC: USCCB, 2009).

Addressing Infertility with Kindness and Compassion

What do infertility specialists tell couples?

Hoping to find out firsthand, I called the number in a newspaper ad and joined an open house at a fertility clinic. I am sure that I was the only Roman Catholic priest there, although street clothes gave no clue to my identity.

My experience that evening could not be the same as the others in the room. They were yearning for a child. They were hoping that the doctors would make it possible. They were deciding whether they should entrust their hopes to this clinic. I was there only to observe.

The clinic staff explained infertility as a medical problem, and the couple as patients with a treatable condition. Testing was part of specialized medical diagnosis; the use of donor eggs, freezing embryos, and in vitro fertilization were therapies to overcome infertility; and having a baby would be a successful treatment of the parents. The presentation was not unlike a sales pitch.

The staff laid out treatment options. These may include corrective surgery and hormone therapy, but also in vitro fertilization, and even donor sperm or eggs. Quality control was highlighted. Doctors, we were told, select only the healthiest embryos for implantation. In the case of donor eggs or sperm, care would be taken to provide for the best “outcome.” Problematic multiple pregnancies could be dealt with, although no one clarified that this generally will involve killing one or more of their children in the womb. Clinical staff admitted that sometimes infertility is hard to treat. Patients are encouraged not to “give up.” Sometimes, they said, the most effective treatment is in vitro fertilization, and as part of that treatment, some embryos can be frozen for later use. Sometimes, they continued, the quality of the egg (ovum) is such that the best treatment is to use donor eggs.

It was striking that these “treatment options” were explained without any acknowledgement that these procedures are contrary to the dignity and exclusivity of marriage, that they most often result in the death of innocent human lives. They were not treatments that assist marital intercourse to be fruitful, but substitutions which violate the dignity of marriage and subject the unborn to mistreatment and death.

These clinics do not and cannot provide spiritual support to couples suffering from infertility, nor appropriate moral guidance about the options under consideration. Pastoral care is indispensable and irreplaceable. Consider the needs. Couples experiencing infertility may find it hard to cope with this challenge to their natural desire to be parents and establish a family. Well-meaning family and friends may add to this burden with questions or expectations. Cultural expectations can be very high.

Some couples experience painful isolation as their peers or other family members are caught up with the responsibility for infants and toddlers. Spouses with a history of contraception or even abortion may feel overwhelmed with regret and even believe mistakenly that God is punishing them. Some may feel similar remorse after having tried in vitro fertilization and other morally illicit treatments. Some may be coping with pregnancy loss or the loss of a child after birth. Some may be losing faith or hope as they face a prolonged challenge of infertility. Some need spiritual and ethical guidance while they continue to hope for a child, others may need help as they carry the cross of incurable infertility. Some need the ministry of Church organizations as they consider adoption or other ways of nurturing and caring for children. The need for compassionate pastoral care and support is great.

Working with infertile couples is a pro-life and pro-marriage ministry. As the Vatican Instruction Donum Vitae explained, marriage promotes respect for the dignity of the child and vice versa: “The fidelity of the spouses in the unity of marriage involves reciprocal respect of their right to become a father and a mother only through each other. The child has the right to be conceived, carried in the womb, brought into the world and brought up within marriage: it is through the secure and recognized relationship to his own parents that the child can discover his own identity and achieve his own proper human development” (DV, part II). The Church supports morally sound treatment to help married couples have children, rejoicing that “many researchers are engaged in the fight against sterility. While fully safeguarding the dignity of human procreation some have achieved results which previously seemed unattainable” (DV, 8).

Simply presenting couples seeking a child with a list of prohibited procedures is far from a holistic and supportive pastoral approach. Pastoral care is more than the moral evaluation of treatment alternatives. At the clinic, infertile couples will hear a scientist or doctor offering them hope for a child, and at church they must receive much more than a priest telling them no. In Dignitas Personae the Church reminds us that “behind every ‘no’ in the difficult task of discerning between good and evil, there shines a great ‘yes’ to the recognition of the dignity and inalienable value of every single and unique human being called into existence” (37). That “yes” must be apparent in our message to infertile couples.

“You send them away with theology, but the clinic sends them home with a baby,” one person told me recently. Aside from the fact that clinics send many couples home without a baby, this protest misses a great deal of the role of the Church. She should stand with the infertile couple in solidarity, and stand up for basic human rights whenever challenged by a culture that seeks to overcome infertility at any cost, viewing children as a product or a right. There are indeed methods for treating the infertile couple with full respect for the dignity of the spouses and for the life to be born. A pastoral approach to the infertile couple supports their faith, their dignity, their marriage, and their vocation. It recognizes the fruitfulness that all marriages are called to share, including marriages without the blessing of children. It offers compassion and clarity. When needed, it offers reconciliation and healing.

My visit to the clinic convinced me more than ever of the need for the Church to respond to the challenges of couples who struggle with infertility. Let us offer the light of the Gospel and the warmth of the heart of the Church to all couples who yearn for a child.

About the author
Rev. J. Daniel Mindling, OFM Cap. is Academic Dean at Mount St. Mary’s Seminary, Emmitsburg, Maryland, and is a consultant to the USCCB Committee on Pro-Life Activities.

An Adoption Love Story

Note: Adoption is a wonderful gift. Though sometimes portrayed in negative ways by the media, most experiences of adoption are beautiful love stories—such as the one Jenny* shares below.

My husband Bill and I have been married for six years. Having children and raising a family had always been our expectation. By the time we were married, most of our siblings and friends already had children, so of course we were excited and ready to be parents ourselves. We soon learned, however, that having children of our own might not be so easy.

We made a few trips to multiple cities to be treated by wonderful doctors who have helped so many couples conceive, but everything we tried was unsuccessful. We felt so hopeless at times. Words can’t even explain this experience of loss.

Fortunately, our marriage only grew stronger, because we were there for each other and continued to rely on God. This didn’t always come easily, but it helped that Bill has a great sense of humor, and we were able to laugh at some of the crazy situations and conversations that come with infertility.

Since we knew our chances of becoming pregnant were small, it wasn’t very long before we started talking about the possibility of adoption. However, it wasn’t an easy decision, and I wondered if my heart was big enough to love an adopted child as I would my biological child. There were also so many other variables to consider, one of which was the expense involved, and we had already spent so much money on infertility treatments. We felt we had no control, but God reminded us again that He is always in control and that we could trust in Him.

So with prayerful discernment, we decided to start the process of adopting a child from Ethiopia. However, after it took nearly a year to get on the waiting list, the adoption program was put on hold for reasons that were unknown to us.

We were so frustrated that we started to feel as though maybe we just weren’t called to have children. We then heard from friends who had adopted a newborn baby domestically after only a few short months. With this new encouragement, we switched gears and decided to adopt domestically, picking a nationwide agency rather than a state agency because it is usually faster.

We were so excited but also rather scared. We would be chosen by a birthmother and would be required to send pictures and letters to her frequently. Most likely, we would talk with the birthmother over the phone and meet her at the delivery. And there was always the chance she could change her mind, even days after the birth. I didn’t know how I would feel about all this and wondered if we were setting ourselves up for more heartbreak. But all we could do was pray and try to leave it in God’s hands.

Four months later, we received a call that a birthmother in Florida had chosen us. She was seven months pregnant with a boy. We couldn’t believe it. We were finally going to have a baby. We talked with her a couple of times over the phone, and I never realized until then how lucky I was to marry such a talker, as Bill really helped the conversations flow smoothly.

On the birthmother’s due date, we received the call that she was in labor. Bill and I dropped everything and hit the road to Florida to meet our son. Words can’t even describe how we felt during that drive. We were so excited at the thought that we could be driving home with our son, yet at the same time we were so scared that we may be driving home alone. I wasn’t sure we could handle that disappointment, and I wondered what she would think of us. Would she regret that she chose us? What would I say to the woman who was going to place her child with us? Along with these and all the normal fears of becoming a parent, I was also afraid that I wouldn’t bond with our new son or feel that he was ours.

After arriving, we met the birthmother who was still in labor. She was so sweet and personable, and we sat with her to support her as best we could. A few hours later, our son Andrew was born. It was the most surreal experience.

We spent the next day and a half with Andrew and his birthmother in the hospital getting to know each other a bit. It was hard to know what to say to her, knowing she was making the hardest decision of her life, knowing the pain she must be experiencing, and feeling that I was the one causing this pain. It was such an emotional roller coaster to hold and look at this precious baby, wondering if I would really be his mother.

Thankfully, the birthmother decided to maintain her decision to place her child with us. Later that evening, Christmas Eve, Bill and I left the hospital with Andrew. It didn’t take long before there was no doubt in our minds that he was our son, the greatest gift from God! He really is our Christmas miracle.

Andrew is two years old now, and it is so clear to Bill and me that God picked him for us. We can’t imagine loving a child whom we conceived more than we love Andrew. It is amazing how he fits our personalities so well. More and more every day we are so thankful to his birthmother for her selfless decision.

It is so hard to express in words what a unique experience adoption has been for us. It has been quite a journey facing infertility, as well as so many unknowns and acts of kindness and sacrifice—all with so many emotions—which led to the growth of our family. There were times when our faith was shaken and we weren’t sure if we could handle our cross. But adopting Andrew has made us more aware of God’s power and of his love for us. We realize that he always has a perfect plan for our lives.

About the authors
Jenny and Bill (all names have been changed for privacy) would like to encourage you be open to the gift of adoption. Is God calling you to consider adopting a child or placing your child for adoption? To learn more information, contact your diocesan office.

Reprinted from Respect Life Program, Copyright © 2014, United States Conference of Catholic Bishops, Washington, D.C. All rights reserved. Additional resources and ordering information is available at www.usccb.org/respectlife.

Children as Commodities?

“Good afternoon ladies and gentlemen. This is your pilot speaking. … I have two pieces of news to report, one good and one bad. The bad news is that we are lost. The good news is that we are making excellent time.” —Author Unknown

In 1971, the renowned physician and medical ethicist, Dr. Leon Kass, used this parable to illustrate the coming wave of assisted reproductive technologies, hailed by science as a final triumph over infertility; scientists were on the verge of creating children outside the womb and inside the laboratory. Dr. Kass feared that we had not given adequate consideration to the question of how this might affect the couples pursuing these methods and the children produced from them. Forty years later, we’re just beginning to understand the consequences of such technologies.

Consider Natalie,* a thirty-year-old woman living in the Washington, D.C. metropolitan area. Throughout her childhood and adolescent years, she suffered from depression and endured severe adjustment difficulties, feeling as if she never truly belonged in her family. When she was seventeen years old, she discovered that she was conceived through a process known as commercial surrogacy. Natalie’s parents had contracted with another woman to become pregnant using her father’s sperm and the woman’s own egg, bear her for nine months in her womb, and then hand her over to them. After questioning why her parents lied to her, Natalie became estranged from them, hurt that money, rather than the expression of marital love, was the context in which she was brought into the world.

Now consider Amy, who was eight years old when her parents told her they would be divorcing. Her father attempted to gain custody of her older sister, but not her. The reason? Amy was conceived via an anonymous sperm donation, and her father was not interested in maintaining a relationship with a child who was not biologically his offspring. Such a scenario highlights the many complexities of donor conception, by which a child is intentionally severed from his or her biological parents with little consideration of the long-term consequences of such a decision.

These true stories represent the sad realities often faced both by those who choose to pursue assisted reproductive technologies and by children conceived through them. Unfortunately, when couples face the heartbreaking challenge of infertility, they may not know where else to turn.

When couples are unable to bear children, very often there is an understandable feeling of great loss. It is essential to note that “the Church has compassion for couples suffering from infertility and wants to be of real help to them. At the same time, some ‘reproductive technologies’ are not morally legitimate ways to solve those problems.”(1) No doubt, those who are tempted to avail themselves of such technologies almost always plan to accept and cherish the child to be conceived in this manner. Nevertheless, the child is brought into existence through a technological process and not through a loving act of marital intercourse. The inevitable result is that the child is initially treated as an object created for the parents’ self-fulfillment instead of welcomed as a gift of God.

Since the advent in 1978 of IVF (in vitro fertilization), by which children are “conceived” by technicians working in labs, the floodgates have been opened to bringing about reproduction through egg and sperm donation and surrogate pregnancies. Yet these technologies are fraught with medical, legal, and moral complications that are often either unknown or too easily dismissed.

What many people don’t realize is that, in addition to the financial burden, assisted reproductive technologies can also present significant health risks. A February 2014 analysis in the British Medical Journal found that women who use IVF are more likely to suffer “gestational diabetes, fetal growth restriction, pre-eclampsia, and premature birth.”(2) Children conceived through IVF are likely to have higher blood pressure, vascular difficulties and other health problems.(3) Moreover, IVF and surrogacy subject women to grueling rounds of hormones, shots, and painful procedures with minimal chances of success. According to the Centers for Disease Control and Prevention, the overall failure rate of IVF in the United States is nearly seventy percent.(4)

Yet the demand for “designer babies” and the commercialization of childbearing continues to increase. Parents who are spending tens of thousands of dollars to conceive children now have the option of picking the “best” sperm or egg to maximize their investment. However, “children are not parents’ possessions to manufacture, manipulate, or design; rather, they are fellow persons with full human dignity, and parents are called to accept, care for, and raise them to be new members of God’s family and his Kingdom. Children deserve to be ‘begotten, not made.’”(5) In other words, children have the right to be conceived within the context of an act of marital love, not created in a laboratory by scientists.

How then do we best respond to couples struggling with infertility? First, we must acknowledge their pain and accompany them in their suffering. Second, we should offer them opportunities to continue exploring the possibility of parenthood. Many causes of infertility can be addressed through medical assistance that is fully in accord with Catholic teaching. Adoption is also a viable alternative for couples seeking to raise children, as it lovingly serves children who urgently need homes and families to love and care for them. For couples who choose not to pursue these options, their active service in ministries and communities where they are needed should be better welcomed.

As Pope St. John Paul II reminded us, “It must not be forgotten … that, even when procreation is not possible, conjugal life does not for this reason lose its value. Physical sterility in fact can be for spouses the occasion for other important services to the life of the human person.”(6) While infertility may be a profoundly painful process for many, the Church calls the couple to consider that this experience may ultimately lead to new ways of experiencing God’s love and plan for their love to be life-giving in other ways, even if they are unexpected.

The very technologies that some believed would solve the age-old problem of infertility have, in fact, raised more questions than answers—questions about the meaning and purposes of children, and the limits and detriments of technology when it intervenes in the most intimate of human relationships. Children, after all, are meant to serve as an outgrowth of a couple’s love, but instead, reproductive technologies reduce that gift to a product. To ignore the concerns raised by some reproductive technologies and to move forward with them anyway would be to take matters into our own hands and to act against this great design. So instead, “in love, hope, and prayer, … let us be open to God’s gift of life and love in marriage, with profound respect for the dignity of all God’s children.”(7)

*Names have been changed to protect the privacy of those mentioned. To learn more about the Church’s teachings on the morality of reproductive technologies, visit “Life-Giving Love in an Age of Technology” at www.usccb.org/beliefs-and-teachings/what-webelieve/love-and-sexuality/life-giving-love-in-an-age-oftechnology.cfm.

Notes

[1] U.S. Catholic Bishops, Life-Giving Love in an Age of Technology, (USCCB, 2009). http://www.usccb.org/beliefs-and-teachings/what-we-believe/love-and-sexuality/life-giving-love-in-an-age-of-technology.cfm.
[2] Esme I Kamphuis, S Bhattacharya, F van der Veen, professor, B W J Mol, A Templeton, “Are We Overusing IVF?” British Medical Journal (2014). http://www.bmj.com/content/348/bmj.g252.
[3] Ibid.
[4] Centers for Disease Control and Prevention, American Society for Reproductive Medicine, Society for Assisted Reproductive Technology, 2010 Assisted Reproductive Technology Fertility Clinic Success Rates Report (Atlanta: U.S. Department of Health and Human Services, 2012). http://www.cdc.gov/art/ART2010/PDFs/ART_2010_Clinic_Report-Full.pdf.
[5] U.S. Catholic Bishops, Life-Giving Love in an Age of Technology.
[6] Pope St. John Paul II, On the Role of the Christian Family in the Modern World: Familiaris Consortio (Vatican City: Libreria Editrice Vaticana, 1981), no. 14.
[7] U.S. Catholic Bishops, Life-Giving Love in an Age of Technology.
* Excerpt from Familiaris Consortio (On the Role of the Christian Family in the Modern World). © 1981 Libreria Editrice Vaticana. Used with permission. All rights reserved.

Reprinted from Respect Life Program, Copyright © 2014, United States Conference of Catholic Bishops, Washington, D.C. All rights reserved. Additional resources and ordering information is available at www.usccb.org/respectlife.

The Family in Service of Life: An Adoption Story

Early married years

We were married on June 7, 1997. Three months later, we moved into our first home, an 1800 square foot historic house in Staunton, Virginia, a city of about 25,000 located in the heart of the Shenandoah Valley. It had four bedrooms – perfect for our plans of beginning a family. Rob was working as a youth minister and part-time high school teacher and Robin was the second grade teacher in the same Catholic school as Rob. In arranging our house, we thought that it was important to keep one room set aside as a perpetual guest room, open to receive whomever Our Lord might send to us. We felt that this was a room that should be preserved as such even when we began having our own children. Little did we know how abundant God’s plans would be.

After three years of marriage, it became clear to us that we were not able to have children. Several doctors could not find any obvious biological problems. We saw fertility specialists who finally said that the only hope for conception was in vitro fertilization – an option we were not willing to consider. We wanted the gift of children, but we did not want to manipulate and attempt to force a gift that Our Lord was not going to give us willingly.

Three children in a row

Then came the rush. Some friends of ours were on the board of the local foster unit of the Department of Social Services (DSS). They had a five-month old baby boy in their care who would eventually be free for adoption, once the parental rights had been terminated. But before they asked if we were willing to take in the baby, they warned us: the previous two families who were offered this child turned him down because of the extensive intestinal and brain damage he had suffered as a result of his birth mother’s illegal drug use. They thought he would likely not talk, not walk, and may eventually end up institutionalized. On April 21, 2000, Christopher was brought to our home. We never looked back.

In late June, we were approached again. This time, there were two little girls, five years old and nine months old. Would we be willing to accept them as likely adoptive children? Of course! So on July 8, less than three months after Christopher came to us, we were joined by Lisa and Lorianne. Our permanent guest rooms were now full, and we began to look for a larger home. In the meantime, Rob moved to a full-time teacher position at the school and Robin took a year off, providing after school care in our home as she began the all-important role of being mother to our three new children.

Another baby in need of a family

We did eventually move around the corner to an old Victorian house, giving us more space. For two years we continued raising our awesome children and doing our best to form them in the ways of the Church. In July of 2002, DSS called again. This time, they had an eleven-month old baby, the youngest of three who were removed from their family. They were expecting that after 3-4 months, the children would be placed back with their birth parents, once things had settled down. Samantha came to us unable to crawl, speak, make facial expressions, hold herself up, or even reach for things. Her initial doctor visit suggested that she might be paralyzed from the waist down, since she did not respond to any stimuli there. Her two other sisters, Shelby and Sabrina, were placed with another foster family. DSS did not want to place all three with us because they were concerned about the level of care that Samantha would require. All three girls had spent their days locked in a storage facility while their parents went to work. They were fed apple juice and Twinkies. Samantha just had apple juice and had lost weight since her eight-month checkup. We could see her bones, she was so thin.

Two more makes six

The next two years brought with them quite a trial. It was during that time that Christopher’s birth parents’ parental rights were terminated through a series of lengthy court hearings. Likewise, the legal process for Lisa and Lorianne came to a close. This allowed us to have the three kids baptized. Up until that time, we were not the permanent parents of them. Therefore, we could not reasonably promise (as is required at an infant baptism) to raise the children Catholic. Only after the adoption was finalized, were there no longer any obstacles to the responsibilities of Baptism. During these two years, it also became more and more evident that Samantha’s birth parents were not able to care for their children. The goal changed from returning the girls to their biological parents to moving them to a permanent placement. That permanent placement was with us. In the summer of 2004, then, our family welcomed Shelby and Sabrina, bringing us to a total of six children. Two years later, feeling a call to move to Robin’s hometown and wanting to start over as a forever family, we moved to Omaha, Nebraska. As we write this article, Lisa (18) is a freshman in college. Lorianne (14), Shelby (13), and Sabrina (12) attend a Catholic school here in Omaha. Christopher (13) and Samantha (11) attend a Catholic special needs school in town. Rob is actually the principal of this school, and Robin works for the Family Life Office of the Archdiocese of Omaha.

Lessons from adoption: difficulties and blessings

Along the way, we have had some trials and some great joys. One question we decided to settle very early on was about communicating the facts of their adoption to our children. From the time they entered our home, they knew that we were their “forever parents” (adoptive parents) and they came from their birth parents. We worked hard to make it clear that their birth parents loved them, but were not able to care for them. We taught them that God brings tremendous good out of bad situations, and that is how we became a family: a family that God put together from painful situations, a family called to bring healing and joy to one another and everyone we meet. As the kids would age, we disclosed more and more information about their previous situations to the extent that they could understand. About twice a year we do Google searches for their birth parents. Twice, these searches revealed deaths: Christopher’s birth mother had committed suicide in an overdose, and Samantha, Sabrina, and Shelby’s birth mother had died of an illness. We told our children and worked through the grief and conflicting emotions with them. We have remained very open about their respective situations. At first, we had a fear that if we told our children too much, perhaps they would want their birth parents instead of us. This fear faded over the years, as the love and trust in our family deepened.

The difficulties that come from adopting out of foster care are certainly present. When children are ripped from their birth parents (even if the birth parents are not doing their job well), they are hurt in the process. There is no doubt about it. That pain enters into the adoptive family, and God is calling on the new family to be the method of healing. For us, this meant helping our children deal with permanent brain damage, severe learning difficulties, epilepsy, attachment issues, major depression, and even suicide attempts. If you would have asked us back in 1997 if were ready for all that, we would have said, “No way!” But Our Lord provided the grace, the people to help, and the love to bring healing not only to our children, but to us as a couple as well.

The joys of adopting, however, far outweigh any difficulties. These joys are no different, perhaps, than any other family who gave birth to their children. We will say, though, that our children, maybe because of their origin and adoptions, have a tremendous heart for anyone who is downtrodden, suffering, or poor in any way. They are very quick to reach out and want to help those in need – those who stand in the same position they once stood. Seeing this is for us one of the greatest joys of adopting: our own children seeking to show the generosity that they were shown.

The family is called to serve life

In his apostolic exhortation Familiaris Consortio (The Role of the Christian Family in the Modern World), Bl. Pope John Paul II named “serving life” as the second of four tasks of the family. God did not give the Lairds the ability to serve life through procreation and birth. Instead, He gave us the gift of serving the lives of those children He placed before us, and we are ever grateful for this gift. It has created our family and has transformed us as persons.

For families considering adoption, we have this to say: If Our Lord places the desire in your hearts, then go for it! All the difficulties begin to fade away when your brain damaged son throws a touchdown pass in the Special Olympics, or your daughters give money for less fortunate classmates to buy snacks after school, or your oldest daughter seeks a profession to help those who struggle to overcome the difficulties she once faced. Our family is not perfect, far from it. But in the end, the family that God put together has helped each of us follow Him more closely. And isn’t that the mission of the family?

About the authors
Rob and Robin Laird, pictured above with their children, were married on June 7, 1997. Rob is the Principal of Madonna School, a Catholic school serving students with special needs, and Robin is the Coordinator of Marriage and Family Ministries for the Archdiocese of Omaha. They currently reside in Omaha, Nebraska with their six children, Lisa, Lorianne, Christopher, Shelby, Sabrina, and Samantha.

Infertility

In the book of Genesis, we find God’s first commandment to humankind: “Be fruitful and multiply. . .” (Genesis 1:28) It appears that God infused this commandment to procreate into the fiber of our beings. It seems to be written in our hearts, dreamed of in our minds, ached for in our bodies, and yearned for in our spirits. Thus, when a couple is unable to have children, it causes great pain emotionally, intellectually, physically, and spiritually. The feelings of emptiness and loss are overwhelming. The search for reasons and remedies becomes a relentless passion. Doctors, procedures, the time, the cost, the hope, and the hurt are constant companions on the lonely road walked by couples searching for the destination of parenthood.

Statistics tell us that couples do not walk this road alone. According to the United States Centers for Disease Control (2015), one out of every five couples in America suffers from infertility problems. This means in the United States, 7.3 million women and their partners, of childbearing years, are infertile. Infertility affects the male or female reproductive system with almost equal frequency. Infertility affects people from every racial, ethnic, religious and socioeconomic level.

Infertility is defined as the inability to conceive within one year of trying, or not being able to carry a child to live birth. Infertility may occur in a couple’s first attempts to bring a child into the world, or as secondary infertility when they have successfully given birth before, but are not able to do so again. Women who are able to get pregnant, but have miscarriages, are also said to be infertile.

Keep in mind that there are as many roads to resolving infertility as there are infertile couples to travel them. The array of options and medical interventions for a couple facing fertility challenges can be confusing and hazardous. Each route brings many ethical, moral, spiritual, emotional, and physical ramifications. It is important to plan carefully to avoid the potholes and ensure a safe trip.

Start By Becoming Informed

Learning basic infertility information can put you on the road to further discovery. Contact a Natural Family Planning specialist in your area who can help you identify the optimum time for conception. Familiarize yourself with infertility treatment options. Couples who learn about various diagnostic tests, procedures, and medications are better able to make informed decisions.

Get In Touch With Your Emotions

It is important to realize that infertility is more than just a physical condition. It also involves many emotional issues such as intense feelings of anger, anxiety, frustration, helplessness, loneliness, grief, envy, and even depression. All these emotions can be debilitating if you don’t face them and work to counteract them. You may want to seek support from a professional counselor. Through counseling you can clarify your priorities, improve self concept and your coping skills.

Stay Connected To Your Spouse

Coping with the uncertainties of infertility, the roller coaster of emotions, the multitude of medical decisions and moral concerns is challenging even for the strongest marriages. Infertility often causes lifestyle changes, reordering of priorities, financial problems, intimacy issues, physical discomfort, career disruption, problems with relatives, and isolation from friends. Since the stress of infertility can place a strain on your relationship, look for ways to nurture your marriage and make your spouse your top priority.

Maintain Your Social Life

Certain events in everyday life may become difficult. The birth of a friend’s baby or even seeing a pregnant stranger can bring on a flood of painful feelings. Holidays often seem to focus on children, and Mother’s Day or Father’s Day can be difficult. Social functions like baby showers or children’s birthday parties are hard to attend. Many people struggling with infertility problems find it hard to attend religious services, especially ones where there will be baptisms.

Many infertile couples try to navigate the twists and turns on the journey to parenthood without support. Seek out an infertility support group to avoid isolation. Since the number of people with infertility problems is high, you may be amazed at the support that is available.

Prepare a Response To Insensitive Comments

Those who struggle with infertility truly suffer greater physical, emotional, marital, and spiritual pain than most people can imagine. Many parents of adult married children do not realize the pain caused by their questions and prods to conceive grandchildren. Insensitive comments by family, friends and strangers can inflict deep wounds. Prepare a well-rehearsed response. You could take the direct approach and say, “We want children, but are having trouble. We are seeing a specialist and ask for your prayers. We prefer not to talk about it.”

Make Important Decisions and Create A Plan

Construct an overall plan so you know where you are and where you’re headed. Start with the fact that you want to be parents. Then ask what you are willing to do to make it happen. Make decisions that take into consideration your moral principles, family building objectives, money, age and need for control. Find a doctor who agrees with your plan and can help. Be assertive in stating what you want and do not want to do. You have the right to make your own decisions about treatment.

Begin by an honest acknowledgment of your feelings and the medical realities. You and your spouse are different people. You will have different styles, feelings, attitudes and desires. Sharing your perspectives will help you decide which paths to take. Sharing the turmoil of infertility will deepen your commitment to each other, whether you eventually give birth to a child, raise a foster child, adopt a child, or don’t raise a child and spend time serving the broader community.

Answer these questions to help you make your plan:

  • What are you both willing to sacrifice to become parents?
  • Do you know the teaching of your faith tradition on this issue?
  • Do you want to respect the dignity of marriage and human life?
  • How much physical and emotional trauma are you willing to endure?
  • What tests do you want to have?
  • How will you do the tests?
  • What treatments will you explore?
  • How many times will you repeat them?
  • How much money will you spend?
  • What doctor or clinic should you select?
  • Will you put your life on hold as you focus on infertility treatments?
  • When will you decide to quit trying?
  • Is your main goal to be a biological parent or is it to have a child join your family?
  • Are you going to focus on conception exclusively, or will you also pursue family- building through adoption?
  • Would you adopt a baby, an older child or a child with special needs?
  • Are you willing to be a family without children?

Respect For The Sacredness of Life and Marriage

Couples dealing with infertility are often led step by step down a path that may possibly create life. However, many assisted reproduction technologies also cause the destruction of human life. This fact is seldom explained to a couple before the various procedures begin.

Marital stress from the mood swings caused by some fertility drugs can tear apart a marriage that is already stressed from the anxieties of infertility. Tension between spouses and fear of blame, if infertility can be traced clearly to one partner, can be devastating for a couple. Medical practices that undermine the biological, psychological, and moral bonds of marriage, or have the potential to destroy life, need to be avoided.

Use Caution

Couples are sometimes lured to assisted reproduction technology without investigating other options. The experience of infertility has become politicized as scientists, medical professionals, and potential parents confront society’s mores and religious perspectives. The wisdom of past generations is untapped as couples are encouraged to make these major life decisions with little guidance.

Seek Spiritual Comfort and Wisdom

There are many questionable happenings on the road that scientists are paving for those suffering infertility. As reproductive technology blazes trails through uncharted land, we are at a moral crossroads. First, seek God’s intervention before you embark on this challenging path.

Pastoral support and care can offer comfort and helpful perspectives. Discuss options with your pastor, partake in blessing rituals, learn religious teachings, and evaluate your options in light of this information. Seek out faith-based support groups, mentoring and spiritual direction. The faith community cannot take away your tears, but can show you how to make them holy.

Resources:

Elizabeth Ministry International Retreat and Resource Center provides support and assistance in responding to the proliferation of mind- boggling options. (920) 766- 9380, emfounder@elizabethministry.com

Pope Paul VI Institute for the Study of Human Reproduction provides information on NaProTechnology, a new reproductive science, which does not compromise the sanctity of life or marriage.

More Resources:

About the author
Jeannie Hannemann, M.A. is the director of Elizabeth Ministry International.