Saturday, April 24, 2010

Paying It Forward After Infertility

“Here is a unique story with a great outcome. I was able to use our experience to help Kendra's mother get comfortable with the biological and ethical issues of the process....”
This is part of an email that landed in my inbox today. It’s from a man who went through the infertility Bible study I taught for several years. He and his wife shared their inspirational story in Pregnant with Hope: Good News for Infertile Couples, and they continue to “pay forward” the blessings of God by reaching out to other infertile couples.

He jokes that his wife can’t run an errand without meeting someone who happens to be going through infertility – “she’s like a magnet!” She takes these encounters very seriously – believing God has pre-ordained them because of her own experience – and so she prays over each of these new friends. As much as he teases her about it, he seems to be doing his part to pay it forward, too.

Here’s the story he played a small part in, excerpted from a recent newspaper article:
When Kendra Allen lay in a maternity ward at Baptist Hospital in Nashville two years ago, giving birth to a son whose heart had stopped beating, her friend Nita was there. Kendra's doctors told her she would never be able to have another child. She had developed a serious condition requiring weeks of bed rest and intravenous fluids with her first pregnancy. This pregnancy was even worse, and doctors warned she might not survive a third one.

So, Kendra and her husband began thinking about finding a surrogate mother. Kendra asked Nita and other friends to pray for her. Nita supported the idea but never thought of herself as a viable candidate. For one thing Nita was almost 49. She also had difficult pregnancies in the past, ruling out a normal delivery. When another surrogate candidate dropped out, though, Nita volunteered.

In January, the two friends were back in the maternity ward. This time, Nita was giving birth, as surrogate mother for the newborn son of Kendra and John. No money ever changed hands; this surrogacy was about faith and friendship. Both couples believe they have experienced a miracle and are "reveling in the graciousness and generosity of God," said Kendra. "God is dancing with us and celebrating the life of this child."

It’s hard to see the blessings in our own seasons of suffering, and hard to imagine that our suffering can be redeemed. Truth be told, if we were offered a choice between accruing blessings amidst suffering or sidestepping suffering altogether, we’d probably take the latter.

Give me what I want now, and I’ll forgo the blessings later. That’s the selfish, me-centric perspective that is part of our human nature.

But sometimes, God has a plan that incorporates our current suffering into a miraculous larger story. The challenge, of course, is that we aren’t told how – or when – the story will unfold. So, we must trust the author of the story and the promise that “all things work together for good for those who love God and are called according to His purpose” [Rom 8:28].

Brian, the email’s author, would never have chosen to struggle through infertility. But, his experience of God’s very real presence in and through it equipped him to talk with Kendra Allen’s mother. To testify to God’s faithfulness, and to explain what Kendra was contemplating through the perspective of his own journey. That helped her to be supportive – which was one piece of the larger puzzle that came together to create the picture of a new family.

Why does this matter to you? It means that nothing you are experiencing is pointless. It is part of the story that is unfolding in, through, and around you. A story that is not just about you – but also about God’s faithfulness, purposefulness, and desire to work all things together for good. He wants to work a miracle in your story, and then, to give you a role to play in other couple’s journeys.

One day, you, too, will have a chance to pay it forward.

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Find more resources at PregnantWithHope.com

They're Clueless About Infertility

For infertile couples, part of the frustration – and a major source of heartache – is other people's cluelessness. It may be rooted in ignorance, inexperience, a lack of social skills, or pure self-absorption. Whatever the reason, the words of others can cause deep, lasting pain to hearts that are already fragile.

Just after I miscarried twins, we called my husband’s brother to share our heartbreaking news. We had no idea that he and his wife were also planning to start a family. His reaction? “That’s too bad... but now we’ll have the first grandchild!!”

I was speechless. It took everything I had to get to the end of the phone call.

Thankfully, it’s not always that bad. But people can be incredibly insensitive. Has that been your experience? People you think of as loving family or supportive friends suddenly seem incapable of saying anything helpful? Instead, their words slice right through your spirit and take your breath away?

It’s a common problem for couples going through infertility.

People you trust and care about will be thoughtless enough to ask, “why haven’t you two started a family?” Or, they’ll hand out gratuitous, unsolicited advice like, “just adopt – you’ll get pregnant right away” or, “go on vacation – that’s how we got pregnant” or, “stop worrying about it – it’ll happen sooner or later” – as if tossing these tidbits is all it takes to help you.

Surely, they don’t mean to be heartless. Or patronizing. Or dismissive of the challenge you face. But, all too often, they pour salt in your wound. When the tears threaten to pour down your cheeks, you may wonder, am I being oversensitive? Too defensive?

I don’t think so.

It is hard to explain this journey to someone who hasn’t made it – the stress… the fear… the tension… the uncertainty… the worry… the anger… the grief… the sense of being far removed from everyone and everything “normal”… the inability to get on with your life because you’ve put everything on hold.

How do you say all of that in the middle of a phone call? Or a church hallway? Or a restaurant?

You can’t.

But, here’s what you can do:

Set some boundaries – Recognize that you know better than anyone else what helps you now – and what doesn’t. Set firm, healthy boundaries that will protect your vulnerable heart. Make choices that fill your spirit with hope and surround you with people who truly understand how to help. Say “no” to people and events that leave you empty, discouraged, or afraid. Remember, “God has not given us a spirit of fear, but of power….” [II Tim 1:7]. Use that power to enforce good boundaries.

Give some grace – It’s hard to imagine trying to muster compassion for someone whose remark has just reduced you to tears. The temptation is to focus on the pain they’ve caused. Don’t do it. Release it, reclaim your hope, and let God heal your wound. As Jesus prayed, “…forgive them, they know not what they do” [Luke 23:34].

Find some community – You may be looking to the wrong community for encouragement and hope. If family and friends have failed to offer meaningful support, seek out other couples who understand this journey. Meet with a counselor or clergy member who is not afraid to confront your feelings. And claim this promise, “…hope does not disappoint us, because God has poured out his love into our hearts by the Holy Spirit, whom he has given us” [Romans 5:5]. When no one else stands with you, God delivers His hope to you through the Holy Spirit.

Make some progress – There is no greater satisfaction in this journey than sensing forward progress. Instead of measuring it just by test results or egg harvests, learn to measure progress this way: “… let us throw off everything that hinders us… and let us run with perseverance the race marked out for us” [Heb 12:1-2]. Hurtful remarks hinder us. So does dwelling on them. If we are to run with perseverance, then this isn’t likely to be a sprint. We must pace ourselves – and applaud every bit of progress we make.

The Finish Line is waiting. Don't be distracted by the voices of the crowd.

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Find more resources at PregnantWithHope.com

Infertility & the Purpose of Pressure

"We were a mess. Why was God doing this to us?! I got angrier and angrier. I was definitely in the mode of trying to figure out ways to fix things. It was so hard for me that I couldn't fix this -- I wanted to!"

These are the words of a twenty-something husband who shared his infertility experience with me as part of the book, Pregnant with Hope: Good News for Infertile Couples. Trey’s honest assessment of his frustration and uncertainty was mirrored in the comments of the other nine men I interviewed – and many others I’ve met in years of working with infertile couples.

Like their wives, these men frequently feel helpless and hopeless. The anger that results has a profound effect on their relationships – with their spouses, and with the God they thought they knew. It also undermines their sense of themselves as Doers, Fixers, and Providers.

Our society expects men to be confident, capable, and even stoic in the face of difficulty. To see a need, and do something. To identify a problem, and fix it. Whether genetically or culturally, they’ve internalized the imperative: Find a solution! That expectation creates tremendous pressure when a couple is going through infertility. As James described it:

“The pressure built as we started to find out about possible complications and options. The more it built, the more I felt like, “What’s happening?!” I sure came close to being angry at God. I didn’t understand at all. And you come to that point where you think it can’t get any worse. I mean, what is going on here?! When I felt too pressured, I pulled away. That’s when a lot of stress built up in our marriage.”

Would you believe it if I told you this point in the infertility journey is very common? And that it’s a well-disguised blessing?

Well-disguised, maybe… but a blessing? How?

Infertility forces couples to confront the head-on collision between their dream of parenting and their current reality. In the process, it forces them to make a choice. They can allow their feelings to drive a wedge into their relationships (with each other, and with God), or they can find a constructive way to deal with those feelings and strengthen those relationships.

The couples who ignore their feelings, and put realizing the dream ahead of strengthening their relationships, pay a high price. The unrelenting pressure of infertility causes fault lines to crack wide open, increasing the sense of frustration and separation. Not only are the relationships weakened, but couples get caught in a vicious cycle in which everything seems to be coming apart.

By contrast, those who deal with their emotions and put relationships first uncover many blessings. They revisit their expectations and realize some were faulty, unhealthy or simply incorrect. As they make adjustments, they discover passageways to renewed peace, greater trust, and grace-filled compassion.

They come to see that the pressures of infertility can actually serve to “...refine them like silver and test them like gold” [Zech 13:9]. In the process, these pressures can seal a deeper commitment to the future that is coming, and the relationships that will sustain its promise. Couples begin to see that God can use infertility to forge firmer bonds – between future parents, and between God and His people. As a result, they can actually find cause for gratitude.

My advice: Don’t become so obsessed with the outcome of this journey that you lose sight of this well-disguised blessing. Work through your feelings, nurture your relationships, and trust God's purposefulness. It beats the alternative. Just ask the dads, Trey and James.

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Find more cause for hope at PregnantWithHope.com

Finding Hope During Infertility

My favorite blogger, Jon Acuff, wrote about hope yesterday. I don’t know if he ever went through infertility—most guys don’t seem to volunteer that information—but he definitely understands how it can feel to long for hope. To think you’ve grasped it, and then feel it slipping away. He writes:

“Hope is one of the first things that disappears when you get lost. Your ability to see beyond your current circumstances is chased south by the shadows. Your ability to dream and plan and hold visions close to your chest fades until hope feels foreign and far away.”

He’s right, and it can happen in an instant. One minute, you think this could be the month when everything changes, when all the meds and shots and office visits and heartache become worth it. Your hopes are high… the counts look good… and then… no heartbeat on the ultrasound.

No baby.

As the shadows deepen and the realization chases hope away, a part of you knows you’ve got to reboot and psych up to do it all again. Muster some more hope, even if you’re not feeling it. Because otherwise, how are you going to keep doing this? And what other choice do you have?

As the tears start to fall, you wonder, will it ever happen for us? Jon writes:

“There’s a temptation to believe you’re doing something wrong if you don’t feel hopeful 24/7.”

That’s a trap a lot of us fall into, thinking "it's all about me and what I did (or didn't do)." We start doubting the hope that seemed so prescient just before we got the news. We begin thinking that this moment’s lack of hope not only mirrors a past full of failures, but also foreshadows a future of many more. And then, we sink into the darkness of despair.

We want to escape this awful place — this terrible feeling — and something urges us: grieve the past, push through the present, and seize control of the future. It’s the only way to get what you want. Believe in yourself, and don’t give up. That’s the only way. It’s what’s working for everyone else.

Don’t fall for the lie.

God says, receive my grace for all that is past. Trust the plans I have for your future. And meet me here in the present. I will give you peace in the midst of uncertainty. Trust me with all your heart; don’t trust yourself to make sense of this. Believe that I have a plan and a purpose, and I will show you the way out of darkness into hope and a future [Prov 3:5-5, John 14:27, Jer 29:11].

Despite our hunger for hope and our desperate need for help, we’re tempted to turn our backs. To say, No thanks, God. I want a baby, and you didn’t say anything about a baby. I want control, and I think I can have a baby if I find the right doctor, and take the right medicines, and eat the right foods, and get the right exercise, and do the right things, in the right order, at the right time, on the right month…. And, I hope that’s true.

I... I... I....

What if it's not true? What if you're not in control of this story? Then, what happens to your hope? The shadows lengthen at the thought.

But, what if you're not meant to be in control? And what if that's a gift? What if you haven't failed? What if it's just not time yet? What if God intends to transform your experience before your baby comes? What if there is so much that you don't understand?

"I pray that the eyes of your heart may be enlightened in order that you may know the hope to which he has called you.... [Eph 1:18]. There is a hope that transcends the moment of bad news, the blood counts and test results of this day, and the despair that's guaranteed to be part of this journey. It's hope with staying power.

It took me awhile to find it, and longer to trust it. But it changed everything.

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Find more cause for hope at PregnantWithHope.com

Infertility Survey Says...

In a recent study of 200 women, a high correlation was found between those who said they were religious and those with low rates of anxiety/depression during fertility treatment. Lower rates of depression and anxiety correlate to higher pregnancy rates. So, it stands to reason that spiritual women should have more pregnancies.

-Newsweek
, 3/24/08

In the beginning, when couples walk through the door to the infertility Bible study, the men look apprehensive, and the women, fragile to the point of tears. But that changes. Over the course of the study, they come to realize the wisdom of letting go of (the illusion of) control. They learn the value of being still and listening for God. And with that understanding comes peace in the midst of uncertainty.

I can literally see the change occur. Body language goes from self-protective – arms crossed, gazes averted, huddled close to their spouse – to open, relaxed, and receptive. The real change is occurring in the spirit, but it is reflected in the unspoken language of the body. That change indicates God’s growing presence, which creates new possibilities.

So, is the study right in its prediction that these increasingly spiritual women have more pregnancies? I’d have to say, yes. And no. Yes, because experience has shown me—again and again and again—that those who see infertility as an invitation to draw nearer to God, and who respond to that invitation, are likely to become parents. But no, because sometimes the result is not a pregnancy; sometimes, it is an adoption.

Here’s the important thing: that is no less a miracle.

I don’t say that as a Pollyanna. I’m not advocating, “be happy about failure,” or “suck it up and compromise.” I’m saying, make a paradigm shift. Recognize that, sometimes, God calls couples to steward a soul who comes into their life in a different way than they might have expected. That’s not defeat; that’s a different plan for victory. And it is no less a gift.

Are those couples disappointed? Truthfully?

“Alumni” couples often return to the Bible study to talk to current participants about their experiences. One entire class is devoted to hearing from adoptive parents. They speak with conviction about their certainty that their particular child belongs with them: “God chose him for us,” “We knew as soon as we held her that she was meant to be our daughter.” In some cases, they also share stories of the effect the adoption had on the birth parent(s).

With loving grace, I suggest to you: let go of your vision of how this story will unfold, and when. Give God as much room as possible to work in your story. He wants to give you His very best. He wants to create a pinwheel of blessing, and it may touch souls you don’t even know.

Will you make way for that possibility?

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Find more cause for hope at PregnantWithHope.com

Can We Talk About Infertility?

If misery loves company, why do we insist on isolating ourselves when we need support the most? One woman with the courage to go public with a private loss wrote this in a Newsweek editorial:

“The doctor said the test had indicated an unviable pregnancy. I started talking to other pregnant women (who seemed to be all around me) and learned what no one tells you until devastation has set in: up to 25% of pregnancies end in miscarriage.

People keep too mum about private tragedies such as this. True, miscarriages are not catastrophic, especially in terms of sheer commonality, but it can tear away a piece of you that you didn’t know was there. We need to talk to each other, rather than suffer surrounded by silent sisters.
”

She’s right. We need to talk to each other. Suffering in silence only compounds the sense of isolation we already feel in the midst of infertility.

So, why don’t we talk? Why don’t we tell each other, “I lost a pregnancy” or “I lost a child”? The tidal wave of grief is already washing over us. The only way to get a lifeline is to call for help.

What’s stopping us?

Pride is what silenced me. I hated to admit I was failing at something so many other women seemed to accomplish effortlessly. Seemed being the key word. If the Newsweek writer is to be believed, there were miscarriages going on all around me. But no one talked about it. Those silent sisters kept their secrets and I foolishly believed that I was alone in my misery. That I was the only one struggling to catch up with everyone else’s instant gratification.

Now, consider this: “God opposes the proud, but gives grace to the humble” [James 4:6].

Ouch.

My pride was rooted in a desire for self-reliance and control. I was raised to consider self-reliance a virtue…an admirable quality often seen in leaders… the mark of a “can do” go-getter. And control as the holy grail. But God doesn’t see it that way. He sees arrogant self-centeredness that refuses to make room for Him. Or worse, an entitlement attitude that puts me on the throne and Him at my beck and call (in the form of “I want/I need” prayer).

“God opposes the proud, but gives grace to the humble.”

Thank goodness I finally set my pride aside and began to share my struggle. Grace came from all around me, in the form of stories shared by women who’d also kept their struggles secret. All of us had bought into the lie that we alone were failing to conceive. We alone kept miscarrying. Meanwhile, “we” were everywhere.

Don’t make my mistake. Share your story. There’s a silent sister out there suffering, and she needs to hear it.

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Find more cause for hope at PregnantWithHope.com

Infertility: Prison or Classroom?

“If we see painful situations as threats, they become prisons for our souls. Like inmates in medieval dungeons, we languish…wishing the problems would just go away. Or, we try frantically to get out any way we can.”

- Zig Ziglar, author/speaker

I doubt Zig was thinking about infertility when he talked about a prison for our souls. But, it seems like a pretty good metaphor: trapped in seemingly inescapable confines…. separated from the rest of the world and everything normal... feeling punished, isolated, forgotten, and afraid… forced to join a subset of humanity no one wants to join… wondering if it will ever be possible to escape and rejoin the ranks of those enjoying life on the outside.

It’s easy to see the parallels. And, it’s tempting to give in to the despair that beckons as a result.

But we can have a different perspective, “one that sees problems not as prisons but as classrooms where God gets our attention, transforms our character, and gives us strong hope….”

Who couldn’t use strong hope while waiting for IVF transfer results? Or a heartbeat on an ultrasound? Or a phone call with the news: yes, or no? We all could. So, how do we escape the prison of fear and negative thinking, and enter that classroom where God changes us?

We choose to walk out the open door.

Amazingly, we can leave this prison whenever we’re ready. As in scripture, where God repeatedly frees those He loves by opening prison doors, He has swung this door wide open. We are not condemned. We have not been judged and punished. We are not forgotten, and we need not be afraid. We have unconsciously chosen a prisoner’s perspective, but the good news is: “God sets prisoners free” [Psalm 146:7].

Consciously choosing to walk out the open door and leave prison behind, we can seek a different place for our souls to dwell as we seek a new perspective on infertility—one that enables us to be transformed, and gives us strong hope. Impossible? “What is impossible with (wo)man is possible with God” [Luke 18:27].

The door is open. And the only One who knows how your story will end is waiting to teach you, encourage you, and help you.

Care to join me in the classroom?

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Find more resources at PregnantWithHope.com