Embarking on a Fertility Journey

It can seem incredibly daunting to start your fertility journey as an LGBTQ+ family. People will have their opinions about your life choices and you’ll soon be confronted with conflicting critiques from all sides. That being said, we’re here to offer our unbiased experience to help lighten the load.

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‘What options are available to us?’

When we first started our journey, we were completely lost with all of the different processes that we could go through to get our baby. IVF, ICSI, IUI – acronyms that were seemingly out of reach for us to understand, encased behind a wall made for heterosexual couples. Google was not our friend.

Everywhere you look online, information and advice is geared towards people in cis-gender, hetero-normative relationships who are experiencing difficulties in conceiving. While this is a sensitive subject, and my heart goes out to those who are struggling, the advice wasn’t (thankfully) relevant for us.

Just for ease, here’s a brief rundown of the main two types of fertility treatment that are available for lesbian couples in complete layman’s terms:

  1. Conventional IVF – Eggs are removed from ovaries, fertilised with sperm and placed back inside uterus at optimal time. Generally, heavy medication and sedation required for the egg collection.
  2. IUI – A less invasive process wherein sperm is injected directly into the uterus to make sure it gets where it should. The old ‘Turkey Baster’ is a less medical IUI of sorts.

Within these two umbrellas, there are a variety of options to shake things up.

Our exploration of the different options led us to a specific type of IVF that we felt was perfect for us – Reciprocal IVF, or Shared Motherhood.

Reciprocal IVF is the process wherein a lesbian couple can both have an active part in producing a baby. One partner has stimulation of their ovaries to produce multiple eggs which are then extracted under sedation and then fertilised with donor sperm. Once the eggs are fertilised, they are left to develop for a few days – usually 5. By day 5, an embryo should be formed and can then either be transferred fresh into the other partner’s uterus, or frozen for use at a later date.

‘Where should we go?’

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Finding a clinic is one of the first roadblocks you’ll hit as a couple. There are a huge amount of private clinics around the world that can help you with your family goals, for a price. Treatment is, in the UK, available on the NHS but this usually involves hefty waiting times.

For that reason, we chose to go private. We realise that this is not an option for all families, and that we were incredibly lucky to be able to fund it ourselves.

In searching for the right clinic, we wanted a couple of things. Namely, somewhere not too far from us as we’d heard that there’s a lot of travelling to and from; secondly, we didn’t want a clinic that plied you with excessive drugs. We’d heard horror stories of women hospitalised for OHSS (Ovarian Hyper-Stimulation Syndrome).

We then came across Create Fertility – a company who specialise in a relatively new form of IVF called ‘Mild IVF’. The emphasis here is less on quantity, and more on quality. They use less drugs to produce less eggs with the belief that the eggs produced tend to be of a better quality. Mild IVF also reduces the risk of OHSS, and therefore shortens the length of the process.

It seemed like a ‘no-brainer’. The company specialised in Mild IVF, offered Reciprocal IVF and at a lower cost than any other clinic we had looked at.

‘Well, what’s the downside?’

We said, when we started this blog that we were going to be honest throughout. There are risks associated with Mild IVF – not health risks, but a lower success rate compared to conventional IVF. This is down to the simple fact that you don’t have as many eggs to work with. For us, we managed to get 8 eggs extracted, and 4 fertilised. 2 made it to Day 5. These numbers may seem daunting – they were for us, too. All the clinic kept telling us was that it only takes one.

Ultimately, independent exploration is the way to go when starting out. Look at people’s experiences, check out (impartial) medical journals and visit some clinic websites. While it was stressful, we did enjoy getting to hear about all of the wonderful IVF stories that lesbian couples have shared.

It’s time to start writing your own story, what are you waiting for?

How am I supposed to feel? Part 1 – Hollie’s Journey

Having children is something that we didn’t always share the same values in. Hollie has wanted children forever, a real non-negotiable whereas Jade didn’t really mind either way – until we got together.

I suppose how you’re supposed to feel is subjective. Excited? Nervous? Maybe a mixture of the two. I don’t think anyone can tell you the right way to act, but we’d like to share our own, unique experiences over this two part blog.

Starting out

So for me, having a history of anxiety, I was already aware that the emotions that I feel don’t necessarily reflect the reality of the world around me. Despite that, I was actually really full of excitement and anticipation of what was to come.

We had decided on our clinic, had our initial assessments and we’d received the results of our blood tests. Things looked great on the whole. I was 29 years old, but one of the results indicated a small problem. My AMH was down at 4.2 p/mol. This scientific acronym stands for Anti-Mullerian Hormone – essentially indicating your ovarian reserve which usually goes down with age. 4.2 is a low reading, not as low as some but low for my age.

I was left reeling. All of a sudden, my old demons found their way back into the crevices of my consciousness and I couldn’t help but catastrophise. We were going to waste a huge amount of money on attempting to stimulate my ovaries only to be rewarded with a barren plain.

Meds, meds, meds

With some encouragement from my wife, we went ahead and started medication. I managed to overcome a years old fear of anything medical and Jade injected me for a couple of weeks. We attended ultrasound scans at our clinic every few days to see how my ovaries were responding to the medication. Cue new feelings.

At the first scan, the sonographer informed me that I had 8 follicles that had decided to respond. One was significantly in front of all the others. When she told me, I wasn’t actually listening. Instead, I had already counted 8 on the scan when she was conducting it and I was already in the clutches of despair when her words washed over me. 8. I had read online about women who had 40+ follicles engaged. Women older than me, with medical conditions that meant that IVF was their only choice. Selfish thoughts, I know.

The progress of our follicles at the ultrasound

We left the room and sat back in the waiting room. Jade could see that I was emotional. Desperately seeking to hold onto the tear that threatened my lower eyelid. A nurse came out, and came to sit with us. She asked the dreaded 3-word question, ‘are you okay?’ and the tear won. Through a burning sensation in my throat I explained my disappointment. Nurse Kate, who actually became a lifeline for us, reassured me that you only need one. I put on a brave faced, nodded, and broke down shortly after leaving the clinic.

Not all rainbows and smiles

Over the next few days, I processed the information. 8 – it was better than 5, better than 7. I tried to remain positive despite statistics online suggesting I’d probably only get 4 viable eggs anyway.

On the morning of my last ultrasound, I had to go alone for the first time as Jade had unavoidable work commitments. I felt sick walking through the doors that had been the metaphorical and physical barrier between us having a baby. I lay in the bed and felt numb as the probe was inserted. It hurt this time, I didn’t say anything. The consultant was very chatty. He explained everything that he was seeing on the screen, and I actually started to feel a little more reassured. He explained that it would be him doing the egg retrieval, and that he felt we were good to go. I left the clinic and immediately called my wife who was over the moon that we’d been given the green light. Onto the trigger…

You only get one shot…

The trigger shot is intense. A final shot of hormones that triggers the release of the eggs held inside the ovaries. Meticulously timed, the egg collection needs to happen 36 hours after your trigger shot. Too early or too late and the eggs won’t be where they need to be. we were given a trigger time of 10:30pm. One final kiss, one final injection.

The end is nigh!

The morning of the egg collection came and I was not okay. I hadn’t slept, feeling like this would be my last night alive. I realise this sounds ridiculous, but I was adamant that I would react badly to the sedation and that I wouldn’t wake up. My wife reassured me that I’d be fine, but I couldn’t shake the fear. The drive to the clinic was long and I don’t think I spoke. I hadn’t eaten, as per instruction, and don’t think I could have anyway. When we arrived at the clinic, I held Jade hard and long, not wanting to leave her. Nurse Kate came to tell me that it was time to come through.

Along with two other women, I was ushered to a new part of the clinic. A ward of sorts, with 3 cubicles, one for each of us. I was last in the lineup. I listened through the curtain as things were explained to the other lady. I dressed myself in the hospital gown and hairnet – fetching, right?

I was pulling this face on purpose, I swear!

I just remember sitting on the chair, refusing to sit on the bed for now because doing that would make it more real. I got my phone out and started reading a match report for the ice hockey team I support as Nurse Kate entered my cubicle. She knew that I was nervous as Jade had asked her to take care of me. Expecting a reassuring conversation, instead she asks what I’m looking at. I explain that I’m an ice hockey fan and she responds, “that’s one of the gayest things I’ve ever heard.” In shock, I look at her, mouth agape. I laugh, nervously, and she exclaims that she can say that because we play for the same team! I laughed, genuinely laughed, feeling a wave of relief washing over me. I can’t really explain why, I guess I felt like I had an ally. Obviously, I immediately had to tell Jade.

I felt better then, conversing with someone who (as it transpired) had already undergone IVF with her own wife and been rewarded with a wonderful little girl.

It was my time, and I told Jade I loved her over WhatsApp. I walked into the cold medical suite and saw the 5 professionals in there. Fear surged through my body. This was it.

I sat in the chair. The cannula was fitted to my hand and I felt nauseous. The anaesthetist explained that I might feel something cold running up my arm, and then tingly. I felt both. The last thing I remember is saying that I felt tingly and then nothing.

‘If I wasn’t gay…’

I woke up, sat upright and engaged in conversation with Nurse Kate and another male nurse. In fact, I came to in the middle of saying, “you two are my favourites.” Apparently, I hadn’t been unconscious at all, and instead had spent the entire procedure explaining how if I wasn’t a lesbian, Ryan Reynolds would be the man who would win me over. Embarrassing, to say the least.

Straight after I had come around, the consultant came to tell me how many eggs we had managed to get – 7. I was over the moon. 7. 7 chances. 7 maybe babies.

Then came the wait. I was sore for a couple of days after the procedure and very nervous for the outcome. For us, they told us the following day how many of our eggs had been fertilised which was all of them. We were ecstatic and so hopeful. On Day 3, they’re checked again to see how they’re developing. This time, 4 were on track. The four looked great. We reassured each other – 4 chances is amazing – but I couldn’t shake the feeling that I had let us down. On Day 5, we got the final number of eggs that had made it and were ready to be frozen.

We were left with 2 embryos. One embryo was graded as a 5BB, and the other as a 4BC. It wasn’t the best result we could have had, but overall I was just so happy that we had at least one try!

That was the end of my personal part of the process, and the beginning of Jade’s. I went through such a range of emotions, and I still am now.

How should I feel?

Ultimately, going through the IVF process brings about a multitude of emotions that no one can say are right or wrong. The fears and anxieties that arise from knowing what’s going on at every step of the journey is not something that the majority of couples will experience. Constantly relying on Google to reassure nervous minds, persistently believing every twinge to be the end can end up taking its toll.

Check back for Part 2, where Jade explains how the process was for her, too!

Be kind to yourself. Be kind to each other.

We’ll start with, ‘Hello’, shall we?

Introducing yourself in written form always seems so inorganic, doesn’t it? Almost like we’re writing a CV, selling ourselves to strangers.

I suppose needs must!

Who are we?

While this blog is about both Hollie and Jade, I (Hollie) will be doing most of the writing. Jade will be my muse…

I’m a drama teacher, pastoral leader and author. Jade works in adult social care, helping people who can’t help themselves.

Rare sunny day in the UK!

What’s our story?

We got together in 2019 in what was possibly the most unexpected but welcome turn of events. We fell hard, and fast, and Covid locking us down about a year later meant that we had spent more time together than was normal for the length of our relationship! I was always clear that I wanted children, Jade didn’t mind too much.

In November 2021 we bought our first house. A beautiful 3-bedroom semi in a small town not too far from my hometown. January came and I proposed – then Jade proposed (a long, but adorable, story that we’ll share another time!)

The best day

Wedding planning ensued and we tied the knot in April 2023 in the most perfect day of our lives.

Behind the scenes, we had been planning our little miracle baby. Having a family seemed like the next logical step in our relationship. Unlike the majority of (hetero) couples, ours required intense planning and a wad of money that could have been spent on a boat!

Alright, wrap it up…

This blog is our way of sharing our feelings – so many feelings – on our journey so far. We also hope that by letting you in on how our experience has been, we might help you along on yours.

People always tell you that there’s no magic book on pregnancy or parenting… well, they’re right.

They say there’s strength in numbers, let’s count them up.

‘Do you think we’ve done enough tests?’
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