Nesting

As I wrote in a blog post not long ago, Maria and I recently had a conversation about how our homes have taken on a different purpose and meaning due to our infertility and living in them as families of two. It got us thinking about nesting, which inspired me to create some artwork around that theme. I made one piece, my “Inhospitable Nest” around the memory a dream I had years ago.

Choosing the materials for that piece and setting aside time to create it was very calming. Weaving the wire in and out was a meditative process and, while I don’t always end up with a product that looks like it did in my head, this one did. Better even. It made me want to create more nests. I’ve since created two more that I’m sharing with you today.

The first was created around a painful experience I had while my sister was visiting with her two youngest children. My four youngest nieces and nephews were having a sleepover at my parents’ house. My mother bought them all matching pajamas and they were wearing them, sitting in a row on my parents’ couch. I was overwhelmed with sadness. I knew that if my twins, conceived after our first embryo transfer, had survived, they would be sitting in the middle of the line up.

Cousins by Elizabeth Walker. Mixed media - copper and aluminum wire, coral, moss.

Cousins by Elizabeth Walker. Mixed media – copper wire, coral, moss.

 

The second was inspired by a conversation I had with my husband, Scott. We have pet Zebra Finches at home. The birds laid five eggs. One was kicked from the nest, one never hatched. However, three baby birds were growing well. Sadly, they died one by one, the last just days from being ready to leave the nest. Scott mentioned that we shouldn’t let them have babies anymore because it was a lot of work for them without the babies even surviving, to which I responded, “They did better than we ever did.”

Five years, five Clomid with timed intercourse cycles, four IUI hybrid cycles, one IVF cyle resulting in the transfer of three embryos and the furthest we ever got was an early miscarriage. Still, I’m grateful for that brief time I was pregnant.

Better Than We Ever Did by Elizabeth Walker. Mixed media - copper and aluminum wire, pearls.

Better Than We Ever Did by Elizabeth Walker. Mixed media – copper and aluminum wire, pearls.

 

 

The Aftermath of a Male Factor Infertility Diagnosis

While we have more men sharing their stories with us through artwork and interviews these days, they’re still underrepresented in our project and in the media as a whole. By participating in Men’s Health Month, we’re hoping to shed light on how infertility affects men and encourage more men to use art as a tool in coping with their disease.

In this post from the blog archives, originally posted in July of last year, we hear from ART of IF interview participant and artist, Chas. We’re sharing his artwork at our pop-up exhibit at The Turek Clinic in San Francisco next week, and I just confirmed that he and his wife, Audrey, will be attending as well! Please plan to join us to check out the show, create something of your own at our art making stations, and enjoy food, wine, and the company of others in the infertility community, like Chas. You can get your free tickets here.
– Elizabeth

 “We would have cute kids!”

That was the line I said to my wife while we were in college. Forward? Sure. Did I mean it? Yes. Did I know it would take 3 years and 7 IUI’s to finally have a child? Definitely not.

My wife and I wanted to do the things that we felt we had to do before we had kids. You know: get married, careers, buy a house, travel, etc. It wasn’t until my college roommates had their first child in May of 2012 that we sat down and said, “We want a child. We want to experience that kind of love.”

Flash forward 3-4 months of trying, we both felt something was wrong but due to our medical coverage we had to wait a full calendar year of trying to conceive before diagnostic tests could be run. In June of 2013 we were finally referred to our reproductive endocrinologist and the tests began. All of my wife’s tests came back with nothing wrong with her, but I was a different story.

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Low motility and low sperm count. That is what my semen analysis (SA) read. I was angry. How could this happen? I have never done illegal drugs, I can count on one hand the times I had smoked a cigar, I workout, eat well, take care of my body, What the hell? Did I do my fair share of the college bar scene? Sure, but it’s not like I drank a fifth of Jack Daniels a night. This had to be wrong. Then the next SA three weeks later had the same results. I couldn’t wrap my head around it. Why me?

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I was diagnosed with unexplained male factor infertility.  When I was diagnosed with male factor infertility I truly did go though the 5 stages of grief. At first I wanted more SA’s because I was a red-blooded American male and nothing could be wrong with me. Denial. Then when all 5 those SA’s came back the same I was angry at myself, and my body for failing me, with my anger directed towards anyone who crossed my path. I would snap at the littlest things and pick fights just to fight. The anger really stayed for a long time. After that came the bargaining: if I take these infertility vitamins and change my diet that should do the trick. It worked for other people it had to work for me. When the vitamins and diet change didn’t work the depression set in. This is when things got pretty bad. I was truly numb to the world. I disconnected from my wife. She would ask me a question about my day and I would give one-word answers. I couldn’t find the joy in the things I use to love doing. I didn’t want to be around anyone, I just wanted to stay home in the dark. After our 6th IUI failed during National Infertility Awareness Week 2014the acceptance finally started. My wife had posted something on a social media site that she didn’t know other people could see, outed if you will, our struggle to have a child to our friends and family. The cat was out of the bag so to speak.  After that only love and support followed from our friends and family. With that love and support we did a picture for NIAW and we also made a team for the Northern California Walk of Hope.

Chas_NIAW Having to watch my wife take pills and get injections probably was one of the worst parts of the whole IUI process.  The pills gave her hot flashes and I handled that pretty well I think. I always had something to cool her down. The injections were hard to watch. I know IVF injections are more extensive but watching her give herself Menopur injections sucked. Watching her do the pain dance, as we called it, always got to me, but the bruises afterwards would bring tears to my eyes. I had to helplessly stand by and watch as my wife had to go through this for something my body was failing to do.

The infertility community as a whole has been so amazing. My wife and I have met so many amazing people going through the challenges of infertility. I don’t think I have ever met that many people that truly pull for you to succeed in that capacity. There is such a kinship in the community that you really do have to experience it and cannot be qualified into words.

If putting my story out there can change one man’s mind for the better about Male Factor Infertility I would feel I accomplished my goal for this blog. Unfortunately, there really isn’t research and support out there for MFI. Why is it on rise? Chemical age? Maybe, but there is no concrete proof. This is especially true for unexplained MFI. There is no need to feel ashamed and disconnected from your partner no matter the diagnosis you are in this together.

Chas_Preg

Men, Infertility, and Depression

We hear a lot about how infertility affects women’s emotional well being and less about how it affects men. It’s important that we pay some special attention to how men’s lives are impacted by the disease, especially when, according to the Centers for Disease Control, suicide is the 7th leading cause of death for all men in the United States and there are 4 times as many deaths to suicide for males than females.

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We have found that art and writing can be a great outlet for dealing with the stress of infertility and are excited to team up with The Turek Clinic in San Francisco for Picture Your Fertility: An Interactive Art Event for #MensHealth. It’s an opportunity for men to let out some frustration through guy-friendly art and writing stations, get information about health and well being, and learn they aren’t alone in their infertility through the artwork, portraits, and stories of other men and their families dealing with similar situations. This free event is open to the public and will be held on Thursday June 16 from 7 – 9 pm. You can get your tickets here. We hope you will join us! In the meantime, check out this great info, below, from Austin Klise’s HuffPost Healthy Living Blog 4 Strategies to Help Men Get through Depression.

4 Strategies to Help Men Get Through Depression
by Austine Klise
HuffPost Healthy Living Blog

Tip #1 Understand His Depression “There are wounds that never show on the body that are deeper and more hurtful than anything that bleeds.” ― Laurell K. Hamilton

One of the largest misconceptions about depression is that it is a feeling – which is part of the reason men are so reluctant to talk about it. Yes, it is a feeling but it is also much more. Not only does it effect people on an emotional level but it also drains them physically and psychologically. The chemical imbalance in the brain slowly causes the body to shut down. That is why if your partner is depressed, he will be lacking the motivation to hit the gym or to pursue a once cherished hobby. With this in mind, the first thing you can do to help is make sure he is eating a balanced diet and is exercising. Buy fresh food, avoid stocking the fridge with highly caffeinated products and booze, and see if he will go walking with you. These are all easy and are tremendously helpful, but won’t necessarily combat the depression itself. For that, we go to Tip #2.

Tip #2 Acknowledging His Depression  “Never ignore the elephant in the room. That’s rude; play with it and introduce it.” ― Donna Lynn Hope

Confronting his depression will be tough but is absolutely necessary if you are going to help reverse its course. What you’re going to be doing here isn’t confronting him and telling him he is depressed. Trust me, he knows he depressed or at least that something is wrong. The goal is to show him that you acknowledge he is going through something and that asking for help is okay. I’ve broken it down into
four steps –

  1. Approach him where he is comfortable, at home or maybe your favorite date spot. Make sure you have privacy and enough time to talk (at least an hour).
  2. Tell him you noticed he has been “feeling down” lately. I would avoid using the word “depressed” because it could trigger the walls to go straight up. Bring up examples – but do so in a gentle way.
  3. Explain your mutual goal – you BOTH want him to feel better.
  4. Depressed men feel isolated in their pain and hopelessness. Explain that asking for help is a sign of strength not of weakness.

Tip #3 Self Care  “The Best Health Care Plan Is A Self Care Plan” ― Nina Leavins

“In the event of a decompression, an oxygen mask will automatically appear in front of you. If you are travelling with a child or someone who requires assistance, secure your own mask first, and then assist the other person.”

If you’ve ever been on an airplane you’ve likely heard some iteration these words. While growing up they confused me because it seemed like it would make more sense to help the helpless and vulnerable first, but with age I realized that if you are incapacitated you won’t be of any help to anyone. The same goes for caring for a man with depression. You need to secure your own mental stability before you can help him.

The difference in a situation with male depression as opposed to other diseases is that the frustration and stress isn’t going to come in the traditional way. You won’t be stretched thin providing medical assistance to him or running back and forth from a hospital. But, rather the emotional connection you have with your partner will be taxed. Because of the nature of depression he won’t be as connected or invested in your relationship as he was when he was healthy. He might become more combative or more withdrawn, depending on how the depression affects him. Don’t get pulled into this or take it personally. Do what you need to do to stay healthy. Connect with friends, exercise, or shop – you have an identity outside of your relationship.

Tip #4 Involve the Professionals

Getting professional medical personnel involved is the most critical step as it is the most effective way to cure the depression. I understand it can be incredibly hard to get a guy to see doctor, for even the most routine of checkups, let alone getting him to see a therapist or psychologist for depression. Here are some ways to make it easier:

  1. Ask him to do it for you or your family. Tell him it will bring you peace of mind if he sees someone.
  2. See the right doctor – Ask if you can set up an appointment with your family doctor so they can go over the problem. It will be an easier push for him to see a family doc as oppose to a “shrink.”
  3. Call ahead – Tell the doctor what his symptoms have been. Your testimony might bring up things your partner could miss or will neglect to share.

3 Powerful Visualizations of Infertility

The name “The ART of Infertility” has a double meaning. The artwork, created by women struggling with infertility, and Assisted Reproductive Technologies, the medical treatments that help those struggling to become parents. It is also a play on the word “artifact” and the numerous medical objects that can accumulate from going through infertility. IF also has a double meaning. IF is the acronym for infertility. It is also a common word that infertility patients use as they live the limbo that infertility forces them into as their schedules are controlled by fertility treatments.

Today we feature some art that reimagines, reinterprets and repurposes some medical art-i-facts to tell part of their infertility story. When the exhibit travels, these are always some exhibit favorites. They are powerful and tell the truth – infertility hurts and infertility is hard. But going through infertility reminds you also of what matters, what is important, and what is inspiring. We hope a few of these pieces will leave you inspired.

“Letting Go.” This mixed media piece created by Denise is made from ceramic, glass vials, gauze, q-caps and glue. It tells the story of how she now feels like she is trying to put together the pieces of her life that have been shattered because of infertility. The materials used to make this installation are from previous failed fertility treatments.

“Letting Go” by Denise Callen.

Denise explains “Letting Go” as: From childhood,, we are brought up to believe in a traditional fairytale of how our lives will unfold: meet the handsome prince who steals the fair maiden’s heart, marry and have a beautiful family. It can be a rude awakening when life veers from that path. Every plan I made revolved around this traditional view of how life was to play out. I married a wonderful man; we bought the perfect house with room for the traditional 2.5 children, and then the dream took us down a very dark path we never anticipated. Years of trying, expensive treatments over and over and over and over again, took their toll. Just when we would get good news, our hopes would be dashed with miscarriages and no heartbeats. I reached a point when it was time to stop crying, injecting, treatment and pouring money into a dream that wasn’t to be. I needed to let go of the fantasy and find a new dream. I am now putting the pieces of my life together. Like this work, it is still beautiful and holds parts of the past, but it is very different from the original plan. No matter how hard I try to patch it together, it, and I, will never be the same. I am stronger. I am wiser. I am happy. I am sad. I am living child-free.

Failed IVF #1 (September 10, 2015 - October 9, 2015) by Sara Nelson. Mixed media. Part of the ART of IF permanent collection.

Failed IVF #1 (September 10, 2015 – October 9, 2015) by Sara Nelson.

Sara explains “Failed IVF#1 (September 10, 2015-October 9, 2015)” as: I often use my own body in my images. Molding it and adhering it to my canvas. Creating forms that are not perfect yet are perfect in their own right. In “Failed IVF#1 (September 10, 2015-October 9, 2015)”, I strive to bring the viewer into the overwhelming world that is infertility at its most extreme, the process of in vitro fertilization. It is an insanely overwhelming process, full of medications, needles, doctor visit, surgeries, extremely high highs, and often extremely devastatingly low lows. In this piece, I have used the needles I used throughout my entire IVF treatment. I have pierced them back into a cast of my own body; in the locations I put the initial injections, day in, day out, day in, day out, hoping to help my doctor to create a perfect, viable embryo to become my child. Unfortunately, the process resulted only in the picture you see; one tiny dot of an embryo that was probably not healthy, and did not make it to become a viable human being. I am still grieving that loss and that failure. After finishing the piece, with the help of my amazing and wonderful husband, I could not help but think, I have to do this again. I have to try again. I am not ready to give up. I WILL have an IVF#2, however emotionally and financially draining it is. Hopefully this will end in success.

“Infertility Armour" (Elizabeth Walker, artist). Amber and pearls are my go-to gems. While I was trying to conceive, I developed some superstitions. One was that I had to wear amber every day or it may change my energy and decrease my chances of getting pregnant. This was unusual for me because I strongly put my faith in science. However, while undergoing treatment for my infertility, science was letting me down.

“Infertility Armour” by Elizabeth Walker.

Elizabeth explains “Infertility Armour” as: Amber and pearls are my go-to gems. While I was trying to conceive, I developed some superstitions. One was that I had to wear amber every day or it may change my energy and decrease my chances of getting pregnant. This was unusual for me because I strongly put my faith in science. However, while undergoing treatment for my infertility, science was letting me down. I created this piece of infertility armorusing needles and syringes identical to the ones my husband used to give me progesterone in oil shots. The shots were one of the things I feared most about IVF but it turned out they weren’t as horrible as I imagined they might be. The amber, while a fashion staple for me, is also a nod to the amber teething necklaces for babies that became popular while I was trying to get pregnant. I felt slighted because amber was MY stone and everyone else was buying it for their babies when I couldn’t have one. The pearls are also the bead that I assigned to progesterone shots in previous projects. When cycling, progesterone keeps your uterine lining in check for your embryo to be able to implant and grow. I imagined this like the lining of mother of pearl inside a shell, or the protective layer that oysters form around a foreign object which becomes a pearl.

Take a Moment and Picture Your Fertility: A Guest Post from Dr. Paul Turek

Today we feature a guest blog post from Dr. Paul Turek of the Turek Clinic. An award-winning urologist and Men’s Health Advocate, Dr. Turek explains the importance of thinking about male fertility and how Men’s Health Month (in June) serves as an reminder of the particular challenges men face in regards to their fertility. We look forward to joining Dr. Turek on June 16, 2016 from 7:00 – 9:00pm at the Turek Clinic in San Francisco. This event is free and open to the public! You can reserve you spot here.

Read more about Dr. Turek’s commitment to male fertility and the way art can begin to express many of its challenges.

***

How do you solve tough problems? Maybe you pick at them until they’re gone. Maybe you dance around them until they’re contained. One thing I like to do is to step away and examine them as an outsider, from a completely different perspective. In other words, get out of the trees and look at the whole forest. It’s amazing what you can learn from taking a new angle.

Inconceivable by Aine Quimby. Oil on canvas. Part of the ART of IF collection.

Inconceivable by Aine Quimby. Oil on canvas. Part of the ART of IF collection.

Honing Heuristics

There are quite a few problems in the field of men’s health that need solving. To me, this is more than just trying my hardest to solve the infertility or sexual health problems of patients I see daily. There are other, equally important but more diffuse, issues with which I am also obsessed, including:

What better time to think about these issues than during Men’s Health Month, which is now upon us. And what better way to start off the month than by taking a completely different perspective on things.

Pop Up Art

For millennia, art has struck every emotionally charged chord in the composition that is life. Using caricature, satire and symbolism, it has dished vanity, excess, corruption, greed, and politics. At the same time, it has memorialized life, love, sex and everything else under the sun that holds human meaning. I admire what Pablo Picasso said about art: “The purpose of art is washing the dust of daily life off our souls.” It seems natural, then, to have a Pop-Up Art Show about men and fertility.

Elizabeth Walker is founder and curator of The ART of Infertility, a travelling infertility artwork, oral history and portraiture project. I attended a show she held in LA last year and was deeply moved by the emotional rawness and creative expression in art made by those affected by the scourge of infertility. Sculptures of beautiful flowers made from IVF needles and syringes; a lovely baby’s crib filled with empty fertility medication vials, bottles and boxes. If you don’t believe that the epidemic of infertility affects lives like cancer or the plague, you need hear these stories, told through art.

And now you can. Please join me for the next Art of Infertility Pop Up Art Show entitled Picture Your Fertility: An Interactive Art Event for #MensHealth to be held in my San Francisco office on June 16th. Be sure to reserve your space by registering here. Plan to be there as we share the infertility journeys of men and their families through artwork and stories. Partake of food and drink, and feel free to tell your own story at our art-making stations. Maybe, just maybe, in some small way, this brief evening-of-art will wash away the dust of daily life from your soul and thereby render it reachable and realizable.

The Art of Infertility, The Turek Clinic & Men’s Health Network present:
A Pop Up Art Show
“Picture Your Fertility: An Interactive Art Event for #MensHealth”
June 16, 2016 from 7:00pm to 9:00pm
The Turek Clinic San Francisco
55 Francisco St, Suite 300
San Francisco, CA 94133
Tax-deductible donations welcome!

Visualizing Health – Krystal’s Story

Today we’re sharing a tiny bit of Krystal’s story via this mixed media piece she created.
She shares with us. “This is what I want my reproductive organs to look like. Unfortunately, my uterus has polyps, my ovaries are old, and polycystic, and I have blocked tubes.”

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Happy Uterus
Krystal Larsen
Mixed Media

How would you draw, paint, or sculpt your organs to represent what you would like them to look like vs. what they do?

Elizabeth

 

Infertility is the Worst – The Artwork of Kelly Zechmeister-Smith

A few weeks ago, Maria and I had the pleasure of interviewing Kelly Zechmeister-Smith at her home in Ann Arbor, MI. Kelly created a series of watercolors that represent real life experiences she had while trying to get pregnant.

This Friday, we’ll be displaying some of Kelly’s paintings, and the artwork and stories of others living with infertility in Michigan, at the Michigan Assisted Reproductive Technology Summit (MiART Summit) in Novi. The MiART Summit is being held by the Michigan Department of Health and Human Services – Maternal and Child Health Epidemiology Section in collaboration with the Michigan Infertility Advisory Committee to bring together diverse stakeholders to learn about infertility and the use of ART in Michigan; explore the association between ART and the incidence of multiple birth, preterm birth, and low birth weight; and develop recommendations to improve ART access, practices, and outcomes in Michigan.

We’ll be sharing our interview with Kelly in a future post but wanted to share some of her artwork today.

Infertility is the Worst
Kelly Zechmeister-Smith
Medium – micron pen and watercolor paint

Artist’s Statement: This work began with an inexplicable creative urgency to represent my layered feelings surrounding my own unexplained infertility (UI)–a maddening diagnosis.  Creating small, cartoonish self portraits highlighting my daily experiences as a childless artist and teacher quickly became a therapeutic outlet for me.  My hope is that the viewer finds these pieces a playful yet raw glimpse into the life of someone struggling with UI.

Infertility is the Worst III by Kelly Zechmeister-Smith

Infertility is the Worst III by Kelly Zechmeister-Smith

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Infertility is the Worst I by Kelly Zechmeister-Smith

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Infertility is the Worst II by Kelly Zechmeister-Smith


#startasking How creating art can bring healing on your infertility journey.

For the last day of #NIAW, we wanted to reflect on why we find creating art helpful in our journeys.

Elizabeth

I’ve had a complicated relationship with my house over the past couple of years. My husband, Scott, and I bought it shortly after we married nearly 12 years ago and made the move across town from the house I purchased as a single woman, to this one where we imagined we might raise a child one day. We chose it because of the school district and because the walk out basement was reminiscent of Scott’s childhood home, and the archways and poured plaster walls reminiscent of mine. We walked in and immediately felt we belonged there.

Several years later, when it became apparent that having a child wasn’t going to come easily, I had a dream of recurrent house flooding. Water seeped in through the roughly textured walls and pooled on the hardwood floors. I was in the upstairs hall and trying to keep the water at bay when I heard a chorus of whispers. A chorus I soon realized was the voices of my house itself, resentful of us and acting out because we weren’t filling the house with children.

Even though I still love my home for many reasons, I started resenting it and the fact that it wasn’t fulfilling the purpose we thought it would when we first moved in 11 years ago.

Maria and I recently had a conversation about how our homes have taken on a different purpose and meaning due to our infertility and living in them as families of two. It got us thinking about nesting, which inspired me to create some artwork around that theme. I made this piece, my “Inhospitable Nest” around the memory of that dream years ago. Choosing the materials for this piece and setting aside time to create it was very calming. Weaving the wire in and out was a meditative process and, while I don’t always end up with a product that looks like it did in my head, this one did. Better even. It made me want to create more nests. I’ve since created two more that I will share with you in the coming weeks.

Inhospitable

Inhospitable Nest. Elizabeth Walker. Mixed media – copper wire, crystals.

Creating artwork around my infertility experience has allowed me to have tangible proof of my diagnosis. My disease is so invisible to those around me and making artwork that represents it has made it real to me and to those who see it. That’s been invaluable to me in coming to terms with my diagnosis and to explaining it to others, and why I’m so grateful we get to help others create pieces around their own infertility experiences during our ART of IF workshops. So, I encourage you to #startasking how making art might help you in your journey and would love to see what you create.

Maria

This September my husband and I will both turn 30. We actually were born exactly 2 weeks apart – Kevin on the 15th and me on the 1st. Since I was little, I remember the story of my birth. I was the first granddaughter to be born on both sides of my family, so my birth was rather exciting. My uncle always told me how it was a hot day in September and how ironic it was that I was actually born on Labor Day. For years, I grew up assuming Labor Day was about women giving birth — never considering how it was actually about the US labor force. I just assumed that I was special because of being born on this day.

As I have come to accept my infertility, though, I have come to think less and less that it was special that I was born on Labor Day. I actually think it is some kind of bad joke. This year, my actual birth day won’t happen on Labor Day. But as I turn 30, I have been thinking about how I now longer fit in with so many of my friends and family members who are now entering their 30s and having their own families. Kevin and I both talk about this, trying to develop strategies to cope with the increasing feeling we are loosing our closest friends.

I wanted to use the last day of #NIAW to share some pieces of art that reflect these feelings of loss. Many of our friends and family members post pictures of their family outings and announcements. In the height of my infertility, this would have enraged me. Now, with some years past, I am no longer angry but instead just deeply sad — knowing this will most likely not be our story, knowing that we are growing more and more distant with these friends and family members, knowing that there are days that its hard for me to recognize that deep desire I had to have a child. Below are some images I am using to create shadow boxes. I am trying to “play” on the other types of family photos that often fill my Facebook and Instagram feeds. The captions articulate the sentiment I feel in each of these images.

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This photo was taken right when Kevin and I started realizing we were having trouble conceiving. We had been living in Cleveland and decided to make a trip back to Wisconsin to visit family. Here, I am pictured actually with my little brother. We are 18 years apart and when I would babysit him and take him to restaurants or run errands — people often assumed he was my child not my mothers. I think back to the times when I would carry him in his baby seat and think that is quite often the closest I will come to feeling like a mom.

 

image3

I love this picture. While it looks like Kevin is holding a baby who just finished a bath, it is actually a cut out of him holding our new puppy — Mason. We had just picked up Mason from a farm in Southwest Michigan. He was smelly , dirty and had proceeded to throw up all over the car on the drive back to our house. We was so timid and tiny. Today, he is our 65 pound black lab. But he remains so gentle and eager to please. His presence in our life has made our whole navigation of infertility so much more bearable.

image4

This picture was taken in September 2013. I had just started my PhD program. Meanwhile, a friend of mine from my MA program had just had a baby. Kevin and I went over to their house to meet the newborn. I remember holding that baby and posing for that picture feeling so incredibly sad that we would never take our own family picture.


#startasking What did my infertility teach me about parenting? – Marissa’s perspective

We love infertility lists, and this is an incredible one! It comes to us by way of Marissa, an ART of Infertility participant and collaborator. Thank you, Marissa, for sharing your story with us.

Elizabeth

5 Things Infertility Taught Me About Parenting

This is a post I never imagined I might write . . . After fifteen assisted cycles (7 IUI & 8 IVF), two surgeries, three failed attempts to adopt, and a cautious pregnancy, my husband and I welcomed our first son earlier this year. Only then did I begin to allow myself to consider not only what it would feel like to have a child but also to become a parent.

I am absolutely certain that I am different as a parent because of my infertility experience and changed as a member of the infertility community because I am parenting. I am as certain that I could have never imagined the growing gratitude that I would now feel for our infertility journey! These are (the top!) five things infertility taught me about parenting:

1. You Are Not In Control (And That’s Totally OK!)

Being out of control was one of the most frightening aspects of infertility for me—being carefully in-control was my go-to response for everything new and scary. Getting a PhD, no problem! Moving cross-country four times in my twenties, I can do that! IVF, bring it on! My mom came with us to my first RE appointment and took a picture of me standing outside of the office to save for our baby book. A year later my husband hid the empty little book with the single photo after I’d thrown it across the room in a mixed-up burst of mad sadness. I hated how happy I looked before I knew the storm that was brewing. I hated that there was nothing I could do guarantee that I would become a parent. I hated that I couldn’t change my body and how it worked (or didn’t). I’d changed so many aspects of my life (my home, my job, my diet, my lifestyle) in attempts that felt naïve and futile. I felt cursed, and I wondered if I had done something to cause this awful burden.

Infertility crushed not only my dreams of what my life would be like but also my usual ways of making sense of the world. Before infertility, I expected that hard work produced results. After years, failures, losses, and mounting costs, I began to seriously doubt my life beliefs. I became clinically depressed. I developed anxiety. I fought accepting that effort did not equate outcome. I had to be forced to let go. I grieved the sense of order that had previously shaped how I saw not only my life, but also how I saw others’ lives. As a teacher, this was especially devastating. It was a double blow: I lost my vision of my future family and my purpose in my career. I struggled to differentiate between what I could control and what I could not. With the help of a thoughtful therapist (who was also an infertility survivor), I found I could not control outcomes but could control my responses. Each week, in a sketchbook, I would draw my plan of action—my mantras for the week, the cycle, the loss, heck— even the hour on very bad days. And I had a lot of very bad days. Days when I cried in my classroom in front of my students. Days when I felt like it took effort for me to breathe. But, a few days (or hours) were not so bad. I began to find strength and purpose through connecting with others. Instead of focusing inward on my own pain and fears, I began to focus outward into the infertility community, in my support group, and on events like RESOLVE’s Advocacy Day. I began, once again, to see positive outcomes from my actions.

Participating in the infertility community restored my faith in myself and in what I might accomplish. I might not be able to will myself to become a parent but I could use my voice to speak about my experiences, create art that responded to my emotions, and advocate for others to have the right to pursue their own dreams of a family.

Giving up some control opened me to experiences I could not envision. It re-energized my teaching, and helped me to see my students with greater empathy. It forced me to focus my attention on the present, and to act proactively without immediate gratification. Of course, now it is easy for me to see how absolutely essential these lessons are for the experience of being a new parent. Trying to control is a natural response for many people to new and scary experiences, like parenting! While my impulse is still to control, I have learned to be content with doing the best I possibly can at any given moment. While I still hope for certain outcomes, I don’t punish myself if things don’t go the way that I expect. Even more so, I have encountered the most wonderful surprises that I might have missed had I continued to live in such a rigid way! There seem to be thousands of books focused on parenting and baby care—particularly sleep—that promise ‘results’ within strict structures. There are so many mixed messages, and so much pressure. It is a familiar feeling for me, but my perspective has seismically shifted. Instead of trying to control and living constantly with the image of a perfect future, I am working to focus upon enjoying the current ride.

2. Your Child Is Not You

Early on in our infertility experience, when we began to pursue domestic infant adoption (which was not successful for us), I had to face the idea that my becoming a parent might not involve my own or my husband’s DNA. Even after a career that involved working with vulnerable populations of young children in which I contemplated adoption frequently before experiencing infertility, I had taken for granted that when I chose to have children, my genetics would be part of the equation. I had to admit to myself that part of my vision of my future family included children who might resemble us in appearance and in interests. Beyond these worries and fears, we faced the loss of control (see #1) over our potential future child’s earliest start in life. When we were cycling, I spent so much effort trying to control every aspect of my own body in preparation for pregnancy—I changed my diet, gave up caffeine and alcohol, did yoga and acupuncture (even though I still HATE needles even after the hundreds of shots I’ve given myself). I even ate the pineapple (you must know what I mean!) When we faced our first adoption situation, all of that changed. The expectant mother was seven months along, and had no prenatal care. She was denying her pregnancy and was using drugs and alcohol. Within the 24 hours we had to make our decision, we embraced the possibility that our child might be nothing like us. We had no idea who they would or could be. We took the plunge. And we were crushed when the expectant mom texted us that she had chosen to parent her child.

We knew then that we would love the child who joined our family, no matter who they might be (or become). I had always said I would feel that way when I was asked. And when you are pursuing adoption you are asked a lot if you could love ‘someone else’s child.’ Even though I always answered yes without hesitation, I was still afraid there might be a difference for me. A difference of expectations. A difference of fear.

Once I had grieved that difference and confronted those fears, I began to see a new possibility: That I could never know who my child would be.

That I would learn who they would be as they became themselves. Worries have turned to delight for me as I watch my son discover his own capabilities and interests. He has challenged me to accept him as himself and not as my vision of who my child should be. Because of this, I can choose to respond to my son with love and with support, a practice that I strive to maintain each day.

 3. All Seasons Of Life Both Grow And Strain Relationships

Infertility affected every single one of my relationships: My family, friends, my husband, and my work. Infertility is generational: I felt as devastated that my parents would not become grandparents as I did that I would never parent. Like many infertility patients, I started trying for a family when my friends did. My Facebook and Instagram feeds became minefields. I quietly unfollowed almost everyone I knew (or at least it felt that way) when the daily deluge of pregnancy announcements and baby pictures suffocated me. I even temporarily left my infertility support group when it became clear that I would be the last member without a child. It had transitioned to a new mom’s group and I felt left behind. I was too jaded to join a new group to be the living reminder of the worst-case scenario. Who does 8 IVF? Who ‘fails’ at adoption? Even our therapist cautioned it might be time to ‘move forward.’ As friends’ babies grew into toddlers and preschoolers, I bought birthday gifts through full body sobs at children’s stores. I wanted so much more from those around me. I wanted support, I wanted acknowledgment. I wanted care. But I was in an ugly place. I couldn’t even remember what my life had been like before when I still felt possibility.

But, there were a few high points: When we went public with our online adoption profile, we received an outpouring of support. We felt some of the silent stigma of treatment temporarily lifted. A few friends even came forward with their own struggles to offer solidarity. Yet, one, two, three adoptions failed, and we could not continue. It was the darkest time of my life. We could no longer afford the monthly fee to continue to host our profile. I’d known this for a while, but I kept hoping. A few days later, I went to the mall to buy a gift before a family birthday party. I was walking around the food court when I felt a gush. I was having breakthrough bleeding cause by a medication I took after treatment. Blood soaked through my dress, poured down inside of the tights I was wearing, and pooled around in my shoes. I lied on the couch in the Macy’s bathroom and called my mom to bring me new clothes. I felt so ashamed that she would see me in that state. My rock bottom. The very next day we chose to cycle ONE last time. Actually, my husband decided. I was livid with him. How could he put me through this? How could he possibly understand the physical toll? How could he still have any hope? I went through the motions of the cycle, plagued by anxiety. The night before the transfer, I had a glass of wine. That morning, a cappuccino. When I began to feel sick a few days later, I worried that I’d gotten an infection from the transfer.

It never occurred to me that I felt sick because the cycle was successful. I hadn’t had any morning sickness with the last pregnancy. I spent the next few days wearing Sea Bands and in a state of suspended animation. When I began to bleed a few weeks later, I thought I knew what to expect. It would be a loss and we would be grateful we’d only told our parents. But, it wasn’t a loss. It was a subchorionic hematoma. One that healed. An earlier than usual ultrasound revealed a single small blob with a rhythmic heartbeat. And, just like that, it seemed like our journey might end.

Except I wasn’t ready at all. I had spent so much time feeling isolated from family and friends that I was not sure how to repair the relationships. My husband and I had battled infertility for the entirety of our marriage (we chose IVF in lieu of a honeymoon). We had to learn how to relate to one another when we weren’t in crisis mode. And, how would I tell my closest infertility friends?

Would my identity as an infertility advocate continue to be valid if I was a parent, too?

The process of becoming an infertile parent has not been easy. There are no roadmaps for the seasons of life, and I have found that each season affects relationships. Some are strained, some grow in unexpected ways. A few friends who were close when I was struggling (and who are still journeying) have now distanced themselves from me. I don’t take it personally, and I try to be open should they need me. I better understand the pain my parents felt because of my struggle as I experience the impulse to protect my son. I no longer expect my life to be one smooth, predictable journey, and I try to weather all of its seasons as thoughtfully as I can. I try to be the friend that my friends need, not the friend that I want them to be to me.

4. Life is Both Precious And Fragile

Before my first pregnancy, I had never lost anyone close to me. I hadn’t confronted my own mortality. I had never truly grieved. And I had no idea what a process it was. My grief was messy, raw, and just when I thought I was feeling better, it was totally unresolved. How could my baby die? How could I love and yearn and long for someone who was as big as a sesame seed? Well-meaning friends said things like “at least it was early,” and “at least you know you can get pregnant.” But this was a real child to me. And it was gone. And we would never learn why. And there was no model to mourn for them or to remember them. And everything reminded me that my baby was lost.

During our fourth IVF cycle, I felt sick after my retrieval. I’d had mild ovarian hyperstimulation syndrome (OHSS) before but I felt worse this time. By early afternoon I was struggling to breathe. We went to the ER. I was in so much pain I was fading in and out of consciousness. Doctors told me my left ovary had burst, filling with blood and fluid, and pushing on my diaphragm. They explained that I’d likely have emergency surgery to remove one or both of my ovaries, and that they needed to transfer me to the University Women’s Hospital. They hadn’t decided yet if I’d go via helicopter or ambulance. I turned to my husband and vowed we would NEVER do IVF again! I’d risked my life, and for what. ONE stupid egg! I was transferred to the hospital, and made it through the night with the support of fluids and without surgery. As l recovered, I questioned whether I wanted to become a parent enough to risk my own health.

When that egg, now a blastocyst, was transferred after my recovery, I committed myself to treating the experience differently. If this was to be my only time with that single embryo, I would enjoy each and every moment. I didn’t want to spend the whole time we had together obsessively peeing on sticks. I wanted to take them to experience life, and to enjoy our time together. It was a definite change of intent for me. I began to see both how precious and how fragile that small, new life could be. And instead of only grieving the brevity of our time together, I began to cherish it. They were coming with me everywhere anyway, so I went to my favorite restaurant, I went out with friends, I went shopping, I went to visit family members. I wanted their life, no matter how short, to have meaning. And I wanted to remember them. We did ultimately lose that one little embryo (and several more) but with each subsequent transfer, I became better at relishing that short time rather than lamenting it. I was grateful for it. I tried to embrace the same attitude with my family and friends. I began to reach out, and to transform in this connection. Instead of waiting for family and friends to support me, I began to give without expectation. I made time to spend time with those I loved. And, we began to celebrate the lives of our babies during the time we had with them, and after they left us. We have memorials throughout our home that commemorate each loss. We dug out that baby book, and we filled it. We took photographs and we made art pieces. We acknowledged that we create the meaning that their short lives have for us. And we take this day-to-day sense of gratitude with us into parenting. We were already parents.

Now, as I am parenting a living child, I remind myself daily to consider the challenges and the joys within a larger frame. Things still get hard—not as hard as in the darkest moments—but hard nonetheless.

I take a moment every day to visit our small memorials, like the photo below, to remind myself why I am doing this and what it means for me, and for our son. And I am able to move forward from there.

 

A photo taken during the memorial of one of the babies Marissa miscarried.

A photo taken on Coronado Island during the memorial of one of the babies Marissa miscarried.

 

5. You Have A Voice (And A Responsibility To Use It)

And, finally, the last and one of the most important lessons that I learned was that I have a voice. And I have a responsibility to use it. Before infertility, I was the definition of soft-spoken, even though I am an artist. People even questioned if I would succeed as a teacher because my voice was so soft! I scoffed at them because I saw myself as strong and as plucky! I have struggled to conjure up that image of myself when I feel anything but. But, I could not stand by during our journey. I could not be silenced. I needed to speak out, and to share, and to connect. I began in a small way, by making art about my feelings about our experiences.

One of the first pieces of art that Marissa made around the experience of infertility.

One of the first pieces of art that Marissa made around the experience of infertility.

It was a safe way for me to open up the conversation, and to begin to share. The infertility community nourished this voice, and pushed me to use it. Being a part of Advocacy Day, being a part of the ART of Infertility, being a part of my support group—they all provide me with a sense of purpose greater than myself. Knowing my voice has helped me to overcome some of the worries and fears every new parent experiences, too. I know that I can and will speak out, and seek help, and know that I am not alone. And that has made all the difference. We can only end the stigma and the silence if we are willing to speak out for ourselves and to share our stories.

Oh the Places We Go (Like Houston, TX): Reflections on the Relatability of Art, Poetry & Medicine

Lots of our followers and contributors to this project have a personal connection to the ART of IF. Many of you have either faced your own infertility journey, suffered from infant loss and/or even perhaps miscarriage. We love sharing pieces of art with the vibrant infertility community that exists in the world. Yet, our mission at ART of Infertility is also very much about expanding audiences – beyond the infertility community – to raise awareness and understanding about infertility, infant loss and miscarriage to a more general public.

Art workshops, we find, are an accessible, low-stakes activity that can help facilitate conversations about these topics of loss with others who may have little or no experience with the topic. Our event in Houston, TX last week is one such example of how we use the project to raise general awareness about the reflective power of making art with medical objects.

We made connections between art, poetry and medicine more apparent by participating in a Feminist Action Hour hosted at the annual College Composition & Communication Conference. This conference attracts a wide array of professors and graduate students teaching and researching writing at the collegiate level. For many of these attendees, their research and teaching interests pertain to social justice and interdisciplinary issues – such as communication practices between physicians and patients, gendered communicative experiences of medicine, and even tensions of being a mother/father while working in the academy.

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Participants and materials at the Feminist Action Hour workshop in Houston, TX.

Given these diverse interests, the Feminist Action Hour hosts pedagogical workshops to create space for engaging and teaching about these important topics with our students and our colleagues. Examples from last year can be found here: http://cwshrc.org/newwork2015/ 

As a Writing and Rhetoric graduate student, Maria Novotny’s (project partner with the ART of Infertility) research examines the ways in which infertile men and women make meaning and share this meaning making through art and writing. Given this, Maria invited the ART of Infertility to participate in the workshop by making pieces of blackout poetry with medical consent forms.

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Maria instructing participants and answering questions at the blackout poetry workshop in Houston, TX.

Why medical consent forms and why blackout poetry?

This workshop was inspired by the artwork of Jo C., one of our ART of Infertility participants. Jo created this beautiful piece of black out poetry, titled My Consent which she gave to us to share through our permanent collection. To learn more about the piece, you can read about it on Jo’s blog.

My Consent by Jo C.

My Consent by Jo C.

Medical consent forms and treatment procedures serve as central technical documents, frequently studied as genres in professional and technical writing. Rhetorically these forms reinforce depersonalized medical practices and the greater public’s perceived objectivism of medicine/science.

Medical and feminist rhetoricians have increasingly called for shifting the object of study – beyond “how health and medical texts get produced” to inquiries examining “what embodied users bring to these encounters” as health artifacts (Scott, 2014; Bellwoar, 2012). This workshop serves as pedagogical moment attending to the embodied interactions between medical documents and the user/consumer of these documents.

What happened?

During the workshop participants were invited to select a consent form and a stencil. Consent form options included: a sperm donation form, a fertility treatment form, and a mental health form. Stencils included: a penis, a uterus, and a brain.

The ART of Infertility’s objective was to present the “trifecta” of infertility: mental health, men’s health and female health.

We then spent 15 minutes with groups making pieces of poetry. Many who participated described the activity as “meditative.” Some wanted to play with the idea of one consent form for one stencil – so they incorporated both a penis and uterus within a mental health consent form.

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“signs, process, normal, mass. abnormal, expected, normal, normal, normal, not perfect, normal, abnormal, selection, best, abnormally, accident, prevent”

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“attempt, understand, risk, arise, could be born, might also produce, agree, support, maintain, understand, Birth”

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Special protections, conversation, medical record. Diagnosis, prognosis, release, release. Disclosure, all information. Health Care.

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“special protections, documenting or analyzing, start, the, subject, allows, the patient, disclosure, invalidate, authorization, Address”

 

 

 

The workshop was well-received and allowed the ART of Infertility to talk about issues of infertility and loss to those who may not necessarily recognize the physical and mental weight such a diagnosis has on the body.

If you would like the ART of Infertility to host a blackout poetry workshop (or another art/writing workshop), you can contact us at: info@artofinfertility.org