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Excerpt from, “On Fertile Ground: Healing Infertility”

The following excerpt from my book speaks directly to those in an infertility struggle, but keep in mind that the tenets apply no matter what adversity you might be dealing with.

by Helen Adrienne, LCSW, BCD
Chapter 10
Gain from the Pain:
Would You Believe There’s an Upside?

So what do you stand to gain by suffering through the delay in getting your baby?  Your cheerleaders, who are on the other side of the infertility battleground, are eager for you to know what the experience meant to them so you can hang in there.  This book has been, among other things, an invitation for you to ponder how this experience could turn out to have been surprisingly beneficial.  Read these stories.  Which resonate?

Growth from adversity always involves coming to terms with something that you would never have chosen.  Looking for what is to be gained from any adversity is not what concerns you at first and may even annoy you.  But it is a way to assign meaning to your life and avoid living with bitterness.

Not Just Strength but Inner Strength

When I was a little girl my grandmother used to use an expression that I did not connect with at first.  She would say, “You should do such and such – it will put hair on your chest.”  Hair on my chest?   I was preoccupied with the not-so-hidden message that she thought it was better to be a man.  Eventually I understood that she was saying more than that.  She apparently thought that men had a corner on the strength market.  On another level, ‘such and such will make you strong’ was the communication I was supposed to derive from her words.  There are other less judgmental expressions of the “what doesn’t kill you will make you strong” ilk.

The issue is not just about getting strong.  It is about feeling strong, owning the strength that can build in the face of challenge.  The life force, the Popeye Effect, whatever you want to call it, is a hard-wired aspect of our nature.  It is just there, but some of us are more purposeful about developing it than others.  Developing inner strength can be both a conscious and an unconscious byproduct of adversity.

Melissa, an artist, put it this way: “If it had not been for this amazing challenge in my life, I would still be afraid of the great unknown and would wonder if I had the balls – I mean ovaries – to get through it.  I now know that I can and will get through anything.”

But some of us are born into environments where developing inner strength is not encouraged and may even be discouraged.   This kind of environment can rob us of the drive to feel and use our capacities, leaving us likely to form an inaccurate picture of ourselves.  Personalities, or aspects of our personalities, get formed around distortions.  When adversity brings us face to face with ourselves, we have a chance to course-correct.  All of us get tossed around by life.  As Gilda Radner once said, “If it ain’t one thing, it’s another.”  My point is that with awareness, if our sense of ourselves has gotten distorted, we can set the record straight.

Self-awareness can open us up what needs to be changed and your resolve to work toward change can be fortified.  And as you continue to navigate turbulent waters, self-awareness can bring you to a realization of what has changed due to your efforts.  Reveling in the self-awareness that develops cannot help but call attention to increasing levels of inner strength.  In the process, we stand to discover or rediscover who we were really born to be and as a consequence, connect with our in-born authenticity.  Inner awareness and inner strength make for a wonderful partnership and form the substrata upon which gains from pain accrue.

The Heart of the Matter

Seeking authenticity or connection to your in-born realness does not mean that you have been inauthentic.  It just means that the lessons that come from the impact of unavoidable stress give us a chance to evaluate what feels right and what does not.  It is up to us to recognize and honor the messages which bubble up from the inside.  Honesty about aspects of our life style which are not working or facing stress warning signals are gifts if you let them be.  Recognizing these messages can be challenging.  They can be quite subtle.  Sometimes we don’t have access to our true selves.  Sometimes our suffering can block access to hearing that inner whisper.  Sometimes we don’t hear what is coming from within even if it screams at us.  As Oscar Wilde once said, “Some of us trip over the truth.  Most of us get up and keep going as if nothing happened.”

Realness is simple when we are infants.  When we are hungry or uncomfortable, we scream.  When we are afraid, we scream.  When we are content, we are free to vocalize and play with abandon.

As we get older, with years of experiences stamped on our templates, that inner knowing and freedom to express how we feel can get glossed over.  The infertility diagnosis all but guarantees that even those of us who are usually in touch with what we are feeling, get bumped off track.  Now you have a chance to quiet yourselves, the better to learn to hear or see or feel – and trust – the whispers or shouts from within that can put you back on track.  You will feel the resonance of you truth if who you are is congruent with where you are going.  The synopsis of how others gained from their pain can be a beacon shining on what you can gain as well.  Read on.

Ellen’s Gains

Ellen, a photo editor, called me when I had already written seven chapters of this book.  “Was it too late to participate?” she asked.  I gladly set up an appointment to speak with her.

When I opened the door, I noticed immediately how well she looked.  Her facial features were soft and relaxed.  Her twin son and daughter were 14 months old and she was back to her very challenging job.  Yet she looked younger than her 42 years and younger than she had looked when she was in the midst of the infertility crisis.

Ellen told me that she had a breakthrough moment recently which made her say to herself, “Oh my God, I want to contact Helen and be a part of her book.  All of a sudden, I realized that I am using all of these things that I learned.  I’ve grown from this experience.

I realized the incredible joy that has resulted from our pursuit of this goal.  It is a miracle.  Miracles are possible if you really set your sights on them.  I am joyous every minute that I’m with the babies and never forget that feeling when I am away from them.”  No wonder she looked so good.

This breakthrough came at a point in time when Ellen had been feeling stressed and tired from her two full time jobs – work and motherhood.  She felt jubilant to realize that not only did being a mommy bring her to a place where joy, all kinds of joy,  were central to her life, but she now was realizing that she had the tools to apply to this next challenging phase of her life when the combination of parenthood and professionalism intensified demands on her.  When she realized that the self-awareness tools she had learned and used to get through the infertility crisis were the tools she could recruit now to deal with her new life stressors, she called me immediately because she wanted you, the reader, to know it.

In her twenties and again in her thirties, Ellen had participated in Outward Bound.  They had been the biggest challenges of her life.  Now she understood that infertility “was like Outward Bound in that it strips you to be face to face with yourself and shows you your inner strength.  I now know that infertility was the biggest Outward Bound of all.”  I might add that it can also be the biggest inward bound experience if you let it.

Ellen also wanted you to know that “when you are at the beginning of any challenge, it is never obvious which path you should take.”  She began her quest to parenthood at 39.  Herbs and acupuncture did not bring her FSH down.  Clomid and inseminations got her nowhere.  Ultimately, the third Reproductive Endocrinologist and the second Ovum Donation cycle was when she hit the jackpot.  Her babies were born when she was 41.

Authenticity for Ellen cuts a wide swath.  It resides in the awareness of her inner strength, in an unshakeable resolve to do everything possible to get to any goal, and in never letting herself move very far away from experiencing joy.  Along with joy has come an intense love. This struggle really opened her heart to the babies and her husband in ways that had been unimaginable.

Ellen also takes great pleasure in the awareness that her level of self-esteem has risen.  She has achieved a belief in herself and a faith that if she needs help, she can get help.  If she has one regret it was that she did not reach out to me for emotional help sooner, now thinking that the struggle might have been shorter.

An important aspect of living from a place of authenticity for Ellen that she wanted to be sure I shared with you, was the importance of acceptance.  “I realized along the way,” she told me, “that people who are successful don’t keep trying to do something the same way when it doesn’t work.  I had to step back from myself and look at the bigger picture with flexibility.  I accepted ovum donation and I was prepared to accept adoption if need be.” … .

For many more examples of how it is possible to benefit from struggling with infertility, read the rest of chapter 10 in On Fertile Ground: Healing Infertility.

Laughter, Optimism and Hope While Managing Infertility

The holiday season sparkles, twinkles, glows and explodes in your face with the invitation to be jolly.  And then there’s how you really feel.  Even if you have the incredible mental muscle that will allow you to join relatives and friends at what this year may feel more like an unavoidable obligation than a happily anticipated event, your heart may not be in it.  It’s so difficult to be with other people’s babies and bellies.

So here’s a little piece of science that may inspire you to use your mental muscle to feel better.  Have you heard the famous story about Norman Cousins?  He was a vital 50-something who suddenly found that he was terribly compromised on the tennis court.  He was diagnosed with Ankylosing Spondylitis, a severe inflammation of the spine and joints, with no known cause or cure.  With his doctor friends in support, he checked himself out of the hospital into a hotel room near the medical facility.  His wife arranged for a movie projector and gathered every comedy film she could find.  He spent his days laughing, the only other “medicine” being an IV drip of vitamin C.  Soon he was back on the tennis court in defiance of predictions.

Laughter truly is medicine.  Studies have shown that humor lowers stress hormones.  Optimism is associated with longer life and less illness.  Hope has been described as the feeling you have that the feeling you have isn’t permanent.  Keep at it.  Your time will come.  ‘Tis the season to heed the advice of the comedienne Loretta La Roche: “defend yourself against the plague of terminal seriousness”—even in the face of infertility.

Announcement: Mind/Body stress reduction classes at NYU Fertility Center begin again on Monday, January 9th.  If you are interested, please get in touch with me ASAP as I will be out of town from January 2 – 8.

 

Class 1 of the 4 part series is “Using Your Mind to Enter Your Body for Stress Reduction.” You can expect to learn the theory behind the kind of stress reduction interventions that have an association to improved rates of pregnancy. And then you’ll learn these techniques!!!  There is no obligation to take all 4 classes but most people do.

We meet in the 6th Floor conference room of NYU at 660 First Avenue, corner of 38th Street from 6:30 to 8:30 PM.  This 2 hour class is $75.00 and is insurance reimbursable.  You do not have to be a patient at NYU to attend.  Please phone me to register at 212-758-0125 or email me at helen@mind-body-unity.com even if it is after January 2nd.

Infertility Article at The Center of Reproductive Psychology

I’m pleased to share that I have the article of the month on The Center for Reproductive Psychology‘s website. The Center provides education, psychological counseling, and supportive services to individuals and couples struggling with infertility, miscarriage and stillbirth, premature birth, surrogacy and donor technology, multiple and complicated births, adoption, postpartum adjustment, abortion, hysterectomy and menopause.

Click here to read: “How Can We Make Infertility Lemonade out of Lemons – Even at the Holidays? And click here to learn more about The Center for Reproductive Psychology.

Ten Commandments for Dealing with Infertility

Today’s post is shared with you from the book: Ten Commandments for Couples for Every Aspect of Your Relationship Journey. Seventy experts in relationships provided their 10 commandments for dealing successfully with everything from maintaining connection to dealing with financial and sexual issues.  Here is my excerpt:

1. Infertility is demanding. Keep your love for each other–not the technology–central to the quest for a baby!

2. Infertility can be all-consuming. Create an infertility-free zone! Fill it with joy!

3. The infertility struggle is all about waiting: waiting for your period; waiting for test results; waiting to heal physically or emotionally; waiting for a gamete donor or surrogate; waiting for the hCG surge for an insemination; waiting for fertilization in a Petri dish; and the big one, the two week wait to find out if you are pregnant. Develop patience with and for each other and the process!

4. Cavemen needed to think negatively in order to survive. That DNA has come through the generations into us. Infertility intensifies the difficulty in seeing the positive. Team up and look for the bless in the mess so you’re not trapped in negativity!

5. We tend to be most comfortable with sameness even though life is always changing. Some changes flow as part of a natural order. Infertility is not one of them. Infertility is an unwelcomed change that comes out of the blue and feels violent. You can knee-jerk react to the ongoing changes inherent in infertility or you can learn to respond to the frustration and disappointments. Both of you need to take on this challenge as your response-ability!

6. It’s common to see our partner’s liabilities clearly while remaining sketchy about our own. It’s easy for stress to lead to the blame game. Even if one of you is the infertile one, remember that you’re in this together!

7. Every menstrual period represents another “death.” If you accept the reality, build awareness and seek ways to adapt, you get to grow as a couple. Transform grief and loss into empowerment!

8. Communication is key to a good relationship. Words can be the least effective means, especially if having the last word is your goal. Develop listening as an art form. Allow nonverbal behavior such as hugs to matter. Morph communication into commune-ication!

9. And then there’s sex. Medical treatment is intrusive. Your private parts are exposed to the glare of fluorescent lights. Sex on demand or ejaculating into a cup are requirements. With in vitro fertilization, sex is unnecessary. These intrusions can trump your heart’s involvement in your sexual connection. Find a way to accept lapses in desire and performance!

10. Under duress, disconnections in your style of being a couple will be exacerbated. With so much at stake you can learn another way. Don’t be afraid to get help and gain from the pain!

More information on this book can be found by clicking here.

Publisher: Zeig, Tucker, & Theisen Inc.

Editors: Jeffrey K. Zeig, PhD, & Tami Kulbatski, PsyD, C.Psych

Assumptions about Child-Free Life Style

Perhaps you have decided to remain child-free.  But if you are struggling with infertility you are in that category by default.  Either way, it’s common for people to make assumptions which can be hurtful.

Check out the advice in the article “Ten Things Not To Say to Your Child-Free Friends.”

http://wap.yahoo.com/w/ygo-frontpage/lp/story/us/739492/coke.bp?ref_w=frontdoors&.ysid=dekjcUq9_jiTaT73vLkMGg80&.intl=US&.lang=en.

You will appreciate the guidance.

Frozen Embryos

Depending upon where you are in your quest for a child, or depending upon your need to consider decisions you may need to make in advance of having to make them, you might be interested in Dawn Davenport’s Blog Talk Radio Show available by clicking the link below.
http://www.Blogtalkradio.com/creatingafamily/2011/10/26/compassionate-transferdisposal-ceremony-for-embryo-disposal

The show is about the “fate” of unneeded frozen embryos.  It is a rich and comprehensive treatment of the difficult choices that some couples face.

I call your attention to the show because I was so pleased to hear the respect that seems to be shown to couples faced with this dilemma.  In 1979 when I first went into practice, a miscarriage was usually given short shrift.  Still born babies were taken from parents after a brief “visit.”

Today these situations are handled much more sensitively, including option for couples to create rituals that foster closure no matter how they decide the embryo’s fate from a growing list of options.  Rituals are healthy.  Kudos to Dawn for spreading the word about this aspect of assisted reproduction that adds the human touch.

The Unconscious Mind

We are dual process thinkers. We have two interrelated systems running in our heads. One is slow, deliberate and arduous (our conscious reasoning). The other is fast, associative, automatic and supple (our unconscious pattern recognition). … Most of our thinking is below awareness.”

So says David Brooks on the opinion page in The New York Times on October 21, 2011.

http://www.nytimes.com/2011/10/21/opinion/brooks-who-you-are.html?_r=1&scp=1&sq=David%20Brooks,%2010-21-11&st=cse

And I might add—that most of our thinking, which is below conscious awareness, gets us in trouble.

How does this pertain to infertility? If we tend to be react with anger, insecurity, negativity, impatience, fear or judgment of ourselves, we are likely to react to challenges such as infertility with those same characteristics without realizing it. The unconscious mind will quickly fall into these familiar patterns and to boot, when under duress, we tend to become more of who we already are.

Since most of our thinking is below awareness, and since the stress of infertility will intensify our automatic reaction, bringing conscious, namely mindful awareness, to our behavior can only help.

You might want to consider two approaches to mindfulness. Both involve labeling:

1. You can stop and ask yourself if you are feeling the above-mentioned personality traits more intensely (anger, negativity, insecure, impatient, hard on yourself or afraid). If you are, sometimes, just labeling how you respond (mindful awareness) can curtail the impact of the automatic response. You may want to use the services of a therapist to help identify how these responses are contributing to your stress levels so you can temper them.

2. Much easier are these exercise options in which you use mindfulness to distract from the intensity of the stress:

Take your pick:

a.  You can take a walk with mindful attention, labeling the experience of each step.

b.  You can prepare your meal mindfully by saying, “now I’m washing the lettuce, now I’m slicing the cucumbers, etc. In other words, label everything that you’re doing so as to fill you mental awareness with the activity as opposed to obsessing over something that you cannot control.

c.  You can mindfully follow your breathing by labeling the inhalation and the exhalation.

Making the unconscious conscious is a sign of good mental health. It may seem like another “job” but in reality, it is just an invitation to take a look at who you and your conscious AND unconscious minds really are.

These things require being in the present moment—fully. It’s hard to make things worse when you can experience that you are okay in the present moment even if you do not have what you want.

RESOLVE and Redbook Launch National Public Awareness Campaign on Infertility

Good News!  Redbook Magazine and RESOLVE have teamed up to bring awareness about the pain of isolation for those struggling with infertility.  There is a wealth of information, not to mention an option to participate!  You can read and respond to Infertility Blogs and watch videos and/or create and post your own to the site.  These things will create a sense of connection, provide information, and help you to discharge the frustration of the stress and uncertainty of infertility.  It can make a big difference if you exchange stories with people who are going through the same thing as you.

There are, however, three caveats:

  1. Cyberspace for some people lacks the satisfaction of face-to-face friendships.
  2. Cyberspace provides anonymity, which can free some people to reach out.  However, making a baby is still a very private endeavor.  Feeling that it’s too sacred to put out there, anonymously or otherwise, is a valid stance to take.
  3. Some who participate in blogs are overzealous and can upset the reader.  And other people’s sagas can be off-putting to some women/couples who feel that they need all of their energy to cope.

At the very least, you owe it to yourself to check out Redbook’s most important public service to see if it helps you.  Infertility is an agonizing experience—a bio-psycho-socio-spiritual crisis.  Coming out of isolation only addresses the social aspect.  What else is needed here is the awareness that you need the kind of self-care that eases the biological, psychological and spiritual challenges as well.

Here’s the link: http://www.redbookmag.com/health-wellness/advice/infertility-video-series

More On The Placebo Effect and Infertility

Below you will find the link to a blog post that I wrote a while back on the placebo effect and infertility. With infertility it’s not a fake pill that can activate a placebo effect, but rather non-pharmaceutical mind/body interventions. You will also find a link below to a YouTube video that explains traditional placebo studies in detail. I think you will find the combo of the two to be interesting food for thought.

Here’s my blog post on the placebo effect: http://www.mind-body-unity.com/blog.php/2011/05/the-placebo-effect-and-infertility/

And here’s a YouTube video on the placebo effect: http://www.youtube.com/watch?v=yfRVCaA5o18&feature=youtu.be

Vulnerability and Infertility

This entry on The Baby Manifest-O Blog is in response to a post on a blog run by Sarah Wilson. The topic is about vulnerability particularly as it pertains to infertility.

Reader Dharma describes the vulnerability she feels, the uncertainty about her dreams coming true and how hard it is to trust and remain optimistic.  Read my response to Dharma by clicking here.