Trouble TTC

My genetic-testing-came-back-positive question

I took the test because it was free through insurance. The RE said it's rare and probably nothing will show up, but it did. So i have a chance of having a child with cystic fibrosis. I don't even know what that is, really. Just a general idea.
DH needs testing now, to see if he's also a carrier. But his results won't be back until after I ovulate,and we are in an IUI cycle.
We meet with a genetics counselor over the phone tonight or tomorrow.

Have any of you tested positive? Did you cancel treatment until DH tested?

I don't even know what we will do if he's positive. I still want a child. I'll love that child. But do I want to bring a child into the world and watch them suffer through lung transplants and get my heart broken when he or she dies so young?

I feel like a horrible person for even asking myself that question. I wouldn't even know about the gene if it weren't for IF, and obviously my parents and grandparents had to be carriers,and my brother and i were healthy...

Me: 30   DH: 29
TTC since 2010
Oct. 2012 HSG: One blocked tube, one clear
Oct. 2012 U/S: All good
March 2014 SA: Flying Colors

April  2014: Met our RE/Got our plan!
May 2014: laparoscopy/hysteroscopy removed stage II endometriosis
June 2014: IUI w/100mg Clomid (BFN)
July 2014: IUI w/100mg Clomid (BFN)
August 2014: IUI w/100mg Clomid (BFP!)
September 2014: Beta 1 at 14 DPIUI: 100
September 2014 Beta 2 at 16 DPIUI: 239
September 2014: Beta 3 at 23 DPIUI: 3,159
U/S 9/26: One healthy baby! Measuring 1 day ahead and a FHR of 119 @ 6W4D (EDD May 18)
U/S 10/26 (first OBGYN visit): Measuring 1 day behind and a FHR of 160 @ 8 weeks. Looks like an upside-down Teddy Graham!


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Re: My genetic-testing-came-back-positive question

  • CarSaidYesCarSaidYes member
    edited June 2014
    MD runs in my family. I am also in the process of getting tested. I've always told myself as I watched my aunt care for her son that I would never allow my child to suffer or myself. I know it sounds awful and shallow and horrible but I'm thinking long term. When I'm 6ft in the ground who will be the care giver then? And will that person treat my child like they deserve to be treated? It's so much more than just loving that child and accepting their disability. It's not a life I want to live. I am not planning on postponing my IUI cycle until after testing. RE said it can be detected via blood work if there is an issue and well talk about options then. DNA coordinator said testing can take up to 10 weeks. That's a long time.
    Me: 26 (IC/PCOS-2000mg of Metformin daily)

    June 2014- HSG=clear

    DH: 27 (SA results were great minus the slightly low morphology)
    Started dating DH in 2002 at 14 years old
    Married on 03.01.2014
    Officially TTC since April 2014 
    January 2013- Surprise BFP, m/c at 6 weeks, D&C 2 Weeks later
    April 2014- First RE appointment
    July 2014- IUI#1-Canx due to scar tissue and polyps. TI with the help of Ovidrel. BFN

    August 2014- Hysteroscopy to remove scar tissue and polyp

    September 2014- IUI #1.1-100mg Clomid, Ovideral, 11.5 million swimmers=BFP

    EDD-6/3/15- Our sweet baby Ryan was born on 1/6/15 and is in the arms of an Angel

    Dx with IC on 1/6/15



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  • That *is* really tough. I'm sorry. :-(

    I think my questions for the genetic counselor would be: 1) What are the chances that someone is a carrier (thinking about your husband), 2) If both partners are carriers, what are the chances the child will have CF? and probably 3) If you are both carriers, what do they recommend? IVF w/PGD? Donor egg/sperm/embryo?

    I think the answers to the first two questions would help me make the short-term decision about whether to move forward with this IUI, and the other question would be thinking about how I wanted to move forward in future cycles.

    Good luck making this tough decision. I think any decision is completely acceptable, it is just really personal.
    **siggy warning**  **everyone welcome**

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    DS- 11.07.02
    DSS- 6.26.04
    Married- 6.29.13
    TTC Again- Sept. 2013
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Test Results/Diagnosis- HSG & SA totally normal
    DX: 3/2014 Prolactinoma/Hyperprolactinemia- Started cabergoline 2/2014
    5/2014 Possible mild PCOS in addition to hyperprolactinemia??
    7/2014 Adding probable tubal factor to the diagnosis list
    9/2014 And now adding hypothyroid to the list- Started synthroid 9/2014
    Cycles 1-4 - Sept.-March- All Anovulatory 
    IUI #1 March/April-  Clomid 50mg + Clomid 100mg +Trigger + IUI #1 = BFN
     IUI #2 April/May-Clomid 100mg + Clomid 150mg + Trigger + IUI #2 + Endometrin=BFN
    IUI #3- June- Follistim 75iu + Trigger + IUI #3  Benched due to a 40 mm cyst. :-(
    IUI #3- July- Follistim 75iu + Trigger + IUI #3 + Endometrin = BFP! on 7/25/14
    Slowly rising betas - Ectopic suspected on 8/8/14 & confirmed on 8/11/14
    Methotrexate on 8/12/14 -HCG negative on 9/2/14
    IVF #1- November- Antagonist protocol: 11/1: start stims, 200iu of Follistim; 11/12 ER 17R/14M/14F; 11/17 5 day transfer of two blasts, 2 blasts and 2 expanding morulas frozen; 11/22 BFP!! (On FRER at 5dp5dt)
    Betas: 9dp5dt 205, 11dp5dt 497, 14dp5dt 1,709
    u/s at 5w0d- 1 sac; u/s at 6w0d 1 baby with heartbeat, another sac without a heartbeat
    image


  • Losses mentioned

    I'm sorry but I'm keeping my FX that your husband isn't a carrier so you won't have to worry about this.

    Since we are doing IVF with PGD we had to have genetic testing done because if there was a chance we both were carriers of CF they could test the embroy's for that specific gene.  Luckily I wasn't, it is very possible my husband is because he has a few family members that have it but we didn't test him just me.

    Having to go through this IVF process and thinking about "what if" has caused a lot of soul searching for us.  My best friend is a devout catholic and made the comment to me that if it was her she would just take what God gives her even if the baby only got to live a day that would be what God wanted and she would consider it a blessing.  I love her to death and I know she was just telling me her feelings but I feel differently and we have decided any decision we make if we get to that point won't be shared with her.  I've cried about this over and over again.  Yes we are checking our embryos for any chromosomal problems.  I've already lost 1 baby girl that had Edwards syndrome that could possibly have made it to delivery but not lived much longer after that and I lost another to trisomy 16 that never would have made it to delivery.  My husband is a MD and see's patients every day that have to deal with some of these problems and he agrees with me that if it's possible to not have a child that we know is going to start it's life off with problems we would try.  We also were thinking about we are both very close to 40 and if we had a special needs child who would take care of it when we are old?  There is still a small % chance this test can not show some genetic abnormalities and if we do have a child with special needs we will love it regardless and do what ever we need to take care of this child.

    Please don't feel like you are a horrible person for feeling this way.  I honestly think it's normal to feel that way.  I have no advise for the up coming IUI because it is a very personal decision.  Just wanted you to know there are other people out there that think the same way you are thinking.  I'd be inclined to also ask the genetic counselor what are the % chances that your husband will be a carrier.  I just don't know how common this gene is.
    Fucking bump!!!!
  • csy2947csy2947 member
    edited June 2014

    You DEFINITELY shouldn't feel guilty about considering holding off. Or feel guilty about proceeding. I think you should do two things, first, talk to your doctor about actual risk/probabilitie (like is it a 50% chance or a 10% chance). Then I would look at your predicted long term mental health prognosis on this. If the baby did test positive while you were carrying it and you ended up 'talking options' would you really be able to end the pregnancy? Every person is different but personally, after trying so hard just to get to the positive, I don't know if I could do it. If you think you can and that you'll be ok with it, OR if you are prepared to raise a child with such a difficult disability, then you should go for it. But if any part of you knows that a decision like that would just kill you then taking a month off to prevent that possibility might not be the worst.

    Its so hard to accept a cycle off though so I totally understand that part of it.

    Whatever you do, its a choice that is just for you and your husband and don't let anyone tell you you made the wrong one, there's no absolute right answer in these types of situations...

    I also offer internet hugs :)

  • It sounds very wise to wait until your DH's testing results come back. Very high chances that they are negative. If not, there are so many loving and wise options to consider as you try to plan for your family's and your future children's needs. I hope the wait to hear results goes quickly!
    January 3T Siggy Challenge - New Year's Resolutions
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    Me (29), DH (30) TTC actively 54 55+ cycles | All BFNs
    MFI (low everything) | Endo Stage 1 & Stenotic Cervix (treated) | PCO
    Married - July 2008 | Started TTC - Jan 2009RE Visit #1 - Mar 2014 
    IUI #1 ICI #1 - June | IUI #1.1 Laparoscopy - Aug
    IUIs #1.2, 2, 3 - Sept, Oct, Nov (Letrozole) - BFNs 
    IUI #4 - Dec (Bravelle) | IUI #5 - Dec/Jan (Bravelle) - 5 follies + TI - BFNs
    IUI #5.1 - Jan (Bravelle) Cancelled 
    Planning to start IVF in March!
    ***All Welcome***
  • KT416KT416 member
    I have no advice, but just sending hugs your way.

    Me: 29, DH: 30

    Married: April, 2011; TTC: July, 2012

    Dx: MFI; June '14 IVF w/ ICSI: 11R, 8M, 5F... 1 5dt, beta #1: 213, beta #2: 621, beta #3: 8545!



    BabyFruit Ticker
  • I don't have any advice for you, but wanted to offer hugs!  I probably would hold off on the IUI until you got your husband's results back.

    DH: 34  
    Aug 2013 - SA: Counts & Motility = great, Morph = 1%; RE didn't seem too concerned

    Me: 26
    Jan. 2014 - Blood work ordered by obgyn:  Prolactin = high & AMH = low (0.73)
    Feb. 6, 2014 - Repeat blood work ordered by obgyn:  Prolactin = normal & AMH = low (0.9)
    Feb.  20, 2014 - First appointment with RE
    Feb. 24, 2014 - HSG scheduled;  DX:  one tube definitely open & one tube could be blocked
    Mar. 7, 2014 - CD 21 Blood work for Progesterone; DX:  Progesterone level at 5.2; shows I ovulated but was low
    Mar. 28, 2014 - Laparoscopy; DX:  Tubes open.  Found some endometriosis and had that removed.
     
    History:
    Started TTC:  June 2012
    June 2012 - March 2013:  When it Happens/it happens method = BFN
    March 2013:  Started using Fertility Friend
    Cycles 1 - 15 with Fertility Friend = BFN
    Cycle 16 - Benched due to Laparoscopy
    Cycle 17 - Natural Cycle = BFN
    Cycle 18 - Natural Cycle = BFN
    Cycle 19 - Natural Cycle = BFN
     

    Current Cycle:
    Cycle 20 = Natural Cycle


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  • I have never had any testing like this done before but think that if I had gotten back the same information I would wait to see what DH's came back as. It's is such a hard situation and I'm really sorry you're having to go through that. ::big hugs::

    Trying to have baby #1 since April 2013

    DH SA March,May 2014 - Low motility and shape issues. On vitamins per RE to help

    Me testing April 3, 2014 - FSH and LH good, HSG showed blocked right tube

    April 29, 2014 - First RE appt., right tube needs to be removed and possibly left also if

    it's bad too. RE suggests going straight to IVF

    June 4, 2014 - LAP/HSC and unexpected endo. removed but tubes got to stay!

    June 13, 2014 - Post-Op appointment. We decide where to go next since main issue

    is MFI influenced. Trying naturally until decision... Repeat SA  in September. Aiming for IUI #1 November 2014.

    image

  • The first RE I saw recommended testing for CF, it was inexpensive, so I thought "why not?". I was shocked when my testing came back that I was a carrier. I have no family history of CF. We had my husband tested and he fortunately is not a carrier.

    The good thing is that you have options and CF is not a death sentence like other genetic conditions. If my husband had came back as a carrier, we would have moved straight to IVF w/ PGD to screen embryos for CF. If both parents are carriers, you have a 25% chance of having a child with CF, a 50% chance of having a child that is a carrier, and a 25% chance of having a non-carrier child. So that's a 75% chance of having an healthy child even without genetic screening. The good news is that if your husband is not a carrier, you have a 0% chance of having a child with CF, a 50% chance of having a child that is a carrier, and a 50% chance of having an non carrier child.

    Here's another statistic that made me feel a little better when we were waiting for DH's tests to come back. For a white caucasian with no family history of CF, your odds of being a carrier is 3%. So there was a 97% chance that my husband was not a carrier. The carrier rate is even lower for other races.

    imageimageimageimageimage

     

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    TTC #1 since August 2011

    My Blog

    September 2012: Start IF testing

    DH (32): SA is ok, slightly low morph, normal SCSA  Me (32): Slightly low progesterone, hostile CM, carrier for CF, Moderately high NKC, High TNFa, heterozyogous mutated Factor XIII, and +APA

    October 2012-May 2014: 4 failed IUIs, 3 failed IVFs, and 1 failed FETw/donor embryos

    November 2014: IVF w/ICSI #4 Agonist/Antagonist with EPP and Prednisone, Baby Aspirin, Lovenox, and IVIG for immune issues.  Converted to freeze all due to lining issues.  2 blasts frozen on day 6!

    January 2015: FET #2 Cancelled due to lining issues

    April 2015: FET #2.1


    PAIF/SAIF Welcome!

  • SewfieSewfie member
    We found out that I'm a CF carrier just a few days before we planned our first IUI. I was pretty shocked when I got my results. We decided, with our RE, to put off the IUI until MH's results came back, but proceed with TI (the gene I carry is not likely to cause symptomatic CF). We finally got his results and he is probably not a carrier for CF (apparently it's not 100% definitive, but he doesn't carry the gene I do, so we're basically in the clear), so we're onto IUI, potentially next week.
    Our RE may still suggest genetic counseling at my U/S appt Monday, and one of the other RE's in the office offers the service, so at least it will be convenient.

    I don't think it is necessarily wrong to want to ask that kind of question (about the difficulties of caring for someone with CF). People with genetic disorders (I can't think of a better way to put that right now) are by no means less worthy than people with "normal/normative" genetics. But- in our case- we don't readily have the necessary support system in place to take care of a child with serious medical issues. That can be change in an emergency situation, but if we have an opportunity to provide the best possible chances for a theoretical child, we will do what we think is best for us. I think this is more because of our personal backgrounds than anything else, and it's definitely NOT the only "right" way to do things. And I'm not going to judge people that feel similarly any more than I'm going to judge people who feel differently, if they are doing what they think is in the best interest of the potential child.


    ****Loss in Sig****
    3T Sig Challenge: New Year's Resolutions

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    "Nothing in life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less."

    Marie Curie

    Married 2010, together since 2006. TTC for #1 since March 2012, actively charting since November 2013
    March 2014 - HSG left tube blocked, right tube partially blocked bilaterial partial obstruction; onward to the RE in April
    May 1, 2014 - Lap surgery and chromopertubation; Dr removed a bit of endo, but everything looks healthy & tubes are clear!
    May 2014- First medicated cycle, 2.5mg femara+TI; BFN
    June 2014- 2.5mg femara + hCG + IUI
    on 6/18= BFP on 6/28!; C/P on 7/3
    July 2014- 2.5mg femara + IUI #2 on 7/18. Starting progesterone 7/23, bfn
    August 2014- 2.5mg femara + hCG + IUI # 3 on 8/15. BFN
    Tx break
    IVF #1 -
    12/1 - TOT & SIS- RE found a polyp
    12/15 - Hysterscopic surgery to remove the polyp; additional polyps found and removed

    12/29- Good baseline u/s, 12 antral follies
    12/30- Started stimming
    1/10 - ER: 17 retrieved, 14 fertilized!
      My Ovulation Chart - No data,  just meds
    image
  • Thanks ladies! I read that 1in 25is a carrier,but only 1in 4000are born with the condition.. that is encouraging news...i have counseling tomorrow morning,and then we decide, but i think we will move forward with this cycle.

    Me: 30   DH: 29
    TTC since 2010
    Oct. 2012 HSG: One blocked tube, one clear
    Oct. 2012 U/S: All good
    March 2014 SA: Flying Colors

    April  2014: Met our RE/Got our plan!
    May 2014: laparoscopy/hysteroscopy removed stage II endometriosis
    June 2014: IUI w/100mg Clomid (BFN)
    July 2014: IUI w/100mg Clomid (BFN)
    August 2014: IUI w/100mg Clomid (BFP!)
    September 2014: Beta 1 at 14 DPIUI: 100
    September 2014 Beta 2 at 16 DPIUI: 239
    September 2014: Beta 3 at 23 DPIUI: 3,159
    U/S 9/26: One healthy baby! Measuring 1 day ahead and a FHR of 119 @ 6W4D (EDD May 18)
    U/S 10/26 (first OBGYN visit): Measuring 1 day behind and a FHR of 160 @ 8 weeks. Looks like an upside-down Teddy Graham!


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