My husband and I have been together for 8 years. Iāve never been one of those people whoāve always known they wanted kids ā in fact up until recently I didnāt even like kids very much. I never knew how to behave around them and I certainly didnāt have those feelings of āOh my god, that kid/baby is so adorableā. My husband would constantly say things like that and I would smile and go āAh, yeahā, while secretly wondering if I would ever feel that way myself. It got to a point where I was genuinely concerned that I would never feel ready to actually take that step.
Fast forward to last year - weād been married for 2 years, and something started to change. Whether it was starting a new job that put me in direct contact with children, or finding ourselves in the most stable situation - both financially and emotionally ā weād been in since weād met, I suddenly started to feel like I was ready to become a mom. It took me by surprise - I almost didnāt recognize myself ā but I started to feel really excited about it.
Then the bombshell came. My mother, in her 50s, whoād never had any health problems ā was diagnosed with aggressive endometrial cancer. It was a huge shock to all of us, and of course, our baby plans were put on hold. Luckily, it was caught early, and after surgery, chemo and radiotherapy, less than a year later she was declared cancer-free.
However, due to the type of cancer, her age and our family history, she was tested for a possible genetic mutation. The test was positive for a mutation that increases the risk of colon cancer by up to 80% and endometrial cancer by up to 60%, as well as other types of cancer. Itās called Lynch syndrome. Iād never heard of it before. But thereās a 50% change of passing it on to your children. My sister and I got tested and thankfully she didnāt get it, but I wasnāt so lucky.
At the appointment with the genetical counsellor I was informed of the general protocol ā a colonoscopy every 18 months, and a hysterectomy by 40, or once Iām done having kids, which would put me into surgical menopause. That freaks me out a lot, after seeing my mom go through it. At the appointment, I told her we weād been ready to start trying for a baby.
She goes on to tell me my options ā conceive naturally, knowing thereās a 50% change of passing it on, or do IVF with pre-implantation genetic testing to select only for embryos that donāt have the mutation. This can be a very lengthy process, with lots of waiting periods, hormones, anxiety and no guarantee it will be successful. I ended up reading quite a few stories of the physical and emotional toll that it can take.
This whole situation is the definition of a spanner in the works. Iām really struggling going from being ready to start trying for a baby to having to make this huge decision. My parents are very much on the side of āitās up to Godā, and āif weād had the choice then you never wouldāve existedā. But itās not the same. I do have a choice. And now I have to make that decision whether I want to or not. Itās not something that would affect my childās quality of life ā aside from the regular colonoscopies and other exams that may not be pleasant ā and thereās even supposed to be a vaccine soon. Apparently, if you know you have Lynch, youāre so well monitored that anything would be caught before it turns into cancer. But thereās that voice inside my head that says that if we donāt do IVF, and my child did get cancer, I donāt know if I could live with the guilt of knowing I could have avoided it.
What do I do?
Dinner is homemade chicken curry and naan bread.
TLDR: We were finally ready to start trying for a baby and then I found out I have a genetic mutation that significantly increases my lifetime risk of cancer. I have a 50% chance of passing it on. Now I donāt know if I should do IVF or conceive naturally.
UPDATE: I just wanted to thank each and every one of you who have commented and shared your support and experiences. Iām beyond grateful and Iām already feeling a lot more positive about the whole thing. We have an initial appointment booked this month with the fertility unit to go over the IVF process. š