It was almost two weeks between our first FaceTime meeting
and when they contacted me again. J
messaged me that they’d like to talk, and we were all available that night, so
we set it up for after kids’ bedtime.
They started out by saying that they would like to move forward with me
as their surrogate. I was excited to
oblige. They continued that they had
talked with Sandy at NWSC and were pretty sure they would use them for their
agency, but still wanted to check out some others. Then J continued that they had something else
to talk to me about before moving forward.
“I’m HIV positive.” J
continued to explain that he had been positive for sixteen years. That he and A had been together for ten and it
hadn’t been transferred. That he has
been taking a serious medical
regimen and has been undetectable for seven years. They explained the SPAR
program to me, which I had previously researched when a surrogate acquaintance
asked about it in one of my FB groups.
There is nothing that can prepare you for making that
decision. I’d researched it before, and
although it was at least a year previous, I remembered that what I found was
encouraging. But it’s one thing to
provide support and encouragement to someone else who is considering it and
quite another to actually agree to do it with your own body.
After we hung up, I spent over an hour researching
online. The SPAR program is operated through the
Bedford Research Foundation Clinical Laboratory in Massachusetts. First, J would have to undergo a thorough
medical examination, which would include continued determination of his undetectable
status. With treatment, the viral load
(the amount of HIV in a blood sample) is reduced; if it’s below 40-75, you’re considered
undetectable, meaning your body is fighting the virus successfully and the
chance of transmission is low. With
doctor approval, a specimen is collected.
Even if the viral load in blood is undetectable, it’s still possible
that the semen has a detectable load, with some studies
showing 5 to 10 percent of undetectable blood samples having detectable
semen samples.
Some research indicates that HIV is carried in the semen,
but not sperm. If the specimen contains
any level of detectability, the entire collection is discarded. The specimen is then “washed” clean—the
sperm and the semen separated, and the sperm tested for the virus. Through this
particular clinic, as of June 2013, 178 clients
had used the program and no mothers or babies were infected. Other programs exist, and it’s
reported that in over 4,000 cases of sperm from and HIV+ man being used in
assistive reproduction, there have been no cases of transmittal. In addition to J, the surrogate has to
undergo additional medical assessment, even more so than the typical medical
evaluations required, have a phone or in-person conference with the doctor of
the SPAR program, and sign consent of understanding.
My husband was asleep and I wasn’t sure how to approach him
about it anyway. So I did what I always
do when I’m in a situation and need some solid advice—I called my mom. My mom had been with me at the conference in
San Francisco and met J & A there.
She really liked them too, and was excited about the idea of my working
with them. We talked for quite a bit and
I explained to her all the research I had done.
She and I had the same trepidation—my husband.
Having a wife who is pregnant is a great source of stress
for any man. Having a wife who is
pregnant with another man’s baby is a source of even greater stress—the sort of
stress of your wife being in danger but not for the benefit of your own
personal family. Having a wife who is
pregnant with another man’s baby who may or may not have passed an incurable
and possibly fatal disease to her is a source of unimaginable stress. Our life contains a substantial amount of stress
as it is. Convincing him to go along
with a second surrogacy at all took some persuading. I had no idea how this would go.
I considered waiting a few days to talk to him and to try to
find the perfect opportunity, but the truth is, I’m not good at keeping things
from my husband. Maybe that’s why we’ve
lasted this long. Even when it’s
something I know he won’t care much about, my husband is my go-to person, the
first person I want to tell everything to.
The next morning, I brought it up with him. Granted, I hemmed and hawed about what to say
and how to say it and waited until just the right moment in the morning to tell
him. When we were in the place where a
great portion of our most significant conversations take place—the shower. When you both work full time and you have
three kids, uninterrupted quiet time is difficult to come by. Some time ago we
discovered that the best time and place to be alone and talk is during a
morning communal shower. Plus, it’s much
easier to convince your husband (or wife) to go along with whatever you’re
trying to sell when you’re both naked.
It’s a proven fact (and by proven fact I mean that I Googled it and
deducted that it’s not all that uncommon for couples to shower together for
more reasons than just sex).
I explained to my husband all the research I had done. He asked the standard question—the same
question my mom had asked and the same question I had asked the guys: Why can’t you just use sperm from A? The answer is as simple as it was for my
first IFs to decide whose sperm to use—because they both wanted to have and
raise a biological child. Although
they’d be content if it didn’t work out and they ended up only having
biological children from A, like most couples, their ideal consists of raising
children that are biologically related to each of them. As much of an ass as he so often is, my
husband also manages to surprise me every now and again—usually when I least
expect it and usually when it’s the most important to me. “Well, let’s talk with them about it more. I trust that the doctors know what they’re
doing.”
That’s all I needed to say yes. I too trust that the doctors know what
they’re doing. I trust that J & A are taking every precaution to ensure that this is done in the most ethical and
safe way possible. But most of all, I
trust my husband. Someone who has
significant anxiety and worries about the most minuscule and ridiculous things,
someone who I truly believe would be completely lost if anything happened to
me. If he trusts in it and is willing to
go through with this amazing experience, then I know it is right for us.
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