<?xml version="1.0" encoding="UTF-8"?>
<rss version="2.0"
	xmlns:content="http://purl.org/rss/1.0/modules/content/"
	xmlns:wfw="http://wellformedweb.org/CommentAPI/"
	xmlns:dc="http://purl.org/dc/elements/1.1/"
	xmlns:atom="http://www.w3.org/2005/Atom"
	xmlns:sy="http://purl.org/rss/1.0/modules/syndication/"
	xmlns:slash="http://purl.org/rss/1.0/modules/slash/"
	>

<channel>
	<title>Zócalo Public Squarefertility &#8211; Zócalo Public Square</title>
	<atom:link href="https://legacy.zocalopublicsquare.org/tag/fertility/feed/" rel="self" type="application/rss+xml" />
	<link>https://legacy.zocalopublicsquare.org</link>
	<description>Ideas Journalism With a Head and a Heart</description>
	<lastBuildDate>Mon, 21 Oct 2024 07:01:54 +0000</lastBuildDate>
	<language>en-US</language>
	<sy:updatePeriod>hourly</sy:updatePeriod>
	<sy:updateFrequency>1</sy:updateFrequency>
	<generator>https://wordpress.org/?v=6.9.4</generator>
		<item>
		<title>In Vitro in Vegas</title>
		<link>https://legacy.zocalopublicsquare.org/2014/10/07/in-vitro-in-vegas/ideas/nexus/</link>
		<comments>https://legacy.zocalopublicsquare.org/2014/10/07/in-vitro-in-vegas/ideas/nexus/#respond</comments>
		<pubDate>Tue, 07 Oct 2014 07:02:12 +0000</pubDate>
		<dc:creator>by Tara Prescott</dc:creator>
				<category><![CDATA[Essay]]></category>
		<category><![CDATA[Nexus]]></category>
		<category><![CDATA[fertility]]></category>
		<category><![CDATA[Las Vegas]]></category>
		<category><![CDATA[pregnancy]]></category>
		<category><![CDATA[Thinking L.A.]]></category>

		<guid isPermaLink="false">https://legacy.zocalopublicsquare.org/?p=55990</guid>
		<description><![CDATA[<p>When people talk about doing shots in Vegas, this isn’t what they have in mind. But on a Tuesday night in July, I sat at the black granite dressing table in a bathroom at the Palazzo, my bikini still damp from the pool, and prepared to jab myself in the abdomen.</p>
<p>I had been thinking about freezing my eggs for a long time. At 38, happily single with a career just starting to take off and a lot of travel in my immediate future, I knew I wasn’t ready to start a family. But since I want a child of my own some day, I figured now was the time to freeze my eggs.</p>
</p>
<p>Once I’d decided on the procedure, I told all of my close friends. At first I felt sheepish, as if the decision signaled that I had “given up” on finding a partner. The traditional model of </p>
<p>The post <a rel="nofollow" href="https://legacy.zocalopublicsquare.org/2014/10/07/in-vitro-in-vegas/ideas/nexus/">In Vitro in Vegas</a> appeared first on <a rel="nofollow" href="https://legacy.zocalopublicsquare.org">Zócalo Public Square</a>.</p>
]]></description>
				<content:encoded><![CDATA[<p>When people talk about doing shots in Vegas, this isn’t what they have in mind. But on a Tuesday night in July, I sat at the black granite dressing table in a bathroom at the Palazzo, my bikini still damp from the pool, and prepared to jab myself in the abdomen.</p>
<p>I had been thinking about freezing my eggs for a long time. At 38, happily single with a career just starting to take off and a lot of travel in my immediate future, I knew I wasn’t ready to start a family. But since I want a child of my own some day, I figured now was the time to freeze my eggs.</p>
<p><a href="https://legacy.zocalopublicsquare.org/tag/thinking-l-a/"><img decoding="async" class="alignleft size-full wp-image-50852" style="margin: 5px;" alt="Thinking LA-logo-smaller" src="https://legacy.zocalopublicsquare.org/wp-content/uploads/2013/09/Thinking-LA-logo-smaller.jpg" width="150" height="150" /></a></p>
<p>Once I’d decided on the procedure, I told all of my close friends. At first I felt sheepish, as if the decision signaled that I had “given up” on finding a partner. The traditional model of an American woman’s path to happiness and a family, reinforced in movies and television, does not leave much room for deviation. It feels as if the options are black and white&#8211;either you follow the traditional path (love, marriage, baby) or you’re a spinster with cats.</p>
<p>Luckily everyone&#8211;my parents, friends, and colleagues&#8211;was incredibly supportive. My friend Briita even texted me emoji of hypodermic needles and chicken eggs.</p>
<p>After getting over the exorbitant cost&#8211;the biggest barrier to egg freezing&#8211;my greatest fear was giving myself the shots. I imagined maneuvering giant horse needles into my butt, jabbing backward into the skin like puncturing a watermelon with a bread knife. Instead, the needle I held in the Vegas hotel bathroom was shorter than my thumbnail, and slid into the skin of my abdomen nearly effortlessly.</p>
<p>When Briita invited me to join her for a weekend in Vegas, I almost didn’t go because it was going to be the first night of my injections. But I figured if I had to do them, Vegas would be as good a place as anywhere.</p>
<p>Briita and I discussed the procedure poolside, lounging in the warm desert sun. Glancing at my watch, I realized the two-hour window for the injection time, which started at 6 p.m., was approaching. Briita gave me the idea to commemorate my first one: a shot for a shot.</p>
<p>A waitress came over, and we considered what kind of liquid encouragement was appropriate for my first stab into motherhood. “A lemon drop shot,” said Briita.</p>
<p>The drink arrived in a plastic mini-Solo cup. The purist in me wanted a real shot glass, but this would do.</p>
<p>“Do you want me to go with you?” Briita asked, her voice dropping, the words coming out more slowly and carefully, as if she wanted to offer her help but wasn’t exactly sure of the protocol.</p>
<p>“No, it’s fine. I got this. I’ll text you if I need help.”</p>
<p>Drink in hand, I went up to our palatial hotel room and retrieved my box of Follistim cartridges from its minibar perch on top of tiny cans of Red Bull and Heineken. I meticulously went through all the prepping steps, watching and re-watching YouTube instructional videos produced by fertility clinics, which usually featured married white couples with the husband administering the shot. They zoomed in on weirdly manicured and disembodied hands dialing back the dosage on the injection pen as if it were a gold watch on QVC.</p>
<p>The unofficial videos on YouTube by regular people were far more relatable. If a woman sitting at her computer could slide a needle into a soft roll of fat while talking to a camera without skipping a beat, then I knew I could do it. These women talked frankly about their fertility, the challenges of IVF, and the unexpected side effects. There were women struggling with infertility wishing each other good luck and “baby dust,” message boards where you could find “cycling partners” who were on the same hormone schedule, and endless tips about how to make the shots easier.</p>
<p>Pumping the music out of my iPhone (I had built an injection playlist that included Bon Jovi’s “You Give Love a Bad Name” and LMFAO’s “Shots”), I laid out some paper towels on a “clean, flat surface,” sang along to the refrains, and giggled at every “shot” reference. Silly puns, it turns out, have great healing value. Aging, single motherhood, infertility, fear of dying alone—these issues are serious enough. When they’re coupled with a syringefest reminiscent of a scene from <em>Pulp Fiction</em>, you don’t need any more fear and trepidation. You need Pat Benatar, cranked up. There is something incredibly rewarding about drawing a deep breath, putting “Hit Me With Your Best Shot” on replay, and just getting it done.</p>
<p>I took a swig of the lemon drop shot with my left hand and steadied the needle with my right. I made two aborted attempts. And then I sank the needle into my belly, released the pinch of skin I was holding, and slowly pushed the medicine into my body. I counted to five, pulled out the needle, and began celebrating.</p>
<p>Las Vegas is such an impossible, unlikely place, a neon metropolis in the middle of the desert. Equally marvelous and unlikely is the technology that allows me to safely retrieve and freeze my eggs for future use, without a single incision. Because egg freezing only recently lost its “experimental” status and the success rates are not as well known as with embryo freezing, I decided to keep my options open and freeze both eggs and embryos. It feels a little bit like I’m living in a science fiction novel.</p>
<p>Now, a few months post-retrieval, I wonder when and how I will decide to use the eggs I’ve just nourished, protected, collected, and frozen. It’s possible I’ll meet someone and have children the traditional way. It’s possible I’ll marry in time for one child, but need to return to my frozen eggs for a second one. It’s possible I’ll decide to be a single mother, the way my mother was for many years. It’s possible I’ll adopt or decide not to have children at all, and be equally happy. But if I do have a daughter or son some day from the eggs I retrieved, I look forward to telling my child about the unexpected summer night in Vegas when it all started.</p>
<p>The post <a rel="nofollow" href="https://legacy.zocalopublicsquare.org/2014/10/07/in-vitro-in-vegas/ideas/nexus/">In Vitro in Vegas</a> appeared first on <a rel="nofollow" href="https://legacy.zocalopublicsquare.org">Zócalo Public Square</a>.</p>
]]></content:encoded>
			<wfw:commentRss>https://legacy.zocalopublicsquare.org/2014/10/07/in-vitro-in-vegas/ideas/nexus/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>In Praise Of the Male Biological Clock</title>
		<link>https://legacy.zocalopublicsquare.org/2012/09/09/in-praise-of-the-male-biological-clock/ideas/nexus/</link>
		<comments>https://legacy.zocalopublicsquare.org/2012/09/09/in-praise-of-the-male-biological-clock/ideas/nexus/#respond</comments>
		<pubDate>Mon, 10 Sep 2012 02:28:38 +0000</pubDate>
		<dc:creator>by Brigid Schulte</dc:creator>
				<category><![CDATA[Essay]]></category>
		<category><![CDATA[Nexus]]></category>
		<category><![CDATA[Brigid Schulte]]></category>
		<category><![CDATA[family]]></category>
		<category><![CDATA[fatherhood]]></category>
		<category><![CDATA[fertility]]></category>
		<category><![CDATA[gender]]></category>
		<category><![CDATA[pregnancy]]></category>
		<category><![CDATA[women]]></category>
		<category><![CDATA[workplace]]></category>

		<guid isPermaLink="false">http://zocalopublicsquare.org/thepublicsquare/?p=35155</guid>
		<description><![CDATA[<p>When my husband and I had our first child, our son, I had to look up the strangely ominous label I’d read on my chart: &#8220;elderly primigravida.&#8221; With visions of wrinkled babushkas hovering in my already anxious mind, I discovered it was the medical term for a woman who becomes pregnant for the first time at age 35 or older.</p>
<p>A few years later I was pregnant with our second child, our daughter, when the physician’s assistant in my doctor’s office urged me to reconsider an amniocentesis test I’d just declined. &#8220;You don’t understand,&#8221; I remember her telling me in hushed tones. &#8220;You are a high-risk pregnancy for … chromosomal abnormalities. You are <em>old</em>.&#8221;</p>
<p>I was nearly 39. This time, my chart referred to my &#8220;advanced maternal age.&#8221; Fertility specialists had already warned me I’d nearly waited too long to have children. I’d seen that my risk of delivering </p>
<p>The post <a rel="nofollow" href="https://legacy.zocalopublicsquare.org/2012/09/09/in-praise-of-the-male-biological-clock/ideas/nexus/">In Praise Of the Male Biological Clock</a> appeared first on <a rel="nofollow" href="https://legacy.zocalopublicsquare.org">Zócalo Public Square</a>.</p>
]]></description>
				<content:encoded><![CDATA[<p>When my husband and I had our first child, our son, I had to look up the strangely ominous label I’d read on my chart: &#8220;elderly primigravida.&#8221; With visions of wrinkled babushkas hovering in my already anxious mind, I discovered it was the medical term for a woman who becomes pregnant for the first time at age 35 or older.</p>
<p>A few years later I was pregnant with our second child, our daughter, when the physician’s assistant in my doctor’s office urged me to reconsider an amniocentesis test I’d just declined. &#8220;You don’t understand,&#8221; I remember her telling me in hushed tones. &#8220;You are a high-risk pregnancy for … chromosomal abnormalities. You are <em>old</em>.&#8221;</p>
<p>I was nearly 39. This time, my chart referred to my &#8220;advanced maternal age.&#8221; Fertility specialists had already warned me I’d nearly waited too long to have children. I’d seen that my risk of delivering a baby with Down syndrome, the chromosomal abnormality my PA was referring to, was now about one in 137, a far cry from the one in 1,667 odds I would have faced if I’d had a baby at 20, when my body was most ready.</p>
<p>Funny thing, though, no one, not my doctor, not the fertility specialists, not the worried physician’s assistant, ever mentioned my husband’s age, though he is seven years older. We all assumed he would be able to make healthy babies forever, just like those paragons of virility, Hugh Hefner, Larry King, and the late South Carolina Republican Senator Strom Thurmond, nicknamed by his staff &#8220;Sperm&#8221; Thurmond, all of whom fathered children well into their 70s.</p>
<p>Turns out, we may have all been wrong. Emerging science suggests that men, like women, have a biological clock: the older the father, the greater the risk of infertility and of passing on genetic mutations like autism, schizophrenia, bipolar disorder, and epilepsy. Which raises a tantalizing prospect: Could this knowledge begin to reverse the trend of people starting families later and later in life, alter the priorities of men and women alike, and reshape the way we all live and work?</p>
<p>In fairness, medical conditions like autism, schizophrenia, and even fertility are complex. The risk of genetic mutation shown by new studies is still relatively small. And social change usually comes in slow drips rather than sweeping revolutions, as a result of a host of factors converging at once. But that’s where this gets interesting. There <em>are</em> a host of factors converging now, from economic and demographic trends and rapid advances in technology to new studies on productivity and shifting social and gender norms. Throwing the pressure of a male biological clock into the mix could be just one more factor tipping the balance toward change.</p>
<p>But first, the science. New studies are finding that men not only experience the same decline in fertility that women do as they hit their mid-30s&#8211;a 35 year-old man has half the chance of fathering a child within one year as a 30-year-old&#8211;but that as men age, they face increasing risks of passing along genetic mutations that result in neurological disorders.</p>
<p>The latest news from a study of autism published in <em>Nature</em> hit like a bomb. Researchers found that while a 20-year-old father passes on an average of 25 new genetic mutations, a 40-year-old father passes on about <em>65</em> mutations.</p>
<p>The researchers linked their finding and the worldwide trend of fathers’ delayed childbearing to the &#8220;epidemic&#8221; of autism. (The Centers for Disease Control estimates one in 88 children in the United States has an autism spectrum disorder, an astounding 78 percent increase from 2000, when they first began tracking the disorder.)</p>
<p>Reaction to the news has ranged from widespread unease to a certain giddy schadenfreude among some feminist writers. At a neighborhood gathering, a friend who’d had his children later in life agonized about whether his children’s health problems were really all his fault&#8211;wracked by the kind of guilt that I’d only seen before in my women friends.</p>
<p>But rather than ask the larger questions about why men are delaying childbearing in the first place and whether that could change, some of the proposed solutions are to simply lean on technology: Bank your sperm for later use, advised an editorial accompanying the <em>Nature</em> study. &#8220;Freeze your eggs!&#8221; became the clarion call on the web and social media in the days after the report was released.</p>
<p>&#8220;That’s just nonsense,&#8221; said Dr. Harry Fisch, a fertility specialist in New York whose book, <em>The Male Biological Clock</em>, was largely ignored when it came out a few years ago. &#8220;It’s a Band-Aid. What we need is change. Economic change. Social change. Lifestyle change.&#8221;</p>
<p>If, as evolutionary biologists have argued, women choose older mates because they are better providers for their children, could the new science, coupled with the rise in education and earning power among young women, throw that old calculus off? What if financially independent women decided that taking fewer risks with their children’s DNA was worth more than a stable provider? Would we begin to see shifts toward more gender equity at home and at work?</p>
<p>&#8220;The age difference between a husband and wife is a big predictor of gender inequality,&#8221; said Philip Cohen, a sociologist at the University of Maryland, explaining that even a small difference in earnings affects how a family makes decisions like who should stay home with the children or dial back a career. And a man typically being older means he’s had more years in the workforce and higher earnings&#8211;not to mention that persistent wage gap. As a result, a majority of couples favor the man’s career, leaving the woman, even if she works outside the home, primarily responsible for organizing and doing the lion’s share of childrearing and housework. The age difference that contributes to this stubborn imbalance is a strong social norm that hasn’t budged, ever, Cohen said. &#8220;But if women have more options in the marriage market and don’t put the same emphasis on wealth and income and shift to biological virility … it’s interesting to think what could happen.&#8221;</p>
<p>In recent decades, the age of first marriage and the age of first births have been rising for both men and women. But men are delaying childbearing because <em>women</em> are delaying childbearing&#8211;as I did&#8211;in large part to finish their educations and get launched on careers. The workplace can be a punishing place for someone in her 20s with a lot to prove, and a management structure designed to make you work long and hard to prove it. Add to that a load of student loans to pay off, the desire for financial stability, and a prevailing philosophy that having children is a private responsibility which thus does not require social supports like paid parental leave and affordable childcare, and you have a perfect recipe for delay.</p>
<p>Working as a journalist in my 20s, I knew virtually no one who was taking time out to start families. We feared that once we fell off the steep and narrow career ladder we were climbing&#8211;which was harder for a woman to get on in the first place&#8211;we’d never be able to get back on. So we worked long hours well into our 30s. Aided by advances in contraception, we put off having kids until we couldn’t any longer without facing what Harvard economist Sylvia Ann Hewlett calls the &#8220;creeping non-choice.&#8221; And it wasn’t just professional women staring down their biological clocks. From 1970 to 2006, the proportion of first births to women 35 years and older increased nearly eight-fold.</p>
<p>By the time we could wait no longer, many of us needed the help of technology. Though advanced reproductive technology, or ART, has been around for a while, surveys show that most of us don’t realize that it can’t outsmart an aging body. In 2009, for instance, only 36 percent of all ART cycles resulted in a live birth. And most of those were to women under 35.</p>
<p>Delay means fewer babies altogether. The U.S. fertility rate has been dropping in recent years, with the steepest decline among men and women with some college education, to about 1.1, which is lower than the countries with a fertility &#8220;crisis&#8221; like Japan, Spain, and Italy, far below the 2.5 level for U.S. women with no high school education, and lower than the 2.1 level required to replace the population. Scandinavian countries like Sweden, where parenthood has also been delayed, actually have among the highest birth rates in the developed world, the result, said Indiana University sociologist Linda Haas, not only of supportive family policies, but flexible workplaces and a sweeping commitment to gender equity, which makes it easier for men and women to have both meaningful work and quality time at home.</p>
<p>The American workplace, meanwhile, is still designed to reward the kind of Ideal Worker who doesn’t exist anymore, if he ever did&#8211;a single breadwinner with no family responsibilities and no desire for a life, someone who is ready and willing to work 24/7 for 40 years straight.</p>
<p>Could a ticking male biological clock take on the Ideal Worker and reshape the workplace? Perhaps not on its own. Perhaps not anytime soon. But it could be part of a &#8220;cresting wave&#8221; of change, said Ellen Galinsky, who studies workforce trends and directs the Families and Work Institute. Galinsky has found in recent years that both men and women report they want more time for life and flexible hours, autonomy, and engagement at work. More men are reporting a desire to be involved fathers and feeling just as much or more conflict between work and home as women. Galinsky said some enlightened workplaces are responding to a shifting economy, aware that the most productive, creative, and healthy workers <em>aren’t</em> necessarily the ones with their butts glued to the chair in the office for 10 hours straight.</p>
<p>Younger workers with a less tethered vision of life (less tethered to one career, one office, to a landline phone) may be as powerful a force as any scientific evidence for rethinking how and at what age people balance work and family. Gen Y’s expectations for a more fluid workplace are pushing against old norms. &#8220;It’s very clear, if there’s any generational difference I see in our research, it’s that young people want whole lives,&#8221; Galinsky said.</p>
<p>Leslie Zaikis, herself a member of Gen Y, left corporate America to become one of the first employees at the start-up Levo League, a Gen Y networking site. She points to surveys that show Gen Y men and women value flexibility over pay, would rather be unemployed than work in a job they hate, expect to change jobs often, are willing to take risks, and expect to work within a more democratic organizational structure, one where giving their regular input to the CEO is not unheard of. They want to be passionate about the work they do, make an impact, Zaikis said, and, most importantly, have a life at the same time. Zaikis herself works flexible hours, taking time to train for half-marathons, and focuses on the quality of her work, not when and where she does it.</p>
<p>&#8220;Will there come a time when we do listen to our biological clocks and have children earlier? Yes,&#8221; she said. Both men and women in Gen Y are already eschewing &#8220;prestige&#8221; firms and instead seeking out start-up and tech companies with a &#8220;cool factor.&#8221; These companies, she said, have already begun emphasizing working smarter instead of valuing face-time and long hours.</p>
<p>In its research on workplace trends around the world, Accenture, the consulting firm, has found that both men and women in Gen Y have no plans to work themselves into the ground and to the nether edge of their fertility, like older generations&#8211;like me. Gen Y has &#8220;had it all before,&#8221; Richard Westphal, Accenture’s North America Talent Strategist wrote me in an email, &#8220;so they don’t see why it should be different at work.&#8221;</p>
<p>But change is hard. That point hit home when I ran into my friend’s son, 22 and just out of college. Ben hadn’t even heard the news about the male biological clock. And while he, like the rest of Gen Y, plans to have the kind of work that still allows him time to canoe and play the violin, having a child in his biological prime is the last thing on his mind. He has friends with close to $100,000 in student loan debt. They are struggling to find jobs. Once they find one, they don’t expect to stay in a job for long or anticipate a job with benefits like healthcare, much less paid parental leave or on-site childcare. Ben told me he looks at the cost of houses and wonders if he’ll ever be able to afford to buy one. And, a good student, he’d made particular note in a sociology class of the fact that raising a child to age 18 in the average middle-class family costs close to $300,000&#8211;with the childcare bill second only to rent or mortgage&#8211;not counting college. &#8220;I saw that and thought, ‘Oh crap, I’m not having kids any time soon,’&#8221; he said. So when could he see himself starting a family? He shrugged. &#8220;Before 40.&#8221;</p>
<p>In the end, I was lucky. I have two beautiful, healthy children. And I hope, as studies have found, that being an older parent has made me calmer, more patient, and able to spend more time with them. But I’d like to imagine that the future for them will be different, more forgiving, where choices about how to work and when or if to have children and how to share caring for them with their partners are real choices, not dictated by outdated workplace culture or social norms. I’d like to imagine that their career paths could look more like winding trails across a broad field with all sorts of interesting, rewarding, and profitable places to go at different times and at different paces rather than one narrow ladder to be scaled at full speed at any cost. I imagine them in smart workplaces that understand that people who live well, taking time for family or to go canoeing or to play the violin, actually do better work. Will the male biological clock be enough to get them there? We’ll see.</p>
<p><em><strong>Brigid Schulte</strong> is a Schwartz Fellow at the New America Foundation and a </em>Washington Post<em> staff writer currently on leave to write </em>Overwhelmed<em>, a book on time pressure and modern families at work, at home and at play, to be published by Sarah Crichton Books/Farrar Straus and Giroux.</em></p>
<p><em>*Photo courtesy of <a href="http://www.shutterstock.com/pic-3063332/stock-photo-two-fathers-walking-babies-in-strollers-in-park.html?src=csl_recent_image-2">Shutterstock</a>.</em></p>
<p>The post <a rel="nofollow" href="https://legacy.zocalopublicsquare.org/2012/09/09/in-praise-of-the-male-biological-clock/ideas/nexus/">In Praise Of the Male Biological Clock</a> appeared first on <a rel="nofollow" href="https://legacy.zocalopublicsquare.org">Zócalo Public Square</a>.</p>
]]></content:encoded>
			<wfw:commentRss>https://legacy.zocalopublicsquare.org/2012/09/09/in-praise-of-the-male-biological-clock/ideas/nexus/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		</item>
	</channel>
</rss>
