One in six married couples have infertility problems, families now turning to embryo adoption

Supporters of embryo adoption, Kruse family adopted embryos two and a half years ago_20101114171703_JPG

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Containers were embryos are stored at Shawnee Mission Medical Center_20101114162731_JPG

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UMKC Professor Wayne Vaught_20101114162731_JPG

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Kris Probasco, director of Adoption and Fertility Resources_20101114162731_JPG

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Posted: 11/18/2010

LIBERTY, Missouri - Lara and Justin Kruse, a Liberty couple, have been married for eight years now. Several years into their marriage they started trying to have a child. The Kruses say they were unsuccessful because of infertility problems.

However, their issues didn’t dampen their dream of one day having a family. Justin explains, “We just kind of told ourselves that God’s not giving us something that we wouldn’t handle.”

So, the couple tried a new avenue. They got well into the traditional adoption process twice only to have both fall through. Lara says it was devastating.

However, in 2007, the Kruse clan more than doubled. Lara was pregnant with twins: Lucy and Nora.

The girls were adopted as embryos, left over fertilized eggs from another couple’s attempt at in vitro fertilization.  “Ours were a local family from the Kansas City area,” Justin said, “And they had three frozen embryos that they donated or put up for adoption. Those are the ones that we got.”

Adoption and Fertility Resources Director Kris Probasco introduced them to the process. The Kruses told NBC Action News’ Beth Vaughn that at that point they knew nothing about embryo adoption.

Probasco said, “The child is not going to cure their infertility, a child's going to give them an opportunity to become parents.”

In her eight years of working with embryo adoption, she’s placed about 100 embryos with local families. Probasco says some women want to be mothers and others want to be pregnant so this type of adoption offers both.

Lara had accepted the fact that she’d never get to experience pregnancy. She says, “I never expected to be pregnant after all of our infertility struggles so to be pregnant with twins was just such a blessing.”

Embryo Transfer

The Kruse’s embryos were thawed at Shawnee Mission Medical Center . Only two out of the three survived that process. Both were transferred to Lara’s uterus which was the start of their family.

Dr. Dan Stewart handled the medical side of the adoption. He says, "Once the embryos are out of my hand, literally and figuratively, my job is done. Mother Nature has to do all the other parts of the process."

Stewart says for many couples embryo adoption is a last resort. He says he works with many who have tried every type of fertility treatment but do not want to try IVF.

Plus, transferring embryos allows the adoptive mother some peace of mind, "With a donated embryo, you have direct control over how well you take care of yourself during the pregnancy."

According to Stewart, the viability of any donated embryo depends largely on the age of the genetic mother and how ago it was created. He adds, “How long can we keep an embryo frozen for is still unknown."

Probasco says only half of the embryos she’s placed have led to pregnancies.

Those risks and unanswered questions leave embryo adoptive parents with a number of unanswered questions.

The Questions

Bio-ethicist and UMKC professor Wayne Vaught says reproductive technologies are one of the most controversial issues in the world of ethics.

He says adoptive parents must make sure to have informed consent at the front of their minds, “They've been frozen for some period of time and then transferred so all of these things can impact the likelihood of achieving a pregnancy.”

A Call to Action

If unwanted embryos from IVF aren’t donated for adoption or research, Vaught says, they’re destroyed.

Those limited options have ignited pro-life advocates into action. Vaught explains, “For some, if you consider the moment of conception to be the point of time that you have a person, than IVF creates a moral dilemma because you're basically creating eight to twelve people, getting two and then destroying the rest.”

The Kruse family says that is a big part of why they like to share their story, “To let other people know about the possibility so other frozen embryos can have a chance at life."

Concerns

Probasco says there are currently about 500,000 frozen embryos. Only 10% of those are considered for donation and adoption.

Vaught says there are growing concerns about genetic identity. According to Dr. Stewart, there are embryos from one genetic family that have been used for adoptions in three different local families.

Vaught and Stewart agree that examples like this have raised questions about the risk for incest as adopted embryo children start dating.

However, Probasco’s organization and other adoption agencies are working to create a national registry that could help avoid that problem.  At least six other countries have registries in place already.  So far, nothing official has been set up in the U.S. but Probasco is hopeful a registry will be created soon.

Midwest couples, traditionally conservative, have been slow to donate so most donated embryos either come from the east or west coast. Embryos are oftentimes sent overnight by FedEx or UPS to where a hospital near where the adoptive parents live.

Who Can Adopt Embryos?

The option of embryo adoption isn't open to

everyone.  Probasco says single mothers and lesbian couples are oftentimes not chosen by genetic couples to adopt.  Some states have particular laws against it.  Plus, some religion-affiliated hospitals like Shawnee Mission Medical Center have limits to who they can help achieve pregnancy.  

The Cost

On average, embryo adoption costs families between $10,000 and $12,000 which is a little less than IVF.

Many couples are willing to pay the price, including the Kruses. They say through tax credit, though, they made back most of that money.

Their two failed adoptions about $10,000 each as well but, in the end, they walked away without an addition to their family.

The Kruses say they saved for years before trying either, “We called it our adoption fund. We kind of had some money set aside so when all these expenses came up, we were able to pull from that.”

They tell NBC Action News they are a match marked with miracles. The couple was blessed with another baby girl about a year after the twins were born. Charlotte was conceived naturally.

Avenues of Embryo Adoption

Like the Kruses, many couples adopt embryos from adoption agencies. Snowflakes is one of the most well known agencies. Probasco’s Adoption and Fertility Resources is another. Agencies require home studies.

Other couples have used the anonymous donation program at a number of infertility clinics. No home study is required in this process.

Also, a group called Miracles Waiting offers a site to post a family’s profile for prospective donors. A Home, Kansas family says this avenue worked for them. The Kellers were chosen for embryo adoption in just nine days. Their cost was $3,800.

Copyright 2010 Scripps Media, Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.

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