Adoption: A survivor's wait

As it has with many young adults, cancer robbed me of my fertility. In back-to-back surgeries, I lost all of my reproductive organs. My doctor's initial attempt to preserve my fertility proved impossible, when early-stage cancer was found in my uterus. Within two weeks of my diagnosis of stage 3 ovarian cancer, it became clear that I would never be able to bear a child. The question of whether I would lose my fertility was not prolonged, or ever in doubt, after those few brief days between the initial detection of my tumor and the pathology report from my first surgery. It was a done deal almost from the outset. At the time, I was busy focusing on staying alive – there wasn't much psychic space to mourn the children I would never bear. That process of mourning was destined to take much longer, after the rigors of treatment ended, when the physical scars of my illness began to heal and the emotional ones began to assert themselves. Three years on, the sadness of not being able to have my own children persists in some remote way, but is tempered by the fact that my husband and I are now "waiting parents." Last fall, we connected with a wonderful adoption agency and, rather joyfully, completed all of the requisite paperwork, profiles and trainings. It felt amazing to take clear steps to building our family, to prove that we could still realize our dream of being parents, even after cancer. We had heard many adoption horror stories, but as our own process unfolded, we felt nothing but support and positivity. We are now about four months into our wait for our child – in adoption terms, this is a mere blink of an eye. Still, because of the specter of cancer, it feels like an eternity, and in my weaker moments, I find myself gripped with a fear that because of my cancer, our child will never come.Ours is an infant adoption program; the agency works with birth mothers to make adoption plans for their babies. In most instances, the birth mothers "choose" the adoptive family. The choice is based on a birth mother's review of a profile the adoptive parents create, including autobiographies, photos and a letter addressed to the birth mother. The agency provides any additional (and permissible) background information on the adoptive parents to help the birth mother make her decision.When my husband and I created our profile, it never occurred to us that my cancer wouldn't occupy a central place in the story of what led us to adoption. In my own autobiography, I felt compelled to write at length about my cancer experience, how it changed and strengthened me. We felt that anyone who wanted to understand what we are about as people would need to know about cancer.When our profile was almost complete, we had an unexpected conversation with our social worker: "You might," she began, somewhat sheepishly, "want to think about taking out the reference to cancer in your Dear Birth Parent letter." The letter was the first page of our profile, and served as a quick introduction; later in the profile, each of our autobiographies contained more detailed information. Our agency told us repeatedly that women often never even read the full autobiographies, that they tended to rely on the photos and opening letter. We got the picture right away: Put your cancer in the closet. Subtext: Women are not going to want to place their baby with you if they know you've had cancer.Needless to say, my husband and I both bristled, and we got into our one and only uncomfortable conversation with our social worker. In the end, though, we acquiesced. The point is to adopt a child, not to go on a crusade and try and educate every birth mother who reads our profile about the fact that cancer doesn't have to be a death sentence. So we set our convictions aside, and left the cancer reference out of our opening letter.Still, maybe because of that one difficult conversation, or maybe because I can never fully escape from the reality of how cancer permanently altered my path to parenthood, I carry this fear: I fear that because of my cancer, I will never be a parent. Never mind that our agency's director always makes a point of telling waiting parents: "Everyone in this room will be a parent." She means it, and in my rational mind, I know it's true. Our patience and determination will be rewarded; our child will come to us.But when I sit in a room filled with other waiting parents, and look around at their eager, anxious faces, I can't help but wonder just how different my wait feels, when it is cancer that has brought me to this place of anticipation and uncertainty.Emily Beck is a cancer blogger (seeemilyplay.net) and child welfare attorney in Philadelphia. She lives in South Jersey with her husband, basset hound and two cats. When she is not writing about cancer, is she running, biking, praciticing yoga or singing.