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Dear
Rebbetzin Chana Bracha,
I am a convert and married late in life, when I
was 47. I’m very happy with my husband who also was never married beforehand.
Since none of us have any children, we both really want to do everything
possible to be able to build our Jewish family, and we are aware that because
of my age we need to move fast. According to the doctors, the only way we will
be able to have a baby of our own is through in vitro fertilization (IVF) and
egg donation. We want to make sure to do everything right according to Jewish law,
and we are aware that there are delicate issues involved. Therefore, before
moving ahead I’d like your Torah perspective on these various fertility
treatments. We are also concerned how to be able to afford fertility treatments
and wonder if you may have any advice for us. Please share with us anything
else that you believe we need to know before proceeding with the fertility
procedure.
Miriam Gutkind (name changed)
Dear Miriam,
First of all mazal tov! I’m happy for you that
you are happily married. What a great blessing. I completely identify with your
yearning to bear children and raise your own Jewish family. This is not only
your personal desire, but also the very first mitzvah in the Torah, “Be
fruitful and multiply” (Bereishit 2:22 and 28). We live in very exciting
times, when so many new fertility treatments are available to help us fulfill
this important mitzvah. I believe that the new research and technology related
to infertility, pregnancy, birthing and pre- and postnatal care, is all part of
repairing the curse on Chava involving not only difficulties in pregnancy,
birth and childrearing, but also includes the pain of the period, as well as
the pain of infertility.
Fertility Treatments Need Rabbinic Supervision
I commend you on your wish to undergo fertility
treatment according to Halacha (Jewish law). Many intricacies are involved in
fertility treatments that need Rabbinic supervision. Halachic
supervision is required in all fertility treatments,
in order to verify the halachic identity of both the sperm and eggs involved.
If it is a third party donation, it is necessary to ensure that the correct
donor’s eggs are used as well as the husband’s sperm. We are fortunate in
Israel to have PUAH
Institute, under the guidance of Rabbi Menachem
Burstein, which certifies the genetic integrity of fertility treatments
worldwide. It furthermore provides counseling, referrals and support,
free-of-charge, to all those seeking professional help, by halachic counselors
trained in modern reproductive medicine. I recommend that you and your husband
get in touch with PUAH institute, and speak with some of their Rabbis who will
explain why IVF is okay according to Jewish law, and the different halachic
opinions regarding ovum donation. I personally believe, that the revelation of
new discoveries and technology, which help us fulfill the mitzvah of being
fruitful and multiply are G-d sent. I’m sure that there is great reward for
those who make the extra effort and take on the extra expense for the sake of
bringing children into this world.
How Can We Afford Fertility Treatments?
Regarding the finances, this is a tough
question. Without the money to finance the costly fertility treatments, it is
not easy to undertake the procedures. PUAH Institute advises that a couple
considering fertility treatment should review their finances and identify all
anticipated costs in advance. The cost of IVF is expensive, and egg donation
includes the additional cost of the donor. The procedure furthermore, in many
countries might not be covered by insurance. In Israel, socialized medicine (Kupat
Cholim) covers the major expenses of IVF and egg-donation for couples who
do not yet have any children or have only one child, up until age 54 for the
woman. All Rights, a non-profit, collaborative project, has an extensive list of
resources about rights and entitlements in Israel, including the financial
coverage of fertility treatments. It is good to know that IVF treatments are
included in the healthcare basket for
first and second children. You will need to complete your Aliyah process and
subscribe to a Kupat Cholim in order to qualify for the financial subsidies
from the State of Israel.
Who is the Halachic Mother?
There are different opinions regarding the
halachic permissibility of egg donation. An increasing numbers of rabbis permit
this procedure, when other fertility treatments have been exhausted, and it is
clear that the woman doesn’t produce her own eggs or that they are no longer
viable. In this case, egg donation is the last resort to enable her to have her
own baby. It is vital that you consult either with your personal Rabbi or a
PUAH counselor to determine if ovum donation is permitted in your case. There
are three different rabbinic opinions regarding who is the halachic mother of
the child born through ovum donation: the birth-mother, the donor or both.
According to the opinion that the birth-mother is the halachic mother, the
child is Jewish even if the egg donor is not. According to the opining that the
donor is the halachic mother, the child’s Jewishness depends on the donor.
Since the halachic definition of the mother is questionable, most hold by the
third opinion, that it is good to be strict in all cases. According to this
view, the child is only considered Jewish if both the birth mother and the
donor are Jewish. If only one of them is Jewish, the child must undergo
conversion to eliminate any doubt regarding his or her Jewish identity. PUAH
institute concludes: “In order to satisfy all opinions, the optimum donor is a
single Jewish woman. However, such a donor is not always available. Each couple
should consult their Rabbi or a PUAH counselor to determine the best option for
their specific circumstances.”
The Fruit of our Womb Depends of Hashem’s Blessing
With
all the advanced technology, let us not forget that everything is up to Hashem.
It all depends on His blessing. By
interacting with nature through modern technology, the complex miracle of
creating an infant becomes even clearer, making us tremble in hope and pray for
the success of each stage. We need to be aware that the fruits of our womb are a blessing from G-d
alone. It is included in this week’s parasha among the blessings:
ספר דברים פרק כח פסוק ד בָּרוּךְ פְּרִי בִטְנְךָ וּפְרִי אַדְמָתְךָ וּפְרִי בְהֶמְתֶּךָ שְׁגַר
אֲלָפֶיךָ וְעַשְׁתְּרוֹת צֹאנֶךָ:
“Blessed be the fruit of
your womb, the produce of your soil and the offspring of your cattle, the
calving of your heard and the lambing of your flock” (Devarim
28:4).
Prayer
can make all the difference. While it is important to get your family and
friends to pray for you, your own prayer is most important. You need to storm
the gates of heaven with your heartfelt supplications, like Chana, the mother
of our prayer, who poured out her soul to Hashem (I Shemuel 1:9-15). It
is not surprising that it is a segula (spiritual
remedy) to recite Pirkei Chana (I Shemuel 1-2:10) every Friday
night, which is the Haftorah for the first day of Rosh Hashana. Rabbi Nachman
also has special prayers for bearing children (Likutei Tefilot part 1,
prayer 21 and prayer 60). Furthermore, in the prayer book for women called תפילת חנה השלם/Tefilat Chana HaShalem – Chana’s Complete Prayer, you
will find a beautiful prayer on pp.191-209.
Lastly, here is a prayer I composed when I went
through fertility treatments 21 years ago:
“Oh
G-d, please answer my prayers. Please grant me fruits of the womb. I can no longer bear being a barren tree who
yields no fruit, year after year after year. Until when? I only want to fulfill
my purpose as a woman. If it is Your will that I be blessed after having voiced
my prayer, please Hashem help my prayers reach Your inner sanctuary to pull
down a new soul into the world!”
I
bless you success in each of the stages of your fertility treatments. May
Hashem accept your heartfelt prayer to enable you to fulfill His will by
bringing children into the world!
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