“Lending a Hand”: A Husband’s Perspective

By Chris…..a.k.a “The Brit”………

When my wife first suggested writing a blog to retain her sanity as we set out on our fertility journey, I couldn’t have been more supportive of the idea. “Great idea!” said I, “Go Balls-out;” not knowing at the time I was going to get drawn into becoming a contributory writer. Then again, I should have known better. Have you met her? Hmmm, of course you have……. so you know what a strong minded woman she is.

I’d put off writing this for some time, why? I have no idea. Perhaps it was the thought of putting my own personal life out there on public display even if it was only to a limited group of family, friends & acquaintances, but deep down I knew that having nodded compliantly some months ago there was no going back. So here it is. The middle aged alpha-male perspective on all this!

I guess, subconsciously I’d never really given much thought to having kids of my own, even as most of my contemporaries were having families, I thought of myself as “Will”, “Cool Uncle Will,” like the character Hugh Grant plays in the film “About a Boy”. I still considered that I had plenty of time for all that sort of thing but the truth of the matter was, that as much as my wife’s body clock was ticking, the realisation set in that mine was too! I finally recognized that I didn’t want to be a geriatric dad, but at the age of 42 maybe that’s exactly what I would be. Granted, my wife & I couldn’t have met & married any earlier & our entire journey has been as fast-tracked as it possibly could have been. So, nonetheless, these were the cards we’d been dealt, but with that, my own fertility was brought starkly into question and that was something I’d never considered before!

So, as my wife & I sat in the reproductive endocrinologist office considering the prospect of IVF treatment, the topic of conversation turned to focus on me.

“And of course, as part of the pre-screening, we’ll ask your husband to provide a sperm sample for all the usual testing. Just make an appointment at the front desk to tender the sample on site”.

Now, I should say at this point, I’m not naively Neanderthal to think I wouldn’t be required to do this, but I suddenly gave thought to how it all works. I envisaged a white padded room, with plastic chair and pornographic literature from the 1960’s. I’d been in pressure situations before but this was something else. How could I be expected to perform under such conditions? I needed mood lighting, scented candles, privacy & a snuggle rug along with my iPhone.

“Alternatively, ask the nurse to provide you with a sterile receptacle on the way out & you can work from home, but remember the sample has to be dropped into our office within 45 minutes.”

Phew, now this was much better. Plus, I had the added benefit of my wife being “on hand” to help out.  Anyway, when the time came, my delivery was modest to say the least and my male ego was sufficiently bruised in front of my ever supportive wife, even though we did laugh about it afterwards! If that wasn’t disconcerting enough though, it was nothing to the embarrassment I experienced upon getting to the clinic in order to make the “drop-off”. Expecting to be first on line as the doors opened at 7.30am, I was greeted by a packed waiting room full of the opposite sex. I nervously fumbled through my work bag for the sample and felt a bead of sweat form on my forehead as I sheepishly told the admin girl, “I….. I know it’s in here somewhere!” Needless to say, I handed it over & completed the receipt forms before sheepishly dashing for the nearest exit.

Now that I’m through with the comedic element of all this, there is a serious point to make here. A couple’s fertility issues are something that need to be managed collectively & sympathetically by both partners. The one thing I’ve learnt on the journey thus far is that it’s vital that both individuals listen to one another every step of the way & really hear what the other is saying, but it’s equally important that you give each other space to rationalize each other’s private thoughts over any given issue. The fertility journey requires us to make huge decisions; often with a sense of urgency about things we never previously considered and these thoughts can weigh heavily, especially when the final outcome can last a lifetime.

I remember one afternoon when my wife & I were looking even further ahead and discussing the possibilities of egg donors, sperm donors, surrogate mothers or even the prospect of adoption. As an engineer I’m conditioned on solving the immediate problem at hand & I never try to get too far ahead but during this particular discussion I began to wonder if that route really was for me. Could I be a good father to a child where only half the gene pool emanated from one side of our marriage? This was huge and I have the utmost respect for those who have the courage to pursue this part of the journey, but the question remained……. was this for me? At the time of writing, I’m still undecided!

The more I debate the issue in my head the more I begin to realize it was my acceptance of an intrusion into our relationship that I was questioning. In my experience, it’s rare to find two people in their late 30’s or early 40’s these days that are getting together and don’t have children from a previous relationship. My wife & I were different here. The fact remained though, instead of creating something new borne out of our relationship, I might be forced to accept that we’d have to open up our lives to something from outside. It wasn’t so much as to whether I could do it as to whether I wanted to. It was somehow an invasion of our intimacy.

The one thing I now know is that I’d need a lot more time to wrap my head around this because the decision isn’t mine alone & whatever I decide affects wifey too. Ultimately, our family unit is the most important thing to me & given that we both have so much to offer as prospective parents, I think I’d eventually be entirely accepting of whatever our journey turns out to be.

“Who YOU Calling Geriatric?!”

Now that my doting husband and I are back from our whirlwind Italian adventure, complete with romantic strolls, sun, gelato, pasta…..gelato and more pasta……it’s time to get back to reality as much as I’d love to sit around our pool in the lemon grove and continue to indulge in carbohydrates as my main food group.

Upon our descent back into normal life, nothing will smack you hard across the face more than being enlightened to the notion that apparently age is still not just something of a number. While I have gotten over the hump of turning 38 a few weeks ago, dealt with it and embraced all the wonderful positivity that surfaced the air before we left on vacation, it seems that women over 35 are still being labeled with a stigma that really has my pasta water boiling. I’m not sure how many of you are aware, but “geriatric pregnancy” has been brought to my attention by my acupuncture guru as a legitimate medical term for a pregnant woman over 35.  When she informed me of this horror, I was flabbergasted and must have had the, “Are you fucking kidding me?” face on for a good 30 seconds….Literally. So what did Jess do? Jess went home and immediately started researching this nasty, name-calling to get to the bottom of this.

Apparently, as I’ve read, while the medical community must have had a light bulb go off in their antiquated heads that this categorization was just that…antiquated…they have been so gracious as to now update the term to, “advanced maternal age” in their medical books. I’m sure that this will make every woman over 35, or just about to turn 35 feel so much better.  Thank you.

Really? That’s the best you can do?

Now, listen, I am not minimizing the reality of the situation when a woman begins their fertility journey a little later in life. I’m living proof, as many of my girlfriends can attest to as well. There are obviously things that need to be addressed and physical things that are occurring in the body that nobody has any control over. Our egg viability and reserve are what they are and certain risk factors do increase the older we get, nobody will deny that……..BUT, there are also a lot of myths out there which need to be dispelled.

Firstly, infertility does not just ‘mostly’ affect women over 35. There are many, many women in their twenties and early thirties who are enduring the same pain, heartbreak and frustration that “geriatric women” are facing. I’ve seen them in the doctor’s office every week with the same look of desperation, nerves and cautious hope I have. Sometimes, there is no rhyme or reason for why things are the way they are, so to blame age as the culprit every time is excluding an entire demographic of women struggling with the same issues.

Secondly, while the risk for certain things like preterm labor, birth defects and miscarriage does increase with age, these numbers do not magically spike overnight and should not be viewed as a curse or death sentence. A concern? Yes. The need for continuous dialogue with your doctor and pre-screening? Definitely. But if you are 38, you should still feel optimistic to assume you will and can have a healthy, happy baby. And that’s what I intend to believe.

Finally, while I’ve mentioned this in a previous blog entry, it is worth reiterating. There is something that is most important to consider. As the years roll on, women are having babies later in life for a number of reasons. They are more career-orientated, they have things they want to accomplish for themselves first, they want to be financially stable, they want to find the right partner, etc. This takes time. The stars don’t always align when we want them to. All the pieces of the puzzle have to fit. Fertility is just one of those pieces. And no, there is never the perfect time to have a baby, but society is clearly shifting in terms of women delaying motherhood. There is no denying that. However, older women are also having more success than in recent years because of better emotional, financial and medical support….and that’s pretty inspiring.

I will not lie though…..I do envy those perky little pregnant 27 year olds, sitting on the subway rubbing their perfectly popped bellies, prenatal yoga mat in hand, looking picture perfect, thinking…. “This bitch probably got pregnant on the first try & her body is going to snap right back in a week.” You know what? I still wouldn’t change where I am at this point in my life. In truth and in fairness however, I don’t know that girl’s journey and what she endured to get where she is. She may have struggled beyond measure. But, it still makes me feel better in a moment of weakness. I’m not going to pretend it doesn’t.

Being younger does have many, many advantages but I don’t believe it’s all about youth anymore. I think there is something to be said for having lived a little. And, in truth, a lot of my friends look better than some twenty-something’s I see on the street. Maybe it’s because they do work harder for it and are more conscience of living healthy lifestyles. Maybe it’s also because when you’re in your twenties, you’re expected to be beautiful and perfect (and fertile.) When you’re older, you’ve earned it. (I can’t take credit for that thought; it was on an episode of Golden Girls…..thanks Dorothy….)

With that, I choose to remember that Grandma Jessie over here is not about to give up her stilettos for a walker or her focus of one good egg for throwing in the towel and sitting back in her rocking chair waiting for her body to disintegrate. Medical community, you can label us over 35’s anything you want, but the bottom line is, we are not out for the count…….it may take us a while to get there, but we can. Having a baby is called a miracle for a reason. If and when it’s a woman’s time to conceive, she will….beyond all science and logic….and that’s whether you’re 38 or 28. Here’s to hope everyone.

Jackpot

“Papa can you hear meeeeee……..?!”

Those are the words that replayed through my head as we sat in the waiting room during our first specialist meeting. My heart was racing. My palms were sweating. It took everything in my power not to squeeze the last ounce of blood out of Chris’ hand as he signed every last bit of paperwork;  which made me fear we might actually be so poor after this venture that we’ll have to sign away the rights to that very child we are trying to have.

Just as I was about to get up to pee for the 2nd time in ten minutes or have a coronary from nerves, whichever came first……there he emerged. It was like something biblical; a religious moment. He parted the partition doors the way Moses parted the Red Sea. People weep when they see the holy land, I wept when I laid eyes on him. I immediately saw his welcoming smile as I heard him call my name, but all I saw were heavenly white lights that surrounded him as if he was going to lead us to that very promised land……..I then was able to draw my first breath that morning.

We had hit the mother-load. There he was, in all his fertility specialist glory. An adorable, young, Jewish, yamaka wearing, Harvard educated miracle worker leading US into his 27th floor, all-city view office ready to check my eggs. MY eggs!! I was honored. I felt prouder than his Jewish mother probably did the day he told her he was becoming a doctor. More thoughts raced through my head from the short walk to his office than the 45 minutes it took me that morning to decide what to wear and how to do my hair so I might appear younger; hoping it would therefore lead him to give me better news about my eggs due to my youthful appearance. All I kept thinking was, “If this guy can’t get me pregnant. Nobody’s going to.” I will go so far as to say I was ready to break out into a rendition of “The Bottle Dance” from Fiddler to entertain him or bring  him a beautiful brisket next time if it meant he was going to make this happen for us. Yes, I am not above bribery at this point. If I’m going to go down, I will go down swinging.

Within the first five minutes, I was in love. Within the first ten minutes, I think the blood returned to my body. Within the first fifteen minutes, I felt more reassured than I have in months and he hadn’t really said anything of consequence yet. An hour and a half in his office, he spoke to us like human beings. He was kind and thorough and funny and never once spoke down to us. He explained things in laymen’s terms so we understood everything and was honest about where we were at. He was confident and hopeful and his positive outlook……well, his positive outlook made us feel we could have a positive outlook too.

He stressed how he was not too concerned with my pesky FSH level of 12 and because my AMH was above the median for my age meant that there was a reserve there. Now, we don’t know what the viability of that egg reserve is yet, but he did stress nobody’s eggs are ever all bad, even women in their 40’s. As I’ve come to understand from my new best friend, in the last few years, a lot of doctors are now turning to the AMH level more than the FSH level because there is a chance for moderate fluctuation from cycle to cycle. The AMH is more constant and doesn’t really vary. That number is what it is. He was confident that if he repeated the blood work it might have even gone down to an 8 next time. So there we were……..OK….*“insert even bigger exhale.”

As he continued and told us he didn’t really expect too many surprises to surface from my impending HSG (aka tube & uterus check test) or Chris’ semen analysis (oh yes, get ready for that blog entry coming up soon……that will be a good one,) he confessed that with our history, the way things are looking on my lab report and the biggest prognostic factor being that I was just pregnant, he wouldn’t be surprised if we wound up doing this on our own if we gave it a few more months.

But…..first….the dreaded internal sonogram. Good times.

My poor husband should receive a medal for his bravery that day. As he anxiously watched me undress to get examined, he was like a helpless child trying to do something to help me, standing there, waiting to take my pants and underwear to lie neatly on the chair. (This really is no different when he wants to get lucky, though he is not as anal about folding them and laying them on a chair.)

Cut to the chase…..Dr. Mazel Tov showed us everything and in fact I not only had 1 or 2 follicles, I had 6 on the right and 5 on the left! Just one short of a dozen!! Go me!

But of course, because it’s me, I couldn’t just be left to bask in my follicle joyfulness as I stared and recounted each dark circle on the sono. That would not make for interesting reading folks. Of course there has to be a small, potential red-flag. Although preliminary, it is appearing that my uterus might be slightly misshapen. Not to be confused with a tipped uterus. This is different. Mine is appearing as a “partial bicornuate.” In other words, what is also called a “heart shaped uterus.” My uterus looks a bit like two devil horns coming out from either side. –(I could go to so many places with the devil horn thing right now, but I’ll leave it alone. I think those of you that know me are probably already chuckling at this.) So, while he appeared to not be overly concerned by it, my HSG will tell us more as to whether it is insignificant enough to just be left alone or whether I will need a surgical procedure to correct it. Either way, the doc said it is not something to stress over. (Yeah right……surgery on my uterus, sounds awesome. Sign me up.)

As we finished up and spoke about options we might consider after our tests and procedures are completed, he was quick to say that no matter what we choose to do, he would like us to wait until after our upcoming 2nd honeymoon to Italy. Because we “fit the profile” of couples who go through all the preliminary testing and then wind up calling him to say, “Never mind….we’re pregnant,” he is optimistic. But, he also does not want to start any kind of drug protocol until I’m home and can be monitored. Fair enough. Here’s hoping though. He said to go and enjoy vacation and we’ll take it from there upon our return. He said we can even choose to do nothing for a few months. So, who knows, we might be able to make-a-little-meat-a-ball or-a pizza-pie on our own….and if we don’t, we now have a plan to come back to and feel we are in the best, most capable hands. We might end up homeless after our insurance coverage runs out and we start paying out of pocket, but hey, one day at a time for now….it was a good first visit.

And there you have it. Chris and I walked into what we hoped would be a lucky gamble and we walked out hitting the proverbial fertility jackpot of doctors. Lucky 7’s , Triple Cherry’s across the board.

Thank you, Dr. for giving us some tikvah.

Yasher Koach.

 

Waiting. Period.

           Yep….OK…..15 DPO, 4 negative pregnancy tests, 2 swollen boobs I want to rip off my body, 10 gallons of water weight bloating, one moody wife and one patient husband…… and…… we wait. Oh no, we’re not waiting for the love our life, our “little egg” to appear, no we’re waiting for Aunt Flo to finally friggin get here so I can button my pants again this month and get over the fact that despite perfect timing, egg-white cervical mucus (finally), a happy smiley face on the O test and corresponding temperatures, we are in fact NOT PREGNANT. We are so not pregnant that the void of a second line on the pregnancy test was so apparent the thing almost jumped out and smacked me in the face to tell me,

“Asshole. You are not pregnant and staring at me isn’t going to change it, no matter how many angles you look at me from or how long you hold me up to the window to see if the sun reflects a line off of me. Stop holding me under the table lamp too and putting me down, walking away for ten minutes and coming back to double check. You’re just making an idiot of yourself and you should be ashamed.”

          So….here Priscilla sits waiting…..just waiting……Oh. Wait. You haven’t met. Meet Priscilla. That is my PMS alter ego who remains present until post-period, follicular phase Jessie returns. I’m sure you’ll get to know her well.

          You know….It’s bad enough you have the dreaded two week wait after ovulation where you sit in this purgatory of hell just willing your temperatures to stay up so that you’re still in the running. But now, to know you’re not pregnant and your luteal phase just doesn’t want to end….well that’s just cruel and downright mean.

          People asking, “well…..are you sure you’re not pregnant?” does not help either. In a nutshell…….Yes, I’m fucking sure. Do you think I’m making this shit up? Do you think I enjoy the repeated ass-kicking my negative pregnancy test has been giving me the past week?! Really??? Mind your business……..I know my body.

          I guess I should look on the bright side. My luteal phase is long enough for an embryo to implant so that’s one problem I’m not enduring. Although, there is no embryo that seems to want to implant so that kind of defeats the purpose of that rationale. But, nonetheless as my acupuncture guru advises,

“I believe your body is getting itself ready to implant. Your temperatures are looking good (except that dip mid cycle we just can’t seem to boost and she keeps reminding me of) and it’s just a matter of time…..It’s going to happen.”

          I do believe this….I have to believe this. Now, I just need to talk Priscilla off the ledge before she demolishes ALL of The Brit’s chocolate stash his friends brought him over from England.

Period.