One Year Ago Today

April 10 was the day of retrieval and fertilization -- Nora and Milo came into existence one year ago today, or more accurately a year ago tonight.

My life seems split in half now. There is the "before babies" half, or the bb half, and the "after babies" half, the ab half. Everything about bb life seemed to disappear once the babies arrived. Now I'm getting some of those things back, like walking to work or meeting somebody for coffee, so I guess over time the bb/ab split will seem less dramatic. Or maybe it won't, because the biggest difference is that Milo and Nora are here now, and we are a family of four now, and things will never be the same.

The bb/ab split was so earth shattering that it has almost caused me to forget the earlier split: life before infertility, and life after infertility. Before infertility I went from day to day, mostly living in the present, sometimes dreaming about the future, working towards my goals, having fun in my time off, just existing. After infertility, the rhythm of my life was chopped into 28-day cycles. I was either anxious about timing everything correctly, hopeful that it had worked, despairing that it hadn't worked, or recovering from the disappointment and grief of yet another failed cycle. Repeat. Repeat. Repeat. Repeat. Over and over and over again.

Infertility causes stress levels in patients that are similar to those who face a fatal illness or a death of a family member. At first glance this might not seem to make any sense, because infertility is so much better to deal with than, say, cancer. It is, of course, but the cyclical nature of infertility is what makes it particularly hard to negotiate. There is no one primary painful moment that a person faces, deals with, grieves over, and then moves on from. Instead the grief keeps happening every month. Each cycle that fails brings a fresh wave of grief that has to be dealt with all over again, and it gets harder with every passing month rather than easier. I used to feel like I could never escape from infertility, not even for a little while, not even when I wanted to, because I couldn't get out of my own body. Even if the cause of infertility is a male factor, it is the woman who experiences the expectations, hopes, and failures of each cycle in the symptoms (or lack thereof) she experiences.

If any of you have friends or family members who struggle with infertility, here are a few helpful tips about what to say and what not to say:

Don't Say: Just relax!
I often felt that if I had to hear one more person to tell me to relax, I was going to smack them upside the head. Infertility is a medical problem, not a personality disorder. If you found out that I had hepatitis or a broken leg, would you tell me to fix it by just relaxing? Also, to everybody who ever told me to relax, I wanted to say "have you met me?" I don't "relax". Feeling like I had to relax just added an extra layer of stress onto an already difficult situation. Not only was I failing at the most fundamental aspect of womanhood (or so I felt), but I was making it worse by being all stressed out about it (or so it seemed).

Don't Say: I had a friend/cousin/aunt/colleague who couldn't get pregnant, but then she took a cruise / went on vacation / traveled to Hawaii, and blammo! Pregnant.
Goody for them. Those people were not infertile. Those little tricks work for normal people, not for infertile couples. Why not tell me to revert back to age 17, drink a six-pack of Pabst Blue Ribbon, and hop into the back seat of a Chevy? That worked for a lot of people I know.

Don't Say: You can have mine!
That's just tacky.

Don't Say (when I'm not drinking in order to improve our chances): Oh, well I was drunk when I conceived little Johnny.
Bite me.

Don't Say: It was meant to be (or some other version of "maybe God didn't want you to be parents").
Are you kidding me? I'm not meant to be a parent and the couple in the news who had crack-addicted babies and then neglected them and let them wander out into the -5 degree weather by themselves without any shoes on were supposed to be parents? What kind of crazy reasoning is that? What about all of the people out there who become pregnant unintentionally and cannot, for whatever reason, have a baby at that point in their lives? They were supposed to get pregnant and I wasn't? And by the way, are you seriously suggesting that there's something about me or my personality that means I shouldn't be a parent?

Don't Say: I knew this one couple who couldn't have children, so they adopted and then, surprise, she got pregnant!
Infertile couples who adopt experience spontaneous pregnancies at the same rate as the rest of the infertile population: it happens about 5% of the time. There is nothing about adoption that causes it to happen, or we would see it occur in higher rates with adopting couples. Not to mention, isn't that remark kind of insulting to adoptive families? It suggests that adoption is a second-best choice and conceiving is the brass ring of family building.

I received all of those comments, and more. I heard them all many times. Fortunately, I also had a lot of wonderful, supportive, understanding friends and family members who said all of the right things, all the time. They listened to me complain and cry for what now seems like an eternity, but actually was only a couple of years. The support I received helped me enormously, and here are some of the things they said:

• I'm here if you want to talk.
• I'm sorry this is happening to you.
• Let me know if you want to vent about it, I'm here for you.
• Let's go get a drink and let off some steam.
• Even though I don't know the route you'll take, I know you will be a parent.
• I'm thinking of you/pulling for you/crossing my fingers.
  

A year ago today everything changed. Nora and Milo came to be, and a couple of weeks later we discovered that they had actually survived and seemed to be digging in for a long ride. The cyclical nature of my life was about to end. Everything changed forever. I'm glad it's now and not then, because as wonderful as it was to find out that we had a real chance at having a baby, it was nothing compared to living with them every day, knowing them, loving them.