Schrödinger’s Baby

PUPO (Pregnant Until Proven Otherwise). It’s a popular acronym in the infertility community, usually accompanied by embryo photos and descriptions of pregnancy symptoms that could realistically only be the side effects of progesterone injections, even if the poster is pregnant. For 10-14 days (depending on the clinic), these maybe mothers-to-be excitedly count down to testing day, imagining the baby that could be. When the time comes, some excitedly announce a “sensitive post,” which literally even the most casual observer like myself knows proceeds a positive test. Others post videos of themselves breaking down. Many just disappear for a few days or weeks to process a lost embryo. I’ve never been an active participant in the infertility community, myself. I understand that different people cope with this terrible situation in different ways, but aside from this blog, I’m a private sufferer. I haven’t told a soul we’ve undergone a transfer. If it fails, no one will know. Maybe that’s healthy and maybe it’s not, but I don’t see how doing full make-up and posting a photo of myself crying behind a letter board announcing the results to the world would any healthier.

These last seven days have been absolutely wretched. My hips are black and blue from the injections. I’m exhausted from stress-induced lack of sleep. I ironically yelled at my precious two-year-old for being rough with a book called “K is for Kindness.” I honestly don’t know how other women choose to embrace the possibility of success, especially those who’ve experienced thedevastating call that goes something like this:

“I need you to stop taking all medications immediately. The side effects should fade within the next week. You can expect a really heavy period. We’d like you to wait at least one cycle before trying again, but after that, it should be quite simple.”

Simple. I just have to fork over another $4,000 – $5,000 and spend two more months yelling at my children and husband, randomly bursting into tears, and feeling like I have the flu… all while wrangling three in diapers. A part of me envies the positivity of these women announcing that they are “PUPO”. The realist in me understands that if the power of positive thinking created babies, we wouldn’t be here. No matter what we do, we are simply experiencing a case of Schrodinger’s Baby, a term anyone who has nerdy friends or a cursory knowledge of The Big Bang Theory, should be able to decipher. Per Wikipedia:

In quantum mechanics, Schrödinger’s cat is a thought experiment that illustrates a paradox of quantum superposition. In the thought experiment, a hypothetical cat may be considered simultaneously both alive and dead, while it is unobserved in a closed box, as a result of its fate being linked to a random subatomic event that may or may not occur.

We are both pregnant and not pregnant simultaneously. More morbidly, our embryos are both alive and not alive. We can do nothing to increase the odds. We just have to wait… miserably.

I’ve spent the last seven days both certain that I’ll complete my family… and also that I’ll let everyone down, destroying our baby, my children’s sibling, and wasting the $5,000 we’ve gambled on this cat being alive when we open the box. I’ve both declared that I’ll drain my own retirement to get my fourth before I’ll donate it with my other embryos… and also that I cannot do this again. I’ve felt hopeful… and I’ve cried in Jake’s arms over the fact that it’s not supposed to be like this, that it’s not fair that this is how we have to make a baby. I’ve cuddled my Thomas and been so very grateful I got to have him the traditional way… and I’ve been bitter that I didn’t get to do so again. I’ve thanked God that I didn’t have to go through IVF again… and I’ve been certain that this is equally difficult.

My blood test is tomorrow. I will either find relief… or long for this state of not knowing, this phenomenon of Schrodinger’s Baby, because at least then, there was a chance and that was better. I cannot do this again… unless I have have to do this again.

I don’t think I can do this more than once.

When I found out I was pregnant with Thomas, my feelings were surprisingly conflicted. I wanted another baby, but a natural conception meant there was one more frozen embryo I wouldn’t get to use myself. The cost savings were great, but I was still worried about my health. I wanted more children, for my girls to have more siblings, but not at the expense of growing up without a mother. It was good news, of course, but bittersweet in a sense.

A practicing Catholic, I don’t believe in auras, crystals, or intuition beyond the norm. More than once, I’ve lost respect for someone’s intelligence when they’ve tried to sell me on horoscopes or personality tests beyond silly fun. I don’t mean quietly, either. Words like “hogwash” and “malarkey” are my immediate response to any mention of the Enneagram or Myers-Briggs. I’ll even back it up with citations. That said, I’ve always felt that I was meant to have four children, similar to the way I always felt I was meant to have twins. I assign no greater meaning to the idea, nor do I claim to have some kind of foresight or premonition. It’s just a feeling. As I go through this embryo transfer process, however, I feel more and more that this is how it was meant to be, because y’all, I don’t think I could have done this again had it been required to bring my Thomas into the world.

When I wrote about my first appointment to the fertility clinic since 2020, when the girls were conceived, I mentioned how much I seem to have blocked out since then. That being the case, I honestly don’t recall what it was like undergoing back-to-back pandemic IVF. I don’t really remember the mood swings and the side effects of the drugs. Considering the impact of the medications required for this FET, I don’t think I want to remember, either. Last time, I only had Jake to burden, when I lost my temper or found myself incredibly depressed by the entire process. Now, I have three wonderful little humans relying on me as their primary source of affection on an average weekday… and it sucks.

I won’t say that I’m a paragon of “gentle parenting” on a normal day. I firmly believe the constant cajoling and bargaining parents do with their children to get them to behave is why they’re all little nightmares. Still, like most parents, I’m trying to break patterns from my own childhood. I offer choices when possible. I ask nicely at least twice. I try to not to yell, unless someone’s in danger. I refuse to use screentime as a crutch. Put me on birth control pills alone, though…

Folks, I am completely rethinking the ubiquity of hormonal birth control over here. After a couple of years on Mirena with few side effects from the localized hormones, I never went back on any kind of hormonal birth control. Five weeks on the pill before switching to estrogen, though, and I feel like I’m going to be the subject of an HBO docuseries. It doesn’t help that my own mother likely had undiagnosed bipolar disorder, a declaration I don’t make lightly, considering my entire generation’s obsession with self-diagnoses. Whatever the cause, when I was growing up, it wasn’t rare for a night of fun and laughter to take a hard left turn toward broken furniture and bruises. While I’ve certainly not been violent, I loathe feeling as though I can’t control my emotions around my children. They depend on me to be loving, kind, and playful, not angry, short-tempered, and depressed. I know everyone thinks it’s lunacy to have my babies so close together, but my stars, at this point, I’m just glad they won’t remember this.

I hope this transfer works for so many reasons. I want our embryo to thrive and grow into a healthy baby boy or girl. I want our family to finally be complete. I don’t want our financial investment to be for nothing. I want the strain I’m putting on my body to have a purpose. I want a fourth so badly and we have embryos to use, so I can’t say if this fails I won’t try again. Still, I just want this to be over, because I don’t think I can do this more than once.

Crying in My Car

I’ve never done a frozen embryo transfer, or FET. It’s been almost exactly three years since we started the journey to our family on July 18th, 2020, with what would be our first IVF cycle. An utter failure, we had no embryos to freeze and immediately put down a $1,000 deposit to start the next cycle, as soon as possible. That one resulted in our twin girls, Violet and Scarlett, along with six frozen embryos. We’d planned to do an FET the summer of 2022, despite my fears and hesitancy. Thomas surprised us just in time, though, as the baby we were told we couldn’t conceive. So, I am blessedly the mother of three and have never undergone an FET.

I keep telling myself this is easier than pandemic IVF. There’s no need for theatrics and melodrama. Even if this doesn’t work, if it never works and just isn’t meant to be, we have three children. Two girls and a boy is an infertile couple’s literal dream. Anything less than relentless gratitude is selfish and overdramatic. That’s what I tell myself. It hasn’t really set in, though.

I suppose this is easier, but my stars did I fail to prepare myself for how far that would still land me from easy. The grating sound of every person on HGTV ever as I sit in the waiting room, the ultrasounds, the blood draws, the small crowd looking at my vagina, all have me near my breaking point. The expense as I put our family’s financial well-being on the line, knowing I might disappoint everyone and destroy our embryo, our baby… well, that has me crying in my car over a fresh bag of prescriptions, thinking how it isn’t supposed to be this way. I’m not supposed to be building my family through procedures and medications. I’m supposed to enjoy being with my husband for a few unprotected months and receive wonderful news in my own bathroom for the cost of a one dollar pregnancy test. I’m not supposed to be going through this alone again.

I have to remind myself why I’m alone. It’s not election day 2020, mid-pandemic, and I am not having another egg retrieval while Jake waits in the car, unable to join his wife in surgery because of Covid-19. I’m alone because he’s at home with our three children, who I refuse to bring into a fertility clinic. They were created out of a different kind of love, as a different kind of miracle, but that’s just how our family was meant to be built. It’s not fair that this is how we have to do it, but we’re so lucky it’s an option available to us. We’re so lucky to have gotten Thomas without the cost and drama. They are all so very worth it.

Still, I’m going to allow myself a few more minutes to finish crying in my car.

Just One More: I Really Don’t Want to Do This

When I was little, my parents lived in a trailer on five acres, next to the five acres owned by my Gramma and Grandpa, who had built a nice brick home. With few neighbor kids and first responder parents, my brother Beau and I were often left to our own devices, unless we were lucky enough to spend the day with Gramma. Though I remember playing well with my brother when we were little, we fought more and more as time passed. The only boy among his three sisters, my dad seemed to accept the dynamic as antagonistic. An adopted only child, my mother had no basis for sibling relationships at all and followed his lead. Without intervention, by the time our parents bought my grandparents’ house, my brother and I had a much more caustic relationship than was normal. With Gramma across town and our mom and dad always fighting in the garage, life became very lonely for eight-year-old Belle and eleven-year-old Beau.

My mother ultimately bought a modest house in a subdivision and my dad moved into a rental on the other side of town when I was 11. My mother took me. My father took Beau. There was no custody agreement. Sometimes my brother and I saw each other, but we were essentially only children from that point forward. Beau briefly lived with us a couple of times, my mother doting on him in the hopes that he’d stay, but he never did for long. My teenage resentment toward him grew, as it became clear that both of my parents wanted custody of Beau, while neither seemed to want custody of me. I was an angry, dramatic teenager, but I made good grades and mostly stayed out of trouble. Beau smoked pot, drank, even totaled my mother’s Saturn and nearly paralyzed himself at 16. He certainly wasn’t the easier child, so it hurt all the more that he still seemed to be the favored one. At 19, Beau married his high school girlfriend in a desperate attempt to create his own happy family, just as I did three years later. His results were different, though I don’t know that I’d call them successful.

Today, Beau and I see each other at Christmas. It’s tense. It’s awkward. It makes my Gramma happy, so it’s worth it. He did not call when the girls were born, despite my being in the ICU and nearly dying. He didn’t even meet my babies until that Christmas, when they were six months old. Today, Beau has seen Violet and Scarlett less than ten times in their lives and Thomas only once. He recently moved to Texas and neither told me nor visited before he left. When my Gramma dies, I will likely never see my brother again, despite my effort to keep that door open with the occasional text or photo of my children, to which he almost never responds. In many ways, Beau has the worst attributes of both of our parents. He’s idealistic, easily manipulated, selfish, self-absorbed, overdramatic, bitter, paranoid, disloyal, and not particularly intelligent. I have no ill-will toward him, but he is who he is and hoping he’ll be something different hasn’t served me well. Still, were he to call right now, I’d happily talk to him for hours… because he’s my brother.

When I was growing up, my mother and I watched 7th Heaven all the time. A divorced, single mother, my mom imagined a life married to a doting minister, wrangling her seven adoring children. I dreamt of being one of the popular Camden kids, constantly trying and failing to get something by my overly involved parents. In reality, my mother and father couldn’t be in the same room and no one had asked to see my report cards since the 7th grade. My sophomore year, my mother began working evening shifts, which provided me with a reprieve from her intermittent physical abuse… but also meant we shared fewer nights when we’d eat junk food, watch terrible horror movies, and talk about boys. She’d assured I had no relationship with my father years earlier. My brother was gone, his allegiance decidedly with his teenaged fiancé’s family. So, most nights, it was just me; and I longed for a big, loud, inescapable family… so much so that I saw Cheaper By the Dozen in theaters three times, twice in secret. What I wouldn’t have given to be a Camden or a Baker, constantly fighting with someone over the bathroom, the phone, or a general lack of privacy, as long as it meant having someone.

The following years were also somewhat lonely for me… even the good ones, after my divorce and the resulting struggle. I’d reconnected with my family and made friends, but the balm that was coming home to my single girl apartment faded with time. Though I wasn’t sure what exactly I wanted from life anymore, I still fantasized about the delightful chaos of a house full of children. TLC family titles like Jon and Kate Plus 8 and 19 Kids and Counting were the only reality shows I ever followed. Even when I wasn’t entirely sure I still wanted children, I frequently watched Yours, Mine, and Ours while counting the years to see how many I could realistically have before I hit 40.

So, when I asked Jake how many kids he wanted, I countered his three with my four. Twenty-seven at the time, I’d decided at some point in the last ten years that while double digits weren’t a logistical possibility, I still wanted a big family. If I couldn’t be one of a bunch of siblings, I could be the matriarch celebrating holidays with a full house. Four children seemed like just enough to qualify, without breaching the limit of how many I could keep up with emotionally, financially, and physically. So, Jake and I agreed to three or four kids, tentatively, as we acknowledged everyone’s insistence that we’d change our minds when we realized the work of one or two. Now, here we are, three deep… and everyone was wrong.

I admit it, y’all. I bought the lie that I’d have two children and change my mind about wanting a third. When I was pregnant with the girls, I accepted that twins might be enough of a challenge. When I was told I wouldn’t be able to have more babies, I tried to console myself with the idea that I might eventually not even want them. Still, I grieved for the possibility that I would never meet any more of my embryos, that my girls might only have each other, that I could never have a son. In the following months, I waited. I waited to find out if my heart had fully recovered. I waited to feel that the girls were enough, that our family was whole regardless. Yet, when I received the affirmative on the former, I accepted that the latter wasn’t going to happen. I wanted another child, despite the risk that I could have similar issues with another pregnancy. Even if I couldn’t have four, I wanted the chance to carry and raise one more baby, before donating my embryos to a couple who couldn’t conceive. I worried, of course. I worried that I’d do irreparable damage to my health, leaving my girls with a sick mother. I worried that I wasn’t up for the process of a frozen embryo transfer. I worried that we couldn’t afford it or another child. Then came Thomas.

If you follow my blog, you know that Thomas was the miracle baby we were told, quite definitively, that we couldn’t conceive. He’s the anecdote infertile women hear about from their well-meaning aunt, whose best friend’s daughter thought she couldn’t get pregnant and “just relaxed” and “quit trying.” Jake had one sperm and it’s adorably bouncing up and down in my living room at this very moment. We now have twin girls and their seventeen-months younger little brother. By the average American’s measure, we have The Perfect Little Family. I know, because people tell me so at Sam’s Club, all the time. Yet, as blessed as we were with our Thomas, I still want one more.

When Jake and I planned our family, long before we knew we’d struggle, we always agreed that four was our max, but that we’d probably stop at three. Not only did society have us convinced we likely wouldn’t want a fourth, time suggested we wouldn’t be able to have so many before Jake hit 40. If we’d started at 32 and 35, as planned, spacing them out by two years, we’d be 36 and 39 when we had our third. Neither of us wanted to have babies past that point, yet we allowed for the possibility, primarily based on gender. Had we three boys, we’d have wanted to try for a girl. Had we three girls, we’d have wanted to try for a boy. Living in a far better economy at the time, we also refused to compromise the family we wanted solely for economic reasons. If we wanted four, we’d figure it out financially. Regardless and excepting any surprises, we’d be done after that.

Now, here we are with three beautiful children and six frozen embryos and I still want another baby. I’m potty training twins, introducing their brother to solids, have just gotten everyone on the same nap schedule, and I still want the big family, the additional chaos. I also can’t forget that even if we didn’t want to do it again, we’d have been willing to have just one more, had Thomas been a girl. Not only would I have been willing to risk the potential complications; I’d have been willing to pay the $4500 for the transfer, take the hormones, the progesterone injections, all on the possibility that I’d get pregnant and we’d get to raise another of our babies.

On the exceedingly rare occasion that I do consider being done, I remember that it’s not as simple as just not having another child. That fourth child already exists. If I don’t carry and raise him or her, someone else will. As much as I’d love to be that huge Instagram family after personally giving all of our embryos a chance at life, I realize that’s not in the cards for many reasons. For starters, we truly cannot afford nine potential children, nor can we house them in our three bedroom home. While neither of us want to have kids in our forties anyway, I’m also not convinced we can successfully raise such a large family. Money isn’t the only resource in short supply for a family of that size. In fact, while you can always make more money, time and energy are far more difficult to come by and I don’t think we’re up to the challenge. I’ve also already had two C-sections and know VBACs to be a mixed bag, so my ability to carry and birth that many babies is also in question, especially considering my age and prior complications. So, I’ve accepted that raising all of our embryos is simply not possible… but having one more is an opportunity I can’t bring myself to turn down, knowing I’d have been willing solely for gender.

So… we began the frozen embryo transfer process. The appointments are set, the birth control prescribed, and the transfer scheduled. Last week I went in for a repeat of the practice transfer and uterine mapping procedures I did in 2020. Due to my refusal to take babies into an infertility clinic, Jake stayed home with the kids and I confidently drove to my appointment solo… at least until I got on the highway.

Folks, I was not prepared for how awful it would feel just driving to the fertility clinic… let alone sitting in that office, remembering a time when I might never be a mom. I am not one for new age shenanigans. Still, I found myself deep breathing to avoid a legitimate panic attack. While the seats weren’t taped off and I didn’t have to wear a mask, HGTV playing in the background still sent me right back to a time when every day was exactly the same, the world shut down, the possibility of no babies. Property Brothers alone seems to give me PTSD, a phenomenon I didn’t even know was possible until I realized I hadn’t registered a single word the nurse spoke to me… and it did not get better.

I cannot believe how much of the infertility process I’ve blocked out, y’all. It’s so invasive, having three people in a room touching and looking at your vagina. I don’t think a softer bedside manner would make me feel like less of a specimen, either. On the contrary, any more sympathy from my doctors or nurses would likely make me feel more uncomfortable, considering they already know my grooming habits. There’s just no way around how utterly dehumanizing infertility is, as a typically miraculous occurrence is led by science. As I lay there, staring at my empty uterus on the screen, I reminded myself that this is worth it. Being a mother is the greatest feeling in the world, closely followed by that of watching my children play together and love on each other. Despite infertility, I can actually have the four children I always wanted. I can give my children a large, loving family. I can do this. I can take the birth control, despite the affect the hormones are already having on my nerves. I can take the estrogen supplements. I can take the progesterone shots… all on the chance that I get to have just one more, because I want to do this… but I really don’t want to do this.