If you want to make God laugh, tell him your plans.
“M has a new job,” I said.
“I’m moving to Pakistan,” I said.
And the gods heard me, and they chortled. “You think?”
And then I peed on a stick and I understood the reasons for their mirth.
“I’ll go anyway!” I said. “People have babies in Pakistan!”
And then the doctor did a scan. We listened to the baby’s heartbeat and I cried. And then he said, “Oh, but there are two!” We listened to the second baby’s heartbeat and I laughed for about ten minutes straight.
And the doctor said, “You’re going to be a 44-year-old woman giving birth to twins. You are NOT moving to Pakistan.”
I’m going to be a 44-year-old woman giving birth to twins! And the babies’ father is going to be living in Pakistan while I stay here in Geneva to have them! Who says the gods lack a sense of humour!
In the last of the four posts that I published in 2013 on the subject of infertility, I wrote:
“I’d thought that I was going to be a mother and I’ve done everything I possibly could to make that happen. But it didn’t, and now, barring some miraculous future event, it probably never will.”
Well, there seems to have been a miraculous future event. The miracle came in the form of modern medicine and a medical team with vast knowledge and immense skill, as well as a wealth of patience and understanding. It was fuelled by love and generosity and acceptance. It was paid for by those with the funds and prayed for by those with the faith. And if the funds and the faith and the tremendous good fortune continue to be supplied with such abundance, it will manifest itself next year in the form of two of the most hoped for, anticipated, loved (and presumably photographed) babies in the short history of homo sapiens.
The experience of sharing this news with our families has been like having a direct line into the source of all happiness. I’ve never felt so loved and supported, which is huge, given that I’ve always felt loved and supported. This is a screen grab that I took when Dad Skyped me back about ten minutes after the initial conversation in which I told him I was pregnant:
My sister Luli, who was sitting in a café when I called her with the news, went straight from the café to a hobby shop to buy wool, and has since started to knit a baby blanket for us, consciously casting a spell of love for the babies with each new stitch that she casts on.
My beautiful brother and I don’t speak on the phone very often but he called me as soon as Dad had shared the news with him. He said that in all the years that M and I and have been hoping for a baby and he has been trying to console us with the words, “You don’t need to have kids to be happy,” he knew he wasn’t speaking his complete truth, as he can’t imagine his life without the millions of joys that his two boys have brought him.
My sister Kalinka sobbed when I told her. She texted every day for days and days afterwards to see how me and the babies were doing. And she’s setting aside a little dress that was passed down to her daughter by my little sister’s little girl so that if I have a daughter, she can wear her cousins’ dress too.
My sister Pinky, hilariously recognising the enormity of the news for us and the fact that my quiet life of books and travel is over, kept repeating the words, “Fuckedy-fuckedy-fuck!” And that was before she knew we were having twins!
My little sister Coco started making immediate mental preparations for me and the babies to come and occupy the spare bedroom in the lovely new home that she and her family have just moved into. The cot that Dad made for his six babies to sleep in in the sixties and seventies and that has accommodated all of his eleven grandchildren since will take pride of place in the room.
When I was in The Vagina Monologues earlier this year and I delivered the piece about childbirth, one of the most poignant lines for me was the last one, “I was there in the room. I remember.”
It has even greater poignancy for me now. Because in April next year, if all goes according to the new plan…
I’ll be there. In the room.
And our lives will change, miraculously and forever.
The heart is capable of sacrifice. So is the vagina. The heart is able to forgive and repair. It can change its shape to let us in. It can expand to let us out. So can the vagina.
Eve Ensler, The Vagina Monologues
I have no idea how the three lovely directors of The Vagina Monologues, Geneva, made their casting decisions. They knew some of the “actresses” before the auditions took place, but the rest of us were cast on the strength of a quick read-through and a few minutes of chat. And yet somehow everyone seemed to be assigned exactly the right roles, given their backgrounds, accents, strengths, insights and experiences.
Take me, for example. I was given the monologue entitled I Was There in the Room, which was based on Eve Ensler’s experience of having been present at the birth of her grand-daughter. Now while I might have been cast in this role because I’m about 15-20 years older than the rest of the cast (seriously, how is that even possible?!), I wonder if the directors also somehow intuited that I would connect emotionally with the topic. They had no idea, of course, that I’d had years of fertility treatment, or that I’m the only one out of the six “kids” in my family that doesn’t have kids of his/her own. But those things made this particular monologue incredibly poignant for me, and for weeks I couldn’t rehearse it without weeping.
During a rehearsal I told one of the directors about my tears, though not about the reasons for them, and she said that she was determined to see me cry on stage at least once… Surely it could only add to the performance! I, of course, was quite determined to hold it together. Apart from anything else, I’m constitutionally incapable of crying and speaking at the same time!
Then on the opening night of the show, not long before we were to go on stage, the lovely warrior woman who introduced my monologue told me that she’d just found out the day before that she was pregnant. It all seemed so fitting! So right! That, along with all the other stuff, was on my mind when I took to the stage. I made it nearly all the way to the end. Then I had to say my last two lines: “I was there in the room. I remember.” My voice broke and I cried. I was told later that many audience members and some of my fellow Vagina Warriors cried along with me.
And the first words that the lovely director said to me when we came off stage? “Mission accomplished!”
So this post is dedicated to all women who have given birth, to all those who some day will and to all those who would have liked to but couldn’t. You’re amazing.
Some years ago, when I was still working in my first and favourite subtitling job, my fellow shift workers and I found ourselves working on a Labour Day Bank Holiday. To mark the day as different from any other typically mundane Monday, a couple of us decided to use our break times practicing an altogether different skill to our usual subtitling one. We took off our headphones, got up from our desks and set up our little corner of the office as a nail salon. Then we invited our co-workers to swap their usual coffee breaks for a few minutes of manicure.
There were many lovely things about this experience but the best one was the most unexpected. While I filed, primed and painted their nails, my friends and fellow employees, both male and female, started opening up to me about stuff that they’d never discussed with me before. I still don’t know what the cause was – is there something in the chemicals in hairdressing and beauty salons that makes us chat with relative strangers about our lives? – but the effect was lovely. They left my pod with beautiful nails painted in the colour/s of their choice, and I stayed behind with the warmth of their stories – some happy, some sad, some funny, all, without exception, better for having been shared.
When I first decided, two long weeks ago, to share my story of infertility, I had no idea that I was setting myself up for a similarly heart-warming exchange. I thought when I started writing that I was doing it as an exercise in catharsis. I thought that by writing my story down and looking at it from a distance I’d be able to find some threads of sense in it that would make it easier for me to move on. Any thoughts that I had about sharing were focused on the desire to be open and honest, and were certainly not concentrated on the possibility of getting anything back.
My Dad, when he’d read Part Two of these posts, said he was concerned that there was a danger, in telling this story, that I would ostracise people with my grief. But instead of separation or the solitary contemplation that I’d anticipated, I’ve experienced a groundswell of warmth, support and solidarity that was wholly unexpected.
Some people have written to say, “Oh, really? Me too!” Some have shared stories far, far more harrowing than mine, and my heart goes out to them. Some have told me of the IVF experiences of their friends or family members. One friend sent me a heart-wrenching sequence of poetry that he’d written about his experience of the same subject, part of which has recently been published by the Poetry Society. Some have said that they’d never thought about the issue before and were glad to have it brought to their attention. Some said that they never wanted to have kids themselves but were thinking of me anyway. Some have sent virtual hugs and kisses, which are always rapidly snapped up by someone like me, who lives too far away from the source of most real ones to grab hold of them very often. All have been utterly appreciated and have made me feel a thousand times better, at this stage of the game, than I’d have thought possible.
And still I have pages and pages and pages of notes on this subject that I’ve not found a space for here, and I don’t really want to change my blog title from Notes from an eternal expat to Notes from Infertile Girl. (Although one lovely friend said that “Infertile Girl” sounds like a superhero so perhaps I should reconsider…). Maybe it’s just time to find another forum.
For the meantime, though, I’ll write down a few more thoughts for anyone who has the time to indulge me just a little bit further. (And please know that these are generalised observations of myself and our society, and are not specific reflections on anything that’s ever been said to me by my friends and family, all of whom have been immensely supportive.)
When you buy a ticket to visit the Apartheid Museum in Johannesburg, you’re arbitrarily assigned a classification of “white” or “non-white”. This classification determines which entrance you take into the museum. When M and I went there a few years ago, we bought our tickets together then were immediately separated. We felt estranged, isolated and apprehensive – exactly the emotions you’re supposed to feel as you enter the rather intimidating structure and empathise with those who suffered the segregation imposed on them by the apartheid system.
Please don’t misunderstand me. I’m not for a second suggesting that the experience of finding yourself childless in a child-filled world can be compared to the suffering experienced by those living under oppressive regimes.
But it turns out that there is a degree of separation and misunderstanding between those with kids and those who would have liked to have them but can’t. Growing up, settling down and having kids is seen as the normal trajectory. So when you’re forced to skip one of those steps you suddenly find yourself outside of the norm. Abnormal. And the fact is that you can start to feel rather estranged and isolated.
There are all sorts of platitudes and stock phrases that we, as a culture, trot out in given circumstances to make other people (or maybe just ourselves) feel more comfortable in a range of conversations. I cringe when I think of some of the things that my younger self might have said to people in the past. Things like this:
“You’re engaged? Congratulations! So when are you getting married?”
Younger Michelle, perhaps they’d just like to be engaged for a while. Can’t they live in the now, rather than feeling forced to rush onto the next big event?
Maybe I could have just said, “Congratulations! The champagne’s on me. Here’s to a happy engagement!”
“Wow, you’re married now. How exciting! So when do you think you might have babies?”
Idiot, younger Mish!
1. Let them enjoy just being together. Life is long. Give them time!
2. Maybe they’re already pregnant and don’t want to make the announcement just yet. They’ll tell you when they’re ready.
3. They might not want to have kids. That’s their business.
4. They might already have been trying to have kids, so far without success. Don’t make them feel awkward about it.
“You’ve had a few failed cycles of IVF? Well, keep trying. I know someone who got pregnant at 47 after her 8th treatment. You’ll get there in the end.”
Or maybe they won’t, younger me. The IVF industry is constructed on a very solid foundation of hope, but the awful fact is that the ground underneath that solid concrete is crumbling. The recently outgoing chair of the Human Fertilisation and Embryology Authority, Lisa Jardine, used her departure to make a point that she’d felt unable to make strongly enough during her six years in the position. She said:
‘This is a sector that trades in hope, and the papers and women’s magazines are full of encouragement. Yet the success rates for IVF remain discouragingly low. The last figures we have show that for every cycle of IVF, fewer than a third of patients will emerge with a baby…That leaves two thirds of would-be mothers and fathers with the heartbreak of “failure”.’
I’m sorry if anyone reading this is still hanging their hopes on IVF. I hope with all my might that it works out for you, that you’re among the lucky ones.
But I also really think it should be more widely known that IVF doesn’t work for the vast majority of people forced to resort to it. Everyone who goes into IVF believes that they’ll come out the other end with a baby, but most don’t. Our knowledge has come such a very long way since Louise Brown was born in 1978 but there’s still a very great deal that we don’t know. I’ve had three ART specialists tell me now that getting pregnant, with or without IVF, is a matter of luck. Even a lucky person like me would be in the minority if she came up trumps in the lottery that is IVF.
“You’ve had a few failed cycles of IVF? Never mind. Have you ever thought about just adopting?”
So, younger Michelle, you’ve said this to people and managed to leave the conversation without having your eyes gouged out? Amazing! Every person who’s been through years of fertility treatments has thought about adopting. But adoption itself, while often a wonderful outcome for the parents and children involved, is not a cure for infertility. And it’s an arduous, time-consuming and expensive process.
M and I are 49 and 43 respectively and we move countries frequently. I think these facts make us mature, ready and responsible, and in a great position to bring children up in an exciting international environment in which they’ll rapidly become citizens of the world. But I fear that an adoption agency might use the same factors to judge us as both old and incapable of providing a stable environment for children. Adoption is not an easy solution.
“Maybe it’s just not meant to be.”
Mm-hm. Yep. Right. Erm…according to whom? Does that actually mean anything other than, “I’ve had enough of this subject now… Can we please move on?”
On another topic altogether… M has said recently that he’s going to stop taking photos of me. It’s a protest against the fact that on the rare occasion that he does take control of the camera, I invariably hate any resulting photos in which I’m the subject and threaten to delete them.
However there’s one picture of me that I’ve always liked, and that I’ve used as my profile picture on various websites for years. The picture was taken by my best friend’s eldest daughter when she was three, long before she became the grown-up nine-year-old big sister of two that she is now. Against her mother’s strictest instructions, she’d crept into the attic room at their place where I’d slept, woken me up and kept me company as I got ready.
When she took this photo we were playing sharks. The bed was the ocean and she was the scary many-toothed monster that was going to chomp me into little bits and spit me out again. In a desperate bid to get away from the boat-capsizing beast, I’d just dived in to the water, risking my life. The shark stopped to take one last photo of me before her final deadly attack.
It seems, when I look at this picture now, that I wasn’t really too distressed about the prospect of succumbing to my fate. It’s been a blast, I seem to be thinking, and now I’ll go out with a bang.
That is, I think, the way I have to approach this next unexpected stage in my life. I’d thought that I was going to be a mother and I’ve done everything I possibly could to make that happen. But it didn’t, and now, barring some miraculous future event, it probably never will.
But things aren’t looking so bad really. The ocean is blue, the horizon is out there and I’m swimming in the finest of company. The compass is set for adventure.
(A spoken word recording of this post can be found here.)
Like a roller in the ocean, life is motion, move on.
With six IUIs and two and a half IVFs behind us, M and I needed to decide which direction to go in next…
I consider myself to be an extremely lucky person. I must admit to being more than a little pissed off at having drawn the infertility short straw (one in six couples, as it turns out, will experience infertility in one way or another), but I’m completely aware that my circumstances could be a whole lot worse. While some couples have to work two or three jobs or re-mortgage their homes to fund their fertility treatments, I’ve been fortunate enough to focus fulltime on baby-making while living in a lovely house in the French countryside. M and I have, of course, watched with wide-eyed concern as M’s life savings have been decimated (the “college fund” was long ago rebranded as a “conception fund”), but I’m really not about to start playing tiny violins in any sort of woe-is-me self-pity fest.
OK, maybe I did feel a little sorry for myself after the second IVF failed. But the fact that we were able to use M’s Easter break to drive down to the south of France and stare at the sea as we contemplated our next move went some way towards softening the blow. The ironies of Easter’s symbolism were not lost on us – what are Easter eggs if not a symbol of the fertility and rebirth that was proving to be beyond our grasp? – but I tried not to think about that as we washed them down with a bottle of Champagne that my sister Luli had bought for us before she’d flown back to Australia a few days before.
The day after our arrival on the French Riviera we took a drive up the coast to the medieval hilltop village of Èze. Before we began the ascent through the cobbled streets of the village to the Eagle’s Nest restaurant where we were to have lunch, we stopped at the Fragonard perfume shop at the bottom of the hill. I think I thought that a new fragrance might be the start of the development of a new me – I wasn’t best enamoured with the old me, infertile creature that she’d turned out to be – and so purchased a bottle of Fragonard’s finest. I didn’t know then that the Rêve Indien (Indian Dream) that I bought that day would always make me feel a little nauseous, so strong were its associations with that difficult time.
It was there in Èze, as we watched the sun struggle to burn through the mist that was eclipsing our view of the ocean below, that M and I started to talk about the fertility options still open to us. As there was no obvious reason for me not to have conceived after all these attempts, one conclusion that we were forced to draw was that perhaps my ageing eggs were just not up to the task of developing into real-life, baby-sized Mini-Mes. Perhaps we’d have to consider clutching at the next straw extended to us by those in the know – using another woman’s eggs.
When we got back to Geneva and had the post-failure follow-up consultation with Dr Pyramid, he looked somewhat dejected as he went through our file, speculated on the probable reasons for the failure and talked through possible new drug protocols for our next attempt. When I interjected and told him that we were considering the possibility of using donor eggs, his whole demeanour was transformed. He closed the file, sat up straight in his chair, smiled at me and said, “If you do that you will be pregnant within a year.” In fact, just for emphasis, he actually said that twice.
I don’t know what he was basing his optimism on – the fact is that even with donor eggs, the chances of success for a woman of my age are still not that great – but his enthusiasm was certainly infectious. I put aside my reservations about using another woman’s DNA to make our baby, and replaced them with the thought that it would be my blood that would flow through the baby’s veins. I tried not to think about the fact that I’d never be able to look at our child and see my own brown eyes or feint traces of my Mum or Dad or my much-loved siblings, and instead reminded myself that at least M’s features would be in the mix, and it would be my body that would bring our baby into the world. Egg donation is not legal in Switzerland, so we left Dr P’s office with a list of Spanish clinics that we could contact in our own time. Of course I was going to contact them. I’d been assured (twice) that I’d be pregnant within a year.
Another decision that we made around that time was that we wouldn’t tell anyone about this next attempt at IVF. This was an easy decision for M – his quiet reserve and stoic self-reliance make him less than likely to chat about any troubles in his life – but I grew up as one of six kids, five of us girls, and that gave me a solid grounding in the benefits of talking things through. The trouble with that approach to this problem, however, had been that there was a weight of hope and expectation during each cycle that I couldn’t carry any more. It was so beautiful knowing that there were people out there who cared and were thinking of us, but having to break the bad news when things didn’t work out required more strength than my diminished reserves now contained. So when the Spanish clinic found us a donor whose physical and mental well-being and apparent resemblance to me made her a perfect match for us, we told everyone we were taking a summer holiday and took off to Logrono, Spain.
After a brief Monday-morning visit to the clinic, during which M made his contribution and the doctor checked that the drugs I’d been taking had sufficiently prepped my body for the imminent embryo transfer, we were in fact free to enjoy a few days off. It was so bizarre to think, as we visited the mountains and monasteries and fantastic modern architecture of northern Spain and indulged in the gorgeous tapas for which Logrono is famous, that an anonymous young woman was at that moment going through potentially life-changing surgery on our behalf. For weeks she’d been injecting herself with hormones, and on the morning of our brief consultation, she was under a general anaesthetic having her eggs “harvested”. For us. We couldn’t stop thinking about her, and for the ten days that we stayed in Spain we looked at every young woman and wondered if maybe she was the one who’d done this extraordinary thing for us. We wanted to thank her. In Spain, however, unlike in England, egg donation is anonymous, so the best we could do was exude a general air of heartfelt thanks to any woman who would consider doing such a thing for nothing more than the knowledge that she’d given the most amazing of gifts to a less than perfect stranger.
Two weeks later, we were set to learn whether this extraordinary young woman’s eggs were as good as her intentions. My Dad had been staying with us for a week on the day that I had the pregnancy test, and had been subject to the symptoms of my stress, without, poor thing, having any idea of the causes. He knew I had a doctor’s appointment that morning but he didn’t know what for, and neither did my lovely friend with whom we had lunch in the park several hours later. It was she who took this picture of me and Dad that day; the evidence of my earlier blood test is still showing on my arm.
The call from the clinic came while we were all still soaking up the sun as we chatted in the Parc des Bastions, our backs to the statues and bas-reliefs of the Reformation Wall. When my mobile rang I separated myself off from the others. I took the call – “Je suis desolée, madame, mais le test est négatif” – and sobbed as I phoned M to convey the news to him. Then in my best impersonation of Emma Thompson in the only great scene in the awful Love Actually, I wiped away my tears and went back to chat with the others. I could almost hear Joni Mitchell singing Both Sides Now.
Between the amazing young woman’s excellent eggs and M’s Superman sperm, we’d actually managed to create five embryos while we were in Spain, and only three of them had been implanted. So we still had two left, cryogenically suspended. So last month I went back to Logrono to try my luck with these last embryos. (In case anyone’s wondering… Yes, that was the trip that I was on when I recently wrote about travelling solo.)
Over our years of treatments, I’ve had to be the bearer of bad news rather than babies too many times. I wasn’t sure that I could make that call to M again. So on the day of the last blood test, two weeks after I’d got back to Geneva, M took a proper lunch break and we met up in a busy restaurant in Geneva so we could be together when we got the call from the clinic. While we ate and waited, we allowed ourselves the most gorgeous half-hour of happiness.
If it’s a girl, M said, I’m going to buy her loads of Scalextrics.
And if it’s a boy? I asked.
Still loads of Scalextrics, M replied. And all of her toys will be made of wood.
Simultaneously: Apart from the Scalextrics…
I’m so glad we allowed ourselves that.
The call didn’t come through until after M had gone back to the office, so I was alone again when I took it, but I was somehow buoyed up by having had that conversation. At least we’d been happy for half an hour. I didn’t even cry when I phoned M and told him this time.
Instead, I surveyed the scene at the Botanical Gardens from the park bench where I sat. It was a fairly grey and overcast day, so I had the park pretty much to myself, sharing only with the peacock that was strutting its stuff in front of the flowerbed just near my bench. The beautiful merry-go-round at the Lake Geneva end of the park had been closed down for the winter, but it stilled retained an air of all the fun kids had had on it earlier in the year. A man wearing silly running shorts over baggy jogging bottoms went past doing that sideways dance step that footballers indulge in during training sessions. And a waft of coffee came down the hill from the almost abandoned but still open café. Life, it seemed, was still beautiful.
Get up off this bench, I told myself, and get on with the rest of your childless life.
And so I did.
Now that I’ve got to the end of telling my sorry tale, I realise that I still have more to say on this subject. I thank you so much for your patience in reading on this far and warn you that, alas, there will be a postscript…
Still (but not for very much longer) to be continued…
(A spoken word recording of this post can be found here.)
No challenge should be faced without a little charm and a lot of style.
And so, a quick recap… Four years ago, M gave me a beautiful silver bracelet to mark the day we decided to make beautiful babies together. By the time we left Israel two and a half years later, we’d had five IUIs and an IVF and as yet there was no baby in sight…
A couple of years after we’d jumped aboard the baby-making train, I realised that I’d taken my eye off the destination. I was having so many hospital visits, tests, drugs and injections that it all seemed to have become about the process rather than about what we were trying to achieve. I needed to start thinking about babies again. I was walking along Jaffa Street in Jerusalem one day when I saw, in a shop window, a miniature version of the ethnic slippers I’d been thinking about buying for myself. I bought them and arranged them on the coffee table in our East Jerusalem apartment as a reminder of what we were working towards.
Until a short while before our departure from Israel, we’d thought that our next destination was going to be Kampala, Uganda. I was thrilled at the prospect of living in Africa for the first time but a little concerned that assisted reproduction for over-privileged foreigners would be at the bottom of the list of Ugandan national priorities. Soon before we were to make the big move, however, M was offered a job in Geneva, Switzerland. And so those little sparkly orange baby shoes came with us to live in the centre of Europe, the continent which, at least in 2010, led the world in Assisted Reproductive Technology (ART). (http://phys.org/news197093421.html).
A good friend in Jerusalem had recommended her Geneva-based ART specialist to us and I was pleased to be told when I contacted him that he did not operate a waiting list; we were able to secure an appointment with him five weeks after our arrival in our new home. The doctor’s desk was decorated with beautiful lapis lazuli pyramids. I’m not really a crystal-healing kind of a girl so I won’t look for any symbolism in that, but I will allow them to at least give our doctor a name…
Dr Pyramid did not pull any punches during our first consultation. He said that at my age I had, at very best, a 10% chance of getting pregnant, and that each cycle would cost us 8,000-10,000 Swiss francs (that’s £5,500-£6,900, or US$8,900- $11,000). He also said that the HSG I’d had in Jerusalem could only detect 60% of any potential problems with my reproductive system and so suggested that I have a laparoscopy. This is a keyhole surgery in which a light source and a camera are inserted into the abdomen through the belly button to study the organs and tissues inside the abdomen and pelvis. The thought of it made my knees go queasy but we signed on the bottom line anyway and once again bought our season pass for the roller-coaster ride that is ART.
The next couple of weeks looked something like this:
October 23: During a pre-op consultation with the anaesthetist who would put me under for the laparoscopy, he put a stethoscope to my back and blithely mentioned that I have a heart disorder called mitral insufficiency. This is why I’ve spent my life staying as far away from doctors as possible. I’ve always believed my own press about being in perfect physical health but as soon as I started letting doctors anywhere near me they began to make lists of stuff that I should be concerned about.
October 25: I visited Dr Pyramid for blood tests and he said that he wanted to rule out any possibility that I’d inherited the breast cancer that had cruelly killed my mother when she was 41 years old. He made an appointment for me to have a mammogram the next day.
October 26: As I went past a construction site on the walk between the tram and the Clinique des Grangettes, I was hailed with the wolf whistles and shouting that anyone with breasts has become accustomed to. On the way back, when a mammogram and an ultrasound had confirmed that all was fine in my chest area, I wanted to whip out my X-rays and shout, “The doctor says I’ve got tremendous tits!” Sadly the construction workers all seemed to be on their lunch break.
October 29: M and I jumped on a train to Lausanne, where Dr Pyramid has his second office and where his embryologist is based. We were shown through a PowerPoint presentation of how the whole procedure works and what our various options would be if the process was unsuccessful at different stages, and given a rundown of the staggering costs that would be involved.
October 31: I checked into the hospital for the laparoscopy and was thrilled by the difference between hospital treatment in Geneva and Jerusalem. At Hadassah I’d had to walk through the hospital in a surgical gown and was expected to push my way to the front of the queue and shout louder than my sisters in infertility to get any attention from the hospital staff. In Geneva I was shown to a lovely private room with en-suite bathroom, given a menu and asked to choose the food that I’d like to eat post-operatively, plied with gorgeous drugs and wheeled down to surgery in my bed.
After I woke up, Dr Pyramid came to see me and said that they’d removed a couple of spots of endometriosis, and that all was well for another attempt at IVF in December. He also said that although they were unsure why, the laparoscopy itself often seemed to increase the chance of IVF success in the round that followed. So I felt positive as I tucked into the best hospital meal in the history of hospital meals – chicory salad with walnuts and blue cheese dressing, king prawns with a cream and lemon sauce, and apple strudel and proper coffee. You get what you pay for, I guess.
November 8: M and I had an appointment with Dr Pyramid, and in one of the more surreal half hours of my life, he showed us through detailed photographs of my internal organs. The good doctor revised the drug protocol we’d used in Jerusalem and confirmed that we were good to go.
When M took me on a surprise birthday trip to Rome the following week, I packed all the vials, syringes and sterile wipes that I’d need to begin the new drug regime during our stay in the Eternal City. (I also packed a letter from the clinic that I could wave under the noses of the Italian authorities if they thought they’d happened upon the world’s unlikeliest international drug smuggler.) The drug that I’d start with was Cetrotide, which suppresses the body’s natural production of hormones so that its goings-on can be chemically controlled by the physician. (I tried not to think too much about the long-term effects that all these drugs might have on my body.)
I know that a lot of women hate the hormone injections associated with IVF and of course I completely understand why – stabbing yourself in the stomach with a needle full of hormones on a twice-daily basis isn’t exactly the dream. But I have to admit that, in a weird way, this is actually my favourite part of the process. While IVF has forced me to reluctantly confront the fact that I have absolutely zero control over my reproductive destiny, doing my own injections at least makes me feel as though I’m taking active steps towards achieving my dream. I’m very lucky that I don’t seem to be blighted by the terrible mood swings and weight gain that some women suffer (although M might tell a different story…). For me the weeks of hormones are a positive time during which I can live in hope that this time Lady Luck might be on our side.
It seemed, when I had the next appointment with Dr Pyramid two weeks later, that my positivity might be justified. The blood test and ultrasound revealed that all was as it should be, and Dr P prescribed a new drug that was supposed to stimulate the production of fewer but better quality eggs.
My positivity started to wane, however, when after five days of Menopur injections it became evident that there were only two eggs. Dr P doubled the dosage. But two days later he declared that despite the doubled drugs, there was now only one egg. It wasn’t worth going through the egg retrieval. So after weeks of hormone injections, the IVF cycle was cancelled. Dr P would give us an IUI instead (at our vast expense, of course) as a sort of sad consolation prize.
Meanwhile, back in my adopted homeland of the UK, Kate Middleton announced her pregnancy. In a brief moment of bitterness I wrote and submitted a letter to the Guardian’s “What I’m Really Thinking” column. The paper wrote to say that they were considering it for publication but they never printed it in the end. It’s probably just as well; I wouldn’t want to bring down the national mood. My letter read:
So Kate Middleton’s pregnant. How wonderful. Now not only will it seem that everyone in the world has babies apart from me but the whole country will be nattering about what a joy they are. Don’t talk to me about it! I already know! Otherwise I wouldn’t have spent three years and the GDP of a small country trying to have one!
People with small children tell me how much they envy my lifestyle. I can (and do) pop to Paris or Rome for weekends, I sleep when I want to and I’m not being crippled by childcare costs. “Want to swap lives?” they ask. Well, yes, I bloody well do! Superfluous sleep and weekends away are just consolation prizes; I want to be woken up at five o’clock on a Sunday morning by my child stomping on my head but that joy is being denied me so I go to Rome instead.
Some friends who know that I’ve been having fertility treatments for years try to console me by saying that you can still live a happy and fulfilled life without children. I’ll take that from friends who are childless, by choice or otherwise. But if another person utters those words while bouncing their beautiful baby on their knee I might just have to suggest that I take over the parenting of their child, then. They’d be just as happy and fulfilled without the baby, right?
Forgive me. It was a bad day.
And needless to say, the second-prize IUI didn’t work.
Without going into any further tedious detail, we had another round of IVF, which went right through to egg retrieval and embryo transfer, several months later. My eldest sister, who here I’ll call Luli, as our brother used to when he was a baby, had planned to come and visit us, and by coincidence her holiday ended up exactly coinciding with my surgery and our two-week wait. She was there when my bed was wheeled down to surgery (when M had had to go off to Lausanne to leave his contribution with the embryologist), and when I was wheeled back, fighting my sleepiness so that I could catch up with my beloved big sister. She was there a few days later when we went to Lausanne for the transfer of three healthy embryos. She was there for the duration of the stressful two-week wait, as I struggled between a desire to be optimistic and a fear that again we’d be disappointed. And she flew out on the day that we received the test result to say that the IVF hadn’t worked.
One day soon after, M and I went for a walk in the hills around the beautiful nearby village of Chanaz, and I lost my Silver Bracelet.
The fact that we remained optimistic is both a testament to the human spirit and a boon to the IVF industry.