infertility

Secret Sauce: Chapter 3 of my version of our baby story

J&EOkay, I know two women cannot make a baby together, at least at this point in time. We are sort of minus one component, the squiggly little guy production factory; the secret sauce, if you will. So what does the resourceful lesbian couple do? Why research cryogenic banks of course. It seems many kind gentlemen finance their college educations with possible life-giving donations.

During the initial research, we found that most reputable banks required that we work through a doctor’s office or a fertility clinic. There were a few places that would ship directly to your home, but since we were new to this and I wasn’t quite ready for turkey baster 101, we decided to discuss our options with our OBY/GYN.

Our doctor is a lovely woman, great sense of humor, wonderful bedside manner and general nice person. She had/has never once blinked an eye or made any kind of issue about Bashert and I as a couple. She is about as grounded as they come and we knew she would give us the straight poop, so to speak. We were a bit disappointed, okay, a lot disappointed, to find out that while she would gladly be the one to see us through any pregnancy, she wasn’t set up to do inseminations. She told us we would need to seek out an infertility clinic to aid us in the insemination process if we didn’t want to try at home.

As fate would have it again, we met a couple who had just gone through this process. Their sage advice – don’t let them know you are a same-sex couple. What? This couple was turned down by the two clinics in town because they were a lesbians. They had to go 100 miles away to find someone to assist them. Bashert was shocked at this, but I found myself angry and frustrated. Here we were determined to face the world as a unified front and we are being told that for our most important act as a couple we must go into hiding again or travel outside our community? Criminy! Not a good way to start out in my opinion. But Bashert was determined (again) to see this through come hell or high water, so she hatched a plan. It’s always a little scary when she comes out with, “I have a plan…”

She would present herself as a single woman.

Confession time here. I know I have been talking all out and proud, you know, “We’re here. We’re queer. Get used to it.” sort of thing, but the reality of it was different. One of my jobs was with a local government agency, a local Georgia government agency. That meant no protection under the law. I could be fired for my relationship with Bashert. It was the same damn thing as her “moral turpitude” clause and the South Carolina state laws that prevented me from fighting all out for full custody of my daughter. The people I worked for weren’t exactly readers of The Huffington Post. I still had one foot in the closet in order to pay the bills. Sometimes, economics does win. So, Bashert’s plan of action was a bit hard to take, but like the economic reality of my job situation, it was necessary to achieve what we ultimately wanted – a baby.

I hated being left out of the loop. I couldn’t be there to hear all the little things, the details that usually get lost because, well because, Bashert is a hypochondriac. If one thing is mentioned that sets off her worry button then all else is lost while she chases down her imminent death inside her head. I couldn’t be there to hold her hand and let her know all will be okay. I couldn’t be there to participate in the steps leading to the creation of our child. I just couldn’t be there. And it hurt.

The amount of information that Bashert came home with from that very first visit was astounding. We were so grateful that the doctor took the time to write everything down, but then as I found out what all he had suggested, it sounded like this guy was all about taking time. And for us time meant money.

The infertility doctor (ID) was suggesting that Bashert got through six to twelve cycles of ovulation to make sure that she could get pregnant and that was after waiting three to six months to make sure she was ovulating correctly! Each cycle would mean another visit to and testing at the clinic, as well as, a vial of the secret sauce for each insemination try. This guy was out to bankrupt us even before we got started.

I know the money talk may sound crass and you may say, hey if they were that determined what did money mean? Well, eating for one thing. We had hopes and dreams, but eating and keeping a roof over our heads seemed important too. I was putting in as many hours as I could at my second job and Bashert was working full time for the club, but we were still barely making ends meet. Any extra money we made was set aside for “plan baby”.

The ID listed several options when it came to the secret sauce. Here comes the scientificy stuff. The first option was ICI or intracervical insemination. This is the form of artificial insemintation (AI) that most resembles the way sperm is introduced during actual intercourse.  The sperm is deposited near or into the cervix and the boogers have to swim the race. Not much prep work is done to the sperm before the AI takes place. The sperm remains “unwashed” – we rolled with laughter when we were introduced to that term! The chances of becoming pregnant with this option were roughly the same as anybody’s. (This is the one people do when choosing to do AI at home.)

The second option was IUI or intrauterine insemination. In this AI, the sperm gets a shower first – it is referred to as “washed”, really can you keep a straight face? Anyway, the sperm is washed so that it won’t cause cramping and have the uterus just turn around and kick the little guys out. Because the sperm is place in the uterus, usually directed toward the side the egg is scheduled to release, the chances of pregnancy go up a good bit.

The third option was IVF or in vitro fertilization. This is one of the most complicated procedures.  While technically still a form of AI, it is usually listed separately because it involves removal of the eggs, inseminating them outside of the uterus and then implanting them back in. Expensive, painful, more than a beggar’s chance of multiple births, but no more guarantee of viable pregnancy than any of the other methods. I can safely say we ruled that one out first thing.

After some time of discussion, we decided (outside of the clinic environment obviously) that we would choose the IUI. From the preliminary research of cryo banks, we figured we had enough money saved for two vials of the secret sauce and we needed as much bang for our buck as we could get. We also knew that we not could afford six to twelve months of visits and testing. My insurance (from my second job), just that year had begun to cover domestic partners and would pay for most of the testing, but not the visits or any actual insemination procedure. And my friends, the clinic demanded money up front,. No cash – no service.

Along with the discussion about what type of AI, we had to discuss how to circumvent all the testing and waiting the ID wanted her to do. He was treating her as if she couldn’t get pregnant and that was not the issue at hand. We finally came up with a compromise that she would present to him. She would agree to one month ovulation trial and the vaginal sonogram to verify that she had viable eggs to make the whole thing worthwhile to try.

Again, Bashert had to go face down the ID alone. Give that woman credit, she stood her ground and laid out the plan. I don’t know what she said to him, but she got what she wanted. We had advanced to the next round – one part fun, the other part down right criminal.