Today, my lovely wife turns 40.

The day didn’t start auspiciously — both of us slept badly, and Noah woke up screaming at 3:15 am, refusing to settle down for at least half an hour. I wound up sleeping on the extra mattress on his floor until about 5:30, and then we got up again an hour later to “start” the day.

On the other hand, from such a beginning, 40 can only improve, right?

Jill got lots of calls and emails of happy birthday from friends and family. I think those helped. A lot. Noah and I also loved hearing Grandma and Grandpa sing Happy Birthday!

Noah gave This Mommy a framed series of his most recent painting and coloring projects:

Noah's Birthday Present to This Mommy

I gave her a pair of $40 gift certificates, one to a fancy spa I know she loves and one to a yoga and pilates studio in town.

We’ve also been joking that the whole summer has involved something of a “Jill Turns 40 World Tour” of concerts and basketball games, which continues until about a week after Esmerelda Freugenspeigel is expected to make her appearance.

PS – Aunt Anna posted some hilarious pictures from her visit, begging the question of whether or not I look more like a beached whale or a The Great Pumpkin.

Did you know that last week was National Infertility Awareness Week? Or that infertility affects 12.5% of the US population? I saw a few blog posts about it, but didn’t get organized to add my $.02 until now.

I hesitate to declare myself part of the “infertility community.” I don’t have PCOS, I haven’t had any miscarriages, it only took me five cycles of trying to get pregnant with Noah.

On the other hand, getting pregnant is the same big, expensive, medical deal for me as it is for someone who spends six months or a year having sex with the intent of getting pregnant, and not succeeding. We go to the same doctors and we take the same drugs.

I’ve been lucky.

Since we’ve been trying to get pregnant, I’ve had jobs with great health insurance that included at least some infertility treatment. Still, here’s a rough breakdown of our out-of-pocket expenses:

From the beginning to Noah’s birth:

  • 10 vials of Our Anonymous Donor’s sperm: $2850 in 2004. If we were buying the same category of donor today, it would be $405 per vial, so I’m glad we bought when we did. Also, we paid for this through my flexible benefit plan health savings account, the $5k you can withhold pre-tax. Who knew that sperm would be a “qualified medical expense?”
  • ClearBlue Easy Fertility Monitor: $175, plus sticks to test with, $40/pack of 30, roughly $160.
  • Doctor visits when we lived in DC: Roughly $1000. The doctor was out of network, we did three rounds of unmedicated IUI.
  • Getting the sperm from the cryobank to the doctor’s office: Roughly $85 each time for 5 cycles = $425.
  • Storing the sperm from January 2004 through May 2007: $1155
  • Doctor visits after we moved to Atlanta: Roughly $500. I had coverage, the doctor was in network, but I had a $400 deductible and a 10% co-pay.
  • Drugs: Roughly $50.

Total cost of infertility treatment resulting in Noah: $6315.

Total cost so far in the effort to have a second child:

  • Evaluations etc for Jill, when we thought she was going to have baby #2: Roughly $1000. The doctor/facility was out of network, and we have a $1500 deductible EACH.
  • Storage with the non-profit facility Jill was going to use: $10/m for 3 months = $30. (Because of the 3 ring circus of sperm transportation that I went through to move it to my RE’s office, they don’t seem to have entered it in their storage billing system.)
  • Doctor’s visits for me: Roughly $1500. They finally agree that I’ve met my deductible, so we have to have hit that, but I can’t explain it all.
  • Drugs: $105
  • Bloodwork while out of area: $913 that I am still fighting with the insurance company about. Either they should pay it, or they should count it against my deductible. They should quit erasing it from their computers when they get confused.
  • Second opinion doctor who was out of network but I have awesome insurance so that was still 70% covered: $560. (I haven’t gotten that 70% back, so I’m counting the whole amount. It’s still out of my pocket.)
  • EDITED TO ADD more ovulation predictor kits and sticks for the Clear Blue Easy Monitor. And pregnancy tests. Not to be icky, but we in the ttc blogosphere call all of that gear “peesticks.” I would guess roughly $20/cycle, including the canceled & skipped cycles, let’s say $80.

Total cost of infertility treatment so far in round two: $4188.

Also? Add parking to most visits (all DC and the convenient Atlanta ones, but not the ones where I have to drive halfway to Tennessee). Let’s say $10 for each DC appointment and $3 on average for Atlanta. Call that $60 in DC and $45 here, or $72 in round one and $33 so far in round two.

That brings us to a current $10608.

If I get pregnant this cycle or the next, while it’s still 2007 and we’re still doing IUI, our additional out of pocket costs should be minimal, say $250 or less.

If we don’t, we’ll have one vial left and have to have a serious discussion of IVF. My insurance doesn’t cover IVF at all.

The RE practice with whom we had the second opinion consult told us, in great detail, that if we did IVF through them, it would cost between $12,000-$20,000.

We are actively thinking about our baby-making plans, and whether Plan A is still the best plan.

We haven’t changed any of our plans at this time. We are just *thinking* about it. Since we still have almost 2 months before Jill could try for the first time, we’re considering about alternatives.

The main alternative being me trying to get pregnant again, instead of Jill. Or maybe Jill trying once, and if it doesn’t take on the first try, then switching over to me.
What it really comes down to is trying to find the right balance within our family for everyone getting to have the experience she hopes for, and the best chance of having a second child using the same donor.

Mainly, I love the idea of being pregnant again. In fact, a day or so after this first came up, I confessed to a secret fantasy plan where Jill got pregnant on the very first try and then a couple of years down the road, I convinced her that I should try for one more baby with the last vials of our donor.

But thinking about moving that plan from the realm of airy-fairy future to concrete reality is so different. For one thing, there would have been a good stretch of time where I wasn’t pregnant or nursing in that fantasy. I do miss having my body being entirely mine.

Anyway, she’s going to get the follow-up thyroid bloodwork etc done in the next couple of weeks, and at the same time, I’m going to make an appointment with the RE practice that got me pregnant with Noah and find out what course of action they recommend. Although I’ve had my period back for 5 months, I haven’t been charting, but I’ll start this month.

Wish us luck sorting through our alternatives and figuring out what course of action makes the most sense for our family.

I know that some of you have gone through similar questions and quandries in your families — I’m curious to hear about your thoughts and experiences.

I’m participating in a funny contest, in which the point is to blog about the most annoying pregnant and new mom questions that people get.

The contest has some rigid rules, like the question is supposed to be the post title — where we almost never made people actually ASK; we got to the point where we could tell the question was coming from the awkward silence after the “um?” And I have to end with a specific question and link to a book that I suspect may not have a good answer to this question. But there you go. And I might be wrong. And it’s a fun idea, so I’m doing it.

Also? This question wasn’t so much exactly annoying as sometimes awkward and sometimes tiring. But I do feel a certain responsibility to share with people how the life of an ordinary lesbian family works, and that includes having those kinds of conversations and demystifying things like that for perfectly nice people who never really thought about it before. 90% of the time, I don’t mind.

Back to the point.

On a regular old non-pregnant day, hardly anyone ever “recognizes” me as a lesbian. I pretty much have to be wearing a rainbow flag and holding Jill’s hand to be visible. Pregnant, I think it would have taken a rainbow flag tattoo on my forehead and making out with Jill in front of people, and even then, I’m afraid people would have thought I was one of those women who kisses her friends in bars to titillate an audience.

For things like going to the grocery store, who cares? But in conversations with people you meet and may talk with again, it can be awkward to be misperceived. It leads to too many conversations that begin, “What does your husband do?” “Is your husband excited about the baby?”

The whole flow of a getting to know each other chat is easier if the other person doesn’t feel like an idiot at the beginning, which means that I worked Jill’s name, or the words partner or wife or “alternative families” into conversation as early as possible.

Mostly that works very well.

Except for the part that — quite reasonably — generates curiousity about how lesbians get pregnant.

Mercifully, I came up with a good, short, non-embarrassing answer early on:

It’s the most surreal online shopping experience you can imagine, and the rest is boringly medical.

For people who wanted to know more, I talked with them about how we picked a donor, how expensive it is, how nice it is that you can pay for this using those pre-tax health care flexible spending accounts, etc. And for those who didn’t, or who were afraid the answer might be too graphic for their taste, it was a reassuring answer that let us move on in the conversation.

But in some cases (or some moods), it would have been nice to hand the person a book. I know that I would have liked to find a nice, accessible, inclusive book about pregnancy myself, and I hope this one is. If so, a good answer is: Don’t you wish you could have just handed them this?

I do have to warn you, this is going to be another one of THOSE posts, that have a high probability of including TMI. So all the good details will be “below the fold.”

For anyone who finds this post via google or another search, as of this writing, my son is 8 months old. He’s been about 95% breastmilk fed (not counting solid foods), and I’ve been pumping since I went back to work when he was 9 weeks old.

And based on all that, here are my opinions about nursing and pumping gear. They are my personal opinions, not based in any science, education, or official anything. I am not a lactation consultant or any other kind of medical professional. I’m an opinionated mom.
Continue reading »

The King is 6 weeks old today, and he’s clearly outgrown most of his "0-3 month" clothes. Anything with feet pulls down hard on his shoulders.

Yesterday I went through his dresser, pulled out most of the tiny pjs and onesies, and boxed them up. I also moved the 3-6 month sizes out of their boxes and into the dresser. It was both exciting, and sort of sad. Yes, there were items that he never even got to wear. I can’t believe he’s gotten big so fast!

We figured that 6 weeks was a good time to try our "roughly what does The King weigh?" experiment again. And we thought it would be 12 lbs. Maybe a little more.

Ha!

No, he’s all the way to 13.5 lbs!

AND, Mommy has lost 33 lbs since he was born. Only 17 left to get down to pre-preggo weight. (32 left to get down to my wedding weight, almost 3 years before he was born. I’m not sure whether I have that as a goal or am just observing it.)

In any event, Mommy is happy to be able to zip her first pair of pre-pregnancy pants, and to have lost 2/3 of her pregnancy weight. The only thing I miss is being able to wear pre-preggo shirts. That’s not going to happen for awhile — I went out and bought some XXLs and some 1Xs this week. Presumably old shirts will fit again when I’m done nursing.

And we’re happy that The King is so big and healthy.

OK, I shouldn’t make fun of this, I really shouldn’t. And the failure is no doubt caused by the religious right making all school sex education abstinance-based. And therefore you can’t even learn how to spell bodily functions and parts correctly, much less learn how they might be used or how to use them relatively safely or while avoiding pregnancy.

This blog was just hit from someone searching MSN for "leaking fluids from virginia sign of pregnancy."

I promise you, young reader, if you are leaking fluids from Virginia, it is not because you are pregnant. It is because you are in Virginia.

© 2012 LizaWasHere Suffusion theme by Sayontan Sinha