Baci Abroad Blog
Fertility at forty-one: A new day has come
It was Saturday, July 6th, and Dae-Han had driven me to the Urgent Care in Glendale, near my mother-in-law’s home where we were staying for the week. For two whole days now, I had not felt hungover, and this was of great concern to me.
“I think this is a good thing,” the doctor tried to comfort me. “It means your body is adjusting.”
I shook my head with uncertainty. “But I am only 8.5 weeks pregnant. Symptoms shouldn’t be alleviating right now, should they?” I countered. And 41-years-old, I thought. Shouldn’t I feel terrible all of the time while pregnant at this age?
“Every woman and every pregnancy is different,” the doctor pressed on, working to offer me peace of mind.
“Okay,” I said, working my mouth into a smile while still harboring all of the anxiety inside of myself. Dae-Han and I thanked the doctor and walked out into the hot California sunshine to get into the car.
I turned to my husband. “I want to find a place for an ultrasound,” I said, Anxiety having already convinced me that I was losing this (third) pregnancy. If there was still hope to be had, I needed to see it beating back to us from a monitor. Or I needed to start facing the reality of another miscarriage.
Dae-Han swiftly located a place for us to get an ultrasound and we walked into the Prenatal Ultrasound of Glendale office. To be clear, this is not a place you go for diagnostic ultrasounds. The form we signed stated that these ultrasounds were for “entertainment” purposes. I hastily scribbled my signature on the form and climbed onto the ultrasound bed decked out in cheetah print sheets.
And moments later we were looking at a tiny being with a strong and sure heartbeat. This was so much more than entertaining. This was joy. This was hope. This was life building upon itself cell by cell.
I laughed gleefully as Dae-Han filmed the monitor to send a video back to his fam, who had been far less worried about the baby — they knew to lean into the wisdom that symptoms ebb and flow — and more worried about me.
As we walked out of the office with new images of our Bella Bean (an in-utero name that Gram had come up with), Dae-Han turned to me and measuredly said, “Okay, no more anxiety for at least eight weeks now, right?”
Uff, I wish that was how worry worked with me. At that moment, I did feel exuberant and happy (and my pregnancy symptoms showed up to the party again that evening), but was I at a place of deep peace? I was not. It would still be some time before I arrived to where I am today.
During the six weeks I was (Minnesota) home this summer, I had beautiful dinners with family and friends, took long walks with Hannah and Linds, chilled with the nieces, enjoyed Lake Life, shopped for clothes to fit my new body, saw a wonderful doctor referred to me by Jenn, just got to be with Mom, Dad, Gram, Linds, and Cass. And worried a lot. Amidst the aformentioned beauty, I was also cashing out for 2.5 hour naps, falling into strange and vivid dreams, or waking up at dawn to the intrusive thought “Will our baby stay?” cycloning through my mind.
Indeed stay she has. That is right, to no one’s surprise, I am building a baby girl. 💗
It was at my 10.5 week appointment with Dr. Halverson, who I adored from the moment I met her, that I was able to really take anxiety’s hands off of the wheel. After normalizing the fears I had, she leveled with me, with firm kindness. “Your baby looks great. You aren’t going to get lower odds of miscarriage than you have right now. You are having a normal pregnancy.”
I nodded and smiled, actually feeling peace settle into my bones.
Right now, more often than not, I wake up with excitement rather than anxiety. I think it is ultra-cool that Bella Bean is always with me, doing her waves and turns and flips as we got to see on yesterday’s ultrasound here in Seoul. It is bananas that our plum sized baby is so active, though I will not be able to feel these movements for at least another four weeks.
What I do often feel is hungry. I have lived a life with hyperglycemia that has oft inspired hanger, but right now I am talking about this kind of hunger:
Dear sweet husband of mine,
While I am building your baby, let’s keep words like “easy peasy” locked in a drawer.
사랑해, Your wife with humble requests
In front of me I do now have: an iced Earl Grey latte, fried cauliflower, french fries, soba noodle salad, and a piece of gluten-free hazelnut chocolate cake. What do we know about Bella Bean right now? She sure is a Baci Babe. Girlfriend loves to eat. Google says a pregnant women needs about 300 extra calories a day. There is no way an extra half a sandy and a glass of skim milk is doing it for me and our girl, though. You know nothing, Google. Nothing.
While I contemplate what I might save for dinner, I leave you with a cute little family photo and Celine Dion.
I was waiting for so long
For a miracle to come
Everyone told me to be strong
Hold on and don’t shed a tear
Through the darkness and good times
I knew I’d make it through
And the world thought I had it all
But I was waiting for you
Hush, now
I see a light in the sky
Oh, it’s almost blinding me
I can’t believe I’ve been touched
By an angel with love
Let the rain come down and wash
away my tears
Let it fill my soul and drown my
fears
Let it shatter the walls for a new sun
A new day has come
The Cost of (in)Fertility
Hello from Minnesota!. Dae-Han and I have touched down in my hometown for a brief but wonderful 4 days at the OG BaciAbode.
Before I get into all things Operation Build-a-Baby, a moment to acknowledge the floury fun we had yesterday making homemade pasta sauce and ravioli:
Dae-Han has now been officially initiated into his newly acquired Italian(ish) family. ♡
In two days, we fly to California. I am looking forward to a Christmas with kimchi and Vitamin-D and my new Korean American family.
We have traveled 14,000 miles (roundtrip) and spent $2,949.28 (two tickets) to spend Christmas with family. It was worth every sleepless hour on the plane and every moment gripping Dae-Han’s arm through rough turbulence.
Right about now, Cake’s “The Distance” is starting to play in my head. Why?
Simply for one line:
“He’s going the distance.”
Dae-Han and I are not just going the distance for family, we’re also going the distance for Baby BaciSong. Unlike Cake, I don’t think we’re going for speed anymore.
When we started the IFV process this fall, I knew it was unlikely that we were running a sprint, but my ever-present optimist was hopeful. After a second egg retrieval that yielded three eggs, two that became three-day old embryos that decided this world was not for them, I am trying to figure out how to pace myself when I am not privy to the distance of this race. And for that reason, perhaps this is the perfect training for parenthood, when you have to dig down and find the stamina for days after sleepless nights, projectile vomiting (props to my mom for dealing with mine), and many dirty diapers.
When I came out of anaesthesia on the most recent egg retrieval venture, the first thing I did (again) was warn the nurses that I was not yet asleep so please do not yet start the procedure. With soft classical music playing around me, they warmly told me that the procedure was indeed done.
As I lied on the cot recovering, not yet knowing how many eggs the doctor had retrieved, I imagined looking over five (this was what I hod hoped would be ready to hatch) one by one, asking “Are you my baby?” “Are you my baby?” “Are you my baby?”
When 10 days later we found out that indeed none of those eggs were to become our baby, I imagined hearing a soothing voice say, “It’s not time yet. Take more time to enjoy just being with my dad for now.”
So, we’re doing that, little Baby BaciSong Bean. We’re staying up late, and sleeping in (or at least I am). We’re being here, ready for you, when you are ready for us.
Tit’s Up! has become the collective motto in our house. Listen, somedays, this shit is pretty hard. Amidst shooting my body up with hormones and receiving undesirable news from the doctor, I can project my angry sense of helplessness onto Dae-Han, just some of the emotional cost of infertility.
I see now firsthand in my marriage the way that our partners can be both recipients of our love and tenderness and our fire and fury. I am grateful that with Dae-Han and I moments of fertility disappointments do not outweigh the understanding that we are Team BaciSong, in this together. So, we’re working to keep our heads high and Tits Up!
The doctor has suggested that we take two months off of stim shots. This works out well as we were traveling this month for the holidays, and in January, I will be meeting my Soul Sister Ceci in Hong Kong to celebrate my birthday.
When we bought our tickets to celebrate Christmas in the States, originally we had planned to fertilize the six eggs that I had frozen before moving to Seoul. While there was more than one factor in our decision not to do so this year, one of those factors was financial. Both of our parents have told us that they would help us with this cost, and the support they have offered would allow us to move forward with Stateside IVF, but I am not yet in place where I want to (or feel I have to) work with the American healthcare system’s costs.
I have little idea how healthcare is figured out in different countries, or why things cost what they do in different places, but let me lay out the finances of IVF in both the United States and Korea:
Retrieving and freezing my six eggs 2.5 years ago cost $15,000. If we moved forward with fertilization, it would be an additional $6,747, for a total of $21,747.
I kept careful record of our bills this past retrieval. The total cost of retrieval and fertilization was $4,917.45.
So, the difference between one egg retrieval and fertilization in the US versus Korea: $16,829.55.
It is baffling to me. My hospital in Korea is state-of-the-art. I get personal care from doctors and nurses. So, how is it that Korea can keep costs so much lower than the States? Maybe it is a rabbit hole for another day. Maybe not. It just makes me angry that those living in the States could break their banks or be unable to use IVF because the cost is so exorbitant.
Because my sweet husband often gives enough f*cks for the both of us, I will abstain from getting on a higher soapbox and choose this moment to start my sign-off.
Regardless of where one lives, the cost of infertility can certainly be high when you consider the emotional and financial toll it can take. Dae-Han and I are blessed. We have access to great care, we have wonderful support systems both inside and outside of our partnership, and we continue to be hopeful realists in this journey.
This post has taken me from Mom and Dad’s kitchen to an airplane en route to California. Goodbye for now, from a mile high. ♡
It’s okay to be ordinary, so “tit’s up”
Note: Italicized words in this post are hyperlinks.
To begin, in my last post I emphasized how extraordinary I felt as my bod had just released 9 eggs after a round of IVF drugs. “You’re an incredible Hen House,” my friend Cristina had noted. What pride I felt. What luck, I thought as I reveled in my eggcelent success.
Maybe, a voice echoed back.
This week I was reminded of the story of The Chinese Farmer. The story begins like this:
Once upon a time there was a Chinese farmer whose horse ran away. That evening, all of his neighbors came around to commiserate. They said, “We are so sorry to hear your horse has run away. This is most unfortunate.” The farmer said, “Maybe.” The next day the horse came back bringing seven wild horses with it, and in the evening everybody came back and said, “Oh, isn’t that lucky. What a great turn of events. You now have eight horses!” The farmer again said, “Maybe.”
The following day his son tried to break one of the horses, and while riding it, he was thrown and broke his leg. The neighbors then said, “Oh dear, that’s too bad,” and the farmer responded, “Maybe.” The next day the conscription officers came around to conscript people into the army, and they rejected his son because he had a broken leg. Again all the neighbors came around and said, “Isn’t that great!” Again, he said, “Maybe.”
I have been reflecting on this Zen short story because this week has taken last post’s “what good luck” to this week’s “what poor luck” and I needed to reframe that thinking.
This past Thursday, Dae-Han and I entered the doctor’s office to learn how many embryos might have been created from those 9 eggs.
The doctor took her time to explain that
9 initial eggs
-3 bad eggs
= 6 eggs to fertilize
-1 egg that didn’t take to the process
= 5 embryos created
-4 embryos that did not develop robustly
=1 embryo sent to genetic testing
which came back as a mosaic embryo.
If this sounds artistic, like transferring this embryo to my womb could bring the next Gaudí or Emma Karp Lundstrom to the world, the language is misleading you. A mosaic embryo is not an indication of artistry as much as it is an indication of chromosomal abnormalities.
Now, it is possible that a mosaic embryo self-corrects if it does implant in the womb, and in this week’s therapy session Tracy did remind me of the gifts of imperfection. Has my imagination painted a picture of this mosaic embryo resulting in a baby that chooses a brush instead of a pencil at their first birthday, for their doljanchi and then grows up to become a famous calligraphist? Of course it has. Bless my imagination.
Our doctor is less about my imagination and more about science and statistics. For this reason, she has advised us to freeze the embryo for back up and to give another round of egg retrieval a go in hopes of an embryo absent of chromosomal imperfections. When Dr. Kim suggested this, I was … frustrated and confused and angry. Because we had had such good luck initially.
Maybe.
And now it felt like we were having such bad luck.
Maybe.
After the first round of egg retrieval, I had started to fantasize about being this extraordinary couple who in their 40s becomes this “one and done” story. As Dae-Han and I rode the elevator down from the fertility clinic, he turned to me and said, “We’re not extraordinary. We’re ordinary. That’s okay. It’s okay to be ordinary.”
So this weekend I am meditating on this notion that there isn’t really “bad luck” and “good luck.” There is just what is.
And what is next for us now is another round of egg retrieval (which does mean another anesthetic slumber and I don’t hate that).
I know that our baby already exists in some realm somewhere. Perhaps this sounds … woo woo or weird, but I already feel connected to our baby in some spiritual sense. I don’t get to control when that little bean is ready to make their way to my womb, but I do get to sing my own version of Cardi B’s WAP. (Gram, I advice you against clicking the link to the original song. If you felt that the 2022 halftime show was NOT CLASSY you will have even more thoughts about WAP.)
I haven’t finished writing it, but my version starts like this:
Room in this womb
There’s some room in this womb
There’s some room in this womb
There’s some room in this womb (‘hol up)
(I’m now really stuck now how to to take “certified freak seven days a week” to something more maternal. Open to suggestions if you have them.)
When I recounted this week’s fertility disappointment to Ceci, she responded with empathy, and concluded with the Marvelous Mrs. Maisel’s favorite inspiring phrase:
When the best thing you can be is a happy hen
“9 eggs! You’re a regular chicken!!” wrote my friend Caroline in our WhatsApp chat. And by “regular” she did not mean average or normal. No, friends, she meant that I am earning an A+ at laying eggs — as good as any young, healthy hen. Except that I am no spring chicken but a woman working to conceive at an “advanced maternal age” (formerly “geriatric pregnancy” and what is that term except one that elicits images of a grey-haired granny pregnant in a nursing home so thank to whoever pushed for kinder language because #languagematters, yo).
At my Advanced Maternal Age (AMA) I was able to produce the same number of eggs as I produced at AMA minus 2 years when I froze my eggs in Minnesota. This earns me bragging rights. I am an overachiever who is writing today to tell you about the report card from my doctor which reads “Exceeding Expectations.” (There was no report card but I read this note on the doctor’s face through blurry, coming-out-of-anathesia eyes. She was impressed with me, I know it.)
Just like when I was a student and I didn’t find school exceedingly hard but I did have to work for my grades, I worked for those 9 eggs. This time I did not work with a tutor or go in for extra help with my teacher, but I did do the following:
Abstained from alcohol.
This has actually been the case not just for the past 10 days of IVF shots, but for the past 5 weeks, since Dae-Han and I started doctoring with Cha Fertility Center. Dae-Han has also abstained, even though he wasn’t told he had to, and I appreciate the solidarity from him. Also, if you remember from my last post, drunk sperm swim in circles, so our chances now seem better that our little bean will know how to swim straight to its destination.
Listened more closely to my body.
Workouts are generally my way of relieving stress and feeling good about my body, myself, and the world at large, so I often push myself to get in workouts and complete them vigorously. While I was able to keep working out during this process, I tuned in to my body and made sure when she said, “let’s spend more time on the couch today” I answered with, “you got it, girl.”
Took fertility supplements.
Aunt Christy, our favorite Cali-based acupuncturist recommended that we take CoQ10 to increase sperm and egg health. When I told this to a doctor back home in a tele-health appointment he smirked a bit and said “well, it won’t hurt.” I like this doctor, but I also want to call him up and say, “you know how you said I might get 4-5 eggs at this age, well, I got 9, man.” I like combining the wisdom of the East and the West, and we are grateful that Christy has offered her expertise in Chinese medicine.
Avoided cold fluids.
My mother-in-law was the first to say “do not drink cold water when you are trying to conceive.” I was a bit dismissive of this at first, but this again is Eastern wisdom, and Christy agreed I should heed this advice. So, no cold drinks and generally no cold food. Lots of tea and soup.
Gave myself 28 shots.
The first three days of shooting myself up with hormones I was fine. The days following … I was fiiiiiine. No really, just fiiiiine. Which Highly Sensitive Person would be bothered by inducing Super PMS? Certainly not me.
Collaborated with my favorite person, Dae-Han Song, husband extraordinaire.
I married this man for dozens of reasons. His smile, his kindness, his perfect skin, and most certainly for his ability to be the best caretaker. The past 10 days, Dae-Han became Hot Nurse Song as he prepared my shots each morning, working to take any fertility load that he could off my shoulders and onto his.
How is someone this handsome in their Christmas pjs right when they get out of bed in the morning? The man can’t take a poor picture at any angle or any time. May our progeny be good swimmers and just as photogenic.
7. Leaned into the Sisterhood.
The Sisterhood is awesome. It came in the form of many supportive messages from friends around the globe. The Sisterhood also showed up in action. Dae-Han had an incredible opportunity to go to South Africa this week for a conference, so our friend Alice stepped in to go with for my retrieval appointment. Our friendship reached new heights as she accompanied me into the procedure room — my gown flapping as I wiggled into the feet straps on the procedure table — to translate for me before I was in an anaesthesia slumber. She got me home after the procedure. She waited on me while I was laid out on the couch for several hours post procedure.
Alice is awesome.
So I’ve gathered some cool things this week. I’ve learned that I can be a statistical outlier in the best way possible. I’ve learned how much I like being in a deep anaethesia induced sleep. (When I told this to my friend Lychelle, she responded with an amused “Tell me your job is hard without telling me your job is hard.” Perhaps. I was forced to sleep and rest and this part was delicious.) I’ve learned — or perhaps I had this knowledge and it was reinforced this week — what an incredible community of women I have around me here in Seoul. I’ve been reminded that my husband is the shit. I’ve been reminded that I can do hard things — I can work a full time job in my classroom and work a full time job in my ovaries (I’d argue they have both been more than full time this week.) I have been reminded to honor and respect and love my body.
Right now I am bloated and my pants do not fit and I feel fat (and I know that this is a stupid thought) and my boobs hurt and they didn’t even grow at all with all of the hormones and I have complained about this to my sympathetic husband and I am going to stop now. Goshdarnit I am going to start worshipping this body for all that she does and all that she creates. John Mayer is handsome but also kind of a jerk but I will take his words and run with them. My body is a wonderland. A wonder of creation and beauty. I hope your remember this about your body too.
Our next step in The Hatchery (I think this metaphor might be cracking) is to wait until the end of the month when we will find out which embryos are genetically sound and ready for transfer.
There is plenty of uncertainty — how many eggs were viable for insemination, how many embryos went to blast, will the embryo implant in my womb — but today I am just one Happy Hen.
Note: words throughout the post in italics are hyperlinks