in a cooler, just like an organ for transplant. The lab would run tests the same day and provide a report for volume, motility (how many were swimming), and morphology (how many were a normal shape).
The morning of our joint tests involved a lot of shuttling back and forth between the lab, examination rooms, bathroom, and main waiting room. When we were finally done, we met in the waiting room and walked to the car together.
âIt was a bad cliché,â Bill said when we reached the lobby. âI donât know what the womenâs test rooms look like, but mine was a seven-by-nine-foot room with a black La-Z-Boy chair and a table. The nurse hands me a cup and leaves. Thereâs instructions on the table telling me to collect as much of my ejaculate as possible and then fill out my name and social security number and avoid any spillage on the label. Really arousing. And you should see the material they have in there: two magazines, Playboy and Maxim, as if
weâre fifteen. Some more variety and better ambience would have been nice,â Bill finished.
âTheyâre not running a gentlemenâs club,â I said.
âWell, then, they should let partners come in. I could have been done in three minutes if you were in there with me.â
âThatâs sweet,â I said. âDonât think theyâd go for it, though.â
âYeah, well, I got it done,â he said. âI really donât like pressured donations, though,â Bill said. âDid you know thatâs what they call it?â he said, revving up again. âMy donation,â he repeated as he got into the car.
I couldnât help laughing.
âYeah, hilarious,â he said. âYou didnât just have to masturbate in a doctorâs office.â
âIâd take masturbation over the uterine crunch,â I said, the memory of the previous weekâs test lingering.
âI donât know,â Bill said. âI feel dirty.â But he was grinning.
Â
Rachel called us to schedule a review appointment with Dr. Colaum once our results came back. Bill and I shuffled meetings and client sessions to make room for the consultation. Weâd made the trip enough times to know it would be a minimum of three hours door-to-door.
âThe good news is that you have all the necessary parts to have a child,â Dr. Colaum told us as we sat facing her desk once again. âSara, you have great eggs, follicles, uterus, and open tubes. Bill, your sperm rate is high in both mobility and motility.â
Bill had announced on the drive that his âboysâ were going to be pronounced stellar. He flashed a proud smile.
âWe have a number of options,â Dr. Colaum continued, âin terms of assisted fertility.â In the past few weeks, Bill and I had talked to a handful of people who had seen fertility specialists.
The majority of them had been prescribed Clomid, which we knew wouldnât work for us because I had empty sella. One couple had done artificial insemination, and they knew a few others who had gone through IVF. All I really knew of IVF was that it was emotionally intense and carried a shocking price tag. I hoped Dr. Colaum would recommend something more moderate.
âWhat I suggest we try first,â Dr. Colaum said, âis what we call follicle stimulation, or stim.â
No IVF. I leaned back into the chair, shifting my back on the cool leather, and allowed myself to relax a little bit.
âIs there any way we could get pregnant on our own?â Bill interrupted.
âYou couldâpossibly. But you could also try for years before becoming pregnant, or not become pregnant at all.â Dr. Colaum paused. âI donât recommend it for you.â
A puff of air escaped my lips. I wasnât surprised, but it was hard to hear officially that we had little chance of natural conception.
The evening of our joint tests, Bill and I had talked about