Parenting

Friday, December 4, 2009

Waiting Too Long To Conceive

Would I tell my daughter to take the same odds on her fertility that I did by waiting until I was 35? I doubt it.

I was about 28 when a friend of a friend in her mid-20s told me of an alarming visit to her gynecologist.

It was a routine check-up. Nothing out of order--until her gynecologist noted that she'd had the same boyfriend for years and asked her if she thought she might ever have children. Maybe, she said, but she wasn't sure when.

"Then what are you waiting for?" he yelled. He proceeded to bully her, going on about how it gets harder to conceive with age, and did she know how many women cried in his office because they had waited too long, and now couldn't?

The Top 20: America’s Best Cities For Working Moms

The woman was clearly rattled. We were standing on a hillside overlooking the San Francisco Bay, about to start a hike with the men we ended up marrying. Neither one of us had even considered motherhood. She was finishing a Ph.D.; I was just five years into my writing career. We were more interested in canoe camping and throwing parties than anything else.

Normally, our reaction would have been rage: Who did this medical Neanderthal think he was, telling us to stop our lives and derail our careers in order to breed?

But the thought of the crying women gave us pause. Clearly, this man at least thought he had our best interests at heart. We wondered out loud whether we should be worried, but at that moment our guys strolled near, and we dropped the conversation.

I'm not sure what happened to her, but as for me, I married at 30, spent another year in San Francisco, the next two traveling with my husband, and another trying to get rich in California's dot-com boom. We didn't try to conceive until we were both age 35, when it was clear my company was cratering, and we estimated we had enough savings to resettle in a less expensive region with just one job.

That was the plan. But when months passed with no pregnancy, I remembered that moment on the hillside and, of course, panicked. Soon I was devouring blogs documenting fertility problems and solutions involving major depression, chemistry kits and long needles. Then I bought books (I now swear by Toni Wechsler's Taking Charge of Your Fertility) and basal thermometers, and started tracking my temperature on spreadsheets. At some point I called a fertility specialist, who refused to see me until I could say I had tried and failed for a year.

My husband and I were lucky. After several months, we conceived our daughter without aid and--yes, because of my paranoia regarding fertility, we planned it this way--we conceived our son less than a year after she was born. By then I was 37 and an automatic referral for the high-risk pre-natal specialist because of my age.

Now I wonder: If my daughter ever wants her own family (which seems unlikely, given that even at age seven, she is never, ever her dolls' mommy--just their friend), would I tell her to take the same odds on her fertility that I did on mine?

I doubt it.

Just the other day, a woman I know who had children in her early 20s told me that she wants her children to wait until their 30s before marrying. She wants them to travel first, live a little.

It's entirely personal of course. And really, I am a huge fan of post-marital, pre-diaper bag bliss. But there's a price to pay for waiting extra years to conceive--for both men and women--since fertility starts declining, ever so slightly, as early as the late 20s. By age 35, the clock is definitely ticking.

Now that I'm in my 40s, I know plenty of couples who've had trouble conceiving. Some started early and couldn't. Others managed to have one child in the woman's 30s and wanted to have a second, but were waiting for the right time and never did.

I'm not saying we should all have children, or more than one if we do, or even that we need a mate to do it. And of course, in vitro and adoption are fantastic alternatives.

But I do think my generation was sold a bill of goods about how long we could wait and still have the choice of biological motherhood be ours.

Maybe some day, scientists really will develop the so-called "career pill"--which would shut down our ovaries during years we aren't ready to conceive, and allow them to begin functioning again when we are.

Until then, I'm hoping that if my daughter is so inclined, she'll try to start her family at least half a decade earlier in life than I did.

The Top 20: America’s Best Cities For Working Moms

More From ForbesWoman

Prepare To Be A Working Mom

How To Keep A Lid On Today’s Craziness

10 Ways To Take Time Out For Yourself

Syndication:

From the Community…

Comments 1-10 of 17
  • Erin's Avatar
    Posted by Erin Wed Aug 12, 2009 11:27am PDT

    The ob-gyn's behavior was completely inappropriate. His comments, while probably true, should not have been delivered in such an uncaring manner. If I were this woman, I would find a new doctor. No doctor worth their degree should EVER yell at or bully his or her patient. Also, he makes the assumption that every woman coming through his office wants biological children. This is obviously not true. Additionally, it is unacceptable for a doctor to pressure a patient to make such a life-altering decision when the individual isn't sure what they want. It could end up ruining their life and their happiness. A doctor's job in this case is to present the facts-- in a clam, collected, unbiased fashion, and to ask a patient questions that might help her reach a decision.

    Report Abuse
  • NicoleM's Avatar
    Posted by NicoleM Thu Aug 13, 2009 3:50am PDT

    I am a good old fashioned Irish girl and a baby making machine - I have never even tried to get pregnant and yet have four fabulous children but I will tell you this: now that I am 31, it took three months to deliberately concieve where before it was a one shot wonder. They now are starting to recommend you start trying by the time you are thirty, not thirty-five like in years past. I'm not saying it was that doctor's place to make commments like that, in that manner, but I believe he had a point even if he should learn when to use it.

    Report Abuse
  • TAY's Avatar
    Posted by TAY Thu Aug 13, 2009 4:09am PDT

    I agree with Erin. The doctor was out of line and probably reacting off of their own issues than anything else.

    Still, I think having a child should come when a person is ready, not because they feel they're on some imaginary deadline. I had a friend that didn't want children for a while and one day decided she did. So, she went off the pill and thought it would happen over night. It didn't. She kept getting upset because all the women in her office were getting pregnant. Seriously, in an office of four women, three (all except for her) were pregnant. All about the same age with the youngest being about 31, and none of them trying to get pregnant. My friend had a really hard time and had to go to fertility clinics to get pregnant. I think part of her problem was the stress she put herself under, the other part was that she had been on the pill for nearly 12 years at that point. So, I don't think just because you're over 30 it's harder to get pregnant without help. I think it depends a lot on the body, the stress levels and of course your emotional state. If you're trying to get pregnant than three months can seem like waiting forever. If you're just at the "whatever happens" stage, then three months might seem quick.

    Report Abuse
  • Rose's Avatar
    Posted by Rose Thu Aug 13, 2009 9:10am PDT

    I'm glad I waited till I was older to have children. First child at age 30.

    My husband and I were already working before we had our first child.

    Definitely financially speaking, waiting to have kids was better.

    ANd I am DEFINITELY A different person at 30 than I was at 20.

    Report Abuse
  • Jasper's Avatar
    Posted by Jasper Thu Aug 13, 2009 10:29am PDT

    I am 30 and my OB hounds started hounding me last year that if I was gonna have kids I have a few years left to do it. At the clinic where I go they consider anyone over 35 to be a high risk and refer them out to a perinatologist. (spelling?)

    Report Abuse
  • Fed up's Avatar
    Posted by Fed up Thu Aug 13, 2009 1:53pm PDT

    I'm 50 and was Ms. Fertile Myrtle with 6 kids. I had my first at 24 and last at 40. I got pregnant when the last was 1 and the ovum never developed and I miscarried. Started menopause at 43 and was done, THANK GOD, at 48, so, there's about a 20 yr window between graduating college and becoming infertile. You have to find a job, get established, find a man, date, plan a wedding, get married and then have kids, if you do it right. Tick, tick, tick. Also, your chances of having birth defects increases dramatically after 35.

    My daughter is 23 and got engaged to a 33 yr old cause she wants to settle down and have kids early.

    Report Abuse
  • erin's Avatar
    Posted by erin Thu Aug 13, 2009 3:00pm PDT

    I'm 23 and now after some medical scares with my cervix am quite rattled until the results of 7 biopsys come in in a few weeks. I'm now starting to wonder about my ability to have children and the possibility I couldl end up having miscarrages and end up with no children or one after much heart break, like my aunts. One could not concieve and my mother after much trying had me and then could have no more. I personally thought the best age was the late 20's. When I was a little younger I thought I would never want children but honestly having a career just does not interest me like I thought it would. I think for each woman it's up to her, your not required to have children when your young but it couldn't hurt thinking about it and perhaps putting off your career a little bit. But it's all about what you want to sacrafice. Family or career.

    Report Abuse
  • sam's Avatar
    Posted by sam Thu Aug 13, 2009 3:33pm PDT

    I got the same treatment from a nurse practitioner. She saw that I've been with my boyfriend for four years and have been using bc pills for three of those years. She asked me I want to have kids and I said that I wasn't sure (I'm 22). She asked me what I would do if I became pregnant and I answered that I would be scared, but am financially secure enough that I would keep the baby. She asked if I would be comfortable getting an abortion (I'm not even pregnant!) and I answered that I personally don't think that would be the right thing for me to do. She started pushing me to get an IUD, which I am totally reluctant to do. My low-dose birth control has worked perfectly for the last three years without a single pregnancy scare. I don't want an IUD, with which friends of mine have had serious problems. Then she starts saying how young and fertile my body is, and that I shouldn't be afraid to have children. I'm 22 and unmarried, for gosh sakes! Maybe in five years when I'm married and more emotionally mature I'll start trying. I am never going back to her again.

    Report Abuse
  • erin's Avatar
    Posted by erin Thu Aug 13, 2009 4:04pm PDT

    I'm glad your not going back again they sounded crazy and someone that bi-polar on the subject frankly is not right for the job. Yes someday you might want kids but at 22 there is no way you can afford it if you have even a high paying job, not if you want to live like you do now. I have thought long and hard about that before this and my partner and i have decided someday, late 20's is our time, but seriously will we be able to afford it then? Will we be ready? When we are we will try.

    Report Abuse
  • sam's Avatar
    Posted by sam Thu Aug 13, 2009 4:08pm PDT

    Exactly. Why would I want to bring a child into the world when I am unmarried and could lose my job and be on welfare TOMORROW. I'll wait until I'm married thank you very much. She creeped me out.

    Report Abuse
Comments 1-10 of 17

leave your comment

You must sign in to post a comment

Sign In for personalized information

New User? Sign Up

parenting byte

When entrusting your child's health to a pediatrician, you are bound to have concerns about whether you are picking the right practice or doctor. Here are five questions to ask when choosing a pediatrician.