Little Pregnant: Our Memoir of Fertility, Infertility and a Marriage


What happens to your marriage, your sexuality, and your self-image when you try and fail year after year to do what comes effortlessly to almost everyone else: have a baby? How do you know when it is time to move on to the next level of medical intervention, or to adoption, and when it is time to stop?

In A Little Pregnant, Linda Carbone and Ed Decker offer a moving appraisal of their wrenching, confusing, frustrating, and sometimes comic attempts for nearly ten years to become ...

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What happens to your marriage, your sexuality, and your self-image when you try and fail year after year to do what comes effortlessly to almost everyone else: have a baby? How do you know when it is time to move on to the next level of medical intervention, or to adoption, and when it is time to stop?

In A Little Pregnant, Linda Carbone and Ed Decker offer a moving appraisal of their wrenching, confusing, frustrating, and sometimes comic attempts for nearly ten years to become parents. She feels ambivalent about having children; he has an urgent need to have them, at all costs. In alternating chapters, husband and wife present their own versions of their descent into medical and marital turmoil.

This is a story of self-discovery by two quirky observers, best friends who are deeply in love but who rarely find themselves in the same psychological place at the same time as the years and the diagnoses pile up. The endless parade of medical options makes the couple’s doctor a collaborator in their drama. His role is intensified as the wife’s friendship with him deepens into sexual desire. Meanwhile, the husband, obsessively nervous about producing sperm samples on demand and ever fearful that his wife will decide she’s had enough, finds himself in the grip of anxiety attacks that send him into therapy.

Written with a mesmerizing power and supple grace, this candid exploration of what infertility can do to a marriage ranges from heartbreaking to hilarious, from cynical to spiritual. Looking back on all the surgeries, miscarriages, fertility drugs, and adoption attempts, and on the small army of professionals called on to treat them, the couple examines the shifting permutations of loyalty and love that brought them through a decade of pain andpromise—culminating in the quiet arrival of a child when all hope seemed lost.

For couples, for parents, for fertility patients, and for all of us who have ever desperately wanted something we couldn't have or wondered how far we'd be willing to go for the person we love, this poignant, compelling memoir will linger in the mind and heart long after the last page is turned.

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Editorial Reviews

Library Journal
Carbone and Decker have written a personal diary of their struggles to have a child. In alternating chapters the two bare their souls, describing the invasive and impersonal medical procedures they endured to conceive the child he so desperately wants. Use of indelicate slang may startle some readers, and statements about various options can appear insensitive and offensive ("the hybrid child"), but midway through this sometimes whiney, wordy, self-centered story the reader is hooked. The adoption episode is particularly heart-rending. Carbone and Decker do not pretend to offer recommendations to others in a similar situation, and couples who remain childless may not find much comfort here--after nine long years Linda does become pregnant without intervention and gives birth to a healthy daughter. Written like a popular magazine article, this should circulate well in public libraries. There is little else of such a personal nature available.--Margaret Cardwell, Georgia Perimeter Coll., Clarkston Copyright 1999 Cahners Business Information.
Kirkus Reviews
An affecting chronicle of one couple's nearly decade-long struggle to have a baby. Writing alternate chapters, Carbone, a book editor, and Decker, a freelance writer, have produced an astonishingly revealing account of their experiences during years of infertility. Their attempts to conceive a child began in August 1986, and their daughter, Julia, was born in January 1995. Between those dates, Carbone had two miscarriages, was diagnosed with and treated for endometriosis, had some ten surgical procedures (hysterosalpingograms, hysteroscopies, laparoscopies), and Decker had surgery to remove testicular varicose veins in a futile attempt to improve his sperm quality. When conventional medicine did not help, they turned to chiropractic and acupuncture. In vitro fertilization failed, as did the GIFT procedure, whereby sperm and egg are united not in a petri dish but in the Fallopian tubes. Adoption appeared to be their only remaining option. Meanwhile, with their sex lives regulated and mechanized, Carbone had fallen into a fantasy romance with her fertility doctor, and Decker's performance anxiety had sent him to a therapist and to a sperm bank for donor sperm just in case. Their drama reaches its climax when the birth mother they eventually locate changes her mind about giving up her baby for adoption at the very last moment, but the very next day a pregnancy test shows that Carbone is herself pregnant. What makes this couple's story unusual is that it's the husband, not the wife, who is desperate for a child. In Carbone's words, "I just followed the script Ed handed me. This was his show." What is surprising also is that this articulate couple, who reveal so much here, apparently didn'tshare their feelings with each other as these events were happening and rarely discussed their infertility during the years it dominated their lives. For six million similarly afflicted American couples, the lessons to be learned from this candid account are as much about love and marriage as about infertility. (First printing of 30,000; author tour) (For another look at infertility, see Liza Freilicher and Jennifer Scheu with Suzanne Wetanson, Conceiving Lac: A Family Story, p. 691.)
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Product Details

  • ISBN-13: 9780802137456
  • Publisher: Grove/Atlantic, Inc.
  • Publication date: 1/28/2001
  • Edition description: Reprint
  • Pages: 240
  • Product dimensions: 5.51 (w) x 8.28 (h) x 0.66 (d)

Read an Excerpt

Chapter One

Date of Confinement

"You were born in a snowstorm," it would have begun. "It snowed so hard the day you were born, we didn't think we'd make it to the hospital on time." The first personal legend for my son or daughter, who would have taken it in with a shy smile at first, in later years nodding, knowing the details by heart.

    They had shown me the due date on a cardboard wheel in the obstetrician's office. The energies of the cosmos and the zodiac had swirled together with my body to determine this fine point in time. "E.D.C.," they called it there, for Expected Date of Confinement—an archaic, faintly misogynistic term no one had ever bothered to change. Mine would be January 12.

    I suppose I should have covered my eyes and ears, knowing the history of my previous conceptions, hard-won and hard-lost. But against my nature, perhaps against Nature itself, I felt optimistic. A pathetic optimism, the kind a pessimist occasionally gets. For I am not the silver-lining type. And I had allowed myself to be pinned in place by thousands of tiny nails, a consenting Gulliver, immobilized by the medical and psychological restraints imposed by infertility.

    There had been others, two others—the first fruits, offered to appease the gods—but this was the last, best hope, made real by a cardboard pinwheel that gave me the hard nugget of a month and a day to hold on to. I had seen the embryonic outline this time on a sonogram, the one that was supposed to confirm the positive blood test by showing its little heartbeat.

    I had been so sure this time that I almost didn't bother going for the verification. Peppermints had suddenly begun to nauseate me, and my nipples had turned to rubber. "There aren't that many highs in life," Karen, the coordinator at the fertility clinic, had said. "Go and see the heartbeat."

    The dark image I saw had the hunch and curve I recognized from pictures. But it had no heart to beat. To make sure, the technician kept enlarging it until the screen was filled with its motionless hulk. Its shape, the kindly doctor told me after I got dressed, gave a clue to its trouble. It showed signs, he explained, that it might be about to "crumple"—an unmistakable word, with its unforgiving "k" sound and the abrupt energy of that "p."

    Of the millions of words I have heard, thought, and spoken about infertility in the seven years my husband and I tried to make a baby, it's the word "crumple" that sticks with me this January 12, as I roam unconfined on my Date of Confinement. In New York's record-breaking snowfall in the winter of 1994, it is the legacy of my infertility that I carry with me, not my baby.

Infertility is what I do. It's my vocation: I don't get pregnant, or I don't stay pregnant. I'm good at it. I've been more successful at it than at anything else I've tried as an adult. My infertility is a layered, soft thing, spun of gossamer and tears. It will disintegrate if I touch it. So I give it substance in other ways.

    I have a record of every date on which I menstruated and ovulated during the last seven years. Also every date my husband and I had intercourse. I could draw charts and graphs—"Here's where I didn't get pregnant that month"—to illustrate our childlessness. The ritual and science of failure.

    When Ed and I started out, it seemed clear that determination and the right medical care would get us there. But we had to live in the world until then. And on the bad days, everyone I saw, even the men, seemed to be effortlessly, abundantly pregnant. How dare they?

    But it wasn't just pregnant people and babies—babies in blankets, babies in strollers, babies cooing, babies shrieking, everywhere babies, babies, babies—who had the power to stun. Every human being I saw was a reminder that I could not make one of those. It seemed mythical, a compelling fiction, that we had all started out from the successful union of egg and sperm successfully housed in a successful uterus.

    I wasn't sick, but over the years I collected the names of diseases and conditions that applied to me. I wasn't dying, but I could not give life. I claimed a new terrain between the ill and the well, and there I alternated between hope and cynicism daily, monthly, yearly: we could be helped/we would never be parents; we had diseases that could be treated/we were losing incalculable, irretrievable time and money on a doomed quest.

    As the diagnoses and treatments accumulated, I gradually built up a vocabulary of loss: endometriosis, varicocele, curettage, fetal demise. If worst came to worst, there was the terrible miracle of reproductive technology. And it works, sort of. It made me a little pregnant.

    But first, I had to prepare myself. I had to become somebody else. Somebody capable of undergoing surgery after surgery, submitting to six months of medically induced menopause at age thirty-two, laying hot compresses of boiled ginger root across her midsection, chanting novenas in secular spots.

    Ed and I traveled to California to continue treatment when the doctor we liked moved there. We traveled to Queens to call on the services of an acupuncturist. I rekindled a childhood pen pal correspondence in France in order to take advantage of the much cheaper fertility drugs in that country.

    My break with the Catholic Church in junior high didn't stop me from collecting the little laminated cards my sister gave me with incantations to the Virgin Mary and St. Gerard for motherhood. And toward the end, I began a series of experimental blood transfusions without realizing that they would have run into tens of thousands of dollars.

    We tried everything: the sacred and the profane, the medical and the marginal, the cutting edge and the fringe. No gesture seemed too far-fetched. The more extreme, we thought, the more likely it would be to form another piece of the humorous, heartbreaking story we would tell once our parenthood was secured. We got the humor and the heartbreak, anyway.

    There was the doctor who forgot to tell me that the diagnostic procedure he would be performing on me would put me in the long lineup of that morning's abortions. There was the radiologist whose job it was to report my uterine X rays to my doctor, but who couldn't keep his unfounded suspicions of endometrial cancer to himself. There were the slapstick maneuvers involved in getting the adjustable in vitro table to hoist my large frame (I'm nearly 5'10") into the appropriate angle for the transfer of precious embryos.

    And then there was Dr. Gold, my friend and confidant through the long, confusing years. From the start, he took a special interest in my case. I basked in his quirky attentiveness. I liked his directness, his Jewishness, his delicate surgeon's hands, his birdlike movements. With his close-cropped black hair, wire-rim glasses, and scaled-down facial features, he was endearing, irresistible: Albert Brooks in surgical scrubs. For better or worse, I couldn't have stuck it out without his intimate involvement.

    I gave myself over to my infertility as to an inevitable trial, a test of will, of faith, of reason. Each monthly cycle, each new treatment, seemed the small, logical next step in a reasonable sequence. In the medical miasma, I couldn't see the incremental madness. I saw only myself, trying to be a good patient, addled but agreeable; my husband, with his unexpected, intense love that both anchored and buoyed me, whose longing for fatherhood was so genuine that I ached to be able to offer it to him; and my doctor—energetic, compassionate, and personally rooting for me. The barren woman's ménage á trois.

    But even as Ed and I dutifully turned to successively more complicated treatments, as to the stations of some powerful pagan's cross, I had a gnawing feeling that some unnameable sequence of wrong choices and the earth's damaged environment itself had already preordained our childlessness. We were canaries in the coal mine, hallucinating in our asphyxiation that our rescuers were only shovelfuls away.

    And early on, I knew that I didn't necessarily want a child—no more than I wanted everything I had ever longed for and didn't have. Like a peaceful childhood with the kind of father who would have taught me to dance by lifting me on top of his shoes and waltzing me around the room. Or getting back my best friend, Kathy, whose life ended at twenty-four in the fiery crash of a small plane in Vermont.

    The difference here was that I could place responsibility for having a baby in the hands of medical authorities. They were our collaborators, our dream-catchers, dangling before us the constant promise of possible parenthood, a promise they had been known to keep. I threw myself at them as though they could give me everything I had ever wanted—as though, if only I could have this, I would never want anything again.

    I think I also embraced my infertility for its drama and pathos. I love movies that make me cry, music in minor chords, books that let sorrow wash over me. Even in real life, sadness often feels more real to me than the alternatives. It touches a depth nothing else can reach. As my infertility gained ascendancy, it exploited that feeling in me. "You want sad?" it jeered. "I'll give you sad."

    Even worse, it threatened to turn me wholly inward, shrinking my perspective down to the size of my uterus. On the day I found out that our attempt at in vitro fertilization had failed, in 1992, I saw the first photographs of the wasted bodies of Somali children on the front page of the New York Times. Who in God's name did I think I was?

    Someday, I thought, I might try to make sense of the ordeal by writing about it. Would that give me perspective? If I couldn't be pregnant, maybe at least I could be poignant.

    Now that my seven years' bad luck have ended—my penance for mirrors and commandments I don't remember breaking—and now that I can tally up the number of surgeries and miscarriages, reckon what has been lost and what gained, along with the sorrow and the relief, I also feel surprise that I took it that far. Part of me feels that I've been had, humiliated, given a metaphysical wedgie. Trying to have a child turned out to be no different from trying to be Bolivian or trying to have small feet.

    But I was mesmerized by the process, so that as I progressed through each complex, futile stage, I was vaguely aware of having the choice of either jolting myself awake or just working it into the dream, the fever dream it took me seven years to wake up from. Now, sweating and disoriented, the frown of troubled sleep still upon me and the blood still roiling in my ears, I search frantically for some familiar sign of who I was back before the fever took hold.

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  • Anonymous

    Posted April 22, 2004

    True Reality

    This book was an easy read and a must for anyone dealing with years of infertility. The road they travel,all the feelings,thoughts and the effects on the marriage, ring true for so many couples who go thru this. It was good to read that someone else felt the same way!

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