Lily and David had been trying for a baby for over a year, and each month that passed without a positive test felt like another question mark hanging over them. Theyâd finally decided to see a specialist, hoping for clarity, hoping that maybe it was just a simple issue of timing.
When they arrived at Dr. Simonsâ office, the waiting room was bright and serene, but both of them sat in silence, trying to steady their nerves. David, always the optimist, broke the silence first, giving Lilyâs hand a squeeze.
âMaybe weâre just overthinking this,â he said. âPeople go years without getting it right, thenâboomâpregnant.â
Lily forced a smile, though inside she felt the weight of her fears. What if it wasnât that simple?
Soon, Dr. Simons, a kind-eyed woman with a warm smile, stepped into the waiting room and called them back. In her office, she gestured for them to sit, settling in across from them with a comforting, steady presence.
âI know this process can feel overwhelming,â she began, âbut youâre not alone in this. There are many factors in conception, and sometimes, small adjustments make all the difference.â She looked at each of them, her tone gentle but direct. âNow, letâs get started with some tests. Itâll help us figure out whatâs going on.â
Dr. Simons explained that theyâd start with a basic round of assessments for each of them. âLily, Iâd like to check your hormone levels, make sure your cycle is functioning well, and do an ultrasound to confirm your reproductive organs are in good shape.â
Lily nodded, glancing briefly at David, who seemed intently focused on the doctorâs words. âOkay,â she said softly, trying to hide her nervousness.
âDavid, Iâll need a semen sample from you, so we can look at sperm count, shape, and motilityâessentially, how well theyâre moving. Once we have a clearer picture, weâll know where to focus.â
David nodded, looking slightly pale. âA⊠a sample?â He cleared his throat, his fingers tapping against his leg. âRight. Okay. Letâs get it done.â
The next day, Lily went in for her round of tests. She kept her focus on the details, trying to make it feel less personal. The hormone test was quick, a simple blood draw, and the technician chatted with her to keep her calm. Then came the ultrasound.
The ultrasound technician, a gentle woman named Sara, explained the process, her tone steady and soothing. âThis will give us a closer look at your ovaries and uterus to make sure everything is working as it should.â
The cold gel startled Lily as it touched her stomach, and she forced herself to relax. Sara moved the ultrasound wand methodically, the screen showing mysterious shapes and shadows.
âEverything looks good here,â Sara said eventually, with a reassuring nod. âDr. Simons will confirm, of course, but from my end, things appear healthy.â
Lily felt a swell of relief but tempered it quickly. Sheâd have to wait for Dr. Simons to confirm it all.
When they met with Dr. Simons a week later, the news was cautiously encouraging. âLily, your tests all came back normal. Your hormone levels and the ultrasound show that everythingâs working as expected.â
Lily let out a breath she hadnât realized sheâd been holding. âSo⊠Iâm okay?â
âYes,â Dr. Simons smiled. âNow, we just need to look at Davidâs results.â
Davidâs fingers twitched slightly as he listened, his eyes fixed on the doctorâs face. Dr. Simons was deliberate, her expression carefully neutral as she opened the folder with his results.
âDavid, your semen analysis came back with some irregularities. Your sperm count is within the normal range, butâŠâ she paused, choosing her words gently. âThe motility is a bit low. Essentially, the sperm arenât moving quite as effectively as we would want to ensure successful fertilization.â
David took a long breath, looking down at his hands. âSo⊠Iâm the issue?â
Dr. Simonsâ tone was firm but compassionate. âItâs not about blame, David. Male-factor fertility issues are common, and this is just one of many factors. There are ways to improve motility, lifestyle changes, supplements, and medications. And if we need to, we can explore assisted reproductive options, like IUI or IVF, which can improve the chances of success.â
David nodded, swallowing as he took it all in. Lily reached over, putting a reassuring hand on his shoulder. She could see the worry in his eyes, a vulnerability he rarely showed.
After leaving the clinic, they walked to the car in silence. Once they were seated, David spoke up, his voice barely above a whisper.
âI just⊠I feel like I let you down, Lily. I wanted to be able to give you this.â
She turned to him, her voice gentle but steady. âThis isnât about fault, David. Youâre my husband, my partner. Weâre in this together. Weâll take it one step at a time, and weâll figure it out.â
David met her eyes, managing a small, grateful smile. âYouâre right. I just⊠I guess I had a different picture of how this would go. I just wanted it to be easy for you.â
Lily leaned over, pressing her forehead against his. âWeâre a team. And whatever happens, weâll face it together.â
As they drove home, the silence between them felt less heavy, both comforted by the certainty of their love, ready to face whatever came next.
Lily and David sat in Dr. Simonsâ office again, this time with a feeling of anticipation mixed with dread. Their initial hopes that lifestyle adjustments or minor treatments might make a difference had been steadily diminished over the past few weeks. Dr. Simons had tried several approaches, but it was clear that the simpler treatments wouldnât be enough.
Dr. Simons began by clearing her throat gently, her voice steady and kind. âLily, David, after reviewing all the results and seeing how previous options didnât yield any change, I need to be straightforward with you. Given the specific issues weâre facing with Davidâs sperm motility, our bestâand, realistically, onlyâoption for conception would be IVF.â
Lilyâs heart sank. The word itself felt daunting, not just for its medical implications but for the financial burden it would carry. She stole a glance at David, whose expression mirrored her own concern.
âIVF⊠okay,â David said slowly, processing. âAnd just to be sure, thereâs really no other way?â
âI wish there were,â Dr. Simons replied gently. âWith IVF, we have the ability to choose the strongest sperm and ensure they meet the egg in optimal conditions, maximizing your chance of fertilization.â
Lily took a breath, trying to steady herself. âBut, Dr. Simons, weâve read about the costs. Isnât it⊠quite high?â
Dr. Simons nodded, her expression empathetic. âYes, IVF can be costly, especially when factoring in multiple cycles, which are sometimes needed to achieve a successful pregnancy. Most insurance plans offer limited or no coverage, so itâs an understandable concern.â
David leaned forward, hands clasped together tightly. âWe have a mortgage, car payments⊠and weâre not exactly in a place where we can afford thousands and thousands of dollars. Not without⊠I mean, without losing everything.â
Lily could hear the strain in his voice, and it hurt to see the way this was wearing on him. Theyâd worked hard to build a life, to have a home they loved, and now the idea of jeopardizing it all just to afford a chance at having a baby was almost too much to bear.
Dr. Simons was quiet for a moment, as though weighing her words carefully. Finally, she spoke again, her tone gentle but serious. âThere is⊠another option, though itâs a bit unorthodox, and it would require some careful consideration from you both.â
Both Lily and David looked at her, curiosity and apprehension mingling in their expressions.
Dr. Simons continued, âIn cases like yours, where traditional methods and even IVF might be financially challenging, some couples consider a form of natural insemination with a known donor. Essentially, this would involve choosing a donor whose health and genetic traits are aligned with what youâre looking for. We could ensure all necessary health screenings and genetic tests, making it as medically safe as possible.â
David blinked, his brow furrowing. âNatural insemination? You mean⊠without the labs, the whole clinical procedure?â
âYes,â Dr. Simons replied. âI understand it sounds unconventional, but for some couples, itâs been a practical alternative when IVF is financially out of reach. This would involve selecting a donor youâre comfortable with, either known to you or someone we can match based on your criteria. Weâd provide full oversight with the necessary medical tests and background checks to ensure everythingâs in order.â
Lilyâs mind raced as she tried to grasp the implications of what Dr. Simons was saying. Choosing a donor in a setting that felt safe, without the immense cost of IVF, sounded almost like a relief. But at the same time, it brought its own set of complications and uncertainties.
Dr. Simons seemed to read their hesitations. âThis isnât an easy suggestion, and I only bring it up because I want you to know that options exist. You wouldnât be the first couple to consider it, and itâs something I can oversee in terms of health, timing, and even counseling to support you through it. But itâs a deeply personal choice and one that I want you to be comfortable with, no matter what you decide.â
Lily looked over at David, searching his face for any hint of his feelings. His jaw was tense, his gaze fixed on the floor as he considered the weight of the suggestion.