Why do you want to be a mother?

The answer to this question is complicated and can vary greatly from woman to woman. One thing I know for sure is that I have always wanted to be a mommy. I still recall the baby doll my mom gave me as holiday gift. I must have been about 7 or 8. I unwrapped the box, and in a rectangular wicker box was a life-sized infant baby doll. She was one of those dolls that you could feed and change. I was so excited that I had this special baby of my own to care for and love.

Is the most important aspect of motherhood the passing on a genetic link for future generations? This creates a possibility of genetic immortality- ones DNA can continue on through time until that branch of the family tree ends. There is something very comforting in that. My grandmother Sally, for example, had a strikingly beautiful color of hazel eyes. She passed that gene onto my father who, in turn, gave that to me. This side of my family link also gave me strong teeth and, at 40, not one cavity. I also got my nearly perfect eye sight from my paternal ancestry. The only glasses on that side of the family come with advancing age. While none of this may really be all that important in the grand scheme of things, it always strikes me as pleasing when I look at photos of my grandma, my dad and I. There we are, standing together, with the same eyes, same teeth.

Possibly more important than eye color is the legacy that was passed down through generations. My characteristics, values and perspective on the world were formed, in part, by how my grandparents raised my parents and, in turn, how they raised me. My grandma Sally had a witty sense of humor, exuded sensuality, was classy and held herself with grace. She had self confidence, was assertive and went after her dreams. No one could tell her she couldn't if she really wanted something. I like to think that those are but some of the traits she gave to me and those that I want to share with the world as part of her legacy. I want my children to have high integrity, a sense of priority towards family and community, and to learn to love deeply. I want my children to believe they can do or be or have anything they want and have the confidence to go after their dreams. I am so glad that Doug feels it is of the utmost importance that our children believe they can accomplish anything they put their minds to. So often as a child he was told he "couldn't" accomplish things-because of this, he wants the kids to have that confidence to go after their goals.

The idea of creating a family with Doug is also very important. Part of this has to do with the idea of blending the two of us into one- a genetic soup, if you will. The other piece of this is that it feel like the natural next step to grow an extension of our deep love. If Doug and I are great together, having a couple additions can help complete our family. It is the natural next step. I envision setting up the tent in the back yard on a warm summer evening, watching Doug teach the children how to ice skate, going to Sox games as a family, sitting at the kitchen table and helping with homework. It is the simple idea of parenting that brings great joy when I think about it. Nothing glamorous- just doing the every day mommy things.

I have never been a quitter. I think that is why I have been so successful in my life. I am a troubleshooter. I get things done. I go after my dreams and make things happen. That is one reason why this fertility journey has been so painful- I just figured if I put my mind to it, I would be able to have this dream. This month marks the official 4-year mark of my ttc. I never thought I would be here still with no children of my own. 13 IUI's, 2 IVFs, a whole lot of well-timed sex and the only thing to show for it was one traumatic second trimester loss and one very early miscarriage. When do I decide enough is enough?

I was on a Resolve conference call last week with a fertility expert and the topic was decreased ovarian reserve. This diagnosis may be made when you look at a whole host of signs- putting them together and it paints a picture. At age 40, I am now considered of advanced maternal age. At age 20, 80% of eggs produced monthly are considered genetically normal. By age 40, 80% are considered abnormal, causing a decreased ability to conceive and implant. My FSH levels are considered borderline high. While I have been known to dip below 10 once in a while, my numbers tend to range from about 10.1 to 14.2. This range does not exclude me from being able to have fertility treatment, but it does point to a lower statistical rate of success. Finally, my body's response has been low even to high levels of fertility meds. The fertility expert on the call said that if a woman only produces 1-3 mature eggs with high levels of meds, this may be indicative of low ovarian reserve. He said high levels of FSH were about 200 IU. I have been routinely prescribed 450 IU (the maximum does allowed) and have, at most, produced 3 mature follicles. I asked the question of the doctor- "if I was your sister, how many cycles would you suggest before moving on to other family building options?" His answer was 3 cycles.

There are so many motivations for having children- I guess it is my job to figure out what is most important. My doctor is willing to continue with the IUIs for as long as I am willing to try. After all, I did get pregnant last year so we know I can. Even if the statistics are not in my favor, pregnancy is not impossible. However, I have spent 4 years consumed with this goal. I can accomplish motherhood in a variety of ways.

Simply put, I wonder if I am wasting precious time being unhappy and missing out on motherhood in my attempts to become a mother.

Why do you want to be a mother? What would you tell me if I were your sister?