i really want a baby
Are they my hormones? I want a baby. Or do my hormones want a baby? I'm so often worried about having a baby. With pregnancy, with maternity, with all things reproduction. Sometimes it seems to line up with ovulation, sometimes not. Sometimes it comes like a storm and suddenly comes out. Lately, he's been dripping, a constant simmer that occasionally tilts to boil. It's never been like that before, but maybe it's a senior thing (I'm 36), maybe it came from being sober and feeling back, maybe it's all the baby photos I see on Instagram. Until recently, my understanding of hormones made me want to blame this feeling, or give them credit, or something. It was so new and overwhelming, I thought something chemical should be happening. The feeling is almost like being on a drug, or being drunk, but like being on the "mother" instead of cocaine. Or have "pregnancy glasses" instead of beer glasses. But unlike being on a drug, the feeling is hard to discredit after the fact. In its simplest, hormones are small molecules released into the body by glands and other organs. (And glands are clusters of cells that do and secrete things, for example, there are thyroid and adrenal glands, and ovaries and pancreas, which also secrete hormones.) In Greek, "hormone" means "adjusting in motion", and these signaling molecules travel in the bloodstream of the gland wherever they are directed, to move to a directive. They are messengers, essentially, carrying instructions for organs throughout the body. Once they reach their destination, they normally join the target organ, which absorbs their message and behaves accordingly. (I think hormones like small students running through the halls of a school, holding a presentation under your arm, ready to deliver a final project.) Hormones are critical for most aspects of human function, including physical growth, puberty, hunger, metabolism, sexual function and reproduction. Also sleep, menstruation, lactation, stress and mood, among many others. Some known hormones include insulin, adrenaline, oxytocin, estrogen, testosterone and cortisol. (And some less known, for example, are calcitonin, glucago and urine). The global system of hormones and lands is called endocrine system, and common endocrine system disorders include obesity, diabetes and thyroid diseases. Hormones seem to control everything, in other words, and I started imagining them as small particles floating around my body, carrying banners that said, "Have a baby!" Then it was interesting to know that basically it had everything wrong. While the urgent desire to have a child at the end of the 30s and early 40s is "as real as the day is long," he said, president of the NYU Langone Obstetrics and Gynecology Department, "I'm not convinced it's hormonal." Instead, he said, the feeling is probably "existent." He pointed out, in fact, that "there is really not much" that happens to women during this time hormonally: "There is a steady and gradual decline in women's fertility at this time," said Keefe, "but if you look at the hormonal profiles, there is not much to happen. "Another OB/GYN, from Yale, told me the same: "The best of my knowledge," he said, "there is no hormonal wave that leads to an impulse to conceive [during this phase of life]. There is more hormonal variability as we age—with a decrease in general levels of estrogen and progesterone—but that does not lead to any biological impulse that I know." He pointed out that there is, instead, "a sociological problem", that "the educated women often know that their fertility declines with age, and therefore many feel an impulse to conceive." But this is "driven by the brain and not particularly hormonal," he said. Maybe I shouldn't have been so surprised, but I was. Given the popularity of companies such as KindBody, which offers anti-Müllerian hormonal tests (AMH), it seemed to me that hormones should have everything to do with fertility, with the urge to conceive and capacity. But there is no reliable fertility test; measuring things like AMH or stimulating follicle hormone (FSH) are "esentially ineffective," as Keefe said, by predicting a woman's fertility status. To be fair, KindBody this. However, I had been under the impression that measuring my own fertility should be as easy as giving a biological sample, running numbers, and getting some kind of reading. "Unfortunately there is no good hormonal indicator of fertility," Keefe told me. "So women are left to imagine. For fear. And that is when the sense of urgency, almost panic, can sometimes be established." It was liberating and frustrating to be delivered back to the understanding that fertility is largely a mystery. The idea that wanting to have a child is not hormonal but existential — logical, rational — began to unmask something within me. (I Googled what existential means, also, to make sure that we were talking about: "Concerned with existence" is the general definition. Concerned about the meaning of life, how to be and what to do.) Since the fertility window begins to close for women before what it does for men, if having children is an existential question that women typically face a younger age, as Keefe pointed out. (He described this as one of the "great injustices" of life.) In his words, the closure of the fertility window is "a time to reconcile" — a time to be honest with oneself about what one really wants, whatever it may be. Reproduction is "a kind of core of our sense of who we are," he said, "and at some point we are forced to agree with it." It's not a time of "panicking," as he put it, but "at the same time, it's not a time to put your head on the ground to avoid having to worry." My images of the small internal particles floating around my blood, unexpected, dictating my desires as if I were his puppet (carrying that "have a baby" banner), began to dissipate. While working on this story, a younger friend asked me to describe what he felt like to have a baby. At first I didn't know what to say, and I was ashamed. I want to be pregnant, I said, to go around being pregnant and googling pregnancy stuff, doing the "loss" thing, nourishing a little creature while growing up. Eat, sit. And then I also imagine having a baby in my arms, against my chest, murmuring him, breast-feeding. I have vague ideas about intimacy, tranquility and warmth. What you might feel like loving and caring for something—someone—that way. To open my life permanently. Creating a new family with another person, incarnating hope and unity. It was interesting and somewhat uncomfortable, initially, to learn that the momentum towards this is existential rather than hormonal — active instead of passive, essentially. Something I'm choosing instead of something that's happening to me. Accepting it felt like dropping a pretext: This is what I want, this is what I am. I'm not a defenseless pinball, or at least not completely. Tags: The Most Viewed StoriesThe Best of CourtThe Last
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