My friend was so excited at the idea of my first obstetrical ultrasound that she insisted she accompany me to my third appointment since the transfer. I didn’t mind; I was happy to have the emotional support, and well, as per usual, in the back of my mind, I keep wondering if something would go awry. This is my “cautious optimism” at play now. As per usual, I had my blood drawn and then waited to be called in for the ultrasound. When my name was called, I asked the clinical assistant if my friend could come in, too, and so to accommodate us, she switched the exam room to one that was a little more comfortable for three people. Upon entering the exam room, I was unfortunately told that I was still having a trans-vaginal ultrasound, meaning, I’d still have to have a freaking wand stuck up my vagina yet again. Well, if this is the normal procedure, then I guess I will just go ahead with it, I said to the clinical assistant. She gave me a sympathetic glance and left the room for me to undress waist down.

My favorite sonographer came in shortly after, and we had some small talk before she started the ultrasound. She immediately identified the gestational sac and even printed some photos for us. Then when she zoomed in, not only did we see what was the beginning of the yolk sac, but…. she paused. “Yvonne, can you see that second circle?” the sonographer said. “Did you say you transferred one embryo? Because this could either be a second gestational sac or excess fluid, which is totally normal.”

I nearly burned a hole into the ultrasound screen staring into it; THERE COULD BE TWO GESTATIONAL SACS?? MY ONE PRECIOUS EMBRYO COULD HAVE SPLIT???????

My friend and I started squealing and saying over and over, “Ohmigod, ohmigod, ohmigod!!!!!” The sonographer told us she’d share these photos with the doctor to get his thoughts, but told us that he would likely agree with her in that it’s still a bit premature to know whether it’s really two sacs or not. We would find out for sure either next week or the week after, so week 6 or 7. And we’d definitely know by week 8. During week 8, a heart beat can usually be detected if all is going well, and if there are two heart beats, well….. there you go: IDENTICAL TWINS.

My mom is a twin. Unfortunately, her twin died just days after being born (this was rural Vietnam in the 1950s). I will never know if she’s an identical or fraternal twin, though. My mom has always told me that there could be a chance I’d have twins because twins run in our family on her side. If we were having twins, I know she’d absolutely be ecstatic and just go nuts.

For the HCG level stats we’re tracking to ensure the pregnancy is going well:

9 Days Post Transfer: 45.91

11 Days Post Transfer: 127

16 Days Post Transfer: 1,695

Thank whatever and all higher powers that exist. I’m counting my blessings so far. I’m still nervous and scared, but I have more hope and excitement now. My baby (babies) is (are) coming to me. My baby is coming to me.

Given we are still living in a global pandemic, taking a progesterone pill three times a day via an applicator in my vagina really has been quite simple seven days a week. While I do need alarms set for morning, mid-afternoon, and bedtime to remind myself, when you are at home most of the time when these need to be “consumed,” it’s quite simple. I prefer to lay on my back and do them on the bed, but obviously, on Saturdays when we are out and about, that is not really possible. So like any other woman on her period, I just need to find a public restroom to insert them, similar to how you’d insert a tampon. Except me being my mom’s daughter, I have literally, not even once, ever used a tampon in my life (she has huge fears of dying from Toxic Shock Syndrome, and well, I figured a pad is just easier, especially since they are made so lightweight and thin nowadays).

It’s not always easy finding a public restroom though, especially when you are in neighborhoods like Crown Heights, which mostly have divey hole-in-the-wall takeout spots that don’t have public restrooms. I managed to ask a restaurant we didn’t even get food from if I could use theirs, and they agreed, but it was pretty clear they were not thrilled I was using their restroom without buying anything. I mean, when a pregnant woman has needs, she has needs, right?

I told my therapist the good news this morning during our regular scheduled session. She asked me how I was feeling, and I immediately burst into tears.

“I’m so excited, but I’m completely terrified at the same time,” I said to her. “I don’t want to get too excited because I’m so scared this is all going to be taken away from me tomorrow.”

She insisted to me that it was okay to be happy or to celebrate the small wins along the way. None of my reactions or feelings are abnormal, and given the long and painful road of infertility, we need to celebrate these little wins because…. what the hell else is there to celebrate or be happy about? It’s a normal dichotomy of feelings, she said. The important thing is that I learn what works best for me in terms of balancing those two opposing emotions so that it does not overrun my life.

I started doing pregnancy-focused yoga and meditation a few days ago. Some of the mantras that seem to be working for me are around trusting the universe a little more, and trusting my body to care and nourish my developing embryo.

“I am happy. I am healthy. My baby is coming to me.”

“I trust my body to care for my baby.”

Just one day at a time. Just one day at a time. Just one day at a time. I can do this. I can definitely do this.

Last night, I went on a rant to Chris and my friend.

“My body is supposed to be a baby making machine!” I yelled. “The female body was designed to be a baby making machine! Why do you think you get a period every month? Every single month, the female body releases an egg from one of its ovaries, and the egg is just flying out there, asking, ‘heyyyyy, sperm, where you at? Are you even there? Come save me! Be with me! Fertilize me!'”

The released egg is like a damsel in distress running or floating every single month out of one of your ovaries, wondering where the heck its prince charming is to come fertilize and save it. And then, when she is disappointed to find out that no prince charming/sperm is waiting for her, she then dissolves into nothing. (And if we had to get really scientific and specific about this, sometimes there ARE sperm / prince charmings waiting for it, but unfortunately they are too ugly (poor morphology) or too slow (poor motility) to even get considered by the egg or to penetrate the egg for fertilization). Your uterine lining is disappointed at this, with no embryo to attach to it, and thus it sheds each month, resulting in your monthly period, or a “visit from aunt flow.” That can be a good thing or a bad thing depending on what stage of life you are currently on.

I woke up this morning with a noticeable stiffness in my left wrist. I had to shake it out and stretch it a few times before it went away. While I do have cubital tunnel syndrome related problems, that affects the elbows and my fingers. I’ve never had any wrist problems. But I took that as a sign that perhaps, yes, I actually am pregnant (carpal-tunnel can be a temporary symptom of pregnancy. Isn’t that insane??). And I was going to find out shortly when I went in for my beta-HCG test. That’s why today is called Beta Day for women hoping to get pregnant.

My friend accompanied me to my 8:30am appointment to get my blood drawn. The earlier you go, the less you have to wait, so I was in and out of there in less than five minutes literally, which wasn’t enough time for my friend to get through her first news article of the day. We then went to have lunch at a popular spot along Central Park South and discussed life and a potential pregnancy over eggs, bacon, and popovers.

Just before noon, the nurse from the clinic called. I immediately jumped up to take the call into my bedroom. With my friend holding her ear close to the closed bedroom door, the nurse said, “So, I am calling with good news. You’re pregnant!”

I was in shock. I’ve been waiting for this moment for nearly two years now. My eyes immediately welled up and I blurted out, “OHMIGOD, ARE YOU FOR REAL?” She congratulated me and explained some of the levels that we’re looking for and will need to monitor, explained next steps and other things I need to watch out for, and said she’d send over instructions to me through the portal.

My friend embraced me and we cried together, still in shock at the good news, both terrified and excited at the same time. Chris came in and I told him. And him being him, he was even keeled and “smiled on the inside,” trying to temper my excitement since we had no idea if all of this would be taken away from us tomorrow.

I’m not throwing an implantation or embryo party. I’m not calling everyone I know and their mother to let them know I am pregnant. But this has been a long, miserable journey with very few highs. And with this one high after a long time of frustrations and disappointing news and periods, I finally feel like there actually may be hope for us finally growing our family now. I just need to take it one day at a time.