I got an IUD on Thursday.
I almost want to just leave that there, mic-drop style, and then go wander off to take a nap because it’s just too much to wrap my head around. Also, I got up too early to make bread this morning and I’m feeling a bit rubbery, so that might be part of it. But probably not much. This is kind of a big deal.
We’d been talking about it since the last miscarriage in July. I’d decided I couldn’t survive another loss, which meant that (since I appear to get pregnant every time he walks past me these days) if we wanted to continue having sex (which we do), we were going to have to figure out some birth control. I am kind of a contraceptive conundrum – I have endometriosis so the copper IUD wasn’t a great option, but I also have this extremely rare autoimmune reaction to hormones called erythema nodosum which causes my joints to swell and hurt and giant painful fist-sized lumps to form on my legs and arms (AWESOME), so any kind of hormonal birth control was a risk as well. My very enlightened husband offered without reservation to resume contraceptive responsibility upon himself, but frankly after 5 years of lovely condom-free sexytime who wants to go back? So after consulting with the amazing folks at the Oregon Health and Sciences University Family Planning clinic, I decided that the Mirena would be worth a shot. It’s a low enough dose of hormone that the erythema might not get triggered, and it has the added bonus of stopping your periods altogether – kind of a sweet party trick for those of us who enjoy the adventures of endometriosis every month.
I had mixed feelings about it. Duh. It was heartbreaking. It wasn’t where we meant to be. You’re supposed to go back on birth control because you’re done having kids, not because you’re done having your soul torn out of your vagina every few months. Nobody ever intends to have their soul torn out of their vagina every few months. It’s like we got all dressed up for prom and took all the pictures and were filled with all the promise and butterflies of a mythical magical night, and then the limo drove us to the DMV instead. You go home afterward the same as if you’d made it to the dance, but you’re not happy about it.
But on the other hand…
The week before I went in for the Mirena, I thought I was pregnant. It’s been two months since the miscarriage and I haven’t gotten my period, and when my husband came home from the last tour we were a little…um…imprudent. We just aren’t used to thinking about not getting pregnant. So after a little quick freak-out math, I realized I was going to have to take a test.
As I drove to my old friend the Dollar Tree, my guts churned. I was filled with dread. The thought of being pregnant felt like a prison sentence, a death sentence. Like an eldritch hand gripping my ankle and pulling me back down into watery madness. I was weirdly ashamed – how could I put everyone through this again? My family, my friends? I felt like that one friend you have who calls you joyfully every few months to tell you about the new amazing guy she’s just started dating, and you roll your eyes and try to keep the cynicism and disgust out of your voice as you pretend to be stoked for her, because you just know that in no time at all you’re going to have to go pick her up from the bar where she’s just seem him tonguing some skinny new cupcake on what was supposed to be their three month anniversary and hold back her hair while she pukes and weeps about how great he was. I felt like we are all just about OVER it. And here I go again.
And of course it was negative. There may have been a little reflexive sadness there, the vestigial convulsion of a dumb organ that doesn’t know any better. But mostly it was relief. I am in such a good place right now. A better place than I have been in since we started this idiot limo ride 5 years ago. To give that up would feel calamitous.
I am sad about that. I am sad that the only way I can feel sane is to stop trying. That sucks. It’s unfair beyond reason. If I let it, it’s enough to bring on a bout of The Bitterness. And there’s something else, too, that I don’t really have a word for. Something like: I don’t want you to think I’m ok with this. It’s really comforting and relieving for people, the idea that I’m ok with this. Folks who don’t have to think about losing babies, who get uncomfortable when challenged on their own privilege by the suffering of others, who desperately want there to be an answer or a cure or a treatment or a reason so they don’t have to sit with the colossal, unbearable helplessness of my empty belly – I don’t want to give them the solace of my recovery. She’s fine now, back to your regularly scheduled blissful ignorance. I know that this is crazy, a toxic scrap of The Bitterness discarded in the corner of an otherwise clean and breezy room. I’m only admitting it because I want to take responsibility for it. If I pretended it wasn’t there, that I’ve somehow achieved some kind of nirvana of universal compassion and forgiveness just because I started meditating, I’d be just as big an asshole as someone who pretends it’s no big deal that all my babies die.
The room where I’m sitting right now is lovely. I’m snugged into a corner of what was once the almost-baby’s room that I converted into a writing room. My husband bought me my dream chair – it’s a corner unit from an Ikea sectional couch, and it’s wide and deep and perfectly fits the way I write, with the laptop on my legs pulled up crisscross-applesauce and a cat squished in beside me. Dappled sun is falling across the remains of my coffee and there’s an industrious squirrel who keeps doing drivebys across the fence outside the window with two giant chestnuts jammed in his face. Every half hour I get up to turn my dough, and by the end of the day there will be two gorgeous burnished loaves bursting with tangy goodness. Later on we’ll take Hobbit Dog out into the woods so he can pee on every growing thing, and when we get home I’ll drink some wine while I zen out in my kitchen creating something ridiculously complex and too fancy for two people.
The truth is that I am ok. More or less. In this moment. Which is all there is, really.
Post-publish update: Industrious Squirrel just went by rocking THREE chestnuts. Playah.