After a solid year of visits to the clinic, Sarah was starting to find the decor annoying. Maybe the experts here believed earth tones had a soothing effect on anxious, aspiring parents. Or perhaps that the cheery burble of a wall fountain might cause an infertile woman to spontaneously drop an egg like an overly productive laying hen. Or even that the soft shimmer of brass chimes could induce a wandering sperm to find its way home like a heat-seeking missile.

The post-procedure period, lying flat on her back with her hips elevated, was starting to feel like forever. It was no longer standard practice to wait after insemination but many women, Sarah included, were superstitious. They needed all the help they could get, even from gravity itself.

There was a quiet tap on the door, then she heard it swish open.

"How are we doing?" asked Frank, the nurse-practitioner.

Frank had a shaved head, a soul patch and a single earring, and he wore surgical scrubs with little bunnies on them. Mr. Clean showing his nurturing side.

"Hoping it is a 'we' this time," she said, propping her hands behind her head.

His smile made Sarah want to cry. "Any cramps?"

"No more than usual." She lay quietly on the cushioned, sterile-draped exam table while he checked her temperature and recorded the time.

She turned her head to the side. From this perspective, she could see her belongings neatly lined up on the shelf in the adjacent dressing room: her cinnamon-colored handbag from Smythson of Bond Street, designer clothes, butter-soft boots set carefully against the wall. Her mobile phone, programmed to dial her husband with one touch, or even a voice command.

Looking at all this abundance, she saw the trappings of a woman who was cared for. Provided for. Perhaps--no, definitely--spoiled. Yet instead of feeling pampered and special, she simply felt...old. Like middle-aged, instead of still in her twenties, the youngest client at Fertility Solutions. Most women her age were still living with their boyfriends in garrets furnished with milk crates and unpainted planks. She shouldn't envy them, but sometimes she couldn't help herself.

For no good reason, Sarah felt defensive and vaguely guilty for going through the expensive therapies. "It's not me," she wanted to explain to perfect strangers. "There's not a thing wrong with my fertility."

When she and Jack decided to seek help getting pregnant, she went on Clomid just to give Mother Nature a hand. At first it seemed crazy to treat her perfectly healthy body as if there were something wrong with it, but by now she was used to the meds, the cramps, the transvaginal ultrasounds, the blood tests...and the crushing disappointment each time the results came up negative.

"Yo, snap out of it," Frank told her. "Going into a funk is bad karma. In my totally scientific opinion."

"I'm not in a funk." She sat up and offered him a smile. "I'm fine, really. It's just that this is the first time Jack couldn't make the appointment. So if this works, I'll have to explain to my child one day that his daddy wasn't present at his conception. What do I tell him, that Uncle Frank did the honors?"

"Yeah, that'd be good."

Sarah told herself Jack's absence wasn't his fault. It wasn't anyone's fault. By the time the ultrasound revealed a maturing ovarian follicle and she'd given herself the HCG injection, they had thirty-six hours for the intra-uterine insemination. Unfortunately, Jack had already scheduled a late-afternoon meeting at the work site. He couldn't get out of it. The...