pregnancy

Reaching Acceptance

November 19, 2025November 19, 2025 by jcafesin, posted in grief

For anyone experiencing grief from loss…

The fetus inside me, my potential daughter, was diagnosed XXX from a tissue sample taken during an amniocentesis my 14th week of pregnancy. We’d named her Sierra, since she made it past the first trimester, after losing two of the triplets in utero the first month.

I’d had three pregnancy losses before the triplets. I was in my late 30s, maybe too late for kids I feared, which is a pedestrian way of saying I was scared out of my fucking mind I’d never have them. And for as long as I can remember, I’ve always wanted children. Sierra was wanted.

My 15th week of pregnancy another ultrasound showed us our daughter inside me. “The ghost in the machine,” my husband had said quietly. By then we’d decided raising a child — ill from birth who’d likely never survive to adulthood — was beyond our financial, parental, and emotional capabilities.

After the abortion my husband was driving us home on the icy road and I started shaking. Then I threw up all over myself, the passenger seat and the floor. We figured it was the anesthesia wearing off but it continued for days. I threw up most everything I ate. I hardly slept. I had a debilitating back ache — like someone was drilling a hole into my lower back with a power tool. And I could not stop crying.

I’ve been a staunch pro-choice supporter since I found out what it meant. Women must retain or be given back the RIGHT to control our bodies, especially since an est. 33% of men leave the woman to care for the child alone. Regardless, I’d never had an abortion, and the events of that day kept replaying, looping in my head — from crossing the line of protesters with the aid of private police hired by the clinic, to the procedure, which I was semi-conscious for throughout, and was as horrific as it sounds.

A week later my back was still killing me, waking me at night. I couldn’t sit still during the day. I figured I deserved the pain for what I’d done. The loss of my daughter was crushing. Regret consumed me. I didn’t deserve to have kids anymore. I’d wanted her so badly but was too afraid of losing her too young, of watching her suffer with little we could do to help her. I was afraid we couldn’t afford her quality care. I was afraid… And I hated myself for letting my fear rule me.

I cried waking each morning to my empty womb, then several times a day and into a restless night’s sleep through the holidays. I got up many times at night, and since I’m allergic to aspirin I paced the living room to assuage my back pain. I couldn’t sit in a car for long to go to family celebrations, and didn’t have the bandwidth to put on a face for them. Instead we stayed home and I painted an old army footlocker of my father’s in coat after coat of thick black lacquer. Took days after Christmas for the doctor to get back to my husband about the state of his wife. He prescribed me some pain medication for my back, and bed rest, and told me I’d start to feel better in a few days.

I didn’t. Days, weeks, months went by and I could not stop crying. I took the prescribed meds and it helped my back but not my state of mind. Several months after the abortion I went back to consulting and took on marketing campaigns, one of which was Toys R Us. I broke down in my car in the parking lot of the agency I’d just signed contracts, and cried throughout the two-week project in my home office. Work was not distracting enough for the self-loathing rhetoric inside my head.

Six months later and the Concord MA landscape was flush with greenery. It was my first full summer there and compared to the gray, cold winter, it was beautiful, but I didn’t really see it. It was humid, sticky, unlike California’s dry heat. It was buggy, full of mosquitos. It poured from thunderstorms and flooded our basement every time. Beyond my daily crucifixion, a gnawing hope lingered that I’d get pregnant again, so I continued working out to keep my body fit, but that was about it. We stopped going out to dinner because when I ate it was hard to swallow. I had no interest in going to the movies, seeing friends or family. Road trips stopped. Singing stopped. Listening to music stopped. If I got pregnant again, no matter what, I’d keep the baby.

I didn’t get pregnant again in the following six months. My husband and I looked into adoption. We attended a China Adoption With Love seminar, and left cautiously excited. Sort of. The black cloud did not lift. I still woke crying, and wept in quick bursts throughout most days, and often for longer in the night. My husband was rightfully concerned and asked me to see a therapist. I’ve seen many in my lifetime, starting when my mom sent me to one when I was 13. None have helped me [even remotely] to better navigate my world. I didn’t need to cry to some psychologist who’s job it is to be supportive. My husband, in his weird way, was trying to be. He’d experienced the loss of Sierra more as a matter of course — we’d decided to terminate. Move on.

I could not move on. I could not go back and do it different. Stuck in purgatory, I agreed to see a psychiatrist when my husband insisted I “do something.” I’d never seen one before, only LMHCs and LMFTs, none of which were doctors. Maybe they could prescribe something to help me stop crying all the time. Something safe for pregnancy…just in case.

A well-groomed, graying hair, bearded man in his early 60s shook my hand and introduced himself when I entered his office.

I sat on the leather couch across from his swivel chair. I’d had no contact with the man until right then as his front desk arranged the appointment. And I had no idea how psychiatry worked. Should I begin with my parents, or should I start with why I was there and what I wanted from the sessions, assuming there’d be more than one. Likely many, as therapists hope for.

“Tell me why you’re here, and what you hope to get from meeting with me,” the doctor said.

And I launched into my pregnancy with Sierra after losing three others in utero before the triplets. Took me half the session to get through the abortion since I was sobbing so hard. The psychiatrist wrote on his pad, and provided a box of tissues, but seemed unmoved by my hysteria. When I finally shut up and calmed down a bit he asked me again what I hoped to get from coming to him.

“An anti-depressant that’s safe in case I get pregnant again.”

“I’m not going to give you drugs,” he said flatly. “None are without risk if you’re trying to get pregnant.”

He gave me five, 45-minute sessions. I cried, a lot, at first. We talked about grief, about unfulfilled expectations, about loss of self, my growing thoughts of suicide — turn off, feel nothing ever again. Our last session started out as usual with me describing my week. I’d been crying less, which was good. But I continued to visualize methods to commit suicide, vacillating between a drug overdose, or carbon monoxide poisoning.

“This is our last session,” the doc said, legs crossed, his pad in his lap. Expressionless.

I stared at him sitting ‘properly’ in his swivel chair with one foot on the ground. Assessing me. I’m not sure if I was glaring at him but I didn’t look away. He was just like therapists, albeit way less supportive, though more informative with studies and statistics. And he was ending our sessions when he hadn’t helped me at all! “But I don’t feel any better,” I blurted. Seriously, what was this guy’s benefit-add for his exorbitant hourly rate.

“I’m not a therapist, here to make you feel better.” He paused, and continued to watch me. “The hard truth is it’s going to hurt every time you recall the abortion, or think about the potential child you chose not to have. It is going to hurt. As we’ve discussed, you’ll never know if you’d have lost her in utero, like you have all your other pregnancies; or you’d spared her a lifetime of hardship. Regret and self-doubt will feel overwhelming at times. When she crosses your mind in the future, it’s going to hurt. Hopefully a bit less over time, but every time you remember the events of this period in your life, it is going to hurt.” He still did not look away. But I did.

“I know,” I whispered, bawling again. “But it’s been over a year and I’m still crying all the time. I don’t know how to let it go. ‘Move on,’ like my husband has,” I said bitterly.

“Each of us processes grief in our own way and time. Regardless how long it takes you to ‘feel better’ over this loss, you’ll likely face many painful events in your life. The trick is not to let them stop you from living. Being alive means feeling — happy, sad, good, bad, whatever. And feelings are transient, sparked by circumstance. You can leave here today, go home and hang yourself in your doorway. I certainly can’t stop you.” He paused, to let it sink in, I assumed. “Or you can go live your life forward, move through the process of grieving, and further away from this loss with each new experience. Biologically, you’re still fertile, and seemingly have no issue getting pregnant. If you do, may it be healthy,” he said softly, his eyes stayed fixed on mine.

“Doesn’t matter if it is,” I proclaimed through sobs, but to this day I can’t tell you that I fully meant it knowing the chances of chromosomal damage during gestation happening again with my advanced age. “I’m going to have kids. Either birthing them or adopting them, I’m going to raise kids,” I said definitively, and in that moment the black cloud began lifting.

“I believe we’ve gone as far as we can together.”

I never saw him again. Clearly, I did not commit suicide that day. I had two healthy children — our son ten months after that last session, and our daughter two and a half years after that. As devastating the loss of Sierra, the pervasive black hole inside has filled with the inconceivably humbling love I get to feel for my kids.

Painful events will follow joyful ones throughout this process of living. Twenty plus years later, the psychiatrist’s words still resonate, helping me get through the tough times in my life now knowing that beyond recurring periods of darkness there will be times of brilliant bright light.

The Problem with Today’s Parents

September 15, 2025 by jcafesin, posted in Uncategorized

We play GOD when we give birth. With great power comes great responsibility…

There is a child in my daughter’s preschool that everyone dislikes. She hits, pushes, slaps, and throws a fit every time she doesn’t get her way. All the teachers at the preschool dread having this wild child in their class. Her mom has been notified multiple times in regards to her child’s poor behavior.

Speculation from parents and teachers alike ranged from ADHD to genetic disorders. I’ve often imagined the parents to be self-centered workaholics who had children as a matter of course, and then abandoned them to expensive daycare to manage their child rearing. This is somewhat typical in the area in which we live.

I met the mom recently at a class party and she shattered all my preconceived notions. We talked for quite some time and she was thoughtful and articulate. She worked only part time and mostly late at night so she could be there for her two kids. Her older daughter was in second grade and in her second year of GATE classes for gifted children. She spoke openly about the problems with her youngest, even seemed mystified, as her older daughter had always been easygoing and cooperative.

At my daughter’s fourth birthday party it became clear why her youngest daughter was so ‘challenging.’ We supplied crafts, a magic show, and a yard complete with a bouncy house, as well as a full-size playhouse with kitchen. But all this wasn’t enough for the problem child. Bored by the offerings, she went upstairs to my daughter’s room and proceeded to try on her clothes. Her mother and I became aware of this when my daughter came to me crying.

I immediately asked that the child take off my daughter’s favorite princess dress and return it to the closet. “NO! I don’t want to!” she screamed. Her mother stood beside me and sighed heavily but said nothing. Nothing. I repeated my request and the girl continued screaming that she wanted to play dress-up, that she wasn’t going to take the dress off, and I couldn’t make her. Her mother looked at me, sighed again and shook her head. In a nice, pleasant tone she suggested to her daughter that perhaps she could take the dress off and maybe play dress-up after the party was over. Still, the girl refused.

I couldn’t believe it. If it was my daughter, I would have instantly given her a time out, then demanded she apologize for speaking disrespectfully, and for using things that didn’t belong to her without permission. If she didn’t cooperate within one second, she would have lost privileges like watching TV. And every subsequent second that passed that she didn’t comply she would lose more privileges for longer periods of time.

I felt awkward disciplining the child with the mother standing right there but I didn’t know what else to do since the mother wasn’t doing anything. In a very low, gravelly voice, I informed the child if she didn’t take the dress off I would do it for her. By my tone the girl knew I was serious, and she acquiesced. She literally threw the dress at me and ran off to play with the other kids. And her mom let her. She didn’t chide the child for her poor behavior. She looked at me and shrugged as if to say, ‘See what I have to deal with?’ But instead, she said she was sorry. SHE was sorry. She didn’t have her daughter apologize.

It is no wonder her child is a raving lunatic brat.

I see this again and again — parents who do not consistently discipline their children and then wonder why their kids are out of control. They take parenting classes that are taught by psychologist who tell them with authority to be supportive and encouraging. And while this may work with easy kids who above all seek approval, it is not the solution to most children whose greater interest is pleasing themselves.

We are all born solipsists. We have to learn to consider the world outside ourselves, to cooperate, but this must be taught and constantly reinforced. It has been said that it takes a village to raise children. But I don’t want to be part of a village in which the parents are clueless, or more accurately — couldn’t care less.

I held a Cub Scout meeting at my home a few days ago. One of the mom’s came an hour late and her child missed the rocket craft. Her son was so angered by this he went up to his mom and slugged her, hard, in her shoulder. And SHE APOLOGIZED TO HIM for being late, and then turned to me and justified his rage with some lame excuse about how hard it was for him to transition. It took all my will not to step in, demand he apologize and then put the kid on time out.

I did not restrain myself last night at a Pack meeting with fifty other children, when the same boy became disruptive. Several parents stood in a tight circle scowling and complaining about the boy’s poor behavior. The child’s parents were too busy talking to other parents to notice. I got so annoyed at the boy’s constant goading of the kids around him that I took him by the hand and pulled him aside and told him to knock it off. The mom came over moments later and challenged ME for being overly strict. All the other parents looked away.

Offing your kids to daycare so you can pursue your muse/career or accepting solipsism from their child because the parent is too tired or too lazy to fight the necessary battles to raise conscientious adults, will not help our children learn create a thriving society. Twenty five yrs after the original writing of this essay, more parents than ever are raising self-absorbed brats, not only keeping humanity from reaching our amazing, creative potential, but reversing our progress! War. Poverty. Famine. Strife. These are curable if we raise the next gen, and the next, to CARE ABOUT EACH OTHER WAY BEYOND SELF. In other words, GROW THE FUCK UP — out of solipsism, (as all of us are born into), through the narcissism of our teens, and into adulthood. Adulting means expanding our awareness outside of self.

We play GOD when we give birth. With great power comes great responsibility. Parenting offers many rewards, but one of the least appealing aspects is constantly iterating the seemingly endless list of rules. And as hard as this is, it is mandatory. Social standards apply to all of us — if not, we have a society in chaos, and eventually no society at all.

Missing My Period

February 13, 2025February 13, 2025 by jcafesin, posted in Uncategorized

My period is six days late. I check throughout the day, hoping, but my old friend isn’t coming. There was a time when I would have been ecstatic it was late, gotten a pregnancy test and peed on the stick anticipating the plus sign. And there were times I would have been horrified I may be pregnant, too afraid to take the test while anxiously waiting for my period to start. But today there is a quiet sorrow, like mourning a loss. It’s possible I’ll never see my period again. Menopause has taken my friend and is robbing me of my youth.

Never in my life have I had the affection for my period I do now that it’s going away. Like most girls, I couldn’t wait for it to start. Menstruating turned a girl into woman, our mothers assured us. What my mother didn’t fill me in on were the cramps, the bloating, the wild mood swings, and the total hassle of bleeding for five days every single month. Once I became sexually active there was the constant concern of getting pregnant, regardless of using birth control. Everyone knows stories of women who claimed to be on the pill, or said they were using a condom but got pregnant anyway.

My period was more than a minor inconvenience; it was a major disruption to my life. I was one of the few women unable to take the Pill. Regardless of the dosage, it made me ill. I felt the full force of menstruation monthly. The gross mess and disgusting smell of the physical bleeding, on top of the intense cramping from passing clumps of bloody tissue were nothing compared to the mental ride every three weeks or so. Like clockwork after ovulation I’d get ravenously hungry, overwhelmingly tired, anxious, bitchy, with sudden bursts of manic energy. The closer I got to my period the more intense my feelings, all feelings would get. Right before I began bleeding, I often experienced bouts of deep sadness, wept with little provocation. But literally the moment my period began my darkness would lift as if it never existed.

Thirty seven years of this and I thought I’d be thrilled when menopause came along. It surprised me to feel so differently while waiting for my period to come and thinking it may not. Despite that I was one of those unlucky women with severe PMS, or PMDD, or whatever they’re calling it these days, my period gave me my kids. Having a period gave me the capacity to produce life. And though my two extraordinary children are all I’ll ever want, when my period goes I’ll lose the ability to have any ever again. What kind of woman will I be without the exclusive, inherently female capability to reproduce?

Menopause steals more than our ability to have children. According to Wikipedia, as women age our ovaries gradually produce lower levels of the natural sex hormones estrogen, progesterone, and testosterone until they diminish almost entirely. These are the hormones of youth. They keep our immune system and other vital body functions healthy so we are physiologically able to carry and bear a child, fulfill our biological imperative.

Estrogen accelerates metabolism (to burn fat faster). It increases bone density, and vaginal lubrication for better sex. Estrogen promotes healthy cholesterol levels. It helps regulate fluid balance which controls water retention. It aids lung function and reduces the risk of several kinds of cancers.

Progesterone acts as an anti-inflammatory and regulates the immune response. It normalizes blood clotting and cell oxygen levels, and use of fat stores for energy. It decreases risk of gingivitis and tooth decay. It appears to affect synaptic functioning, improve memory and cognitive ability. And progesterone also seems to reduce the risk of several deadly cancers.

And everyone knows testosterone is the premiere sex hormone — that sweet, dense scent that leeches through the pours right before orgasm. It also controls libido and clitoral engorgement. It increases muscle strength and mass, mental and physical energy. Maintaining testosterone levels has been shown to reduce the risk of cardiovascular disease, decrease fat and increase lean body mass.

The payoff to enduring my menstrual cycle was clearly much more than producing kids. In losing my period, I am not only grieving the loss of childbearing but the hormones that provided me privileges and protections. The end of menstruation feels harder, darker than the onset. Girls speculate in wonder waiting for their periods to begin. In menopause, women must undergo drenching sweats, memory loss, weight gain, and phantom pain. Get through all that and the light at the end of this ordeal turns out to be a death bullet. Perimenopause begins in our early 50’s and full menopause last upwards of 10 years or more. Surviving menopause means then confronting the perils of old age, and coming to terms with my eminently closer demise.

Dye my hair, work out daily, dress casual but chic, and still, losing my period means unequivocally, undeniably I am no longer young. I miss my old friend right now and wonder if like my youth it is gone forever.