
The Art of Waiting
13 minOn Fertility, Medicine, and Motherhood
Introduction
Narrator: At the North Carolina Zoo, an eleven-year-old gorilla named Jamani became a local celebrity. It was the first gorilla pregnancy at the zoo in over two decades, a carefully managed event orchestrated by the Species Survival Plan. Her enclosure mate, another female named Acacia, was on birth control. Zookeepers confirmed Jamani’s pregnancy with a drugstore test and monitored her with sonograms, just like a human mother-to-be. For author Belle Boggs, who was deep in her own protracted and painful struggle with infertility, Jamani’s story was more than a curiosity; it was a strange and powerful mirror. It reflected a world where reproduction is managed, controlled, and intensely watched—a world of waiting, longing, and uncertainty that felt deeply, uncomfortably familiar.
This complex intersection of the natural and the medical, the personal and the universal, is the heart of Boggs's memoir and essay collection, The Art of Waiting. The book dismantles the simple narrative of wanting a child and having one, guiding readers through the isolating emotional landscape of infertility, the strange parallels in the animal kingdom, the profound identity crises it provokes, and the complex web of technology, ethics, and finance that defines modern family-making.
The Isolating Anguish of Waiting
Key Insight 1
Narrator: The experience of waiting to conceive is not a passive state but an active, all-consuming struggle defined by isolation and emotional turbulence. Boggs reveals a world hidden from public view, a landscape of quiet grief and intense longing. She recounts attending an infertility support group where the raw, unfiltered emotions of this journey are laid bare. One woman confesses, "I don’t mind babies and children, but I hate pregnant women. I hate them, and I don’t care how that sounds." This statement, shocking in its honesty, captures the profound sense of alienation and jealousy that can fester when one’s body seems to betray the very purpose society has assigned it.
This feeling is compounded by a culture that presents motherhood as a natural, inevitable rite of passage. Boggs recalls a public health nurse telling a group of fifth-graders, "Your bodies are miracles. They are built to have babies." For those whose bodies do not follow this prescribed path, the message becomes a source of failure and inadequacy. The waiting period is a relentless cycle of hope and disappointment, a private ordeal that strains relationships and finances, forcing individuals into a state of suspended animation where the future they envisioned remains agonizingly out of reach.
Nature's Unsentimental Mirror
Key Insight 2
Narrator: Boggs masterfully expands the conversation beyond the human experience by looking to the animal kingdom, where reproduction is a matter of survival, strategy, and sometimes, brutal pragmatism. These stories serve not as simple fables, but as complex mirrors reflecting our own interventions and struggles. The tale of Jamani the gorilla, whose pregnancy was a managed zoo event, shows how humans impose reproductive technologies on animals, deciding who breeds and who doesn't—a parallel to the controlled, medicalized world of human IVF.
Even more striking is the world of marmosets, tiny South American monkeys. In their communities, only the dominant female typically reproduces. The presence of her pregnancy triggers a neuroendocrine response in subordinate females, suppressing their fertility. In some cases, if a subordinate female does give birth, the dominant female may commit infanticide. Yet, these same subordinate, non-reproducing females are essential to the community, acting as caretakers for the dominant female’s young. This unsentimental system reveals that infertility can be a natural, functional part of a social structure, a concept that offers a strange and complex comfort. It challenges the human-centric idea that a non-reproductive life is a failed one.
Childlessness and the Remaking of Identity
Key Insight 3
Narrator: When the path to motherhood is blocked, it forces a profound re-evaluation of selfhood, particularly for women whose identities are so often entwined with the potential for motherhood. Boggs explores this crisis through the life and work of Virginia Woolf, who wrestled with childlessness for over a decade. Woolf often conflated her inability to reproduce with artistic failure, viewing her sister Vanessa’s life as both an artist and a mother with a mixture of longing and dread.
However, Woolf’s journey also reveals an alternative path to fulfillment. As she dedicated herself more fully to her craft, she found a different kind of generative power. After completing her novel The Waves, she wrote in her diary about the intoxicating feeling of writing well, declaring, "Children are nothing to this." This was not a rejection of motherhood, but an embrace of a different purpose, a new sense of self anchored in her creative work. Her story illustrates that while infertility can trigger a crisis of identity, it can also open up the possibility of forging a new, powerful purpose not tied to biological reproduction, leading to creations like Mrs. Dalloway and A Room of One's Own that might never have existed otherwise.
The Medical Takeover of Creation
Key Insight 4
Narrator: For many, the journey through infertility leads to the sterile, highly controlled world of Assisted Reproductive Technology (ART). Boggs describes her own decision to pursue IVF, a process her doctor bluntly describes as a "takeover" of her entire cycle. This term perfectly captures the experience: the body’s natural rhythms are suppressed by drugs like Lupron, then stimulated by powerful hormones, all in a precisely timed, medically managed sequence. The process is a surrender of bodily autonomy to science in the hope of a miracle.
Boggs provides a glimpse into this world through her visit with Dr. Silvia Ramos, an embryologist. In the lab, conception becomes visible. Eggs are harvested, sperm is injected, and embryos are monitored in petri dishes. Dr. Ramos speaks of her work with a sense of wonder, saying, "I create life. This is what is magic." For the patient, this visibility can be both comforting and deeply alienating. It transforms the most intimate of acts into a clinical procedure, a series of data points and success percentages. This medical takeover consumes a person's schedule, mind, and body, highlighting the immense physical and psychological commitment required to navigate the modern landscape of fertility treatment.
The Complicated Paths of Plan B Families
Key Insight 5
Narrator: When biological conception, even with medical help, is not an option, the journey shifts to what author Martha Ertman calls "Plan B" families—those formed through adoption and surrogacy. These paths are not simple alternatives but complex journeys with their own unique emotional, ethical, and legal challenges. Boggs shares the story of Nate and Parul Goetz, who, after six miscarriages, received an unexpected call from an adoption agency. A birth mother had chosen them from their profile, and they had to drive to another state overnight to meet their son. Their experience, filled with uncertainty and a feeling of being unsupported, inspired them to start a foundation to help other adoptive families.
The book also delves into the world of surrogacy, particularly for same-sex couples like Gabe and Todd. Their journey reveals a global marketplace fraught with ethical dilemmas, from the high costs in the U.S. to the potential for exploitation in international arrangements. The infamous "Baby M" case and the 2015 Nepal earthquake, which left Indian surrogates stranded while their Israeli-born babies were evacuated, expose the deep-seated inequalities in the system. These stories show that building a family through adoption or surrogacy requires navigating a labyrinth of contracts, laws, and profound questions about biology, kinship, and what it truly means to be a parent.
The Unspoken Price of Hope
Key Insight 6
Narrator: Underpinning the entire journey of infertility is a stark and often brutal reality: the financial cost. The Art of Waiting confronts the economic disparities that dictate who gets access to fertility treatments. The author recounts her own experience purchasing a $20,000 cost-share plan for IVF, a kind of financial gamble on a successful pregnancy. This plan, while providing some security, highlights the commercialization of hope.
This financial pressure is exacerbated by a patchwork of insurance laws. Boggs tells the story of her friend Margaret, who had to move from New York to Massachusetts specifically to access state-mandated insurance coverage for her nine rounds of IVF. Without it, she says, "I wouldn’t have this child." Research cited in the book reveals that fertility clinics often use emotional marketing, featuring pictures of babies and words like "dream," while obscuring actual prices. This creates a system where vulnerable patients, driven by a deep desire for a family, are navigating a high-stakes market with little transparency. The ability to pay becomes a primary gatekeeper to parenthood, creating a quiet but profound form of reproductive inequality.
Conclusion
Narrator: Ultimately, The Art of Waiting reveals that the journey through infertility is about much more than the desire for a child. It is a profound exploration of what it means to wait, to hope, and to redefine one's life in the face of uncertainty. The book’s most crucial takeaway is that there is no single, correct path to fulfillment or family. By weaving together personal narrative, scientific inquiry, and cultural critique, Belle Boggs dismantles the myth of a "natural" life course and validates the messy, painful, and often beautiful realities of the alternatives.
The book leaves us with a vital challenge: to reconsider the stories we tell about family, success, and womanhood. How can we create a culture that offers more than just platitudes to those in the midst of waiting, one that truly supports the diverse ways families are formed and honors the rich, meaningful lives that are built, with or without children?