The Dice of Conception

Are you ready for the adventure of a lifetime?

Are you a little bit (or a lot, we don't mind) geeky or nerdy?

Do you love stats? Do you have a collection of dice?

Then our story into the odds of conception can begin.

Ensure you are sitting comfortably. This campaign should be played as a couple. (Convenient dice rollers can be found online). The game can be repeated for each cycle until success is gained or participants become weary.

If you don't know what this post is, or you want to see the behind-the-scenes first, see this post.

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Chapter 1: The Great Myths of Time

Be afeared, for the timing of conception is fragile and mysterious. Many days must the deed be done to ensure correct positioning of the spermatozoa for successful conception. Missing even one day is a mistake with harsh consequences. You have been warned.

Participants may consult the Oracle of the Female Body or the sacred Texts of Knowing in order to increase their odds.

Roll a d10 for every day you have sex/inseminate this cycle. You may roll up to 15 times.

+1 boost for each type of knowledge of determining fertile time:
BBT monitoring
Cervical fluid monitoring
Cervical position monitoring
Ovulation Tests
Counting days (in any form including charting other signs)
- 1 penalty for the female partner being under severe stress or ill
- 5 penalty, overriding all other bonuses/penalties if anovulatory cycle is confirmed.

To pass: At least one roll with a score of 9 or higher. Multiple passes do not confer extra bonuses.

Chapter 2: A Hostile Journey

Congratulations, faithful child-seekers, for you have passed the first boundary to success. The spermatozoan tribes must now make their way through a hostile environment to the Tunnels of Fallopia, where they may rest a spell. Second, you must achieve conception; the miraculous fusing of sperm and egg. Healthy troops are important, and a clear path can be set with fluids of fertility.

Roll 1 d10 to determine whether the sperm successfully meet with the egg.

-3 penalty for known low sperm count or motility
-1 penalty for low/no egg white cervical mucous
+1 bonus for using sperm-friendly lube

To pass: A score of 3 or higher.

Chapter 3: To Burrow into a Womb

The egg has successfully been fertilised, like the bountiful ground - but the couple may not yet rejoice, for an arable pasture in the womb must now be sought. The health of spermatozoa and ovum are crucial to this stage, so participants with a known sickness in their ancestors must accept a penalty; whereas participants who partake of the sacred herbs will find a clear benefit.

Roll 1 d20 to determine whether implantation is successful.

-3 penalty for each partner being a known carrier of miscarriage or infertility causing genetic disorder
+1 bonus to each partner taking fertility vitamins proven to affect the quality of sperm/eggs.

To pass: A score of 14 or higher.

Chapter 4: The Chemical Boss

The positive omen on the rod of passing water has been received and there is much rejoicing in the couple's household. However, the conception journey is sadly not at a safe end. Mercifully, the monster of chemical origins is weak, and can often be passed without incident.

Roll 1 d6 to determine whether you avoid a chemical pregnancy.

To pass: A score of 2 or higher.



Photo credit: pathlost on Flickr

Why do some women get early positive pregnancy tests, while others have to wait?

This is a question I've seen a lot on TTC forums and also wondered myself. Now I understand the process behind it, I thought it might be useful to explain it to others.

So, why do some women get positive pregnancy tests as early as 10 or even 9 dpo (days post ovulation), around 5 days before a missed period, while others can have their expected period date sail by with no sign on any tests, putting them horribly into the dreaded limbo - not confirmed pregnant, not confirmed non-pregnant, what is this, Schrodinger's uterus?

As it turns out, there are several factors at play.

1. Base hCG level.

A hCG level of 5 or higher is considered a sign of pregnancy. But most women produce a small amount of hCG all the time. Just somewhere under 5. Because hCG increases by doubling, your base (non-pregnant) hCG level is fairly instrumental in how fast your hCG will reach the level that it's detectable by a test.

2. Sensitivity of the test.

There are two commonly available types of pregnancy test. Most standard tests detect hCG over 25. Some more sensitive tests will detect a level over 10. By the way, not all tests sold as "sensitive" are the more sensitive kind. Check the packaging. You're looking for "10 mIU" or "25 mIU". And these are a rough guideline - there's a margin of error.

3. Implantation timing and luteal phase length.

The body only begins to increase hCG production in response to pregnancy from the date of implantation, not the moment where sperm meets egg. Implantation normally happens around 7-10 days after ovulation. So if you're counting from ovulation, this counts. Additionally, if you have a short luteal phase, you're likely to have implantation happening towards the end of it, meaning you'll have to wait longer after a missed period to see a positive test. If you have a typical or longer luteal phase, then implantation will happen longer before the missed period and hCG might have built up enough during that point for a test to be positive on or before the missed period day. You don't need to know your luteal phase duration, but it can provide some extra information if you do know it.

4. hCG doubling time.

When you're pregnant, your body will keep doubling the amount of hCG it produces. The normal rate of doubling is anywhere from 36 to 72 hours - ie, it will take anywhere between 1.5 and 3 days for the hCG level in your body to double. Figures outside of this rate point to problems, but anything within this range is normal and healthy. In those early days of pregnancy, the numbers are so small and the days seem so long that every day counts.

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So... bring in my highly unscientific graph. This is an estimate based on figures I've tried to get as accurate as possible. It shows the hCG increase of two imaginary women, Ms. A (in pink/mauve) and Ms. B (in violet/dark blue). They both know when they ovulated and are expecting their period 14 days later, which is average.

Ms. A is lucky. She has a relatively high natural non-pregnant hCG level (4), her pregnancy implants on day 6 post ovulation, and her body starts multiplying hCG at the fastest rate. By just 8dpo, her hCG levels have reached about 11 or 12 meaning that they can already be detected on some of the most sensitive tests (shown by the orange line). This is where the claims come in that some tests can detect pregnancy from 6 days before a missed period. It's true, but not all pregnancies. If she's using a standard, less sensitive test, (yellow line) she'll have to wait a little longer, but she's still likely to get a positive result by 10dpo, four days before her missed period. And she'll keep getting positives from this day on.

Ms. B, though, is stuck in limbo. She has a lower pre-pregnancy hCG level of 1, her pregnancy doesn't implant until day 10 post ovulation, and her hCG is slower to multiply. Her pregnancy is still perfectly healthy, but she'll see her expected period date come and go and keep getting negatives until possibly five days later when she might get a faint line on a sensitive test, she'll have to wait another day or two for a clear one, and a full ten days after her expected period date until she gets a positive on a standard test.

Of course, these are two extremes of the scale. Most women will fall somewhere in between these examples and additionally not everyone gets their period exactly 14 days after they ovulate. Plus, just to make things even more complicated, the tests aren't exactly accurate to the 10 or 25 mIU hCG level either... the point is, there is a huge variance on when different women get a positive pregnancy test result. Don't panic if you don't have one. You are not out of the race until you get your period.

Bonus question: Does the darkness of the line matter? Should my tests be getting steadily darker?

It does... and it doesn't. If you're somewhere on the cusp of the level of hCG the test can detect then you'll get a faint result, sometimes barely even visible (often referred to as a "squinter"). This will tend to get darker as you get closer to the amount of hCG the test is designed to detect but remember that the time your hCG is increasing can be incredibly slow, so it's not an issue if your tests don't get darker straight away, plus they can sometimes get lighter if you happen to pick up another test which isn't as sensitive.

Also, once you've reached the amount of hCG the test detects that's all you'll get. A darker line doesn't mean you have a much higher number, it is more likely to be based on things like the amount of pigment in the ink or the diluteness of your urine. You'll normally find that the test line is lighter than the control line even when you know you have hCG levels above the threshold for the test.

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Texts

The biggest geek is now eight, and we thought it was time that we stop pretending the tablet he's on 99% of the time is a "family tablet" and just buy him his own. (This means I have inherited the family one, which is great, because now I can watch Netflix in bed again. Winning!)

And then we figured that as he is sometimes home alone, it might be useful, in addition to having the option to call us (which only works one way, and is only supposed to be for emergencies or urgent things) if he could text us as well, so I installed Skype on his tablet, and set it up for instant messaging with strict instructions not to add any contacts without asking us first.

Of course, the first day of this was a constant stream of dancing turkey emoticons and apparently they have a thing called Moji which is basically a reaction gif with sound, he also had to show me every single one of those.

But, I used it usefully for the first time today. He wasn't home alone but I was at work late and I was worried that I might forget to order his next week's school lunches by Thursday, so I wrote them all out and sent them to him with instruction to pick and reply while I was at work.

He wrote back this:

Monday  spaghetti Tuesday chicken gnocchi Wednesday beef of course why lentil soup (puke) paprika the other one is also (puke) pancakes pancakes pancakes

[Moji of two minions saying "Yay!"]

(The "(puke)" is a little animated puking emoticon)

OMG. I love it. I just love it. I guess that I didn't think this would be such a big moment for me, but I have wished that I could text him since... probably when he was in the womb. I know it makes me sound like such a stereotype but I think that you get a real sense of someone with this kind of instant, text based communication. And, yeah, his punctuation needs work. But that's another reason this is fun!

Square Pegs in Round Holes

At my son's kindergarten, the children were recently asked to pick between two sports activities: dancing and football. (You can see where this is going, huh?) He doesn't like football, but does like dancing, so he made the logical choice and chose dancing. Everything was fine and he carried on, not minding that he was the only boy in a group of seven girls, until they did the dance "show" and he was asked to come in as a prince because all of the girls were being princesses. Show me any boy (or girl), anywhere, who has ever dreamed of being a prince! Could they not have had a little more imagination and asked them to come in as animals or something? Anyway, luckily we had a suit which he'd worn to a wedding, so we dressed him up (he looked very "Riverdance") and he went along, but it seemed like something changed that day, because a few days later he said "I don't want to do dancing any more. I wish I'd've picked football."

I felt sad for him. Okay, maybe he didn't change what he wanted to do because of peer pressure telling him "This is a girls' thing, and you're not a girl", perhaps he just thought football looked more fun, or he liked it after the world cup, or he just wanted a change. But I couldn't help but thinking that he is a square peg and it's such a shame that he is expected to fit into a round hole, he doesn't understand why (I don't understand why!), but he knows that he should do something different. Then I thought, you know what, my kid isn't the only special and different and awesome kid. They are ALL like this. Every child starts off as a square peg, and every incident like this, every laugh, every word goes to shave a bit off the corners of that peg until they fit into the accepted, normal, comfortable circular hole. And why?! How much do they lose, do we all lose? Circles don't fit together that well anyway. With squares you can stack them all up with no waste. We fit and work better together when we are all individuals. How could we not? The whole world benefits when people are individual and have their own different and new ideas.

That said, I'm not going to push him to stick with dancing. He has to make his own choice about that. But I will continue to reinforce that there is no such thing as "girl activities" and "boy activities".

Is anger always bad?

Anger is a funny thing, really. For little boys it's something we're told to channel, into sports or “outdoor play” or video games or any number of alternative routes for the evil anger to escape by, lest it take over our small people and turn them into violent thugs by the time they reach adolescence.

For girls, it's different, the message that we get from society is that girls shouldn't be angry, at all. In the same way that “boys don't cry”, nice girls don't scream, shout or show any traces of anger at all. Girls are socialised to swallow their anger, often turning it inwards, a pattern which continues into adulthood – women reading this, have you ever felt annoyed with yourself when something didn't go right, even if you know logically that it wasn't your fault?

Anger can feel like a really scary thing, especially if you grew up being told that you shouldn't feel it at all in the first place, or that it needed to be channelled, and let out in some controlled way before it took over. It is especially frightening if you grew up in an abusive household, or have experienced domestic violence from a partner. The truth is that anger CAN make us feel out of control, it can fuel aggression and it can cause you to do or say things that you'd never do when you weren't feeling angry. But, I don't think we need to be scared of it.

What is anger really, when we strip away what it's not? It's not aggression, it's not violence, it's not losing control. It doesn't cause any of those things, it's one factor, sure, but it's not some big, scary and negative thing all on its own. Anger is being unhappy about something which is out of your control. Anger is feeling injustice. Anger is standing up and saying “Hey, this is wrong”. Acting on your anger is hoping that somebody hears you. The thought that nobody is hearing you, that is the scary part, but the aggression, the hurtfulness, all of those negative things we associate with anger, I don't think that is anger, it's desperation. You can be angry about something and feel totally calm.

Maybe instead of ignoring our kids' anger and hoping it goes away, trying to avoid it or trying to channel it off into some other source, or teaching them to squash it down, we need to teach them firstly, some better communicative strategies to be heard (because, usually, screaming your anger in somebody's face isn't the best way to endear them to your cause) but also how to deal with those times when their anger won't be heard. Because it won't always be, and that's hard to deal with without going into the desperation mode. Children have quite a lot of things in their lives which are out of their control. It's quite normal and healthy for them to feel angry about some of them. Something that is really hard to keep a handle on when you are an adult and have probably got quite good at the communication thing is that children of all ages, from newborn to teenagehood, are really really bad at communication in general. Oh, they may fool us by being all articulate and grown up and worldly about some things but startlingly often, they just revert to that base line of “Nobody is hearing and understanding what I want to say”, anger turns to desperation very very quickly and they turn to those desperation tactics to get someone to JUST SEE.

This is one reason why validation works really well for toddlers having tantrums. Saying “Yes I know. Mummy is being really unfair making you sit in your car seat when you want to sit somewhere else. And the straps are yucky and they hurt your stomach when you pull at them like that.” helps because they are being heard. Okay, it doesn't make a difference to what you're going to do about it, but just being listened to and understood is enough sometimes to keep that anger at a manageable, okay level instead of rising up to desperation and I-am-going-to-scream-all-the-way-home level.

I think when you get down to the bones of it, anger is actually quite a positive emotion to feel. It's about getting down to the bare bones of what is wrong in your life, and wanting to stand up and change that. It's brave to admit that you are angry about something, especially if you choose to deal with it in a constructive rather than a destructive way. A constructive way might be talking to somebody about how you feel, writing a letter, sending the letter, not sending it, writing a letter and then destroying it, starting an online petition (Just look at the twitter petition which was started this week, all by one woman who felt angry about something which was out of her control!) “being the change you wish to see in the world”, making a small change if you can't make a big change, accepting that something is temporary, accepting that something is the way it is and changing your perspective, writing a blog, praying, shouting into a pillow, finding an open space and telling the sky, singing your heart out, rebelling in small ways, talking to someone who is not the highest authority (older sibling, class teacher, local MP), finding someone else who feels like you do and making them feel less alone, making art, making future plans, looking at the bigger picture, counting to 10 and realising it's not that big a deal, deciding to put it down to experience and make different choices next time, talking to someone who can't talk back (your dog, your teddy, a photograph), playing out the scenario in your head in the way you want it to go, and finally and most importantly for children, always asking for help.

Rules for Rough Play/Physical Play

I sort of made these up on the hop today, but they worked really well with a bunch of 3-5 year olds so I decided to share.

1. Look at the other person's face. Is that a happy face or a worried/scared/sad face? If it is NOT a happy face, let's stop, make sure that person is okay and see if they need a break before we carry on. Remember the golden rule - it's not fun unless everybody's having fun!

2. No holding people down/dragging them/restraining in any way that they can't easily get out of. No excuses, I don't care if it's part of the game - if they can't get away, speak or move then not only is that frightening, they can't easily tell you if they are having fun or have had enough.

3. There is always a designated "safe zone" (we used a blanket) - NO rough play is allowed at all in this zone. It is for people who want a break from the game. If you want to play the game, then go away from the safe zone. If you want a break from the game, then sit in the safe zone and nobody is allowed to touch you. You can re-join the game when you feel ready. (Hogging resources by putting them on the safe zone may also be disallowed if they need to be shared!)

This is of course aside from the usual "if somebody says stop then you must stop" but we had a lot of confusion today with children running off saying "No, don't chase me!" and gleefully looking back to check that they were, in fact, being chased. I know some people take a black and white view of this where stop/no/etc always mean no, but in my experience this just doesn't always translate to real life and a culture where much of our play (especially adult-to-child play) and humour is about kidding around and saying the opposite of what is true (I'm going to eat your toes, nom nom nom/I think this sock goes on your head, doesn't it?/etc) it can be confusing to children when some adults and children react in different ways. Plus, I don't think it's beyond them (age/development appropriately) to take notice of things like tone of voice or facial expression and I think it's important to teach this from the start, to make the focus on ensuring that the others in the game look and sound happy, rather than carrying on until there is real distress being communicated or someone is really having to shout up that it's not fun for them.

I don't personally have a problem with rough or physical play as long as these rules are being followed, the environment is appropriate and nobody is getting seriously hurt. To me it's no different from a water fight. However I don't subscribe to the view that boys somehow "need" rough play more than girls do, it's a personal preference for each child. The safe zone hopefully allows children to participate as much or as little as they want to and of course you can adjust the size and boundaries of the safe zone to suit the mixture of temperaments of children you have in the group.

Be a Leader

There are a few different schools of thought on this, but something I have been musing lately and I wanted to share.

I have heard some people describe an authoritative style of parenting as being a "benevolent dictator". This is the one where you are in control, and the children are expected to, basically, do as they are told with very little questioning or talking back etc.

This doesn't really work for me, and I suspect a lot of others, because it relies on power as a form of control. I'm big, you're little, and what I say goes because I know best. Which is fine, until you get into a power struggle. The authoritarian approach here, of course, is to win that power struggle no matter what because all power struggles threaten the overall structure of the relationship and to lose control is the ultimate failure.

The problem is, if you reject this, or decide that you don't always know better than your children, or some arguments/questions are okay, it is easy to think that the alternative is to be on a level with your children, like peers or equals. And this works brilliantly, as long as the child is in a co-operative mood, and you can always let the small stuff go... until you really need to do something urgent and boring and adult, like get to an important appointment on time or go to the supermarket to buy food for lunch because all you have in the house is a mouldy cucumber and three crackers, or clean up because there is now a mixture of cereal, crayons and some unidentified substance being ground into the carpet. Then, being on a level with them doesn't really work so well, because they react childishly (of course, they are children) and parents end up reacting in (mostly) one of three ways:

1. You retaliate childishly also, which winds you both up more. You end up on their level either having a teenage argument/slanging match, or come dangerously close to a sibling fight. You forget that they are a child and you are an adult and end up hurting them with words or deeds.

2. You start to panic and revert to authoritative-parenting mode because the equal-parenting mode isn't working. In an effort to regain control you start threatening, shouting or punishing. Because the authoritative is not your usual stance they don't take this seriously, or push harder to see what will happen (or because it is frightening for them to see the boundary wildly change and bend and move like this). You end up doling out a huge threat/punishment/telling off which is wildly disproportionate to the original crime, and then feel guilty.

3. You dissolve into a heap of self pity because your child never listens and you are clearly terrible as a parent and nothing ever seems to work the way that it is supposed to. You feel totally at a loss to make them understand and feel like a failure as a parent.

Sound familiar? I've done all three, so I can assure you you are not alone!

What I have realised recently is that there is in fact a role in between these two, a gentle, calm, compassionate leader. It didn't really occur to me - I had been swinging wildly from attempted authoritarian to best friend and it just didn't work. Now I find if I feel myself losing control I just have to remind myself in my head of this cool, confident leader position and somehow it comes out of my mouth and it isn't scary being in charge any more, and more to the point, my son really responds positively to it.

The way to think about it is this - have you ever worked in a place where the boss was really distant, and made a lot of orders without really engaging with the staff, who would never dream of doing the jobs they liked to delegate, and who expected total compliance? And have you ever worked in a place where the boss is genuinely warm and friendly, who mucks in, who is happy to listen to suggestions, who supports the notion that the whole team is in it together and is responsible collectively for the success of the operation? I know which boss I would be more productive for, more inclined to fulfil over and above their requests rather than doing the basics (and trying to wriggle out of things!)

Obviously, this is a big exaggeration and I don't wish to claim that parents who have a more authoritative style are cold and distant, because in the main they are not. But I find that remembering my old, kind manager who used to help out with even the most drudging of jobs, who wasn't afraid to make a cup of tea for everyone, really helps. And then the other part of seeing yourself as a leader comes in when you remember that actually, although children can be trusted to know their own minds on some issues, on others you are the expert in relative terms, you have the benefit of age, maturity and experience and you can be confident in your expectations of what is reasonable.

If you want to start leading and guiding instead of ordering, How To Talk So Kids Will Listen... has some great suggestions for children of about age 4+ but even general things like talking in a confident rather than desperate manner, trying to manage things before they are totally unmanageable, being aware of the overarching big picture, and making statements rather than requests or giving options really help. If being authoritative scares you more than it scares your children, try being a leader instead. It is far less scary!