THE DAY Honor Grace Holland turned thirty-five, she did what she always did on her birthday.
She got a Pap smear.
Sure, sure, Honor was aware that gynecology was pretty low on the totem pole of celebrations. It was just easier to schedule the dreaded appointment if it was on a memorable date. Practical, that was all, and she was nothing if not practical. Faith and Prudence, her sisters, and Dana Hoffman, her closest friend, had planned to take her out, but there’d been a snowstorm last weekend, and they’d had to cancel. The family would gather this weekend for cake, so it wasn’t like the Pap smear was the only celebration she’d be having.
She assumed the position on the exam table while her doctor kindly averted his eyes, and practiced the deep breathing the irritatingly flexible yoga instructor had demonstrated with such vigor until she and Dana had giggled like two little kids in church. Didn’t work then, didn’t work now. She stared at the Jackson Pollock print on the ceiling and tried to think happy thoughts. She really needed to update the website. Design a label for the new pinot gris Blue Heron Vineyard was launching. Check the month’s orders.
It occurred to her that work should not be her happy thoughts. She tried to think of something not work-related. She had some Lindt truffles at home. That was good.
“So how are things, Honor?” Jeremy asked from between her legs.
“Working a lot. You know me.” And he did. Jeremy Lyon was an old family friend as well as her sister’s ex-fiancé. He was also gay, which didn’t seem to make his palpation of her ovaries any less yucky.
Jeremy snapped off his gloves and smiled. “All done,” he said.
Honor sat up fast, despite the fact that Jeremy was terribly nice and had famously gentle hands. The good doctor handed her a prewarmed blanket—he was thoughtful that way. He never made eye contact during the breast exam, and the speculum was always placed on a heating pad. Small wonder half the women in Manningsport were in love with him, no matter that he liked men.
“How’s Patrick?” she asked, crossing her arms.
“He’s great,” Jeremy said. “Thanks for asking. Speaking of that, are you seeing anyone, Honor?”
The question made her blush, not just because Jeremy’s famous hands had been Down Under, but also because...well. She was private. “Why do you ask?” Did he want to fix her up? Should she say yes? Maybe she should. Brogan was never—
“Just need to ask a few questions about your, um, certain personal aspects of your life.”
Honor smiled. Jeremy, despite being a doctor, was still the cute boy who’d dated Faith all through college, and couldn’t quite forget that Honor was a few years older. “If it’s covered by HIPPA, then the answer is—” Yes, indeed, what was the answer? “The answer is yes. Sort of. And if you tell anyone in my family, I will kill you.”
“No, no, of course not,” he said, smiling back at her. “But I’m glad to hear it. Because, um...”
She sat up a little straighter. “Because why, Jer?”
He gave a half smile, half grimace. “It’s just...you’re thirty-five now.”
“Yes, I know. What does that have to do with—oh.” Her stomach sank abruptly, as if she was in a fast-moving elevator.
“Nothing to worry about, of course,” he said, blushing again. “But the years are precious. Egg-wise.”
“What? What are you talking about?” She pulled her hairband out and shoved it back on her head. Nervous habit. “Is there a problem?”
“No, no. It’s just that thirty-five is considered advanced maternal age.”
She frowned, then tried to stop. The mirror had shown a permanent line between her eyebrows just this morning (damn you, natural light!). She’d have sworn it wasn’t there last week. “Really? Already?”
“Right.” Jeremy winced. “I’m sorry. It’s just the quality of your eggs starts to decline about now. Medically speaking, the best time to have a kid is around twenty-two, twenty-four. That’s the sweet spot.”
“Twenty-four?” That was more than a decade earlier. All of a sudden, Honor felt ancient. She had a wrinkle between her eyes, and her eggs were aging! She shifted on the examination table. Her hip creaked. God, she was ancient! “Should I be worried?”
“Oh, no! No. But it might be time to think about these things.” Jeremy paused. “What I mean is, I’m sure it won’t be an issue. But yes, the chances of birth defects and infertility do start to increase about now. They’re still small, and infertility treatments are amazing these days. This doctor in New Hampshire just had success with a fifty-four-year-old woman—”
“I’m not planning to have a baby in my fifties, Jer!”
Jeremy took her limp hand and patted it. “I’m sure it won’t come to that. I’m required to tell you as your doctor, that’s all. Same as telling you to eat right. Your BP is just a tiny bit high, but that’s probably white-coat anxiety.”
She wasn’t anxious. At least, she hadn’t been when she’d first come in. Fungus. So now she had high blood pressure, in addition to leathery skin and hardening ovaries.
“You look fantastic,” Jeremy went on, “so there’s probably no cause for worry—” Probably? It was never good when a doctor said probably! “—but if you’re seeing someone, it might be time to start thinking about the future. I mean, not that you need a man. There’s a really good sperm bank—”
She yanked her hand back. “Okay, Jeremy, you can stop now.”
He smiled. “Sorry.”
Another attempt at a calming breath. “So think about babies sooner rather than later, is that what you’re saying?”
“Exactly,” Jeremy said. “And I’m sure you don’t have anything to worry about.”
“Except birth defects and infertility.”
“Right.” He smiled. “Any questions for me?”
* * *
SHE