"Ready?" Derek asks as he uncaps the needle and picks up the solution to inject me with. "You know I hate needles, but I'm getting better," I grin and he nods leaning to the side and kissing my ear, "You definitely have been getting better, but our new trick helps," he says and I smirk. "Hmm it does doesn't it?" I giggle and steal a kiss from him on the lips. "Kissing you always helps to calm me down," I tell him as I roll up my shirt for him. He rubs the antistatic wipe over my belly, "Ready now?" He asks and I move a little bit to position myself from the bed. "Yes, now," I whisper leaning in to hold onto his shoulder as our lips connect and move in a pattern. I squeeze Derek's hand as he wraps it around me while inserting the needle as our lips keep dancing on.

Derek pulls back and kisses my lips gently, "You okay?" He asks kissing my eyes as I lean my head on his shoulder, "Yeah just tired and thinking about this afternoon, I'm worried as usual," I tell him and he puts the cap back on the needle resting it on the side table. "Come here Baby," Derek opens his arms and wraps me in a big bear hug, "This is a really stressful and emotional day, I'm worried about your health too, I don't want anything to harm you and I know there is a small chance that something could happen while they transfer the embryos over and it could jeopardize our chances of having babies," Derek rubs my back and I stroke his cheek, "I'm going to be okay I promise you, I'm not going anywhere," I tell him.

"But I'm a little nervous about that too, like what if they mess up or what if our embryos don't take? Or what if I just don't get pregnant? Like what if we use all the embryos and I don't get pregnant that's my biggest fear Der," I wipe my eye as a tear comes racing down it and Derek kisses my forehead. "I'm telling you let's think positive for now, they said it's a low chance for none of the eggs to take," he reasons and I nod laying back in his embrace. "I will think positive until our next date when we are set to go back to the doctors to see if we are pregnant, but right now I just don't feel too well," I tell Derek looking up over at him as I get up covering my mouth and Derek stands up behind me.

"Nauseous? Are you tired?" Derek asks feeling my forehead and putting his hand on my back, "You are a little warm, do you feel warm?" Derek asks and I shake my head, "No I feel okay just my stomach," I groan sitting down at the toilet as Derek ties my hair up in a messy ponytail. "Feel like you are going to get sick?" He rubs my shoulder and I nod, "Yeah, my belly is out of control," I mumble, holding his hand that's on my knee as I breathe deeply in and out and focus on my breathing. "Mhh, Ohhh, Der I'm going to be sick," I tell him and he stands up and holds onto my shoulders as I hunch over the toilet bowl.

I heave into the toilet and throw up the contents on my stomach although there is nothing coming out as I dry heave. Derek wipes my mouth and rubs my back soothingly as I lean into his touch, "It's okay Mer you are doing great Honey," he tells me kissing my hairline as I bend over and clutch onto the toilet holding onto for guidance. "Do you think you are done?" Derek asks and I shake my head, "No, my belly keeps rumpling," I tell him as I stop talking and throw up heaving out everything that I had in me. "More?" He asks and I shake my head. "I don't think so," I whisper holding my hand over my mouth and leaning against him. "It's alright just breath," he reassured me.

"I wish we could just get pregnant naturally like why can't we just be like a normal couple who has sex all the time and boom gets pregnant?" I ask holding my head in my hands as I start to get upset and Derek takes my hands, "Because we aren't quitters and God knows that, so he passed his hardest challenge to us. He is testing us, but Honey we can do it. I believe in us. I believe in the team of doctors and more importantly I believe in you Sweetheart," he kisses my temple and I start to cry. "I-I just-I'm sorry, my emotions are all over the place Babe. I just want to give you a baby so badly," I tell him and he smiles. "Together we will create one we will have one or multiples and our hard work will pay off in the end."

"Come on let's get to the doctor so they can do the embryo transfer," Derek takes my hand and helps me stand up. "Can you believe today is the day? Like it's finally here after two weeks it's here and we can see after a few more days if we are going to be mommies and daddies!" I cry wiping my eyes and he smirks pulling me in for a hug. "And you will make one hell of a mom to our babies as you already are to Sarah and Logan. I'm so proud of you everyday and today is no exception Mer, you are so strong Honey," he looks into my eyes and strokes my face. "I love you Sweetheart and whether we get pregnant on this first time or not does not change that, it's science and it's not your fault okay?" He tells me and I shake my head. "Okay, thank you for saying that," I give him a tight hug. "Let's get over there and get this show on the road, I'm getting anxious," I tell him.

"I think we will be okay they said the whole process doesn't take long and then you get to nap in the office for an hour," Derek says as we gather our stuff in the kitchen. "I know I just hate being away from the twins even though they are having fun at the LittleGym," I smile and he hands me my jacket. "They are perfectly fine with Lexie, Callie, and Izzie they can handle them for us until we get back, but you have to lay down for the remainder of today, so Pickles and you can sleep," he laughs. "My boy and I on the couch," I shrug patting Pickles head and rubbing his ears, "You're my good baby boy! I'll see you later baby! Be good and play with your piggy!" I hand him his stuffed pig animal and he swings it from side to side. "He looks like he is going to destroy his head," Derek laughs opening the garage door and I giggle. "It will keep him occupied so oh well!" I shrug.

We get into the car and Derek backs out as I turn on the radio changing the station as Alex had it on country. I turn it onto pop and rest my head back taking Derek's hand in mine and resting it on my knee. "I think we should pray to St. Anne," I smile and he looks over at me. "What's she the Saint of?" He asks. "She's the patron of infertility and maybe she will bless us who knows?" I shrug looking over at him as he smiles. "You think of everything this is why I fell in love with you, see you aren't a quitter ever, you don't back down from challenges," he says. "I like challenges and I know you do too so together we make a great team don't we?" I smile and he nods. "So let's pray."

"Anne, you were especially favored by God to be the mother of the holy Virgin Mary, the Mother of our Savior. By your power with your most pure daughter and with her divine Son, kindly obtain for us the grace and the favor we now seek. Please secure for us also forgiveness of our past sins, the strength to perform faithfully our daily duties for and the help we need to persevere in the love of Jesus and Mary. Please guide us into parenthood as we go through IVF and try to have a baby, please bless our future baby or babies with good health and happiness. Amen," I say looking over at Derek for approval and he nods smiling, "Amen, that was great Babe, Amen to that, that was beautiful. St. Anne we will be praying to very often!" He kisses me at the red light.

"I know it's good to know right?" I tell him and he nods, "Now we know and can pray every night for a baby or babies," he rubs my hand, "So what would you like to name the babies if we hypothetically had quadruplets, like I know we sort of talk about names, but what names do you have in mind?" I ask and he laughs, "Well if they were two boys and two girls one would be Charlotte and the other Henry or Harry, I'm not sure which I love both. And then Nathan and Sophie or Margaret - Maggie we could call her or maybe Olivia or how about Lorraine or Scarlet?" He lists and I nod.

"I like Teddy too short for Theodore for a boy and I love those names too so I think we are on the same page as usual," I smile as we drive into the parking lot of the infertility clinic. "You are held up on quadruplets though? You think that many?" Derek asks getting out of the car and I shrug. "Maybe I don't know I just have a feeling that it's all or nothing with us, maybe five I don't know mother's intuition?" I wink at him and he laughs.

We stop at a red light and my stomach lurches and rocks as I frantically look for a plastic trash bag. "Are you okay? What's the matter?" Derek asks watching me going through the glove compartment. "Trash bag I'm getting sick," I murmur as I find them and Derek grabs it from me unraveling it and handing it to me, "Again? We have to ask what's going on Mer, this just isn't right," he says feeling my forehead as I throw up into the bag. "You are just dry heaving and have been for the past few days," he mutters shaking his head as he continues driving into the parking lot. I stop throwing up looking up as he stops to catch my breath and Derek holds my hand, "Take a deep breath, it's okay," he kisses me as I tie the bag up and wipe my face.

He opens the door for me, "I guess we will find out what's going on soon and hopefully this transfer will work right?" He leans over kissing me and I smile. "Yes and I can't wait to see like what if the first time it really works!" I beam squeezing his hand and he guides me up to the desk. "That's the way to think Sweetheart," he kisses my cheek, "Hi I have an appointment with Dr. Moss and Dr. Lin," I tell the receptionist and she nods. "Okay has your insurance changed at all?" She asks, "Nope everything is the same," I tell her handing it to her and the copay. "Okay perfect, so just take a seat and Natalie will be out to take you back," she smiles handing back my insurance card.

I sit back down and pick up a boring parenting magazine browsing through it leaning on Derek's shoulder as the nausea feeling pops up and I turn green. I hold my hand in front of my mouth and Derek races behind me to the bathroom, "It's okay I'm right here," Derek says not leaving my side as he turns the light on and I stumble over to the toilet leaning over it dry heaving over it. "This won't go away!" I moan looking up at Derek as he holds back my hair and hands me a paper towel to wipe my mouth on. "Do you think you are done?" He asks and I shake my head, "No I feel I still have something left in me," I mumble as my stomach lurches and I vomit over the toilet. "It's okay Mer, you are doing great Sweetie, hopefully this will stop soon," Derek says and I stand up with his help taking the paper towel to clean up my face. I spit out the bile after taste and swish around the water. Derek hands me a mint to hopefully calm my stomach and we go back out to the waiting room.

"It's going to be okay, we will ask them what this is from you have gotten sick multiple times just dry heaving, so something's got to give," Derek says running his hand through my hair as I lay my head on his shoulder scrolling through home remedies for nausea.

"Meredith? You can come on back with me," a young nurse calls me from the side and Derek and I stand up as I grip Derek's hand tightly, as my stomach turns. "I'm not going anywhere I'm right beside you, I promise I'm so proud of you Meredith," he smiles brushing my tear away and kissing my cheek. "Hi I'm Natalie, I'll be your nurse for the embryo transfer. So are you ready to come on back and chance into a gown and go over a few things to start?" She asks and I nod looking over at Derek.

"Look at me Mer, everything is going to go great I promise you that. Our babies are going to be perfectly fine they will be in your belly soon Honey," he kisses my forehead and I nod hugging him tight as Natalie leaves the gown on the exam table, "I'll be back," she says shutting the door. I kick off my shoes and start to get change as Derek helps me fold my clothes. "5 embryos I can't believe it we are starting with 5 going into you," Derek wraps his arms around my belly and kisses my neck.

"I just want it to work out so badly, let's just pray again, maybe it will help," I mutter and kiss his stubble. He nibbles on my ear and ties my gown in the back for me. "Bless us St. Anne and graciously look over us as we place 5 healthy embryos into Meredith today. Please guide them into a safe and stable pregnancy and keep Meredith healthy. Amen," He kisses my cheek. "Amen," I hug him reaching up to pull him in closer. We hear a knock on the door and we slowly break apart. "Come in," I call for Natalie to come back in. "Okay so I'm just going to do a quick exam of your abdomen and uterus to make sure everything is healthy enough before the doctors come into start with the procedure okay?" She asks setting up her paperwork and I look over at Derek hesitantly as he squeezes my hand tighter.

"Okay," I respond slowly laying back and guiding my feet into the stirrups. "It's going to be cold, and since your hormones are high you may feel a higher sensitivity and that's normal," she tells me as I take Derek's hand and he kisses my cheek, "Breathe, Honey, just breathe, you can do it I know you can. We are almost there Sweetheart, just think in a few hours five embryos are going to be in your belly," he smiles kissing my lips as tears fall down my cheeks and he brushes them away. I squeeze his hands and hug him closer, "Five embryos, we can do this," I mutter through tears and he nods sitting back down and taking my hand. "Alright, so let me spread your legs a bit more and then we will be good to go," she smiles sitting down in her stool.

"She puts her gloves on puts her hand on my thigh, "Ready?" She asks and I nod, she pushes her fingers up into my core and I relax my muscles as she goes, "Great, I'm going to press down right about here and feel for any tenderness or lumps, if not I'll keep going okay?" She tells us as I close my eyes and squeeze Derek's hand harder. She moves down against my right side and I jump crying out, "Okay some sensitivity?" She asks as I lay back down moaning, "Yes Ohh don't touch right there, oww," I cry and she moves her hand away as I breathe deeply.

"Endometriosis tissue grew back which isn't bad, but I'm going to have to get Dr. Lin in here to take care of this okay? You just rest while I go get him real quick okay?" She smiles taking off her gloves and washing her hands real quick. "Is it a lot?" I ask looking worried over at Derek, "I'm not going to say anything until he comes into the room first to see her himself," she tells us rushing out shutting the door. "This isn't good!" I burst into tears covering my face as Derek removes my hand over my face and places it on his cheek, "Hey hey hey, we don't know what's wrong and look there may be nothing wrong at all, it could be just a little tissue and very simple to remove," he kisses over my forehead and I nod swallowing my tears. "I just-we just-we are-we are getting ready to start a family," I breath out and he wipes my tears that keep falling.

"Mer slow deep breathes you are hyperventilating, slow deep breathes Sweetie. It's all going to work out remember? You and I are going to have many babies. This is not changing anything, we are going to continue to try to start a family. Together you and I will create a family Honey," he kisses me as a knock comes on the door. Derek squeezes my hands and kisses my lips. "I love you, no matter what happens Sweetheart, you know that," he stares into my eyes. "I love you too," I whisper as Natalie and Dr. Lin walk in. "Hello! So I hear Natalie feels some endometriosis tissue that grew back," he says walking in with my file and sitting down. "Yes, will this delay the process of embryo transfer today?" I ask tears flying down my cheek wiping them away.

"Honestly it depends how much there is, but before I examine you I want to ask you some questions because I want to know if you have noticed anything different okay?" He says looking over at us as Derek helps me sit up on the exam table. "Okay," I respond. "Have you been spotting or bleeding at all in between your cycles recently?" He asks and I nod, "Yes, a little bit more so now since being on the hormone injections, but you said that was a side effect right? I get horrible cramps when the spotting occurs like I'm getting my period, but it's not," I tell him and he writes it down.

"How about tenderness in your breasts or abdomen? Or both?" He asks for which I nod and hiccup starting to unconditionally sob. Derek stands up and wraps me in his arms, "What's the matter? Did I ask something wrong?" Dr. Lin asks and Derek nods his head, "Yes, it's been a tough day, if you could give my wife and I a minute it would be helpful thank you," Derek says politely squeezing me tightly as I swallow my thick tears and hug him holding him harder. "Breathe. Just breathe, listen to me you could be in pain for all types of reasons and you know it, we can still have babies though! Remember we can still have babies Sweetheart!" He kisses my forehead and around my hair as I nod holding onto his shoulders.

"Look at me," Derek whispers, "I-I, Derek-Der, I can't stop, the tears won't stop, I can't stop, my head won't stop, I can't stop thinking," I sob and he pulls me in for a tight embrace as I cry harder burying my head in his neck sobbing fresh tears on his shirt. "It's going to be okay, the doctors are going to take care of us. We are going to have babies soon Sweetie. When we walk out of here today we will be one step closer to have babies," he nuzzles my head and I hiccup, "Mhmm," I mumble. "Oh Baby I wish I could take away the pain, but Meredith soon we are going to have babies," he pleads and I nod, "Soon is good," I tell him, looking over at him and grinning leaning on his chest breathing him in. "I'm sorry, it just takes a toll on me, I want a family for us so badly," I whisper as a tear slips out of my eye and he wipes my tear and kisses my lips. "And we will have that perfect family just like how you imagine it," he smiles as we jump hearing a knock at the door.

"Need more time?" Dr. Lin asks, Derek clears his throat and looks over at me, "Are you ready?" He asks holding my hands. "I'm ready," I tell him and he lets Dr. Lin in the room. "I'm sorry about the question I asked, but I'm going to have to ask it again, or if you remember it you can answer it now Meredith," Dr. Lin politely says taking his seat in front of me. "The answer is yes-to both, about a week after my period and I marked that down on my calendar I started to get pretty bad tenderness and cramps in my abdomen. And my breasts they would be so bad it would hurt to put a bra on or to shower. Some nights Derek would have to carry me upstairs because the cramps would be so draining that I couldn't physically move," I tell him through tears taking my time as he records it in my chart.

"Alright, how about any bleeding, besides your period?" He asks and I nod a little. "Yes, um spotting which I marked down too, and I would be in so much pain for those days as well, I couldn't eat or walk or do anything besides lay in bed on my side with a heating pad," I cringe squeezing Derek's hand. "Okay, so let me examine you, how have you been today? Have you been sore or any pain, tenderness, spotting?" He asks, "Tenderness and a little spotting, but I thought that was from the hormone injections and I'm nauseous," I respond and Dr. Lin nods. "Yes it could be a reaction to all sorts of things, but first I need to examine you closer so let's lay you back first and see how the tissue is. I need to see how much grew back and how much pain you are in if I examine it okay?" He asks and I nod.

"Lay on back and we can get started okay?" He smiles washing his hands and putting gloves on. I lay back down and take Derek's hand, "Alright let's take a look and we will see," Dr. Lin smiles. I focus my attention towards Derek as I place my feet into the stirrups and Dr. Lin shifts closer applying the gel to his glove, "Okay, I'm going to go all the way up to the top of your uterus so you shall feel a lot of pressure, but try not to arch your back or press down against me, remember that delays what we are aiming to do okay?" He reminds me and I nod already knowing this is going to hurt like hell. "Mer look at me, keep focusing on me, slow even deep breathes, in and out," Derek says as I feel Dr. Lin's fingers at my opening and I squeeze my eyes shut.

"Ready?" He looks up from the foot of the examine table and I shake my head, one hand squeezing Derek's hand and another on my belly. I feel his fingers slide in and slowly and carefully pause as I clench around them trying to adjust to the size. "Remember I start at the top of your uterus and then start pressing down, so you are already trying to close your legs in," he cautions as I take a slow deep breath in instructed by Derek as he opens my knee and holds it open. "How are you feeling so far? Any pain?" He asks as he presses down and I scream lifting my whole body off the table moving my hips and closing my knees on his hand. "Oh my gosh, right there! It-it feels like a knife is stabbing me," I sat through tears as Dr. Lin rotates his hand and presses down. I scream in pain bitting onto my lip and squeezing Derek's hand. "There is a lot of tissue right here, we can either keep going or stop. If we keep going the pain will get worse, but if we stop I can't guarantee that we will be able to do the embryo transfer today because we may not be able to get clear margins in your uterus and ovary," he explains as I immediately start crying and Derek kisses my tears away.

"Mer, I know you want a baby, but if the pain is too much…" Derek starts and I cut him off, "We want babies, let's do it, I'll deal with the pain," I tell him letting the tears drop down my face. "Meredith the pain you are going to feel is severe, we can't give you anything because we will be giving you a light sedative during the procedure," Dr. Lin explains and I nod. "I understand, we want a family so please just do it, it will hurt, but we want babies," I murmur wiping my tears. "We want babies so badly," I babble and Derek hugs me kissing my lips. "I know and we are trying our best for you both," Dr. Lin assures us shifting his hand as I push down. "Meredith as I continue I need you to take deep breathes in as I move up to prevent you from pushing down like you are now okay?" He instructs as I nod looking back at Derek taking his hand again after he wipes it on his jeans.

"Just look at me Baby, you are doing great, God you are doing great. Squeeze my hand, as tight as you need," he kisses the top of my head as the tears stream down my face and I breathe out, "Ohhhh," I exhale through a sob and Derek wipes the tears up with the pad of his thumb under my eye. "You are doing great, it's going to be over soon," Dr. Lin looks up as he gently pushes down on my abdomen and I arch up clenching around his hand, "That hurts so badly, I'm in so much pain," I tell him through thick tears as Derek carefully gets me to lay back down. "There is a good amount of tissue right here, but I'm at the top of your uterus so that's why you are feeling the most pressure," he explains and I nod.

"I'm going to insert the ultrasound now, which won't feel so good, but I need a better look to further get the tissue out," he tells me as I look over at Derek and continue to bit down on my lip. "Mer Baby, if it's too much we can wait Sweetie, you are in so much pain, it kills me to see you like this. We will get to have our babies but maybe we can reschedule so that you can have a sedative for now?" Derek suggests and I moan sobbing as he stands up and pulls my head into his chest, "Oh Honey, I know this is awful for you, but you are so strong. We are going to have babies remember what I told you? We will have babies a lot of them I'm not giving up and either are you so why don't you allow Dr. Lin to give you a little medication so your out of this pain?" Derek asks and I squeeze his hand as I shake my head stubbornly.

"Derek we have been waiting for so long I want a baby so badly. I don't have patience anymore. I-I just want a baby with you. I want a baby so badly with you I can't give up now-not now when we are so close! I want to be a mommy and to see you be a daddy to our kids. You are such a wonderful father already to Sarah and Logan," I cry as he holds my head into his neck soaking his shirt. "Meredith, Baby you are in such a high amount of pain, it worries me," Derek rubs my back and I nod squeezing his hand. "I-I-I'm okay, I promise, a baby is worth it," I mutter as I calm down and Derek runs his hands through my hair holding onto me tightly. I lay back down wiping my eyes and Dr. Lin slowly inched the transducer into me as I wince. "I wish I could take the pain away Baby," Derek strokes my cheek as Dr. Lin points to the screen. "Mhmm," I nod squeezing his hand tightly.

"So I'm inserting the needle you will feel more pressure and a pinch and then I should be done okay?" He asks as I feel the needle go into my core and I brace myself for the pain and pressure as he goes further up. "You're okay, just breathe look at me. Concentrate on me Sweetheart," Derek rubs my knee as I gasp, "You almost done?" Derek asks nervously squeezing my hand and rubbing my forehead. "Yes, I'm getting it all out now, you are doing great, almost there," he tells us as I murmur unable to fully focus on Derek as I blink back tears. "You are almost done Baby," Derek whispers in my ear as I breath heavily in and out. "Okay I'm pulling the needle out now, and let me check your uterus to make sure I got all the tissue out and you should be ready to go okay?" He smiles and I nod bitting my lip. "You did great Honey, you have no idea how proud I am of you," Derek cups my chin and kisses my forehead. "Thank you Baby, I love you, today is our day to create babies," I squeeze his hand. "And we will Baby, we will," he kisses my hands as I breathe normally and let my legs rest against the stirrups as Dr. Lin gets up and covers me with the gown.