The prescription stayed sitting on the counter for a few days before Jackson got tired of looking at it, dropping it off at CVS and getting it filled for her himself. He didn't want to push her, but he didn't know how to exist in the awkward middle place that they had found themselves in.

It was his fault. Jackson knew it and he couldn't deny it. He should have been smarter, should have thought further ahead before going through with all of this. Maybe it was the first time or maybe it wasn't, but he had done this to her, to them. Without a doubt, if it hadn't been for this bump, she would have been months along with their child – maybe even approaching her due date. It felt like they'd been trying for years, even if he knew the anticipation and worry were warping his perception of time. But even months wasn't an easy thing to handle. He didn't know how either of them would handle it if something like this ended up continuing forward for years. If she didn't go through with IVF, it seemed like that would be the only future for them.

"What's this?" April called out from the bathroom, appearing in the doorway between it and the bedroom with an orange bottle of pills in her hand. Both of them were capable of reading and identifying the label on it without a problem, that wasn't the real question.

"I went and got that fertility drug filled for you," Jackson answered, voice carefully kept nonchalant to try and limit any kind of possible overreaction. He loved April more than anything, but he knew exactly what she could be like from time to time. "Thought I'd save you a trip to the pharmacy, had to go and pick up some shaving cream anyways." He added on.

An eerily long moment passed between the two of them as April stared at him suspiciously from her place, gaze only dropping momentarily to look at the label and instructions printed on it for a moment. A sigh escaped her before an argument could be put forth, and she doesn't immediately throw the bottle of pills at him. That was a good sign, as far as he could see.

"Do you really want to go through with doing IVF?" She finally questioned.

"Of course. I want a family with you, April. I know you want one too."

"I know, that's not what I mean, I just…" That's when the sigh finally escaped from her, moving over to sit on the corner of the bed next to him, still clutching the bottle of pills. "It just feels weird, you know? We're… young. I mean, this shouldn't be a problem. It wouldn't be if–" she cut herself off there, not wanting to dig into that. She can't vocalize her blame, even if they can both feel it. "It just seems clinical. Distant. Which is ridiculous, I know. We have sex so much that we wouldn't even be able to pin it to one specific night, so it's not like the night of conception is some big deal, I just… it's something I never saw myself doing."

That seemed to be the biggest hurdle for April to be able to push herself past. Her life had been planned out from such a young age, and for the most part, it'd come to terms pretty well. She'd excelled through school and her residency, she'd gotten married to a wonderful man and walked down the aisle as a virgin for him, and now she was finally set up in her career as a surgeon and happy. It seemed selfish to ask the world of more if she thought about it deep enough. Yet having so many things on her list just checked off so smoothly made her want the rest of it done in the same manner, too. She loved science yet she didn't want it inside her uterus in such a clinical manner. Not an ounce of judgment would have come for her if it'd been another woman telling her that she had chosen to go through with it. Yet there's some gap between hearing it from someone else and doing it herself. A gap that she can't close.

"Like I said, we can take all the time in the world to think about this, April…" Jackson reached over and took her hand, brushing his thumb across the pale skin of her knuckles. Gently, he lifted it up to his mouth, brushing a few kisses across the freckles littered there. "I just don't think that it's a decision that you're going to regret, you know? In the long run, it's just… it's not going to be a big deal." He doesn't want to form an opinion for her, but he did want her to listen to him instead of getting caught up inside of her head.

"My period's not for another week, probably. I guess I can figure it out between now and then…" she murmured, gaze shifting away from the bottle of pills and to her husband. "It just doesn't seem right," she blurted out, lips pressing together in a tight line that nearly formed a pout. "I mean, I know that we tried for months and nothing happened… but you seemed pretty sure that I was ovulating, you know? I assumed I was. I have a regular cycle, I don't smoke, I'm a good weight… I should be a great candidate for fertility." Except for that one, tricky detail that neither of them wanted to say outlaid.

"I thought that you were too," Jackson admitted, a hand snaking around her tiny waist to pull her in closer, large hand pressing flat against her stomach. "I thought we would've noticed something being wrong sooner."

April curled into the contact with her husband easily, knowing that she needed to get back up and finish getting ready for work, but his embrace was far too tempting. "Maybe the doctor's wrong," she breathed out. "I like Addison, and she's great, but she could be wrong. No one's perfect." A dangerous idea to cling to, and yet she already liked it.

Jackson could just as easily recognize that it wasn't a good idea to get attached to, but he doesn't want to kill her hoes when it seemed like she was finally starting to see things through his point of view. "Maybe," he offered up neutrally, a hand soothing along her bare arm. He kissed the top of her head, breathing in the scent of floral shampoo and nuzzling her hairline for just a moment. "Go on, finish getting ready. You can think about it all you want, but we do have to go to work one way or another."

The next days go by fast, two of them always managing to keep busy with work whether they wanted to or not. When her period finally comes, it's predictably nasty. Evenings after work are spent curled up on the couch with a heating pad, letting Midol get her through her day given that she couldn't just stop working at any time from period cramps. Mostly because, well, that wasn't a conversation that she wanted to attempt to have with Hunt. It was better to just suffer through. She doesn't normally have particularly bad periods, but they came and went every once in a while. A part of her felt like all of the knowledge that she now had about the condition of her uterus had jinxed her for this particular month, even if she didn't voice it to her husband. April knew just how ridiculous it sounded, and didn't need to embarrass herself with saying it out loud.

Curling up on their bed after dinner with the news playing quietly in the background, twisted up in the only position that could make her comfortable. She's happy to lay there and not move, even with the remote out of reach. As important as it was to stay informed with the happenings of the world, she hated watching the news.

"How you feeling?" Jackson asked as he sat down on the bed next to her, hand moving to her hip and giving it a small rub, not wanting to push too much given how sensitive she'd been the past few days.

"Meh," she answered indistinctly, keeping her body mostly still though her head turned toward him.

"It's day three, right?" The inquiry is made casually, thumb drawing circles across her hips as she gave a noise to say yes. "You know, if you wanted to take the Clomin, now would be the day to start…" They hadn't talked about the medication in the past few days, leaving him up in the air about whether or not she'd made a decision.

Of course, that was because April hadn't made one.

It was a big one and the fact that it was time sensitive drove her crazy. A month felt like an impossibly long time for the first time in her life. That would just mean one more definitive month of not having a positive pregnancy test, another month further back for the due date, more and more waiting. Yet there's something so solid about the decision that she hates it, even if it seemed like the best and possibly right thing to do.

"I know," she murmured, eyeing the growing stubble on his chin. So much for that shaving cream. It looked like he was trying to fill in the slight patch on his cheek.

"Have you decided yet?" There's an eagerness in his voice that betrayed all attempts to stay neutral on the subject, and even if he can't hear it for himself, April picks up on it instantly. She wet her lips for a moment, bottom pulling between nearly straight teeth that chewed indecisively on the thin flesh. Sure, it was her body, so it should have been her decision. It was her decision. But… she just didn't want to make it, at the end of the day. Maybe it would be easier to just let him decide for her.

"Not really," she answered honestly although she didn't want to crush his hopes. "What do you want me to do?" April turned the question back around on him without missing a beat.

"You really have to ask?" Jackson replied back, a huff of air passing through his lips. He didn't want to be pushy, didn't want to be that jerk of a guy, but what he wants is still there and clear. "You've known what I thought since day one. I think that you should take it. Set yourself up for IVF as soon as possible." That was the only realistic end goal in sight, as far as he was concerned.

"Okay," she agreed with a slight nod of the head. "I'll do it. As long as you get up and go get it for me."

The conditions are met with ease, and April's convinced enough to take the medication for the next couple of days as instructed. By the time that her period was over, the side effects from the medicine had become a pain in the neck. Nausea, mostly, bad enough that it results in a poorly timed joke from Jackson about her already acting pregnant and a somewhat light slap upside the head in response for her.

Apparently, she's a bit moodier than usual, too, because both Owen and Arizona end up questioning whether or not she's alright in the next few days, citing that she was acting off. Blindly, she takes offense to the comments instead of telling them what's really going on – not wanting to share those details with anyone besides Jackson, her doctor, and… of course, her own mother. That had been pretty much an unavoidable conversation, needing to talk to another woman about it that wasn't a medical professional.

But the hot flashes catch her off guard more than anything else does.

A Thursday evening is spent sprawled out across the couch with a book in hand, which would have been a perfectly normal way of spending it if it weren't for the fact that the only thing that she had on was a pair of boy shorts. One arm was stretched above her head, the other maintaining the position of her book rested against her knee. It's quite the sight for Jackson to come home to after a long day of surgery.

"What's this all about?" He questioned with an amused smile lighting up his features, setting down his bag on his counter and shrugging off his jacket. It's one of those moments where he's all too glad they're married and he can shamelessly checked out how hot she is.

"It's hot in here," April whined loudly, shutting her book for a moment and using her thumb as a placeholder. "I tried turning on the AC and it didn't make a difference. I thought I was going to die if I didn't cool down." It's just a smidgen dramatic but she's not at all embarrassed about it. Yet.

"You're already turning into my old lady, huh?"

"Shush!"

Easy laughter is heard as he makes his way over to her, bending down and pressing a kiss from her lips. Jackson took the book from her carefully and set it open and face down on the coffee table, his one-track mind having started pretty much the moment that he'd come in and spotted his near naked wife lounging on the sofa. He was, after all, merely a man. Only so much self-control could be had.

"It's cute. I like it," he commented, hand cupping her cheek a moment before sliding down to her breast, thumb brushing over a rosy nipple. "It's just a side effect of the meds, you know. Have you been having any more? Like… a little extra sensitivity, maybe?"

Her breath hitched in her throat at the jolt of electricity that runs through her spine, tongue running across her bottom lip as she stared up at her husband for a moment. April cleared her throat before speaking. "I don't know. I guess you'll have to find out yourself."

It's like falling into old habits for the two of them as if they'd been doing this their whole life. Barely any time is taken to pull off her panties, and while normally he would have gone down on her first, he doesn't take the time for it this time. One track mind took control and he doesn't even bother getting out of most of his clothes, undoing his trousers and pushing his boxers down just enough to free a hard cock.

His fingers ran through the short curls of hair that she maintained, finding her already wet much to his own satisfaction. He worked along her folds for only a few moments, the palm of his hand pressing and rubbing against her clit just enough to get her hips squirming and dancing for more. Working her body was something that he had become quite acquainted with, and he knows just what to do to get her dripping.

With one easy thrust, he's inside of her. Hands grip her thighs and urged them to anchor along his hips before finding the rhythm that they both liked, head dipping down and unable to keep itself away from her breasts. The pale skin is loved on appropriately, licking and sucking, leaving marks that would be seen by just the two of them for days. Her nipples begged for his attention and he's more than happy to comply with what she wanted and needed, teeth and tongue working cohesively together to do everything that he could for her.

Neither of them last long, but it's one of those moments where there's no embarrassment to be had. April comes only moments before he does, the feeling of her orgasm squeezing around him more than enough to start his own, emptying himself inside of her. There's not a lot of room to collapse into on the couch, so instead, he rests on top of her without any shame.

Something about having Jackson laying on top of her was comparable to holding a big baby and even naked and sweaty, April doesn't mind it in the slightest. Even if it gives her the urge to take a cold shower for more than just the obvious reason. Her hand finds home on the back of his head, fingernails gently running over the skin in the way that he liked.

"I've been thinking more about it, you know," she commented quietly. "The IVF, the x-ray, all of it. I did a little research, too. And I bought one of those ovulation tracking kits. Maybe I'm crazy, but I really, really feel like she was wrong, Jackson."

"Uh huh?" He breathed out the syllables, not wanting to disagree with her. But Dr. Montgomery had his trust, more than she had April's, apparently.

"Yeah. I want to ask her to do the x-ray again. You know? I didn't even have chlamydia that long. It doesn't make sense that it could do that much damage. And I've been reading into infertility. It could just be stress, or sleep deprivation, or even biofeedback. Or it could be a thyroid problem. You used to make fun of me for being cold all the time – I could have hypothyroidism, it's super common… Maybe I should get some labs done, check my hormone levels." The rambles come out naturally and without any kind of filtration.

"Whatever you think is best, babe," Jackson finally moves, shifting up enough to kiss her on the lips.

It was an issue that she wasn't going to back down on, so naturally, she gets what she wanted. Dr. Montgomery took a defensive stance when the issue was first brought up with her and reminded April that she shouldn't get her hopes up over something that was such a long shot but agreed to do another x-ray with her just to be sure. She pushed to make sure that she could get it done the same day just like last time, far too eager for the results to be able to wait for even another night of rest. That was something that she didn't get much of anyways, and ever since she'd become obsessed with this idea, it'd only amplified.

Jackson's phone is spammed with texts when she goes into it, and he can't help but feel a twinge of sadness at seeing her so hyped up for something that he assumed was only going to fall through. He hadn't wanted her to go into it in the first place – but she'd already done things for him in this situation, and he didn't want to step on her toes with this.

Coming home that night, April's a mixture of feelings.

That much was obvious to Jackson the second that she walked in the door and he set his eyes on her. Her brows were furrowed down and eyes were red as if she'd been crying, yet there was somewhat of a smile curved onto her lips. The contrast is enough to draw concern out of him.

"What's up, babe? How did the x-ray go?" He questioned slowly, not wanting to dredge up too much painful territory.

"Well..." she started slowly, gaze dropping to look down at her hands for a moment. "It turns out that the first x-ray was a false positive. My tubes aren't blocked. Not at all. Apparently, it's like, a ten percent chance or something, not... that rare, actually. I wish she would have mentioned that the first time that she said it, would've been nice to know." Her words are mumbled.

Clearly, it wasn't the only thing that she had heard. If that was the only news, she would have been jumping up and down with the excitement, happy to rub into his face that she had told him so. But instead, she's carrying herself too somberly. There was something more and Jackson knew that he had to ask, even if he can already feel the impending heartbreak in the air between the two of them.

"So what's the problem?"

"I'm... actually pregnant already," April stated loudly, her gaze finally snapping up to look at her husband.

"What? Why didn't you say something sooner? That's–"

"No, stop. Don't say it's amazing."

She cut him off so quickly that there's a thick pause in the air between them, Jackson's taken aback by the way that she shoots down any excited reaction that he can have in a heartbeat. He stiffened for a moment defensively, a few seconds pass before the anxiety for her current state of being slips back inside of him and gears his motions. A step forward is taken to try and close some of the distance between them.

"What are you hiding, April?" He finally asked with a hefty sigh.

"I'm pregnant, but it's an ectopic pregnancy. I have a procedure scheduled with Dr. Montgomery in the morning. You should take off work."