As she turns 39, Alden begins a four-year quest to have a child. Despite her need and desire, she wonders whether having one will keep her from her work, writing. She and her husband Jeff go from not-really-trying, through temperature charts, to a series of painful and expensive procedures, all to no avail.
The memoir describes not only Alden's search for a child but for herself as well. Her relationship with her mother, her immersion in the counterculture ("in a middle-class way"), the importance of writing, her attempts to keep her own life under control, and her satisfying marriage are important elements in the memoir.