The convergence of H1N1 and the upcoming movie, 2012, has brought out the eternal debate--how will life on earth end as we know it? Will it be a virus or massive flu that spreads through the population, leaving behind only a small subsection of those with immunity (because aren't there always some people with immunity--usually highly attractive people with great make-up or biceps--when these things play out in the movies)?

Or will it be a series of natural disasters a la 2012, either predestined by the nature itself or caused by our hubris with the environment?

Or will it be infertility?

Children of Men by P.D. James, another offering from doomsday literature that was recently made into a film, has women unable to conceive. Margaret Atwood played out the same idea earlier in the Handmaid's Tale. And it's not difficult to imagine with more and more men and women being diagnosed with infertility. Despite our increased ability to diagnose and treat infertility, we also have more people finding that they need assistance to conceive. While infertility happens from time to time in nature, humans are unique in our infertility levels and these are due to a plethora of causes.

Of course, with doomsday movies on the horizon, it also brings out the doomsday predictors on the Internet and it seemed only a matter of time before we started getting hybrid theories that combine numerous paths to the earth's destruction. What if, for example, H1N1 was released into the population (flu theory) specifically so the government could give us the vaccine (government conspiracy theory) that contains a fertility inhibitor (infertility theory)? You can get three doomsday theories for the price of one on YouTube right now.

But despite my tongue-in-cheek view of doomsday theory, this actually does raise a serious debate within the infertility community, namely who is able to get their hands on a vaccine. In any good drama, we often see that there is a group who gets chosen for survival even if survival is impossible, and those who are deemed unworthy of saving with limited resources. Think the Titanic lifeboats vs. those sent below to die first.

And in this case, it began back in summer with the first reports about who would receive the H1N1 vaccine because there was a higher chance of being mortally affected. Fertility Foibles pointed out in a tongue-in-cheek rant that the vaccine being held for pregnant women is just one more sting to people experiencing infertility. She wrote:

I mean am I not worthy of getting a swine flu shot just because my womb is barren? It’s not like I chose to have fertility issues or did something to inhibit my fertility. I pay more than my fair share of taxes and have contributed way more out-of-pocket expenses to the healthcare system than the average 36-year old woman.

And while she was being a bit facetious, this question did pop up recently in the blogging community as people debated the distribution of this hard-to-get vaccine.

And beyond looking at who should get it, are the posts where women, pregnant after infertility, weigh the risk, taking into consideration how long it took to get pregnant in the first place. Oh Emily, pregnant after IVF, wonders if she should get the vaccine if it became available in her area. Maybe If You Just Relax falls firmly in the non-vaccinating camp in regards to herself and her baby conceived with assistance. Tales of My Follies asks the questions at the heart of the matter:

I mean if we are trying so hard, waiting so long to get pregnant, and injecting ourselves with crazy drugs just to get pregnant would you want to risk getting a vaccine that might mess everything up and cause harm to the baby or to lose the baby? I am just not sure. Then again I would want to be protected. Though I never get the annual flu vaccine.

Fierce and Nerdy gives the recommendation if you're sick of debating who should be allowed to get the vaccine or whether or not H1N1 signals the end of the world, try reading Camus's The Plague to combat Hollywood filmmakers who "encourage us to imagine the worst possible scenarios."

Melissa is the author of the infertility and pregnancy loss blog, Stirrup Queens and Sperm Palace Jesters. She keeps a categorized blogroll of over 2000 infertility blogs and writes the daily Lost and Found and Connections Abound, a news source for the infertility blogosphere. Her infertility book, Navigating the Land of If, is currently on bookshelves (May, 2009). She is the keeper of the IComLeavWe list and compiles the yearly Creme de la Creme.