The wonderful
The Baby Series by Mrs Muir has a segment where Buffy is desperate to conceive although I don't recall the specific details of what they did exactly but it put a severe strain on their relationship. It was in story two,
Babies are a Good Thing.The Baby Series by Mrs Muir http://dark-solace.org/elysian/series.php?seriesid=28Summary: Series of four epic fics covering the Babyverse. Spike is called away by Drusilla before he can meet Buffy at the Bronze in Tabula Rasa. He doesn't return to Sunnydale until after the fiasco of Xander and Anya's wedding. Things aren't the same as when he left town...especially Buffy.Now, if there is another story out there that is what you are actually looking for then I have no idea. But I think this is what you wanted.