The Fertility Diaries 2025
1 in 6 couples worldwide are diagnosed with infertility*. This number represents more than a population. It represents a deeper impact that affects an individual, couples, and relationships. At The Fertility Center, we recognize that the journey through infertility can be very overwhelming. During National Infertility Awareness Week 2025, we received essays from those experiencing infertility firsthand. Those essays represented a variety of challenges that our patients face during their infertility journey. We invite you to read the three winners entries for a small glimpse into what so many of our patients face each day.
(*http://www.resolve.org)
First Place: Cassie Ault
Our story: The Ault family
We welcomed our beautiful baby girl, Ruth Mary, into our lives on December 12th, 2024. Experiencing parenthood with our first child was an unforgettable experience. We were so excited to finally be parents. Soon after her birth though, the doctors discovered Ruth had a congenital heart defect that went undetected on all of the prenatal testing. At just 12 days old, Ruth underwent an intensive open heart surgery that took nearly nine hours. We spent our first Christmas as a family of three at her bedside while her heart continued to heal. Despite surgery going well and feeling like we were “out of the woods,” there were sudden complications four days post-operatively and Ruth passed away on December 28th.
Shortly after Ruth’s passing, we received the devastating news that our daughter had a very rare genetic defect. A pathogenic mutation that had never been formally studied. This specific mutation has a 50% chance of being passed to each future child, leaving us questioning what this meant for our future hopes of a big family. We asked ourselves, are we willing to take the risk of having another child with this defect? However, we were informed by our geneticist, that there were options for growing our future family which included IVF with PGT (preimplantation genetic testing). This type of testing could nearly eliminate the odds of passing on this genetic mutation again.
During this season, we have continued to lean on our faith that God has a plan for us and our family. He has taught us in this season of life that he has always has a plan. While we can only speculate what Ruth’s part of His grand mission is, it may be that she came into our lives to reveal the discovery of this genetic player and allow her siblings to have healthy and thriving lives in the future.
We have since started our journey to grow our family at The Fertility Center. We feel very blessed “The Fertility Diaries contest” has given us a platform to share our story. The advances we have in science and medicine have given us hope for the future. We could not be more thankful to our doctors and fertility team for their support during this process.
Second Place: Natalie Zadorozny
“Sitting Down to Bleed”
By Natalie Zadorozny
How do you write about a story that you’re actively grieving? How do you come home from a classroom of teenagers writing college essays to write one about how you may never have teenagers of your own? Ernest Hemingway is credited with saying that to write, “all you do is sit at a typewriter and bleed”. I’ve done enough bleeding, but I guess, much like our IVF journey, you give it all you’ve got and hope something sticks.
As I type, Chris and I are in the recovery stage after our third egg retrieval. For the third time in six months, the melancholy cloud has descended on our house as we seek refuge in comfort shows, cozy blankets, and the IVF Spotify playlist I’ve made to match the mood. Ray LaMontagne’s “We’ll Make It Through” and Taylor Swift’s “The Prophecy” serenade us as we attempt to continue the laundry and keep the dishes put away, always wondering if we’ll ever have baby clothes to add to our piles or bottles to wash along with our plates. “After 34 eggs were retrieved last week, only one embryo made it to blast” I text my mom as Noah Kahan’s lyrics “I thought I had something, and that’s the same as having something” becomes the soundtrack of our lives. Our parents and close friends don’t know what to say, yet again, so they attempt to say “we love you” with flowers or soup or an encouraging text. And yet, the melancholy lingers. Our future family feels like a pipe dream, and this last retrieval has opened up a new fear to wrestle with for the first time: “Will we be okay if this never happens for us?”.
Chris and I have been married since October 2021. Our wedding was supposed to be in October of 2020, but Covid sidelined our plans, and we postponed a year. “What’s one more year?” We thought. “We will never get another chance to have all our loved ones in one place at the same time. We will not let Covid take that from us,” we rationalized. While we wouldn’t change our decision, we now wonder, “Would one more fertile year have helped?”
Our diagnosis came in August 2024 when we followed the advice of a friend who underwent IUI to get pregnant with her daughter; she encouraged us to “get tested as soon as you think something is up. Don’t waste precious time,” she warned. If it weren’t for her, drug store male fertility tests, and his doctor being willing to test him before we hit the “one year of trying” mark, we still wouldn’t know that Chris has unobstructed azoospermia.
Male factor infertility can be an isolating diagnosis in an already isolating infertility community. My reddit-loving, review-reading, research-obsessed husband immediately attempted to grab onto a lifeboat of connection from any online community of men talking about how it feels to be diagnosed with male-factor infertility, but no one was there. His calls for support echoed off the walls, and loneliness and guilt reached a new level. “Why are there no men talking about this? I know I can’t be the only one”, he mourned. While I found droves of stories and communities of women sharing their IVF stories, the men were silent. Even in the Male-Factor support groups on Facebook, post after post read “Hi all, my husband was just diagnosed”, or “Help! My husband won’t get tested” or “My husband’s results are _____, what next?”. He was hearing from women or doctors, but from no man’s mouth directly about what it felt like to be them. And so, our IVF posture was born: If this journey brings us nothing else, at least we can educate others.
In our well-meaning families and friend groups, it seemed like the baseline knowledge of IVF and infertility problems ended at “test-tube baby” or “that expensive procedure with needles”. Chris and I mused that if most people don’t know much about IVF, how can things like health insurance, political advocacy, or even research make progress? If IVF progress is limited to the people who have firsthand knowledge, we become an incestuous group attempting to finance, research, and advocate by ourselves. Instead, if vulnerability breeds connection, and connection breeds empathy, then the next step feels obvious: share.
We shared with families the difference between the “eggs” they were praying over versus the “embryos” we wanted. We shared with them the financial reality of being on a teacher’s and a proposal writer’s salary and trying to afford three (and counting) egg retrievals just to have enough embryos for two kids (or even one). We shared with some of our co-workers and bosses the strain that appointments and ultrasounds were putting on us during the work week. We shared with our friends the shot schedule, the supplement regimens, the restrictive diets, and the limitations. We shared with our therapists the real emotions and fears that come up because of IVF and infertility.
What we found when we shared was that people are grateful to be invited into that space; they are careful about how they show up; they adapt as they learn. They build authentic empathy for our shared humanity by grieving with us, hoping with us, crying with us, and being angry with us. Now, when the time comes to advocate, understand, and support, they will know. And so we will continue to educate even if our next steps don’t bring us what we want most. Even if it never happens – maybe especially then – we will continue to share.
How do you actively grieve while you write about your story? How do you find hope when it seems like every call has been bad news? You continue to sit at your typewriter and bleed because, in doing so, you give both yourself and your readers the gift of connecting over your shared humanity, the gift of knowing you’re not alone.
Third Place: Jacie Baker
Our story began 3 years ago when I was still in school and my wife was carrying our family while working full time. We lived in Kentucky, many miles away from where we grew up in Michigan and all of our family. We had been trying for 9 months and nothing was happening. We had been consistently timing, testing and watching month by month if this was going to be the month but still nothing came. Spring turned into summer and summer turned into fall but still nothing. We were approaching the Christmas season, about to head up North to visit our families when I got the news. She was pregnant. Video taping me and all, I came home and saw the positive test with the first baby book and the smallest little onesie I had ever seen laid out on our couch in the living room. As soon as we knew it we celebrated Christmas with our families that season, started to tell some of our friends and started to picture what our life would be like in a few short months. We had our first appointment in January where they told us we were measuring a few weeks behind but everything was probably fine and to come back the next week for a follow up ultrasound. We had heard a heartbeat so we thought everything was turning in the right direction with our Baker family finally starting to grow. But sadly, if it went the “right way” you wouldn’t be reading this. The night before we were scheduled to go to our follow up ultrasound I awoke to my wife yelling to me from the bathroom that she needed me to go to the store and get her pads because she was bleeding. Badly. We soon found out that she was having a molar pregnancy and because we had heard a heartbeat the week before it was considered a partial mole. Shortly after the news, she had a D&C to remove the molar tissue. However, with a partial mole having less than 5% (full mole 15-20%) chance of cells turning into a rare form of cancer, she ultimately was diagnosed with Gestational Trophoblastic Neoplasia a few weeks later. My wife had cancer and before I knew it she was starting chemo. I had never understood the analogy of the feeling of those out of body experiences, but I definitely had one in those moments. All the while hoping this was a dream. While that form of cancer is typically known as one of the only types of cancers that is essentially 100% curable, she had a very complex journey with it. When we initially met with her Gynecological Oncologist they informed us that the pathology report came back from the D&C showed only molar tissue present indicating a full molar pregnancy. Which shouldn’t be possible since we had heard a heartbeat. This was the first of many things that the doctors couldn’t explain to us. The GYN ONC also told us that in his 30 years of practice, he had never seen an Hcg as high as hers had gotten. My wife ended up starting chemo in March with a 5 min infusion of methotrexate 5 days in a row every other week. Half way through her second round of chemo she had a reaction that caused the nurses to give her rescue meds. She had severe chest tightness and pressure almost causing her to pass out. She ended up switching to Dactinomycin which is a one hour infusion every other week. While this went well, minus a few unpleasant side effects for a few months, by the time July came around she experienced drug failure. After concern that the tumors may be spreading to her lungs/brain, many CTs and an MRI to confirm they had not, and her GYN ONC having a “tumor conference” with doctors from other hospitals across the country, we were presented with two choices on how to move forward. She would either have to go inpatient to try a round of titrating the methotrexate that she had the reaction to or have a hysterectomy. My wife was not ready to give up on the dream of carrying our children so she made the decision to stay in the hospital for a week having infusions initially starting at 12 hours long to make sure she didn’t have any more reactions to that chemo drug. Luckily she was able to tolerate the titrated methotrexate while being given lots of premedications to make sure she was okay. She was able to switch to outpatient infusions in August to finish out her treatment. Over the next few months she would spend most of her day 5 days in a row every other week getting infusions while dealing with debilitating side effects that ultimately even took her hair. She did this all while continuing to work full time so I could finish going to school. There were definitely low moments in that time frame, hoping that this would go away and not become something we couldn’t even fathom. Finally after 9 long months on November 4, 2023 she completed her last chemo infusion and we thought this would be the end of our troubles. We had moved back to Michigan that fall and we started to live our lives the best we could. I started to work, we were able to get a house, pay off some of our bills, my wife had surgery to remove her gallbladder due to gallstones developing during the start of chemo that they were unable to operate on due to her lack of immune system from the chemo. All the while we were still hoping that one day, sometime soon, we would start to have a family. We were eventually cleared by my wife’s GYN ONC and OBGYN to start trying again the following April. This time it didn’t take 9 months, it took 3 months. Much like the same as before, I came home from work to find the positive test, being videotaped by my wife and seeing a spread of baby books in celebration. There was definitely excitement and happiness within that moment, but there was a new feeling. One that was created from the past year, of anxiety and even dread that something was going to happen again. And so these intrusive thoughts came to be, this pregnancy developed into a molar pregnancy, yet again. And, like clockwork, she went in for another D&C to remove her second pregnancy. This time it did not grow past the molar stage. Her levels of HCG eventually returned to normal. During all of this we had been meeting with Maternal Fetal Medicine, Reproductive Endocrinology, and Genetic Counselors to try and come up with a plan for what to do next. Originally back in Kentucky when we spoke with the Genetic Counselor we were told that my wife had to experience 2 more losses before she would qualify for genetic testing. That is unless we could get her mother to get genetic testing done to prove she had one of the two known genes since her mom had 13 pregnancies herself, 3 of which were moles, resulting in only 3 living children. Upon sharing this information with her new OBGYN in Michigan, we quickly learned that she didn’t like taking no for an answer. She helped push to get the genetic testing gone which unfortunately found that my wife did not have either of these two known genes that cause recurrent molar pregnancies. Ultimately after consulting with MFM and REI as well everyone seemed to be in agreement that this was a gene causing these types of pregnancies but it has yet to be discovered. And even if she did have one of these genes, there is currently no known treatment to prevent it from happening again. We decided once she was cleared to try naturally one more time. And, just like before, once we were given the go ahead, again it happened. Another pregnancy, another molar growth and another surgery. Again and again this was happening. With almost certainty our health care professionals all agreed this was a genetic condition in her eggs that could not develop into a healthy pregnancy and that if she became pregnant with her eggs that this was likely to happen all over again. It was over all determined that moving forward it was not the safest decision to put her at risk of another surgery or potentially developing cancer again and we needed to look into alternative ways to grow our family. At this point we had hit our low point. It didn’t seem like it was possible to have a natural birth and we would have to explore other options. We began to research adoption and even met with an agency. For the price and potentially wait it just didn’t quite seem like the right decision for us at this time. It would essentially mean we would only be able to afford to have one child and never be able to give that child a sibling. Additionally my wife really wanted the chance to experience pregnancy and birth herself. For a while it seemed it wasn’t ever going to happen. But my wife still had hope. Hope that there has to be some way this could work out for us yet. Hope that inspired herself and inspired me. Hope that pushed us through the door of egg donation and IVF which is where we find ourselves today. We fully understand that IVF isn’t a guarantee we will ever have children. But we just couldn’t shake the fact that we feel like we have multiple children out there for our family and feel like we need to put our all into this path. While we are very grateful that our insurance does cover a portion of IVF itself, we do not have any coverage for purchasing eggs. The hope we have now is that we can purchase enough eggs that will give us a few healthy embryos to minimally give us one healthy child with the potential to freeze any other embryos for the future so all of our children could be genetically related from the same egg donor. So this is where we stand right now. On the verge of creating our life long dreams of becoming parents but battling the financial barriers to get there. While we know you will be reading countless stories just like ours, we hope that our story touches your heart enough to consider us. While we hope that we get chosen we are grateful to share our story and even be considered. We wanted to thank TFC for the work that it does and the lives that you touch for people to reach their dream of becoming parents. |