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‘My IVF Failed. Then the Bills Started Showing Up’


Experiences of infertility always have one thing in common: uncertainty. The countless visits to doctors, the months (or years) of planning, the tens of thousands of dollars, never add up to a guarantee. Even under the best of circumstances, there’s only so much about a pregnancy you can plan, and in the midst of a global pandemic, the idea of planning anything seems foolish. For National Infertility Awareness Week, we’re exploring the uncertainty—and the hope.


When I was presented with the option of financing two rounds of in vitro fertilization (IVF), I didn’t think twice. I asked where to sign and borrowed roughly $30,000 to make my dream of motherhood come true.

I was only 27 at the time and single. But while most of my peers still had years to figure out their future families, my time was running out. I’d recently been diagnosed with a very aggressive case of endometriosis. My doctors had explained that my fertility was quickly dwindling and that it was time to consider fertility treatments before my options disappeared completely. The only thing I knew for sure was that I had always wanted to be a mother. The thought of losing that chance wasn’t something I was willing to consider.

Of course, others had their opinions on my decision to finance this dream. Thirty thousand dollars is a lot of debt to take on, and most people I spoke with about my decision at the time seemed to think it was a bad idea. There were raised eyebrows over my age, concerns about my single status, and judgments about putting myself in so much debt over medical treatments some deemed elective.

The way I saw it, people borrowed far more every day for car loans and college educations, neither of which seemed as important to me as this. I had a decent paying job and the financial means to afford the monthly payments on the loan. And most importantly, this wasn’t something I had years to decide upon. This was my one chance—I was simply thankful financing options existed that would allow me to take it.

“What if you do all this and you come out with nothing to show for it in the end?” one friend asked. Failure wasn’t a possibility in my mind. All my life, I’d believed that I could have anything I wanted so long as I worked hard enough. I’d taken big risks in the past and worked hard to reap the rewards. I truly believed trying was all it would take to succeed.

I was wrong. Both rounds of IVF failed, and by the time I turned 28, I was broke, broken, and left with little hope that I would ever become a mom. It wasn’t supposed to happen like this. I never would have taken on that debt if I had truly believed the treatments wouldn’t work. But that’s the thing about pregnancy—it’s not a simple matter of working hard. It didn’t matter that I was young, that I had done everything “right” to realize my dream of getting pregnant. Some factors were simply beyond my control.

My loans didn’t stipulate an option to cease payment if the treatments didn’t work. I was on the hook either way. The bills that continued to come in even after I walked away from fertility treatments felt like a monthly punch to the gut. Yes, this was what I had signed up for. But I’d never considered I would one day be paying those bills with nothing to show for it. Every dollar withdrawn from my account sliced away at my psyche; a painful reminder of what I’d lost and the cost I’d paid to lose it.

Within a year of my IVF cycles, I required three major abdominal surgeries with an out-of-state specialist due to complications from my endometriosis. These surgeries were medically essential, having everything to do with my quality of life and nothing to do with my fertility. But the bills that rolled in because of them piled up on top of the debts I’d already taken on. Before I knew it, I was drowning in medical debt and questioning every decision I’d ever made. But I was also questioning the industry that had encouraged me to make those decisions, convincing me to gamble such a large amount of money with no guarantee of anything to show for it in the end. I met women who’d been through 8, 9, and 10 rounds of IVF without a single positive outcome to show for it. I was proud of myself for walking away after only two but also heartbroken about what that meant for my future.

Three years after my last failed IVF cycle, while still owing over $65,000 because of those treatments and the surgeries that followed, I had a chance meeting with a woman who, upon learning I couldn’t have children, asked if I would adopt the baby she was due to give birth to. The whole thing was a whirlwind. Adoptions don’t typically happen this easily, and I know how lucky I am. But a week later, I was in the delivery room holding my baby girl, thinking of her as the silver lining in it all.



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Amy Schumer Revealed She’s Going Through IVF Treatments


Comedian Amy Schumer has always been one to share what’s on her mind—in her stand-up sets, in interviews, and on her own social media feeds. That has become especially true since she got pregnant with and gave birth to her first child with husband Chris Fischer, Gene, who’s now eight months old.

This week Schumer revealed that she is going through IVF (in vitro fertilization) treatments in order to have a second child—and asking fans for advice in dealing with the grueling process.

“I’m a week into IVF and feeling really run down and emotional,” she wrote in a caption next to a photo of her bruised belly. “If anyone went through it and if you have any advice or wouldn’t mind sharing your experience with me please do. My number is in my bio. We are freezing my eggs and figuring out what to do to give Gene a sibling. ❤️” And there is indeed a phone number in the bio (+1 (917) 970-9333) for anyone who wants to reach out.

The comments section was filled with supportive comments from fellow celebs like Katie Couric who wrote, “You got this mama❤️❤️ Sending you lots of love ! ?” and Selena Gomez who said, “I’m praying for you and chris. I’m sorry!”

Other people shared their own personal experiences like one woman who wrote, “Ugh. I did 7 rounds to get my b/g twins. It was such an emotional roller coaster. I remember the bruises like you have and feeling like a giant bloated pin cushion. Thank you for normalizing and bringing this topic out into the open.”

During her pregnancy, Schumer suffered from hyperemesis gravidarum—which is like an extreme form of morning sickness—and wasn’t afraid to show its effects on her body and life. Including daily bouts of vomiting. (Kate Middleton also had the same condition when pregnant with Prince George, Princess Charlotte, and Prince Louis.) And after giving birth, Schumer didn’t stop bringing her characteristic humor to the struggles of mom life.

The emotional and physical toll IVF takes is only made worse by a culture of silence. For women dealing with fertility issues, it’s amazing to see women like Schumer opening up the conversation.

UPDATE: January 11, 3:13 p.m.: Amy Schumer provided an update about her IVF process to her followers, explaining that she and her husband have decided to freeze their embryos.

The comedian also shared some of the tips she received from fans who have undergone IVF, listing things like eating salty foods, drinking Gatorade, icing the area, and, most importantly, being “patient and kind” to yourself.

“There are sooooo many of us willing to be there for each other,” Schumer penned in the caption. “Your stories helped me more than you can imagine. I feel incredibly lucky. I’m really hoping this works and staying positive. Much much love!”



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IVF Failure Felt Like Miscarriage


Ten percent of all known pregnancies end in miscarriage. So why does the subject still feel so taboo? For women dealing with the complicated grief of miscarriage, it’s not the stat that’s comforting—it’s the knowledge that they’re not alone, that there is a space to share their story. To help end the culture of silence that surrounds pregnancy and infant loss, Glamour presents The 10 Percent, a place to dismantle the stereotypes and share real, raw, stigma-free stories.


Infertility isn’t a word you expert to hear at 26 years of age. Certainly not when you’re still single and years away from thinking about your future family. But that’s exactly how old I was when, still young and single, I was told that stage IV endometriosis had stripped me of my ability to conceive. “If you ever want to have biological children, you need to do something about that now,” my doctor advised.

The development of my condition happened swiftly, so it’s not like I’d had years to prepare for this possibility. It was all dropped in my lap in a bundle; the diagnosis, the prognosis, and the suggestion that I act upon my fertility now, before it was too late.

I visited with a reproductive endocrinologist and weighed my options. At the time, egg freezing was considered a risk, still experimental—the rate of eggs that survived freezing was just too low, and the possibility that none of my eggs would survive and that I wouldn’t know that until years down the line was just too great.

I knew I couldn’t live with the years of uncertainty, my desire to be a mom anything but uncertain.

Embryo freezing was seen to have better odds, but if I was going to purchase sperm for that, I figured I might as well go the whole way and do a fresh in vitro fertilization (IVF) cycle, which had the best chance of success overall. At least, that was how I reasoned with myself when I decided to pursue IVF as a single woman just a few months past my 27th birthday.

The process happened quickly. A month of medications followed by a minor outpatient surgery to extract the eggs that would then be fertilized for my IVF cycle. In the end, I had only three viable embryos. But the picture given to me of those three embryos was one I cherished. These are my babies, I thought.

Because I was young (with the assumption being that my youth might lead to more favorable results), the decision was made to transfer only one of those embryos at first. From the moment that transfer took place, I was convinced I was pregnant, turning down wine at dinner with a gleeful smirk. Every twinge and butterfly I felt was proof to me of that fact, even long before physical symptoms would have made sense. So confident was I that there was a little life growing inside me, I even toured the local midwife center, aiming to get on their list as soon as possible so that I could give birth to my baby in their birthing tub.

I was so convinced I was pregnant that when the call came 10 days later confirming that I wasn’t, I immediately fell to the floor in tears. I knew logically that what I was experiencing was not a miscarriage—you have to be pregnant first to experience that—but in my heart, a miscarriage was the closest thing I could think to compare my IVF failure to.

That had been my baby. I’d seen its picture. An actual, viable embryo had been placed into my body; all my hopes and dreams tied up in a little clump of cells that bore my DNA. And it hadn’t survived.



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6 IVF Treatment Facts You Should Know Before Trying to Get Pregnant


In vitro fertilization—aka IVF treatment—has totally revolutionized the possibilities of pregnancy. And fittingly, it’s getting more and more common: since 1987, over 1 million babies have been born through the use of IVF or another assisted reproductive technology.

But IVF isn’t a silver bullet for infertility. While it is revolutionary, the process can be complicated and confusing to navigate. To get the facts on what you need to know about IVF before trying to get pregnant, we spoke with Elizabeth Fino, M.D., an assistant professor at the department of obstetrics and gynecology at NYU Langone’s Fertility Center and Hal Danzer, M.D., a reproductive endocrinologist and cofounder of the Southern California Reproductive Center, for tips on how to best prepare for your fertility future.

Whether you want to get pregnant now or wait a little longer, it’s a good idea to know where your fertility stands. Luckily, proactive fertility testing is easier to access than ever, with companies like Modern Fertility and Future Family offering affordable, at-home hormone tests.

These tests, among other things, typically measure your levels of Anti-Mullerian Hormone (AMH), which is a good indication of your ovarian reserves (aka how many eggs you have). “If you have a low reserve at 33, then you’re certainly going to have a lower reserve when you’re older,” says Dr. Danzer. It’s not a perfect predictor of fertility—plenty of women with low ovarian reserves go on to get pregnant naturally—but it does give you some insight into potential problems down the road. If your AMH test shows a high ovarian reserve one year and a follow-up test a year later shows a drastic drop, for example, that can be an indicator it’s a good time to talk to a fertility specialist.

Many women think IVF is their first option if they want it, but the reality is many fertility doctors will tell you to try natural pregnancy first. “If you’re 30 to 35, you should try for at least six months and if it’s not working, then you do a work-up to see what to target,” says Dr. Fino.

Even after that, your doctor will most likely try oral or injectable fertility medication before IVF. Of course, there’s always exceptions: super low AMH levels, low sperm count, multiple miscarriages and potential for certain genetic disorders may all influence how quickly a doctor recommends IVF.

IVF is often talked about in the context of women over 35 trying to conceive (that’s considered “geriatric” in fertility years). But like all things related to fertility, your chances of getting pregnant with IVF are better the younger you are—success rates start to decline after your mid 30s. “IVF doesn’t really fix the age of your eggs so you have to think about that early,” Dr. Fino says.

You’ve likely heard that IVF can be expensive. It’s true. And while there are financing plans to make treatment more accessible, you’ll still be looking at a steep price tag.

“Package rates for IVF run about $9,000 to $10,000, while the medications to stimulate the ovaries can be $2,000 to $4,000,” says Dr. Danzer. “So you’re looking at $12,000 to $15,000 overall.” Then there’s the cost of additional testing. “The big add-on that people are taking advantage of is genetic testing of the embryos. There’s also freezing of embryos—that’s an add-on price of about $400 or $500.”

One of the biggest misconceptions about IVF is that it works right away, but the reality is, most women need to do more than one cycle of IVF to get pregnant. “The average is about two to three cycles,” Dr. Fino says. Even with all the revolutionary technology we have at our fingertips, there are still a lot of genetic factors we (or doctors, for that matter) can’t control. “Most IVF failures are not something that a couple can fix, even if a woman has a good, healthy diet and exercises—those are important, but it’s very age dependent,” says Dr. Fino.

The most important fact to know about IVF is it’s not 100 percent successful—the process can take time, money, and even an emotional toll on your life. “There’s a significant emotional drain on the couple and the relationship,” says Dr. Fino. “I encourage couples to find alternative outlets like exercise or therapy to find balance throughout the treatment process.”



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Michelle Obama Reveals She Had a Miscarriage and Underwent IVF With Both Daughters


In her new memoir, Becoming, Michelle Obama reveals that she suffered a miscarriage in her 30s and experienced fertility issues while trying to have children with her husband, former president Barack Obama. Ultimately, the couple conceived their daughters, Sasha and Malia, through in vitro fertilization—something Michelle dealt with largely on her own as Barack was away serving the state legislature. As the former First Lady details in her book, she had to administer the shots that are a part of in vitro fertilization many times herself.

Michelle opened up more about this experience to Robin Roberts on Good Morning America Friday (November 9). “I felt like I failed because I didn’t know how common miscarriages were because we don’t talk about them,” she said. “We sit in our own pain, thinking that somehow we’re broken.”

She continued, “That’s one of the reasons why I think it’s important to talk to young mothers about the fact that miscarriages happen.”

In the interview, Michelle says she realized the “biological clock is real” around age 34 or 35 and that “egg production is limited.” “We had to do IVF,” Michelle told Roberts.

Ultimately, Michelle hopes opening up about her struggles will help other women going through similar experiences. “I think it’s the worst thing that we do to each other as women, not share the truth about our bodies and how they work,” she said.

Becoming will hit bookstores and E-reader platforms everywhere on Tuesday, November 13. Click here to look at tickets for Michelle’s upcoming book tour in support of the project.

Related Stories:

Michelle Obama Is Back and Doing What She Does Best—Standing Up for Girls

Barack Obama Celebrates 26 Years of Marriage to Michelle Obama With a Sweet Instagram Post

Michelle Obama Is Selling Out Arenas for Her Book Tour—And Tickets Cost as Much as $3,000





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What IVF Is Really Like


“How are you?” is a tricky question to field when you’re responding to someone who doesn’t already kind of know the answer. And when you’re going through infertility treatment, not many people already kind of know the answer.

There’s no shortcut to explaining the physical and emotional state of infertility treatment to the uninitiated. There’s no quick way to work through the sea of acronyms, the IUIs, and the SETs and the PGDs, that clutter your existence. There’s also no one-liner that adequately captures the feeling of being simultaneously captive and adrift, an existence beleaguered by a long list of instructions to follow but no discernible end in sight.

This is what makes Private Life, a new film by Tamara Jenkins recently released on Netflix and in theaters, so invaluable. In addition to being a crackling and touching story, it’s a much-needed reference point for the fertiles of the world to understand the particulars, and particular madness, of infertility treatment.

“IVF is like making your way through an obstacle course located inside an eccentric billionaire’s lawn maze.”

Private Life is about Rachel and Richard (Kathryn Hahn and Paul Giamatti), two middle-aged New York literary types who can’t get pregnant. Their diagnosis is a combination of advanced maternal age on Rachel’s part and low sperm count on his. In short, they waited too long.

The film walks us through their process of trying to become parents “by any means necessary” with such a delicate accuracy that there were moments I, an IVF-veteran, wasn’t sure I could keep watching. My heart accelerated through all the scenes of waiting, by the phone and at the doctor’s office, the shots, the treatment plans, the maybe, maybe, maybes, and sorry, sorry, sorrys. I recognized the marriage that’s been put in service of fertility treatment at the cost of nearly everything else. I also recognized Rachel’s largely unacknowledged resilience. It didn’t surprise me to learn that Jenkins had been through much of this herself.

My story. At age 35, I got diagnosed with secondary unexplained infertility. It’s a diagnosis that means I was able to have a baby without any assistance, and then, for reasons they couldn’t understand, was not able to get pregnant with another. The madness I experienced was void of the existential quality that I suspect is faced by many other infertile women who don’t already have a child. The question of whether or not I would other get to experience motherhood was not at stake.

Still, like everyone else going through infertility treatment, I really wanted a baby. So often women feel like they need to mute or hedge that desire. Maybe someone has it harder, or babies ruin feminism, or it’s selfish because of global warming or poverty (better to help needy children elsewhere) and, well, you name it. The list can go on and on but the desire remains. We long to have kids.

PHOTO: Seacia Pavao / Netflix

Here’s what I did to get one: I had two IUIs (they squirt sperm in the uterus during your peak ovulation window), one with Clomid (a pill I took that made my ovaries mature 2 eggs at once); an IVF retrieval (a few weeks of many, many needles filling me with hormones that made my ovaries mature 21 eggs at once, followed by a surgical procedure in which the eggs were removed and then fertilized); a four-month wait while the resultant embryos were tested for chromosomal and genetic abnormalities; a medicated transfer (many more needles filled with hormones that shut down my natural cycle so they could control my body—and my mind, making me batshit crazy—followed by the placement of a single embryo in my uterus); a pregnancy!; a miscarriage!; a three-month wait before another transfer, this time medication-free; 11 months after it all began, another pregnancy; 9 months later, a baby boy.

Many people have lists that are much longer, and credit card bills that are much higher. According to FertilityIQ, the average IVF patient goes through more than one cycle of IVF and spends around $50,000 on infertility treatment, and insurance coverage is rare.

Here’s how it felt: It’s like making your way through an obstacle course located inside an eccentric billionaire’s lawn maze. You climb up the walls, you paddle through the streams, you swing on the ropes. You are working so hard! You are giving it your all! You have absolutely no idea where you are going.

Private Life shows us how to tell these stories and convinces us that they matter too.

It’s like being a low-ranking spy on a important mission. You are busy, regularly receiving and executing lots of instructions, while understanding that the stakes are high. You are a good servant, you follow orders, but never are you clued in to the master plan. You start to wonder if there is a master plan, or if your overlords (your doctors) are more susceptible to the forces of fate that you realized. You soon understand it’s the latter.

It’s knowing there is always one more thing to try.

Research shows that I am far from the only woman who found it emotionally intense. One study of 200 couples found that half the women and 15 percent of the men said infertility was the most upsetting experience of their lives. Another found that women dealing with infertility felt as anxious or depressed as those diagnosed with cancer or recovering from a heart attack. Also, infertility is really common. One in eight couples struggle to get or stay pregnant, and yet we rarely hear their stories, or witness their pain.

In addition to being a good movie, Private Life shows us how to tell these stories and convinces us that they matter too. Rachel’s distant focus in the passenger seat of the car, her beating her husband’s chest when he fails to consider bad news from her side, her determination despite being called a junky, all come together to flesh out a side of womanhood that often remains under covers.

May the film help infertile women, past, present, and future, respond to “how are you?” honestly, with the hope that whoever’s listening might understand their answers.


Elissa Strauss lives in Oakland, California; she has written for The New York Times and Slate and is a contributing writer for cnn.com.



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