A few years ago, Rachel Elliott felt like she spent all of her time at other people’s baby showers. She doesn’t remember what she bought each friend—onesies, pacifiers, blankets—but she remembers shelving her feelings just to be able to show up and smile. Sometimes, she couldn’t go inside at all. She’d stand on the doorstep, pink and blue gift bag in hand, unable to bring herself to knock. Eventually, she’d hang the bag on the doorknob and quietly return to her car. Sometimes, yearning for a child she didn’t have grew so overwhelming, she couldn’t get out from under her pain. “It’s hard to grieve over something you can’t hold; you’re actually grieving over having nothing to hold,” she explains.
Rachel was adopted from Korea when she was a little over a year old. Her parents also had two biological kids and another adopted child. “My adoption is very special to me, but I realized when I was young that I didn’t look like my parents.” Rachel recalls being around five, and looking at herself and her mother in a mirror, her mother holding her from behind. She compared them, her mother’s pale complexion and blue eyes, and her own black hair and dark eyes, and realized that they didn’t look the same. It never particularly bothered Rachel. But once she got married—“He’s white; I have a type,” she admits—she dwelled on the fact that there was no one in the world who looked like her. While she had always wanted to adopt, she also yearned for a biological child.
“After a few years of marriage, we were ready for a baby,” she says. But as months went by, nothing happened. At first, it was confusing. She and Paul both had siblings who could, as she puts it, “look at their spouses and get pregnant.” Rachel and her best friend had made a pact to get married and build their families together, but suddenly, Rachel was being outstripped. Her friend had a baby and then another. Finally, a third. Everyone in the world had a stork visiting their front door except the Elliotts.
“We lived in Flower Mound and there’s a playground on every corner,” Rachel cuts in. “In the suburbs we’re all soccer moms with minivans. And there’s me, trying month after month and it’s not working out. It became heartbreaking quickly. No one told me this might happen. No one talked about infertility.”
According to the CDC, one in eight American couples will struggle with infertility at some point. But many men and women who struggle with infertility aren’t comfortable talking about it, sometimes not even with their partner. Twenty percent of the time, no actual cause for infertility can be identified. Many people never know why they can’t conceive.
With no genetic history to act as a guide, Rachel was partially diagnosed with unexplained infertility and partially with polycystic ovarian syndrome (PCOS). Immediately, she and Paul started undergoing various treatments and simultaneously talking to adoption agencies.
“My doctors were on speed dial. I was optimistic and motivated. It took—for me personally—probably two or three [failed treatments] to realize that it was going to be hard. I needed to talk to someone. But I had no one to talk to.” They had a loving marriage and a strong circle of friends and family, an ever-growing collection of nieces and nephews too, but she felt alone with her pain. “My feeling was, I’m due [for a baby].”
When she did talk about it to friends and family, often it backfired. “Oh, the advice,” Rachel sighs and rolls her eyes. “It comes from family members, your spouse, strangers, women rubbing their third-trimester bellies: ‘You’ve been married that long? Why don’t you have someone on your hip?’ There’s the great aunt that says something at Thanksgiving. ‘Just keep trying.’ Or, ‘Do you know how to have sex?’ I wonder, do you hear yourself?”
After a few years of monthly doctor visits and failed treatments, Rachel and Paul had lost 15 pregnancies, including a pair of twin girls, and two failed adoptions.
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Rachel joined a support group for women who are struggling to conceive called Hopeful Hearts Women’s Ministry. “It’s so easy to point at yourself and say it’s my fault. You know, Mommy guilt.” One night, Rachel and Paul sat up late together while the shame was brimming over. “He said, ‘I love you for you. I don’t love you because of your organs.’ Infertility can be really hard on a marriage. There are five stages of grief. When are you ever on the same stage of grief with your spouse? But we fell in love with each other all over again.”
The support group meets once a month to encourage women struggling with the pain of infertility, miscarriage, and early infant death. Though Rachel started attending years ago to find support, today she leads the group. Paul also meets with the guys, sometimes not even to talk, just to watch football.
“So much healing starts with: ‘We’ve been trying for a long time.’ ‘Yeah, us too.’ Just knowing that someone else gets it,” she says. “If your friend is going through this, let her tell you what support she needs. If she likes flowers, buy her flowers. If she wants to just sit around watching Netflix, watch Netflix with her. Don’t try to say the right thing because there isn’t always a ‘right thing’ to say. Just listen.”
According to Dr. Sara Mucowski, a physician at Dallas IVF, stories like Rachel’s are common. But there’s plenty of hope.
“Fertility is a relatively new field,” she explains. “The technological boom we’re in has also affected reproductive medicine. Things that were theoretical 10 years ago are now possible like uterine transplants and egg freezing.”
Still, most of her patients are surprised when they have trouble conceiving. “It’s important to assure every patient that no two people are the same, no two pregnancies are the same. You need to find a physician who sees you as an individual. There are so many reasons a couple might have trouble conceiving: issues with ovulation, issues of sperm count or shape, issues with the fallopian tubes. Roughly a third of the time it’s on the male side of things, a third of the time it’s female, and a third of the time it’s both.”
When Dr. Sara first begins working with a patient, she lays out all the treatment options, starting with the least aggressive ones. Usually a couple has been trying for at least a year by the time they come to her.
“Even if all your tests say everything is normal, statistically, you stand a four percent chance of conceiving each month,” Dr. Mucowski explains. “There are a lot of potential things in our overall lifestyle that affect things, like chemical exposure or fat tissue, or men’s use of testosterone supplements. Patients get on testosterone to increase their libedos, thinking it’ll help them concieve. But they’re literally taking birth control.” Overall, she wishes more people knew how common infertility actually is and how many treatment options are available, to help them keep the faith.
Dr. Sara hopes that in the future, fertility might be a more open conversation as more technological advancements make it easier than ever for couples to have children. In December 2017, Baylor University Medical Center in Dallas welcomed a baby successfully carried to term in a transplanted uterus, a first in the U.S. Scientists are studying how to stratify DNA in embryos to eliminate genetic disorders such as Parkinson’s or Huntington’s Disease.
“People get bogged down with the idea of infertility and how expensive it can be. They get ahead of themselves without being informed,” she assures me. “We have all kinds of treatment out there that are individualized and advancing at a phenomenal pace. There is absolutely hope.”