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Maintaining Hope During Fertility Treatment

by Dr. Preeti Bhandari | Fertility Seeking Women

Hope is essential, but it needs to be balanced with realism. Here’s how to protect your hope while surviving disappointment.

The Hope Paradox

Why Hope Is Important

Hope sustains you:

  • Motivates you to continue
  • Gets you through hard days
  • Allows you to envision positive future
  • Necessary for taking action
  • Protects against despair

Without hope, can’t continue treatment.

Why Hope Is Dangerous

Hope makes disappointment more painful:

  • Higher you climb, harder you fall
  • Each negative pregnancy test crushes
  • Repeated hope and disappointment is traumatic
  • Eventually becomes harder to hope

The paradox: You need hope to try, but hoping makes failure hurt more.

Balancing Hope and Realism

Informed Optimism

Know your statistics BUT don’t let them define you:

Statistics are probabilities:

  • 40% success rate means 40% succeed, 60% don’t
  • But YOU are either 100% or 0% – you’re not 40% pregnant
  • Statistics describe populations, not individuals
  • You could be in the success group

Understand your specific chances:

  • Age matters enormously
  • Diagnosis matters
  • Number of eggs/embryos matters
  • Previous cycles inform expectations

But remember:

  • Someone has to be the success story
  • Unlikely things happen every day
  • You don’t know which group you’re in yet

Cautious Hope

Protecting yourself from disappointment:

  • “I hope this works, but I’ll be okay if it doesn’t”
  • “I’m doing everything I can”
  • “Whatever happens, I’ll handle it”
  • One cycle at a time
  • Hope for best, prepare for worst

Not pessimism – protective realism.

Hope Without Attachment

Buddhist concept – hold loosely:

  • Hope for outcome
  • But don’t white-knuckle grasp it
  • Accept you can’t control everything
  • Open hands, not clenched fists

Easier said than done – but a practice to work toward.

Finding Hope in Dark Moments

After Failed Cycles

The worst time for hope:

  • Feels impossible to try again
  • “Why would this time be different?”
  • Exhausted from roller coaster
  • Hard to believe anymore

Finding hope again:

  • Give yourself grief time first – don’t rush to hope
  • Debrief with doctor – what can be learned? What would change?
  • Each cycle is different – different embryos, different timing, different protocols
  • Many people succeed after multiple failures – first cycle success is not the norm
  • Remember why you started – still want this

Hope doesn’t mean naive – means willing to try again despite knowing pain is possible.

When Statistics Are Discouraging

If your chances are low (over 40, multiple failures):

Numbers aren’t zero:

  • 5% is low, but 5 out of 100 women succeed
  • Could you be one of the 5?
  • Someone is

Numbers represent past, not future:

  • Every success story had low odds at some point
  • Statistics improve as technology improves
  • Your individual response matters more

Consider all options:

  • Donor eggs dramatically improve odds
  • Different protocols
  • Alternative paths
  • Hope takes many forms

During Treatment Breaks

Stepping back doesn’t mean giving up:

  • Breaks allow emotional recovery
  • Financial regrouping
  • Relationship strengthening
  • Body reset

Hope during break:

  • Still working toward goal (just not actively treating)
  • Preparing for next round
  • Taking care of yourself is productive
  • Pause is not failure

Sources of Hope

Success Stories

Benefits:

  • Proof it’s possible
  • Inspiration
  • Practical tips from those who’ve been there
  • Reduces isolation

Cautions:

  • Can trigger comparison (“Why not me?”)
  • Survivorship bias (don’t hear about failures as much)
  • Everyone’s journey is different
  • Your path won’t look like theirs

Healthy consumption:

  • Limit if too triggering
  • Focus on similar situations (age, diagnosis)
  • Remember their success doesn’t diminish your chance

Scientific Advances

Fertility treatment is constantly improving:

  • IVF success rates have doubled since 1980s
  • New protocols
  • Better embryology techniques
  • Genetic testing
  • Freezing technology improved dramatically

What was impossible 10 years ago is routine now.

Research continues:

  • Egg quality improvement
  • Better screening
  • New medications
  • Understanding of implantation

Future is hopeful.

Personal Resilience

You’ve survived 100% of your worst days:

  • You’re still here
  • You’ve handled everything so far
  • You’re stronger than you think
  • This proves your resilience

Look back at what you’ve overcome:

  • Diagnosis
  • Multiple cycles
  • Disappointments
  • Procedures
  • Still standing

You will survive this too, whatever happens.

Support System

Not alone:

  • Partner standing with you
  • Friends and family supporting
  • Others going through same thing
  • Medical team helping
  • Community of warriors

Shared hope is stronger.

Hope Through Different Outcomes

Hope for Pregnancy This Cycle

Most immediate hope:

  • “Maybe this embryo will implant”
  • “Maybe we’ll get good news”
  • “This could be our time”

Necessary to get through cycle.

Hope for Eventual Success

Longer-term hope:

  • “Maybe not this cycle, but eventually”
  • “We’ll keep trying”
  • “Our path will lead to a baby somehow”

Sustained hope across multiple cycles.

Hope for Parenthood (However It Comes)

Broadest hope:

  • “We will be parents”
  • May be through own eggs, donor eggs, adoption, surrogacy
  • Path may change, destination remains
  • Hope evolves

Most durable form of hope – not dependent on specific outcome.

Hope for Surviving

When all else fails:

  • “I will get through this”
  • “I will be okay, even if this doesn’t work out”
  • “Life can still be good”
  • “I am more than my fertility”

Hope for your own wellbeing, regardless of outcome.

When Hope Feels Gone

It’s Okay to Lose Hope Sometimes

You don’t have to be hopeful all the time:

  • Grief and doubt are normal
  • Protective mechanism
  • Fluctuates naturally
  • Comes and goes

Hopelessness is different than realism.

If hope is completely gone consistently:

  • May be sign of depression
  • May be time to reassess path
  • May need different kind of support
  • May be okay to stop and find peace elsewhere

Borrowing Hope

When you can’t find your own:

Let others hope for you:

  • Partner
  • Friends
  • Doctor
  • Support group
  • “I can’t hope right now, but you can”

Their belief can sustain you until you find yours again.

Hope vs. Toxic Positivity

Toxic positivity:

  • “Just stay positive!”
  • “Good vibes only”
  • “Think positive thoughts and it’ll happen”
  • Denying valid negative feelings
  • Blaming failure on not being positive enough

This is harmful.

Healthy hope:

  • Acknowledges reality
  • Allows all feelings
  • Doesn’t blame you for outcomes
  • Coexists with fear and sadness
  • Realistic

You can hope AND be sad. You can hope AND be scared. You can hope AND prepare for disappointment.

All at once.

Practical Hope Maintenance

Daily Practices

Morning mantra:

  • “Today is a new day”
  • “I’m doing everything I can”
  • “I can handle what comes”
  • Whatever resonates for you

Gratitude practice:

  • Not toxic positivity
  • Simply acknowledging good alongside hard
  • “This is awful AND I have people who love me”
  • “I hate this AND I’m grateful for medical technology”

Small joys:

  • Allow yourself pleasure despite pain
  • Good meal, sunset, pet cuddles, favorite show
  • Permission to feel good sometimes
  • Joy doesn’t betray your struggle

Reframing Thoughts

Catastrophizing: “This will never work. I’ll never be a mother. My life is ruined.”

Reframe: “This is really hard and uncertain. I don’t know what will happen. I’m doing everything I can.”

Black-and-white thinking: “If this cycle doesn’t work, it’s hopeless.”

Reframe: “This cycle is one attempt. Many people need multiple cycles. I have options.”

Comparison: “Everyone else gets pregnant easily. Why is this so hard for me?”

Reframe: “Many people struggle with this (1 in 6). I’m not alone. My timeline is my own.”

Setting Mini-Goals

Instead of only: “Get pregnant”

Break into steps:

  • Complete this cycle
  • Retrieve eggs
  • Get embryos
  • Make it to transfer
  • Get through two-week wait
  • Try again if needed

Celebrate each milestone:

  • Each step is accomplishment
  • Progress even without pregnancy
  • Not all-or-nothing

Mantras and Affirmations

Find what resonates:

“I am more than my fertility.”

“My worth is not determined by my ability to conceive.”

“I am doing everything I can. That is enough.”

“Whatever happens, I will be okay.”

“This is hard, and I am strong.”

“Not today, but someday.”

“My path is unfolding, even if I can’t see where it leads.”

“I will survive this.”

“Hope and grief can coexist.”

“One day at a time.”

Not magic words – just reminders when you forget.

Finding Meaning

This Experience Has Changed You

Not “for a reason” or “silver lining” – those dismiss pain.

But it has shaped you:

  • Strength you didn’t know you had
  • Compassion for others’ struggles
  • Clarity about what matters
  • Resilience
  • Depth

Doesn’t make it worth it or mean it had to happen.

But transformation happens through suffering, whether we want it or not.

Eventually, This Will End

One way or another, this phase will conclude:

  • Pregnancy
  • Adoption
  • Child-free living
  • Some resolution

You won’t be in treatment forever.

There is an “other side” even if you can’t see it yet.

Hope for the Future

Life After Infertility

If treatment succeeds:

  • Profound appreciation
  • Never take for granted
  • Changed by experience
  • Grateful

If treatment doesn’t succeed:

  • Life can still be rich and meaningful
  • Many paths to fulfillment
  • Not the life you planned, but can still be good
  • Identity beyond parenthood

Either way:

  • You will be okay
  • You will find joy again
  • This pain won’t last forever
  • You are building resilience

Redefining “Happily Ever After”

Fairy tale ending may look different:

  • Not the path you expected
  • Harder journey than imagined
  • More complicated story
  • But still beautiful

Happiness isn’t absence of struggle.

Meaningful life includes pain and joy.

Your story is still being written.

When to Keep Hoping, When to Let Go

Signs to Keep Going

Keep trying if:

  • Still have desire
  • Financial resources available
  • Emotional reserves exist
  • Medical options remain
  • Partner aligned
  • Feel called to continue

Trust your gut.

Signs It May Be Time to Stop

Consider stopping if:

  • Hope completely gone
  • Emotional/mental health suffering severely
  • Financial devastation
  • Relationship in crisis
  • Medical futility
  • Lost desire for parenthood
  • Feel called to different path

Stopping is not giving up – it’s choosing different form of hope.

Closure and Peace

If you decide to stop:

  • Grief process important
  • Acknowledge all you did
  • No regrets about trying
  • Choose what’s next
  • Find peace with decision

This takes time. Be patient with yourself.

Remember

Hope is not naive – it’s courageous.

You can hope and prepare for disappointment simultaneously.

Others’ success doesn’t diminish your chances.

Your hope may need to evolve as your path does.

Hope isn’t about knowing it will work out – it’s about believing you’ll survive regardless.

Hold hope loosely. Let it sustain you without crushing you.

You are stronger than your darkest moment.

Keep going, even when hope flickers.

Especially then.