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Finding the right protocol after infertility & loss: Nichelle’s Journey

The views and opinions expressed are those of the authors and should not be considered medical advice. Always consult your doctor, or a mental health professional, for the most appropriate treatment.

Nichelle’s Journey

Harold and I married in April 2013, and I immediately stopped taking the pill when we returned from our honeymoon. I was thrilled to be finished with the extra hormones and looked forward to becoming a parent soon. I had always dreamed of getting married and being a mom. 

After six months of not conceiving, my OBGYN ran some tests and diagnosed me with polycystic ovary syndrome (PCOS). A hallmark symptom is the inability to ovulate.

Learning this news was difficult, but only scratched the surface of what we would endure over the next 5 years of our marriage. No one could have prepared me.

We embarked on a tumultuous journey that included many rounds of medicated cycles, 4 intrauterine inseminations (IUIs), 2 egg retrievals, 2 IVF embryo transfers, 2 naturally conceived pregnancies, lots of genetic and chromosomal testing, and 5 miscarriages.

In addition to all the traditional medical treatments, I also tried holistic options like acupuncture, yoga, gluten and dairy-free diets, and meditation.

Those five years hurt me to my core. I was depressed, angry and frustrated. I didn’t understand why my body continued to fail me. I felt like I was the only person experiencing recurrent miscarriages, and my fertility specialist (reproductive endocrinologist) didn’t know why I kept losing pregnancies.

After my second failed IVF transfer, my doctor suggested an Endometrial Receptivity Assay (ERA). The test came back positive, and determined that I needed an extra shot of progesterone in oil prior to my next transfer. I felt hope and prayed that maybe this would be the answer.

At this point, we had 5 remaining frozen embryos, all deemed genetically normal. We affectionately called them the “Fab Five.

In November 2017, I had the honor of winning the Mrs. North Carolina pageant, and Harold and I took an entire year off from trying to get pregnant. We both wanted to be present and enjoy my “reign.” I chose infertility awareness as my platform, and spent the year speaking, making appearances, traveling, and preparing for the Mrs. America pageant. I didn’t share my story for sympathy–I had a clear intention and a purpose.

I felt compelled to put a face and a voice to this silent, yet pervasive disease that many don’t believe affects women of color. I took my greatest pain and transformed it into my greatest purpose by attempting to inspire hope and resilience in other couples dealing with infertility, and I wanted to help prevent this pain in others. I started a movement aimed at encouraging young women to start asking their doctors for fertility assessments, hence the name #startasking. Doctors can assess egg quality, egg count, uterine integrity, and measure reproductive hormones, all long before a woman is ready to conceive.

In December 2018, we went back to our fertility clinic to try one last embryo transfer with a new reproductive endocrinologist and a new protocol. The third time was a charm, and I got pregnant, stayed pregnant, and gave birth to a healthy baby boy on September 6, 2019. We don’t know if it was timing, fate, or that extra shot of progesterone that finally helped us have a successful IVF cycle, but we were beyond grateful.

In October 2021, we transferred another embryo following the same IVF protocol that resulted in our son. I gave birth to our beautiful daughter on June 22, 2022. Some days it still doesn’t feel real that I’m a mom of two, healthy babies. The journey was worth it. Hudson and Siena are our greatest gifts.

Your fertility journey is yours alone, but sharing your story can help others facing similar challenges.

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