Notes from my clinical practice

Reflections from the consultation room — on medicine, uncertainty and the human experience of fertility treatment. Inspired by real conversations.

I write these after the consulting room has emptied. They aren't advice and they aren't case studies — they're what stayed with me.

When there is nothing more to add

On the discomfort of not knowing.

On the lost joy of expecting.

For a long time, I thought that fertility treatment decisions were mostly about probabilities and statistics. I'm no longer sure that's true.

In the quiet of the consulting room, the word "negative" carries more weight than any clinical textbook can describe.

"How do I keep my relationship from becoming just a 'project' while we're trying to conceive?"

There is a specific silence that falls during an early pregnancy ultrasound scan.