A Path Ahead

After the consultation — clarity, questions, and choosing hope


Before the Consultation

Our consultation was over video — just me and my husband, sitting together on the sofa, waiting for a doctor to join the call. It felt strange to be in such a familiar space, about to have such an unfamiliar and potentially life-changing conversation.

This was our first consultation with a fertility specialist, after some initial tests and a referral from the GP. We weren’t sure what to expect — but we knew it was time to start asking questions and seeking help.

Some recent test results had raised concerns — particularly for my husband — and although no one had explicitly told us that conceiving would be difficult, we’d begun to assume as much. There was uncertainty hanging quietly between us, and I found myself carrying a low hum of anxiety all week.

I was worried. Not just about what they’d say about him, but what they might have found in my tests too. What if both of us had challenges? What if the path ahead was even harder than we thought?

I tried not to overthink it, but it was there — a quiet weight.

And then we sat there, side by side, waiting for the doctor to appear on the screen. This person we’d never met, who might be the one to tell us whether our dream of becoming parents was still possible — and how.

It was surreal.

Familiar surroundings.

Unfamiliar stakes.

Soft cushions. Big questions.


The Consultation

When the doctor appeared on the screen, I felt myself relax just a little.

He was softly spoken and friendly — calm, but confident. There was an authority in the way he carried himself, but it was paired with warmth. It helped me feel like we were in safe hands.

He began by asking questions and documenting our history — a gentle but thorough start. I appreciated that, but what I was really waiting for was my test results.

That part mattered to me — maybe more than I realised.

And then came the words that gave me a little lift:

I have above average ovarian reserve.

It felt good to hear something positive. Something hopeful.

The doctor also noted that my uterus is slightly heart-shaped — but he didn’t seem concerned. Just another detail noted down, not a problem to fix.

Then we moved on to the bigger picture: what now?

He explained that our best chance of conceiving would be through IVF with ICSI. Even with a strong ovarian reserve, the reality of my age means the number of eggs that could actually result in a healthy pregnancy is still low — and getting lower with time.

That part was harder to hear.

He told us that from the 18 follicles seen on my recent scan, we might expect to collect around 15 eggs. But from there, maybe only two or three would end up with the potential to become a viable pregnancy.

It was sobering. Not hopeless — but serious.

If we choose to go ahead, we could start treatment as early as my next cycle. The option is there to do two or even three egg collections to increase our chances of creating viable embryos. But of course, that also increases the cost.

That’s where my thoughts started to spiral a little.

By the end of the call, I felt a bit deflated. Not crushed. Not broken. But aware — of the cost, of the unknowns, of the reality that this will likely be a long and expensive road.

The doctor said the clinic would be in touch soon with our treatment plan. And then the call ended — and I went straight back to work.

My husband and I didn’t really talk about it. Not yet.

I think we both needed some space to digest everything.

Sometimes it takes a while for big news to sink in.


What Comes Next

I’m glad we’ve taken the next step. I really am.

It feels good to have moved forward — to have more clarity, and to know that something is happening.

Hearing that my ovarian reserve is better than average gave me a quiet moment of relief. It wasn’t something I expected, and I’m trying to let that be a small anchor of hope, even while everything else still feels so uncertain.

Right now, we’re waiting.

Waiting for the formal treatment plan.

Waiting for the costings.

Waiting to see if the path that’s been offered is one we can actually walk.

That’s the part I’m scared of.

Not the injections, not the appointments — but the price. The question of whether we’ll be able to afford more than one round. Whether this possibility will stay possible once the numbers arrive.

It’s a strange in-between.

I’m not in crisis. I’m not elated.

I’m just… processing.

I feel tired, so I’m trying to rest where I can.

Cuddling the pets. Reading. Letting my mind occupy gentle spaces instead of spiralling into all the what-ifs.

There is hope.

But I’m not quite ready to hold it yet.

It’s there — but I need to put it down for now.

To walk forward one small step at a time, without gripping too tightly to what might be.

I want to be committed to this journey. I do.

But everything still feels too unsure, too unclear.

So for now, I’ll rest here.

In the in-between.

And trust that the path will reveal itself, one piece at a time.


A Note for Others

This part is hard — so hard.

There are so many different things you might hear in your consultation, and each one can feel overwhelming in its own way.

Please, be gentle with yourself.

You are doing what you can, even when so much feels out of your control.

Your body is not failing you.

We all need help sometimes, and asking for it is an act of courage, not weakness.

In the days leading up to your appointment, try not to expect too much of yourself.

It’s normal to feel distracted, overwhelmed, or emotionally raw — especially as you juggle your normal life alongside this big, uncertain step.

Feel all the feelings.

They are valid. They deserve to be heard.

And remember to embrace rest — to do the small things that bring you comfort and joy.

We need to be realistic, yes.

But let’s not let go of hope.

Hope is powerful.

Putting positive intention out into the world can change everything.

Right now, you are exactly where you’re meant to be.

You are not too late.


Journaling Prompts for This Stage

  • What feelings am I noticing most strongly right now?
  • How can I be kind to myself today?
  • What small moments of comfort or peace can I hold onto?
  • What hopes or intentions do I want to carry forward — even quietly?
  • If I could speak kindly to myself in this moment, what would I say?

Affirmation

“I am allowed to feel uncertain and hopeful at the same time. I am walking my path, one gentle step at a time.”

A Quiet Step Forward

My first appointment – thoughts, feelings, and what to expect


A Moment in the Waiting Room

I’m sitting in the waiting room for my first appointment. It feels very real now. Quiet. Clinical. A strange calm mixed with nerves.

Part of me feels like I shouldn’t even be here—like it shouldn’t take this much to do something so natural. I didn’t imagine this would be part of my story.

And yet… it is.

I’m just here. Waiting. Feeling everything. Wanting to be hopeful, but also protecting myself just a little.

There are lots of other people here—older, younger, couples, individuals. All types. All going through their own version of this journey. It’s strange and comforting at the same time.

This is a quiet step forward. A beginning. I don’t know exactly what’s ahead, but I’m here, and that means something.


What the First Appointment Is Like

The appointment was more efficient than I expected—calm, clear, and over fairly quickly.

First, I had a transvaginal scan. If you’re unfamiliar, it’s an internal ultrasound used to get a clearer picture of your reproductive health. You need to have an empty bladder for this, which feels a bit counterintuitive if you’re used to pregnancy scans that require a full one.

The scan itself took around 5–10 minutes. It was mostly pain-free—just one point that felt a little uncomfortable, but nothing unbearable. The person doing the scan was efficient and professional, which helped it feel less awkward.

After that, they took blood tests, including one to check AMH (Anti-Müllerian Hormone)—a key marker of ovarian reserve. It all felt very clinical but in a reassuring way. No fluff or emotion, just a step forward.


After the Appointment – What I’m Processing Now

I feel tired, but grateful to have taken a step forward.

It’s not a dramatic change—I’m not walking out with answers or a plan—but just showing up and getting through it feels meaningful. Something has begun.

I’m still apprehensive. The results will take time, and I won’t speak to the consultant for another two weeks. That waiting is hard. There’s so much I don’t know yet.

But for now, I’ve done what I can. I’ve turned up. I’ve started.

And that’s enough for today.


💭 Journaling After Your First Appointment

If you’ve just had your first fertility appointment — or are preparing for one — it might help to pause and reflect.

Here are a few journaling prompts that helped me process it all:

  • How did the experience feel in my body — physically and emotionally?
  • What thoughts or fears came up before, during, or after the appointment?
  • What would I say to myself with compassion right now?
  • What do I want to remember about this moment?
  • What small step might support me while I wait?

There’s no right way to do this. Just give yourself space to notice how you feel, without judgement. Sometimes a few gentle questions can help you honour the moment, even if it didn’t bring answers.


A Note for Others Starting Out

If you’re reading this because you’re about to go to your first appointment, I just want to say: I see you. It’s okay to feel nervous, unsure, or even like you shouldn’t have to be doing this at all.

But showing up takes courage. Even sitting in that waiting room is something to be proud of.

Here are a few things I learned from today that might help:

  • You’ll need an empty bladder for a transvaginal scan – a small but important detail.
  • The scan is quick—5 to 10 minutes—and mostly pain-free, though you might feel a bit of discomfort at times.
  • Blood tests are likely, including one for AMH (a marker of ovarian reserve), and possibly others depending on your clinic.
  • You might not get answers right away. Some clinics require a follow-up consultation before discussing next steps. Waiting can be hard—try to be gentle with yourself during this time.
  • You can ask questions. It’s okay if you don’t understand everything at first—bring a list if you’re nervous you’ll forget.
  • It’s normal to feel a mix of emotions. Even if nothing dramatic happens during the appointment, it can still feel like a big moment inside.

You don’t need to be brave every second. You just need to keep going, one small step at a time. And every step forward matters more than you know.


If you’re just starting out too, or you’ve already been on this path for a while, I’d love to hear from you.

You can leave a comment below or connect with me on Instagram  or Facebook @bloomflourishcollective.

Sometimes just knowing someone else understands makes all the difference.

We’re not alone in this—even when it feels like it. 💛