AllPaths Podcast

AllPaths Family Building

Building a family can be a complicated, messy, lonely, and sometimes heartbreaking process, but you don't have to navigate this challenging journey alone. Join the AllPaths Family Building community as we talk with people who are currently trying to grow their family, those whose family building journey has come to an end, and experts in the fertility and family building space. Together we'll: *Hear family stories, providing real-life perspectives that highlight the many different paths a family building journey can take. *Explore different fertility treatments and family building options with experts in this space. *Get connected to a variety of supportive resources so you feel better equipped to tackle any challenges that may arise in your family building journey. *Learn about ongoing advocacy work that promotes access to fertility care and family building options - and you can get involved. No matter what you encounter on your journey - struggles while TTC, IUI, IVF, donor conception, surrogacy, adoption, pregnancy loss, pregnancy and parenting after, or remaining childless not by choice - the real-life insights from people who have traveled those paths can provide connection, comfort, and hope.

  1. 7 HR AGO

    Faith vs. Fertility

    In this episode, we welcome Dr. Harrell Jordan, a nurse educator and author who discusses the often-overlooked perspective of male infertility within the Black community. After being diagnosed with a low sperm count and abnormalities early in his marriage, Dr. Jordan shares his multi-year struggle to conceive, which involved failed IVF cycles, surgeries, and the emotional strain of balancing personal faith with medical reality. The "tug of war" he faced while balancing his Christian faith with the biological realities of infertility led him to author his book, Faith vs. Fertility: A Black Man’s Battle Between Belief and Biology, with the goal of dismantling the cultural taboos surrounding reproductive health and encouraging other men to seek support. Dr. Jordan offers a vital perspective on how infertility impacts Black men, noting a significant lack of support groups and the societal pressure that often places the fertility burden solely on women. He reflects on the strain the process placed on his marriage and explains why he and his wife eventually chose to limit who they told about their journey to protect their own emotional well-being. Through his story, he emphasizes the importance of proactive health testing for both partners and the need for a supportive community that offers practical help and listening ears rather than just standard platitudes. Right before receiving his doctorate, Dr. Jordan and his wife discovered that they had surprisingly conceived on their own. The birth of their son, Elijah, Dr. Jordan credits “to God because many doctors, many test results don't line up to the results that we got.” This episode highlights his mission to destigmatize male infertility and encourage other men to embrace healthcare—including mental health counseling—without feeling it diminishes their masculinity. His message is one of openness and resilience, reminding listeners that "nothing is wasted" and that the strength of your relationship remains the most important factor in any family-building journey. Order your copy of Faith vs. Fertility at https://thehjbrand.com/faith-vs.-fertility. TOPICS COVERED IN THIS EPISODE: Fibroids, semen analysis, fertility treatment, male factor infertility, IVF, biopsy, varicocele, varicocelectomy, HCG, genetic testing, infertility and relationships, support, community support, prayer, support groups, Christian counselor, journaling, faith, mental health, couples counseling, family building, infertility support, IVF journey, Black men's health, fertility treatment options, emotional toll of infertility, mental health in fertility, male infertility, couples therapy, faith and fertility, support for infertility, navigating IVF, infertility community, coping with infertility, fostering and adoption, fertility journey stories, resources for fertility, understanding infertility, male perspective on infertility, sharing fertility experiences CONNECT WITH ALLPATHS FAMILY BUILDING: https://allpathsfb.org Follow us on social media @allpathsfb Want to share your story or ask a question? Get in touch at podcast@allpathsfb.org!

    48 min
  2. 31 MAR

    A Financial Transaction and a Gift from God

    In this episode of the AllPaths podcast, we sit down with Ruthie, a Boston-area school counselor and educator, to discuss her incredibly complex and high-stakes journey to motherhood. Ruthie’s story begins at age 34, when she and her husband, Chris, faced immediate fertility challenges including a blocked fallopian tube and IVF, soon followed by their first miscarriage, which tragically occurred just a week after the sudden death of her father-in-law. The journey grew even more harrowing during a subsequent twin pregnancy when one baby was diagnosed with spina bifida and hydrocephaly, while the other was found to have a potentially fatal chromosomal abnormality. During a procedure intended to manage these complications, both babies were lost and Ruthie suffered a life-threatening hemorrhage, requiring nine blood transfusions. The trauma continued weeks after delivery when Ruthie experienced a near-fatal secondary hemorrhage at work, caused by a rare uterine arteriovenous malformation (AVM) that was narrowly caught by her fertility doctor just before a scheduled hysterectomy. Despite further setbacks with additional miscarriages and failed surrogacy attempts, Ruthie and Chris eventually turned to the "adoption gauntlet.” They first adopted their daughter from Florida during the onset of the COVID-19 pandemic, and later navigated a sudden, complicated legal situation to adopt their daughter’s biological half-brother eighteen months later. Today, Ruthie reflects on the mental health toll of these experiences, including her battle with severe postpartum anxiety and the years of therapy required to process her medical trauma. Her story serves a greater purpose of dismantling the stigma surrounding reproductive grief and serves as a testament to the diverse, often "messy" ways families are built. Throughout the conversation, Ruthie emphasizes the necessity of mental health support and encourages others navigating similar hardships to advocate for themselves and seek community rather than suffering in isolation. TOPICS COVERED IN THIS EPISODE: Blocked tube, IVF, miscarriage, pregnancy loss, twin pregnancy, genetic testing, selective reduction, surrogacy, failed cycle, gestational carrier, adoption, private adoption, sibling adoption, family building, infertility journey, adoption stories, IVF experiences, miscarriage support, medical trauma, uterine arteriovenous malformation (AVM), emotional support for parents, surrogacy options, parenting challenges, navigating fertility issues, family growth options, coping with loss, adoption process insights, counseling for parents, pregnancy after loss, mental health in parenting, support for infertility, understanding adoption, family planning resources, building a family, sharing fertility stories CONNECT WITH ALLPATHS FAMILY BUILDING: https://allpathsfb.org Follow us on social media @allpathsfb Want to share your story or ask a question? Get in touch at podcast@allpathsfb.org!

    45 min
  3. 24 MAR

    You May Feel a Bit of Pressure

    In this episode of the AllPaths podcast, hosts Emily and Liane sit down with author Amy Gallo Ryan to discuss her infertility memoir, You May Feel a Bit of Pressure: Observations from Infertility's Heart-Wrenching Ride. Amy shares her struggle with unexplained infertility, recounting the grueling process of multiple IVF rounds, the isolation of quitting her job to focus on treatment, and the heartbreak of an ectopic pregnancy followed by emergency surgeries. Despite these challenges, Amy eventually welcomed her daughter, Hazel, and later twins, through a journey that taught her the profound lesson of being out of control. The conversation delves into the emotional "connective tissue" of the fertility experience, which inspired Amy to organize her book by universal emotions such as hope, courage, and shame rather than just medical diagnoses. She reflects on how infertility became an identity marker for her, leading her to transition from women's journalism to writing as a way to process her trauma and reclaim a sense of control. By sharing her story with profound vulnerability, Amy hopes to make others feel "seen" in a way she never was during her own treatment and offers a message of hope to those in the "darkest depths," reminding them that there is a future where this pain will not be their daily reality regardless of the outcome of their journey. TOPICS COVERED IN THIS EPISODE: Unexplained infertility, infertility, clomid, IUI, IVF, support, community, control, fresh transfer, frozen transfer, failed cycle, chemical pregnancy, ectopic pregnancy, genetic testing, family building, infertility memoir, emotional support, navigating infertility, women's health, fertility treatment, IVF journey, unexplained infertility, support community, fertility podcast, coping with loss, hopeful stories, family planning, personal experiences, fertility challenges, emotional rollercoaster, sharing stories, women's experiences, building family, connecting through struggles CONNECT WITH ALLPATHS FAMILY BUILDING: https://allpathsfb.org Follow us on social media @allpathsfb Want to share your story or ask a question? Get in touch at podcast@allpathsfb.org!

    38 min
  4. 17 MAR

    Grief Shared Is Grief Divided

    In this episode of the AllPaths Podcast, we are joined by Rachel Spekman, a therapist and career strategist from Massachusetts. Rachel shares her arduous three-year journey to motherhood, which involved multiple fertility treatments, multiple losses, and navigating the healthcare system as a same-sex, mixed-race couple. Eventually she had two successful frozen embryo transfers, leading to the birth of her seven-year-old son and three-year-old daughter. Rachel’s story highlights the emotional and physical toll of family building, the "naive innocence" often felt at the start of fertility treatments, and the importance of maintaining a sense of humor through the many "hoops" and administrative hurdles of the process. Rachel also touches upon the specific nuances of her family’s story, including the challenges of finding diverse donor pools and the unexpected joy of connecting with her children's "diblings" (donor siblings). Beyond her path to parenthood, Rachel discusses how these life-altering experiences served as a catalyst for a complete career transformation, prompted in part by a lack of support from her corporate employer when she experienced complications requiring bedrest during her first pregnancy which unfortunately ended in a loss. Today, Rachel uses her personal experiences with grief and professional pivoting to help others navigate major life transitions. She emphasizes the importance of building a "board of advisors" for emotional support, sharing how a curated support system of medical professionals, therapists, and community members helped her navigate isolation and grief and encouraging anyone going through an identity transformation to embrace the philosophy that "grief shared is grief divided." Connect with Rachel at http://www.rachelspekman.com. TOPICS COVERED IN THIS EPISODE: family building, infertility journey, LGBTQ family planning, donor conception, fertility support, emotional support in infertility, IVF process, miscarriage, loss, pregnancy loss, grief, LGBTQ+, same-sex family building, mixed-race donor conception, mixed-race couple, parenting after loss, fertility therapy, navigating pregnancy loss, community support for families, personal stories of infertility, coping with miscarriage, family building resources, peer support groups, fertility clinics, identity transformation, mental health in family planning, same-sex parenting, family building stories CONNECT WITH ALLPATHS FAMILY BUILDING: https://allpathsfb.org Follow us on social media @allpathsfb Want to share your story or ask a question? Get in touch at podcast@allpathsfb.org!

    40 min
  5. 10 MAR

    So Now What?

    In this episode, we speak with Lana Manikowski, an author and certified life coach who navigated a seven-year infertility journey that ended at age 44 after multiple rounds of IUIs and IVFs left her without a baby. Lana candidly discusses her decision to forgo further routes like adoption to avoid additional heartache, reframing the choice to stop treatment not as a failure, but as a courageous act of choosing oneself and one’s partnership. Lana opens up about the isolation, self-judgment, and "tiered grief" she experienced when her body didn't work as expected, and how she eventually found the strength to move forward with intention. Lana shares how she transformed her struggle into a mission to help others rediscover their purpose beyond parenthood. The conversation explores practical strategies for reclaiming joy and relevance when the dream of motherhood does not come to fruition and the ways that Lana introduces a roadmap for life beyond infertility through her coaching program, Thrive After Infertility, her own podcast, and book, So Now What?. We also dive into her creation of The Other’s Day Brunch, an annual event in Chicago designed to provide a supportive community for childless women during Mother’s Day weekend, and her advocacy work with the American Society for Reproductive Medicine (ASRM) to improve the continuum of care for patients whose treatments do not result in a baby and tips for people tackling the broader social challenges of being childless. Connect with Lana at https://lanamanikowski.com/. And get your ticket to the Other’s Day Brunch, May 8-9 2026 at https://lanamanikowski.com/othersday/. TOPICS COVERED IN THIS EPISODE: Unexplained infertility, IUI, IVF, childfree, childless after infertility, childless, resources, stories, meaningful lives without children, fertility treatment, So Now What?, Lana Manikowski, ASRM, fertility clinic, guilt, grief, shame, failure, fertility journey, childless not by choice, family building support, infertility resources, navigating infertility, emotional support for infertility, adoption discussions, couples without children, life after infertility, coping with childlessness, infertility treatment options, community for childless individuals, grief and infertility, celebrating motherhood alternatives, connecting during infertility, life coaching for infertility, fertility treatment insights, infertility awareness, support for childless couples, understanding unexplained infertility CONNECT WITH ALLPATHS FAMILY BUILDING: https://allpathsfb.org Follow us on social media @allpathsfb Want to share your story or ask a question? Get in touch at podcast@allpathsfb.org!

    43 min
  6. 3 MAR

    Law School, Lymphoma, and a New Path

    In this episode, we welcome Rijon Charne, the founding attorney of Sunray Fertility Law. Rijon’s specialization in reproductive health law was a direct result of her personal experience as a cancer survivor and the educational and financial hurdles she faced during her own fertility journey. Just two days after graduating from law school, Rijon was diagnosed with Hodgkin's lymphoma. During this time, she encountered significant resistance and a lack of information regarding fertility preservation from her medical providers. Her initial oncologists failed to discuss the impact of chemotherapy on her fertility, and one even dismissed the idea of egg freezing because of the cost and time involved. This struggle was compounded by insurance obstacles when her insurance company refused to cover her fertility preservation, claiming it was "not medically necessary". Rijon realized the inequity of this situation, noting that while her initial treatment carried a 20% risk of infertility, a potential relapse would require chemotherapy with a nearly 100% infertility rate. These experiences sparked a "fire" in her to address these inequities through legal advocacy. Although she originally trained to be a litigator and had ignored earlier "signs" pointing toward reproductive law during law school, Rijon ultimately felt that her cancer journey was the catalyst that put her on her destined professional path. She has since collaborated with the Alliance for Fertility Preservation to advocate for and successfully pass a House bill in Texas that requires insurance companies to cover fertility preservation for cancer patients, and now helps others navigate the legal complexities of assisted reproduction, domestic and international surrogacy, and establishing legal parentage. Connect with Rijon at https://sunrayfertility.com/. TOPICS COVERED IN THIS EPISODE: fertility preservation, cancer, fertility treatment, infertility, family building, Sunray Fertility Law, family building, fertility preservation, surrogacy journey, reproductive law, Hodgkin's lymphoma, cancer and fertility, egg freezing, IVF options, LGBTQ family planning, fertility advocacy, emotional support for infertility, navigating fertility treatments, nonprofit family building resources, legal rights for parents, fertility clinic support, surrogacy laws, building diverse families, family formation law, fertility education, support for cancer patients, intended parents, egg donation, sperm donation, gestational carrier, assisted reproduction, legal parentage rights, surrogacy, step-parent adoption, second parent adoption, LGBTQ+, confirmatory adoption, twiblings, gestational surrogacy, traditional surrogacy, international surrogacy, education, reproductive healthcare, reproductive education CONNECT WITH ALLPATHS FAMILY BUILDING: https://allpathsfb.org Follow us on social media @allpathsfb Want to share your story or ask a question? Get in touch at podcast@allpathsfb.org!

    47 min
  7. 24 FEB

    A Different Ride for Everyone

    In this episode, Kristy Koser, a licensed professional clinical counselor specializing in reproductive mental health, shares her family building journey. After years of struggling with infertility and experiencing multiple miscarriages during IUI and IVF cycles, Kristy and her husband eventually welcomed their daughter via surrogacy in 2017. Because Kristy and their gestational carrier lived close to one another in rural Virginia, she was able to be intimately involved in the process, attending every doctor's appointment and "vicariously living" for nine months. Kristy describes the experience as beautiful, but acknowledges the emotional and financial complexities she had to navigate. She struggled with the "mental load" of asking for help from a busy working mother and figuring out where she fit into the equation of her own child's birth. Financially, the couple relied on personal savings, "side hustles"- including a TTC greeting card company Kristy started - and a GoFundMe supported by their extended family. After the birth of her daughter, their family moved back to Ohio and began considering a second child. Kristy reached out to her original carrier to see if she was available, but learned the woman was already preparing to carry for another family. Because they were unsure if they wanted to use a different gestational carrier, the couple began exploring the foster-to-adopt process. Shortly after, Kristy had a "wild, vivid dream" that her carrier was pregnant with another one of her children, but she soon discovered that she was actually the one who was pregnant. This came as a major surprise, as she had previously been told she likely could not carry a pregnancy herself. Kristy’s pregnancy occurred during the height of the COVID-19 pandemic, which meant she experienced much of it at home with limited medical contact as appointments were scaled back. In August 2020, she gave birth to her son via an emergency C-section. Despite a difficult recovery, she valued the experience because it was something she never thought she would get to have. She now uses this experience with many different family building pathways to inform her work. From her PhD research, which examined how fertility treatments impact couple satisfaction, to training other mental health professionals on how to navigate the complexities of the fertility world, Kristy is dedicated to helping others navigate the challenges of family building with resilience. Connect with Kristy at https://aporiacounseling.com/. TOPICS COVERED IN THIS EPISODE: Mental health, Ohio, Virginia, therapist, couples therapist, Pennsylvania, LIC, infertility, reproductive mental health, fertility treatment, medicated cycle, clomid, letrozole, IUI, pregnancy loss, miscarriage, IVF, genetic testing, surrogacy, gestational carrier, grief, loss, intended parents, insurance coverage, PhD program, greeting card company, TTC Greeting Cards, couples, partners, relationships, couples therapy, resilience, parenting, new parenthood, newborn, pregnancy, expecting after infertility, expecting after loss, parenting after, professional development for mental health providers, coaching, McDonalds french fries, pomegranate juice, infertility support, family building journey, surrogacy process, emotional support for parents, navigating IVF, reproductive health counseling, coping with infertility, family planning resources, mental health in fertility treatment, building a family through surrogacy, personal stories of infertility, understanding IVF treatments, psychological support for fertility, infertility awareness, family building options, fertility clinic resources, emotional challenges in surrogacy, understanding reproductive endocrinology, counseling for intended parents, community support for infertility CONNECT WITH ALLPATHS FAMILY BUILDING: https://allpathsfb.org Follow us on social media @allpathsfb Want to share your story or ask a question? Get in touch at podcast@allpathsfb.org!

    52 min
  8. 17 FEB

    Bar Bathroom Trigger Shots and a Side of Fries

    In this episode of the AllPaths podcast, we welcome Jacqueline Fitzpatrick, who offers the rare perspective of being both a seasoned IVF nurse with over 15 years of experience and a former IVF patient. Jacqueline shares the candid details of her family building journey, which was complicated by a pituitary gland cyst that prevented her from ovulating. She discusses the clinical challenges she faced, including failing the Clomid challenge and struggling as a "terrible patient" whose hormones were nearly impossible to regulate during IVF cycles. Our conversation highlights the importance of self-advocacy and listening to one's body, especially when clinical data and personal experience don't align. Jacqueline details her unconventional decision to pivot from IVF back to IUI, a move her doctors hadn't seen before, which eventually led to the birth of her two sons. She humorously recalls the "small victories" along the way, including the time she successfully administered a trigger shot in a bar bathroom in Newport while finally allowing herself to relax and "live her life". This episode also sheds light on contrasting experiences within families; despite sharing the same DNA, Jacqueline and her sister had “completely different experiences with fertility treatments,” reinforcing that there is no "cookie-cutter" path to parenthood. Finally, Jacqueline discusses her passion project, Chasing Babies, a coaching service she founded to provide fertility coaching and postpartum guidance that clinical settings often lack. She provides insights into current fertility research and explains the medical basis behind popular rituals, such as eating McDonald's french fries after an egg retrieval to help prevent ovarian hyperstimulation syndrome (OHSS). Whether discussing the depths of postpartum depression or the "superstitions" that provide hope, Jacqueline’s story serves as a reminder that while the journey may have twists and turns, every unique track is valid. Connect with Jacqueline at https://chasingbabiesfertility.com/. TOPICS COVERED IN THIS EPISODE: Fertility RN, pre-op, PACU nurse, nursing, clomid challenge, IUI, IVF, pregnancy loss, miscarriage, false positive, PCOS, infertility, parenting after IVF, fertility research, Boston IVF, fertility clinic, clinical research, family building, IVF journey, infertility support, fertility treatments, IVF nurse, IUI success stories, emotional support fertility, fertility coaching, navigating infertility, personal fertility journey, reproductive health, coping with infertility, patient advocacy in IVF, postpartum support, infertility awareness, assisted reproductive technology, fertility clinics, fertility resources, family planning, overcoming infertility challenges, PMAD, postpartum depression, postpartum support, fertility support, self-advocacy, support, fertility coach CONNECT WITH ALLPATHS FAMILY BUILDING: https://allpathsfb.org Follow us on social media @allpathsfb Want to share your story or ask a question? Get in touch at podcast@allpathsfb.org!

    48 min

About

Building a family can be a complicated, messy, lonely, and sometimes heartbreaking process, but you don't have to navigate this challenging journey alone. Join the AllPaths Family Building community as we talk with people who are currently trying to grow their family, those whose family building journey has come to an end, and experts in the fertility and family building space. Together we'll: *Hear family stories, providing real-life perspectives that highlight the many different paths a family building journey can take. *Explore different fertility treatments and family building options with experts in this space. *Get connected to a variety of supportive resources so you feel better equipped to tackle any challenges that may arise in your family building journey. *Learn about ongoing advocacy work that promotes access to fertility care and family building options - and you can get involved. No matter what you encounter on your journey - struggles while TTC, IUI, IVF, donor conception, surrogacy, adoption, pregnancy loss, pregnancy and parenting after, or remaining childless not by choice - the real-life insights from people who have traveled those paths can provide connection, comfort, and hope.

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