Path To Fertility Blogger Lisa Rosenthal  

Lisa Rosenthal has over twenty-five years of experience in the fertility field, including her current roles as Coordinator of Professional and Patient Communications for RMACT and teacher and founder of Fertile Yoga, a class designed to support, comfort and enhance men and women's sense of self. Her experience also includes working with RESOLVE: The National Infertility Association and The American Fertility Association, where she was Educational Coordinator, Conference Director and Assistant Executive Director

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September is a Time That We Remember. With Love.


September: A Time to Remember. With Love.

american flags for september 11September is a month that holds a lot of beautiful memories and images. It also holds the promise each year of visual loveliness that can bring me to tears. Of weather that feels so perfect on my skin that I wish it would last forever.


September is the month of my sister’s birthday. This is our families' first year without her. I’m not looking forward to that. We will spend it together and I know that we will laugh and cry and remember her. Still, it will be incomplete without her and I feel bereft as it nears.


September forever dimmed on the eleventh day in 2001. Our country and our communities first shocked, then saddened. September holds the memory, always, of people who gave their lives and families and communities who lost loved ones. Our hearts continue to go out to those men and women who are lost to violence and hatred. As September approaches each year, the mood sobers and becomes more reflective. We remember. With love.



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My Sister Shari - Her Life Was Full of Children


This is a blog I never wanted to write. That I don’t know how to write. That I’m not even sure I should write and post on PathtoFertility. Maybe it’s not appropriate to share such personal information here.


Except if you are a regular reader that might make you laugh, because of course I share personal information here all the time. It’s really one whole, big hunk of the blog. By sharing my experiences of infertility and fertility treatment, you, my reader, see that your own reactions and responses are well within the range of normal, even expected feelings. My gift, as I see it, is that even though I have not been in treatment for a long time, I still relate to how it feels to be in fertility treatment and struggling to conceive. Part of that is my connection to patients and Fertile Yoga students. Part of that is because of your wonderful feedback here on this blog. Part of that is how I see things in the world; that I know so much of life is relatable. That how we see things, the glasses or lenses that we look through, affect who we are and how we are in the world. And I feel connected to you, my readers, so I will share.


Lisa Rosenthal and her sister ShariDeep breath. And again.


On March 19, 2014, one week ago today, my older sister died.






I remember how much she wanted me to have children. How much she hoped and dreamed that I would. Because she could not.


She never talked about her longing or sadness about not having children. Certainly not in her later years.  I will ask her best friends, identical twins, whether she spoke of this earlier in her life. I hope at this moment that she didn’t feel sadness about it. She was not a sad person. She was a very brightly alive person.


She loved children. Absolutely loved them. We have six cousins and she knew all of their children. She knew their birthdays and she always made sure to send cards and little gifts. I was reading one of her books last night and came across an envelope with her handwriting on it, with one of our cousin’s children’s names and birthdates, as well as anniversaries and more.


Even as she became more disabled and in more pain, she taught after school art programs to children. We found so many pictures and cards from the children that she taught. Loving cards, in carefully crayon written words, addressed to her, with comments only she would have understood. Pictures of children with smiles from ear to ear, showing off the carefully designed projects that she helped them create to feel proud of themselves. They were her children, her connection.


She always had children in her life. There are more pictures of her sitting, with her huge smile on her face, holding a baby than almost any other type of picture. Babies were always pretty calm on her lap. Shari was not a saint, but her gentle spirit and playful connection to the very young was genuine and readily apparent to the little ones. She was soothing and spoke to them in a way that they understood.


She understood bunnies and teddy bears and baby dolls. She really got that they had a life of their own. When I look, I see a stuffed animal collection. That is not what she saw. She saw her friends, her companions.  And her babies. I had to reread the Velveteen Rabbit to remember. She never forgot. Her well loved companions will have a home with my younger sister and I. They will stay part of the family.


Shari was perhaps the best role model ever for taking childless, moving through childfree and coming out on the other side. She was an aunt, a cousin, a second cousin, a teacher, a motivator, and a friend. She was a sister. And she was a daughter.


She was pretty inspirational in those roles. When life circumstances prevented her from achieving a goal, she circumvented the obstacle or created a new goal. She let very little do more than slow her down and she did what she needed to, with a smile on her face. She was unstoppable.


I saw evidence of all of this in a simple expression of her art. While going through her home and starting to pack things, we found art work we had not seen before. Some of it was unfinished and looked abandoned. Starting with the tiniest of needlepoint, then larger pieces with bigger holes, then bigger canvases. She moved to plastic canvases and then painted frames. She started out with the tiny seed beads, where the holes were almost imperceptible, and then slightly larger beads with larger openings, to larger beads still, finally to wooden beads.


These weren’t abandoned pieces. This was her accepting that it was time to move on to art that she could see and work with more easily. She worked with her abilities and found the medium that would accommodate her.  I don’t know if she had regrets about putting the previous work away. I do know that she moved on to what she could handle, a place where she could still express herself through her art.


Shari believes that she is with my father, uncles, grandparents and beloved animals. I believe Shari is where she needed to be next, where she could be her most capable and able. I believe that she is now, finally, pain free. I believe that she is whole and complete.


But then, she always was.



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Newtown Lovingly Remembered by a RMACT Team Member and Mom


Angels of the Sandy Hook Tragedy

“If you had not have fallen, I would not have found you……Angel Flying too Close to the Ground”

                                                                                                ---Willie Nelson


remembering Newtown CT (1)Almost a year ago, tomorrow, 26 individuals got their Angel Wings early. The hole that has been left behind, in our hearts and souls, still remains barren. The sadness felt worldwide, the loss of innocence was devastating.  I was not directly affected by the Sandy Hook tragedy, not with the loss of a child, but I am a mother, and the effects that have resulted are quite profound.


I have tried to move through this last year and carry on as we are supposed too. Somehow, at odd times, I have come to halt, in place with special and not so special moments. My daughter scores a goal in soccer; or listening to my child’s infectious laugh and laughing so hard I cry. Then I think I am so lucky, ”I have my kids, and they are safe…”  I am seeing and watching them grow, and again I get sad because that is only for now. We never know what is ahead of us, just what is behind us and what occurred on that cold December day is only in our rearview mirror, the day might seem father away, but it is closer than it appears…


A Visit to Victoria Soto’s Park in Stratford

I went to Victoria Soto’s Park in Stratford. It’s beautiful and pink and it is “Where angels play”. My daughter loved it, probably because it was pink. I loved it because I felt something there. I think I felt the presence of the angels and I know that they were there. I rode every slide with my daughter and I laughed all the way to the bottom. We swung high on the swings. I felt the innocence, I felt joy. 


The Tragedy in Newtown - A Few Things to Remember


remembering newtown ct (3)The holiday season is upon us and so is the year anniversary of the tragedy in Newtown. Hopefully we remember a few things:


1. Take your time

2. Enjoy the moment

3. Make sure to never leave your kids without saying you love them

4. Above all, be kind to others 


We all need to be better people and try harder because they are watching us “The Angels,” so live your life like they are watching, in ways that would bring joy and peace….. 

This is a quote I found on a tree at the park:  

“Shine your light down on me,
Lift me up so I can see,
Shine your light when you’re gone,
Give me the strength to carry on….
Carry on 


~Our Thanks to Jocelyn, RMACT Team Member and Nurse, for this blog



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December 14, Newtown CT and the Rest of the World Remembers


December 14, Remembering Newtown CT

remembering newtown ct   flickr creative commons   rkramer62December 14, 2012, lives were altered forever.


On Saturday, the anniversary, I will say prayers twenty-six times. I will do the Sun Salutation series. Twenty-six times.


I will dedicate my day to the town right next to mine, living through the first anniversary of being without their loved ones.


Photo 12/14/12: rkramer62, Flickr Creative Commons


I will hold the day in reverence for the first responders who showed up to see such horror. To all the members of the community who first prayed, then hoped, then finally grieved and mourned. I will hold this day sacred for those mothers, fathers, sisters, brothers, family members and loved ones who lost, without any hope of finding again, such a large part of their heart.


For those of us who can only imagine the pain, deep down into cells and atoms, we offer our shoulders, our sympathy, our strength, our hope.


How is it possible not to see the world as a brutal place when such a brutal thing was perpetrated?

Tragedy in Newtown - One Year Later

The outpouring of love has been tremendous.  And yet more shootings have taken place; more people have died.


We wanted the tragedy in Newtown to stop massacres. It hasn’t.


Today, we remember. We pray. We hope. We continue to grieve. We love.


Newtown is a loving, thriving, grieving, and hopeful community.


Saturday is a day to remember. To pray. To grieve.


To hope.



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Father's Day Gift to My Husband - Safety to Talk


Finding Compassion During Pain at Father's Day

Fathers Day GiftThis Sunday, we celebrate fathers. Our own, first.


The cynical among us would say that retailers and card designers celebrate Father's Day and the rest of us just go along for the ride. My own cynicism is a very light layer on top of a hard core of vulnerability and passion. Father's Day chips away easily at the cynicism and my heart is revealed.  


My father died 23 years ago. Certain holidays have been hard, emotionally, ever since.


Father's Day is one of those holidays. No great surprise there.


I miss my father on Father’s Day. I miss being able to celebrate our loving and very flawed relationship. Without him, the day feels empty.

Infertility Grief at Father's Day

My husband is not my father. Yet, while we struggled with infertility, I grieved for him. Outwardly, I grieved for both of us. My husband was and still is, in many ways, a stoic man. Yet, like me, his stoicism is a light cover for a tender and loving heart.


He is in many ways, more compassionate, more forgiving, and more loving than I am. I’m flashier about it all. Louder about it.


He just is.


And his layer on top is easily peeled aside.


Father’s Day hurt him. His wounds, from infertility, were not invisible, nor even hard to see, only hard for me to see past my own pain.


He wondered if he would ever get to enjoy a Father’s Day with a baby in his arms that allowed him to join the Daddy club. He wondered whether he would ever eat breakfast prepared lovingly just for him. Whether he’d ever wear a tie, not one he’d normally wear, picked out especially for him.


When it was safe enough, he wondered about these things out loud. What I couldn’t give to my own father, I gave to my husband. I made it safe enough for him to speak about his own pain by putting my own aside. It wasn’t easy. But giving a true gift isn’t always easy; it’s about finding something from within to offer to someone else. I felt a lot of pain on Father’s Day; I missed my own father and my husband not being a father. I found a way to breathe into that pain and recognize my husband’s need to express himself. I made it safe.


That was my Father’s Day gift to my husband.


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When a Pregnancy Fails, We Grieve - A Letter to a Father


Pregnancy Loss and Facing Grief

Pregnancy Loss and GriefA friend shared this poem with me recently. She just suffered pregnancy loss, the loss of a much wanted, much longed for pregnancy. Her heart is broken and still she chooses to share her hope and dreams for next time. She showed up and let all of us know of her determination to have her baby, her family. 

This poem, she dedicated to her husband, who stands with her, hand in hand, and who she knows is grieving as well. 

It meant a lot to me that she shared it with me. I went to the website on which it was published and asked and recieved permission to reprint it. Their website's name is "Pregnancy Loss Australia" and you can click here to connect to them.


Written by Eileen Knight Hagemeister
to her son-in-law after his baby girl was born still


It must be very difficult
To be a man in grief,
Since "men don't cry" and "men are strong"
No tears can bring relief.


It must be very difficult
To stand up to the test
And field calls and visitors
So she can get some rest.


They always ask if she's all right
And what she's going through
But seldom take his hand and ask,
"My friend, but how are you?"


He hears her crying in the night
And thinks his heart will break
And dries her tears and comforts her
But "stays strong" for her sake.


It must be very difficult 
To start each day anew
And try to be so very brave ~
He lost his baby too. . .


Thank you to my friend who shared, to Eileen Knight Hagemeister who wrote this beautiful poem and to Pregnancy Loss Australia who is doing such compassionate work. 


You Are Not Alone - Even When The World Turns Upside Down


DSC 0707 resized 600

You are not alone is a phrase I have used over and over again on this blog in the last three years.


I listened to President Obama say that to a group of Newtown families, community and religious leaders last night


He was speaking in a high school auditorium about twelve minutes from my home. A national tragedy that was also a very, very local tragedy for me. 


I have no words. It is not possible to make sense out of something that in my deepest despair, wildest grief or most intense anger, I could not and would not ever conceive of doing. 


Some things are beyond understanding. 


I've been resisting impulses to do something. 


To just sit with the pain.


The sorrow.


The confusion.


Some words that I read from a dear friend, David Forman, yesterday:


Dealing with Pain

"Thinking about why I was pained yesterday by how many of us felt the need to stand on a soap box and yell about gun control . . . The inability to sit with sadness, the recourse to anger and the insistence on quick solution to make it go away-- I feel those impulses too, of course, and said something along those lines in the first hour after the news broke. But, ultimately, I feel that this desire to instantly reassert control over what we cannot understand is part of the problem. If the goal is to remake our society so that children's lives are valued, so that those suffering from mental illness get help, so that guns are removed from the central place they have in our culture, we need to keep our hearts open to the suffering of the parents. We need to let this change us."


Thanks David. Your words help me remember that I am not alone. You are not alone. None of us are alone. 


Even when we feel like we are.


I'm going to leave you with some more images I've collected over the years. Sometimes it just helps to look at something beautiful. 


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First Snow resized 600


AIM Oct 2012 111 resized 600


You Are Not Alone




The Day After the Tenth Anniversary Of Nine Eleven


Infertility Blog- The Day After Nine Eleven- How Do We Make It Better Today?

Yesterday was September 11, 2011. 


Ten years after the attacks of September 11, 2001.


A heavy anniversary. No possibility of a celebration. An anniversary, where the entire country mourned.


There were many different ways that mourning took place, from memorial services to volunteers donating their time to help others. There were many different twists to how people felt about the horrors of ten years ago.


For me, first and foremost, it's about the people who lost their lives that day. I don't want to get into a political morass here folks, so it's not going to be about whether they lost their lives or had them stolen from them, or any other version.


For me, it's not about the politics. First and foremost, it's about the people who died. The people who died because they were there, the people who died because they came to help those who were there. It's about them.


It's about the families and friends that were left behind. Without fathers, mothers, brothers, sisters, children, aunts & uncles, friends, lovers. And yes, it's about all the injustices that have been done in the years since to keep America safe and secure or yes, even in the name of justice. Not getting into the politics of this. Go somewhere else for that.


Anyone out there disagreeing that a tragedy of tremendous magnitude took place ten years ago? Even if you disagree with that, then chances are you believe that there were tragedies that led to the deaths and violence that occurred ten years ago.


There was horror, deaths and violence ten years ago. There's been grief, recovery and more grief ever since. It's a day that marked this country and will have it's place for the rest of time. And now it's ten years later and there is still so much grief, blame, horror and death.


How does one heal, individually from a loss? How does a country heal, collectively from such a loss?


How have we helped one another and how have we made it worse?


That's the question for me the day after.


How do we make it better?



Prior Abortion and It's Emotional Effects on Infertility Treatment


Wednesday text
Reproductive Medicine Associates of Connecticut has twoLisa Tuttle PHD and Jane Elisofon MSW wonderful mental health professionals that work with our infertility practice.  Lisa Tuttle PhD works with our patients in the Norwalk office and Jane Elisofon MSW sees patients in our Danbury office.

Jane was gracious and compassionate enough to tackle a very emotionally laden topic today. She offers her own brand of understanding and non-judgemental advice as well as letting you know that the feelings that you may be experiencing are normal. Enough from me, read what she has to say:

Perhaps you had an abortion as long ago as one or two decades prior to beginning infertility treatment.  Like most women with that experience, you may feel that if you had to make that decision all over again you would do it the same way, for the same reasons.  Maybe you even wanted to have that child but circumstances in your life made that an unrealistic possibility. You were brave and you moved on with your life.  It may seem difficult to believe that something in your distant past could affect you now, but it can and it will.  Abortion is an enormous loss in one’s life, no matter what the circumstances were.   Losses need to be mourned. The mourning process encompasses experiencing a myriad of intense feelings. Sadness, guilt, disappointment, anger, decreased feelings of self worth are some of the more common feelings aroused in this painful process.

Usually our losses are ones that we share with those close to us.  We are surrounded by people who know what we are going through.  With women who have just had an abortion, however, this information is often not shared or shared with very few people.  Therefore, there are few opportunities to mourn and sort out all the feelings that might surface.  Many women have not even begun to grieve for the child given up through an abortion—even one or two decades later.  Other women begin grieving but become stuck somewhere in the process, with no opportunity to feel free to talk it out.

Loss and mourning are inherent in many phases of the infertility process.  Anyone going through infertility treatments knows the visceral feelings that one has when they receive a negative pregnancy test or a negative result of any kind during the process. We know that these highs of anticipation and lows of disappointment make one feel as if on an emotional ‘rollercoaster.’  The dream of having one’s own child is a longing unlike most wishes and needs in our life.   Therefore when you receive negative news about an attempted conception or negative possibilities from a doctor, you feel more than disappointment.  You feel “loss.”  Many people can understand your feelings of loss when you have conceived and lost a pregnancy.  However, it is more difficult to understand the legitimate feelings of loss when an IUI or IVF cycle is unsuccessful.  After all, what has been lost?  Plenty!  For many women, the loss of an embryo at any stage is the loss of a child. But even if you do not consider this early embryo in this way, you have temporarily lost the dream of the cycle working and becoming pregnant with your child. At these times of grieving, you need to have support and understanding of those around you, so that you can sort out all the feelings you have in relation to these losses.   Being able to mourn gives you the emotional strength to continue the infertility journey until you are successful in having your family.  If you need to terminate the infertility treatments, regardless of the reason, it is important to mourn the losses left behind before embarking on other paths to having a family.

When we are faced with all the emotions we may be experiencing about a loss during the infertility process, there is an eruption of feelings from prior losses in our life.  Even if those prior losses have been mourned, the intensity of that upsurge of affect can be difficult but manageable with support.  However, when a woman has not had the opportunity to mourn an enormous previous loss,  infertility issues and treatment can cause the suppressed feelings to return with a vengeance.

Many women feel guilty and think that maybe they are now being punished. Guilt is an emotion that is part of any normal mourning process but it becomes more intense and complicated when it is in response to having decided to terminate a pregnancy. Sometimes the guilt is related to strong religious belief and can leave one feeling that they do not deserve to have their desire or prayers for a child now to be answered.  Too often women are unable to forgive themselves.  I have heard many women blame themselves for waiting too long to try to conceive, even though it is clear to them and to me that the reasons they waited to start a family were mature and realistic.  Some women feel guilty because they feel responsible about their husbands being on the emotional roller coaster with them.

Many women speak of the irony of having trouble conceiving when they easily conceived a child that they were not ready to have.  Some women have spoken of wanting that baby but knowing that they did not have the support system necessary to raise the child.  Thus the feelings of loss are endless and resurface with each new loss.  One woman spoke of feeling that “someone was missing” in her family.  She was pained at the idea of maybe not having a second child.  A realization hit her:  that she was not sure if she wanted a second child because that was her idea of a family, or whether  ‘the empty place’ in her life was because of the lost child.  That insight caused her to question whether a second child would fill that empty space.  In her counseling sessions she mourned the lost child and discovered much about herself.  In the end, she decided that she did want a second child for her family and that the ‘missing person’ was put to rest.  This was quite important for this woman. Why?  Because if she had not mourned the lost pregnancy, she would have found that having a second child would not have filled that ‘empty place,’ and that recognition could interfere in her relationship with this child.   Now she is pregnant and thrilled.  In addition, she expressed finding a peace within herself and in her relationships with others. 

The traumatic experience of an abortion can surface in other ways.  The medical procedures and appointments can stimulate memories of the medical experience of the abortion.  Thus the infertility process takes on traumatic memories and can feel unbearable.  I know a woman who is questioning continuing her treatments, even though her doctor feels positive about her prospects.   Although encouraged to talk about her abortion experience, she fears being re-traumatized just in the ‘talking about it.’ 

If this blog article is speaking to you, you need to know that you are not alone. There are many women who share your past and present. There are many professionals: nurses, doctors, counselors, and other professionals involved in your care, who would understand and support you, without judgment.  I strongly believe that when painful and difficult crises come into our lives, we need to try to take advantage of any opportunities for growth that the situation may present to us.  For example, this infertility journey may strengthen your marital relationship or it may validate the strength you have as an individual.  For some patients, this difficult journey, which no one would ask for, can present an opportunity to heal from a prior painful event, like an abortion.

                                  Jane Elisofon MSW
            Reproductive Medicine Associates of Connecticut

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