The Emotional Labor of Managing Fertility Medications: Why Organization Matters

A note from the author:

If one’s sole responsibility in life was only to manage their IVF protocol, it would still be challenging. Many women have careers, older children or family members to care for, and other demands of daily life. Going through fertility treatment is just an “add-on”. 

The first time I attempted to freeze my eggs, my treatment cycle was canceled seven days in due to minimal follicle growth. I felt deflated and was an emotional mess. It had taken so much out of me to get to the point where I was comfortable freezing my eggs, and then this happened. I asked myself, “For what?”.

When I tried to understand what had happened, I learned that I needed to administer my twice-daily hormone injections at the same time each day with a small buffer. The nurse may have failed to give me this guidance or due to the inundation of information provided, I simply forgot. 

Focused on my path forward, I knew I wanted to try freezing my eggs again. And I did, eight more times. With time and practice, comes better awareness and mastery. 

I learned many things about myself during the years of going through fertility treatments, and I would love to share them with others so that they can have a helpful tool kit to reference. I even went so far as launching my own company dedicated to creating products designed for fertility patients, Stims Wellness.

A guide on how to address the logistical and emotional challenges of managing fertility medications and how organization plays an important role in reducing the stress of IVF

The success of a fertility treatment cycle (egg freezing, IVF, etc.) is dependent on the medication - the types of medication, dosages, frequency, accuracy in administering, and ultimately how your body responds to the protocol. So it is no wonder that managing fertility medications can create a psychological strain causing stress, anxiety, frustration, and emotional exhaustion.

Through my journey, I’ve learned firsthand how overwhelming the process can feel—especially when it comes to managing medications. In this article, I’ll share practical strategies to help you navigate the logistical and emotional challenges of managing fertility medication protocols, so you can feel more confident and focused on your family-building goals.

Create a daily plan

Adhering to a well–structured plan helps to maximize success rates.

• A nurse may give you a basic medication schedule outlining what to take each morning and evening throughout your treatment cycle, which typically lasts about 14 days. For example, your schedule might say, “Take medications X and Y in the morning, and medications X, Y, and Z in the evening.” In addition to the written instructions, your nurse may also provide you with verbal instructions regarding medications that need to be administered at the same time each day with a small amount of buffer time on each end (e.g., plus or minus an hour). These instructions may differ from what you were previously told, as they are often adjusted based on your latest bloodwork and how your body is responding to the protocol.
• Consolidate the written schedule and verbal instructions into a single, easy-to-follow plan in whatever format works best for you. Some clinics may use digital apps where this information is available to you. Review your plan earlier in the day so you have time to clarify any questions with your nursing staff during business hours.
• Balancing your treatment protocol with daily life can be challenging, especially when juggling work, commuting, evening plans, or childcare responsibilities. In some cases, it may be helpful to create a detailed schedule that integrates your medication regimen with other commitments, ensuring you stay on track. If you know you will be on the go during your treatment, consider planning ahead with travel support products, such as portable storage for medications like Stims, to help maintain consistency and ease any logistical concerns.
• Allow yourself time to prepare your medications and review instructional videos to avoid causing undue pressure and confusion when it comes time to administer medications. 

Organize your medication

The psychological impacts of being organized can lower anxiety and provide a greater sense of control while going through fertility treatment.

• Your fertility medications will arrive in a package from a specialty pharmacy, though some protocols may require shipments from multiple pharmacies. Along with your medications, the package will likely include additional supplies such as a sharps container for needle disposal, alcohol wipes, sterile needles, and syringes.
• Understanding how to store your medications properly is essential. Some can be kept at room temperature, while others need to be refrigerated. Keep in mind that storage requirements may change after a medication has been opened or mixed (for example, when combining Menopur with a diluent). If you are unsure how a medication should be stored, call your doctor's office and ask for clarification.
• Here are some storage ideas for keeping your room-temperature medications and supplies organized at home
  
  • Plastic shoe containers with lids - their open design helps accommodate supplies of all different sizes
  • Caddy with compartments - helps keep medications and accessories neatly separated
  • Toiletry bag with clear compartments- Provides easy visibility and quick access to your supplies
• Here are some suggestions for storing meds and supplies while away from home
  
  • An insulated bag with frozen ice packs- helps keep medications cool and supplies organized while on the go.
  • The Fertility Med Bag by Stims Wellness is the first insulated bag on the market designed specifically for fertility patients’ needs. The bag is discrete, waterproof, and can be repurposed after treatment is done.

Assemble a network of trusted advisors and prioritize self-care

Having a support group made up of family, healthcare providers, and friends can help provide coping skills and a sounding board to share your experiences.

• Along with organizing your day and medications, it is equally important to prioritize your mental well-being.
• Selectively choosing who will be in your inner circle during treatment can be helpful in prioritizing self-care.  Choosing people who understand your experience and can offer guidance or encouragement will help you feel more supported throughout the process.
  
  • A partner and family members can help alleviate the emotional labor as well as provide hands-on support (i.e., helping administer injections)
  • Medical professionals, such as therapists trained to work with patients undergoing fertility challenges, can also be helpful. They have the benefit of listening to other's experiences and can provide an objective perspective and suggest coping skills
  • Friends who have been through similar experiences can be a great source of support and encouragement. While not everyone may fully understand the unique challenges of fertility treatments, focus on those who uplift you, and remember that support can come from many different places.
  • There are also fertility support groups, both in-person and virtual, where you can share your experience and hear from others 
• Techniques like journaling, therapy, meditation, or relaxation practices can help you cope
• Make time to do the things that bring you joy, as these moments will stand out more than the fleeting discomfort of injections and help alleviate stress

Final thoughts

Undergoing fertility treatments can be a demanding journey, but with the right tools and mindset, it can be a transformative experience. Staying organized, building a support network, and prioritizing your emotional well-being can help you navigate the ups and downs with confidence. Remember, this process is about more than just medication schedules and injections—it’s about taking steps toward the future you’ve envisioned. Give yourself grace, lean on those who uplift you, and trust that every challenge you overcome brings you closer to your goal.