The call comes. The email lands. The test shows one line instead of two.
The news itself is factual, clinical. But in the second after the information sinks in, another, more painful message often arrives—this one whispered from the inside:
I failed.
That single thought can be more devastating than the news itself. It’s a heavy, shame-filled cloak that we wrap around ourselves, turning a medical disappointment into a judgment on our very worth.
If that voice is speaking to you right now, we want you to pause, take a deep breath, and let us offer you a different truth. This is perhaps the most important lesson on this entire journey.
The Crucial Distinction: Medical Outcome vs. Personal Failure
In the fog of grief, it is vital to separate what happened from who you are. These are two completely different things.
A Medical Outcome: The treatment cycle did not result in a clinical pregnancy. This is a factual, neutral statement about a biological process. It is an event that occurred.
A Personal Failure: "I am a failure." This is a painful, untrue judgment you are placing on yourself. It is a story you are telling yourself about your identity and your worth.
Let us say this with all the clarity and kindness we can offer: You are not a failure. Your body is not a failure. You are a person who went through a complex medical procedure that did not have the desired outcome. It is not your fault.
Why We Make This Cruel Leap
So why does our brain make this leap from a disappointing fact to a devastating self-judgment so quickly?
Because in the face of something so profoundly out of our control—the intricate dance of biology, science, and luck—our minds desperately search for a reason, for a place to put the blame. We want to make sense of the senseless. And in the absence of a clear external reason, the easiest and most available target is always ourselves. We internalize the "failure" of the cycle because it gives us a (false) sense of agency. But this is a cruel trick our minds play on us.
How to Practice the Separation
Unlearning this habit takes conscious, gentle practice. It's about building a new, more compassionate internal voice.
Create a Mantra: Have a simple phrase ready to repeat when the inner critic starts. "This was a medical outcome, not a personal failure." Say it out loud. Write it on a sticky note. Let it be your anchor.
Focus on Your Effort: You cannot control the outcome, but you can honor your effort. Think about everything you did do. You showed up for every appointment. You endured every injection. You managed the side effects. You allowed your heart to hope, which is one of the bravest things a person can do. That is not failure. That is courage.
Talk to Yourself Like a Friend: Ask yourself: What would I say to my dearest friend if she called me with this news? You would never, ever tell her she was a failure. You would wrap her in love, validate her pain, and remind her of her strength. You deserve that exact same compassion from yourself.
Stick to the Facts: When you feel yourself spiraling, bring it back to the simple, neutral fact. "The embryo did not implant." That is the fact. "I am broken" is a painful story. You can grieve the fact without believing the story.
Friend, your worth as a human being was never, ever on the line in this cycle. It was not a test you could pass or fail. It was a medical event. You are a whole, worthy, and resilient person who is walking an incredibly hard path with grace and fortitude.
Please, be gentle with yourself. Let go of the story of failure, and hold onto the truth of your courage.
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