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Turning Fertile: The hardest roads lead to the most extraordinary arrivals

Sonali Sheetal Appikonda’s Turning Fertile is an intimate memoir about infertility, marriage, and learning to listen to a body she once treated as an obstacle to ambition. The story begins with her seven-year-old son performing at a violin recital, then circles back to her teenage years, when irregular cycles, facial hair, PCOS, and thyroid problems first entered her life. From there, Appikonda traces a demanding path through repeated IUIs, an unplanned IVF cycle, ovarian hyperstimulation, surgery, an excruciating tubal pregnancy, and finally the birth of her son. Framing the memoir with the recital gives the journey a satisfying shape: the child onstage is both the ending readers already know and the reason the story can finally be told.

What makes the book memorable is its attention to the ordinary details surrounding medical ordeals. A pharmacist understands a failed attempt when the husband returns for sanitary pads. A nurse protects Appikonda’s privacy after an uncomfortable scan. A handmade picture bought on a cold evening becomes a symbol of the life she and her husband nearly forgot to enjoy. Her husband is especially important to the book, not as a faultless rescuer but as the person who cooks after surgery, sits through appointments, carries hope when she can’t, and grieves privately when he thinks no one is watching. Their marriage gives the memoir its emotional center, while the costs, invasive procedures, workplace pressures, and family questions show how thoroughly infertility can occupy a couple’s life.

Appikonda writes as though she’s speaking across a table to someone living through a similar experience. The recurring “Dear Reader” passages make that intention explicit, blending memoir with reassurance and plain-language explanations of fertility treatments. Concrete numbers, including twenty-one retrieved eggs, twelve IUI cycles, and four brief days of pregnancy, keep the physical and emotional stakes from becoming abstract. Her repeated images of doors, waiting rooms, seasons, stitches, and bodily “messages” give the book a meditative quality. Some phrases and reflections recur often enough to slow the narrative, and the medical explanations occasionally interrupt a tense scene, but that repetition also mimics the exhausting cycle of hoping, waiting, and beginning again. The glossary at the end reinforces the book’s role as a companion as much as a personal history.

The readers most likely to appreciate Turning Fertile are people navigating infertility, PCOS, assisted reproduction, pregnancy loss, or the strain these experiences can place on a relationship. Their partners and close family members may find it equally valuable because the book shows forms of grief and support that patients don’t always voice. It will also speak to readers drawn to candid accounts of Indian family life, career ambition, migration, medicine, and marriage. Appikonda’s successful pregnancy gives her story its conclusion, but the book’s deeper subject is the life that continues during the waiting: work, love, travel, disappointment, and the gradual recovery of a self larger than any diagnosis.

Pages: 142 | ASIN ‏ : ‎ B0HFCD2YSW

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