There’s a side of motherhood that most people never see. One that doesn’t begin with baby showers or nursery colors, but with blood tests, injections, and whispered prayers in sterile rooms. It’s where hope and heartbreak sit side by side, and where faith becomes more than a word. It becomes a lifeline.
My husband and I’s path to parenthood was long and heavy. We went through multiple rounds of IUI and had three IVF transfers canceled because “your body isn’t ready.”
Each time, I told myself to stay hopeful.
Each time, I had to find the strength to start again. IVF tests every part of you — your body, your patience, your marriage, and your faith.
It’s physically and emotionally draining, and the financial cost is staggering. I’ll never forget sitting in the blood draw waiting room one morning beside a woman who broke down in tears.
She looked at me and said quietly, “We can’t afford to do this.” Her pain stayed with me. Because I knew even with all the science and faith in the world sometimes the cost becomes too heavy to carry. I was scared. I hadn’t worried about the cost. I was a state employee. I had good insurance. Surely, she was mistaken.
She was not. Insurance did not pay. I remember writing the check for our IVF feeling dirty and shameful. Was I buying a child— or was I buying the hope for a child?
My IVF journey taught me that faith isn’t believing everything will turn out exactly as you hoped. It’s believing that even in the heartbreak, God’s hand is still steady. When I finally heard the words “You’re pregnant,” I was overwhelmed with joy and fear.
After so many losses, it’s hard to let yourself celebrate. You pray through every appointment, every heartbeat, every day. You live in constant gratitude and constant worry, hoping your body will carry this miracle all the way home.
God answered my prayers. Twice. Two beautiful children conceived via IVF. Both miracles in every sense of the word. Every time I look at them, I see grace in the struggle and purpose in the pain. I know with all my heart that not every family’s story ends the way mine did. Some are still waiting. Some never receive the miracle they prayed for.
To those families: I see you. I carry you with me. Your courage, your love, and your faith are no less than mine. You are part of this story too. You are a reminder that strength can exist even in heartbreak, and that God’s goodness doesn’t disappear in the waiting.
To every woman walking this road: you are not broken. You are not alone. And you are loved by a God who still does miracles, sometimes through medicine, sometimes through mercy, and always through His perfect timing.
That’s why making sure life-changing medications and treatments are affordable and the opportunity to purchase coverage as a stand-alone benefit is so important. No family should have to choose between hope and financial survival.
President Trump’s initiative to make IVF medications more affordable is a vital step forward for countless families who face impossible costs.
Crucial fertility drugs being available at steep discounts, orders directing federal agencies to aggressively reduce out-of-pocket and insurance costs for IVF, remove regulatory burdens, and expand access across the country is a lifeline, telling families that face infertility that they’re not forgotten in the struggle to build their families.
From thousands of families across the nation like mine, thank you, President Trump and Senator Britt, for your work.
As your Attorney General, I will fight to ensure IVF remains available and protected for Alabama families who dream of becoming parents.
Having walked that road myself, I know the pain, the prayers, and the hope that come with every step.
Families facing infertility deserve leaders who stand with them, not bureaucrats and politicians who stand in their way.
Pamela Casey was elected District Attorney of Blount County in 2010. From 2007-2011, she served as an Assistant Attorney General. She is a candidate for Attorney General in 2026.
