PODCAST · health
The Fertility Framework
by Fiona O’Neil and Rachel Johns
The Fertility Framework is a podcast for people navigating fertility, loss, IVF, and life beyond the tidy narratives.Hosted by sisters Fiona O’Neil, founder of The Fertility Framework and fertility coach with 15 years of lived IVF experience, and Rachel Johns, psychotherapist and IVF mum, the show blends trauma-informed insight with real conversation.Expect honesty, compassion, evidence-based support — and the occasional dark joke when things get heavy.
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9
The Mental Load of Infertility: Psychotherapy Meets Lived Experience
If you are navigating infertility and feel like your mind never switches off — this is the episode you need.Because this isn’t just a conversation about fertility treatment.This is a conversation about what it actually feels like to carry it every single day.In this episode, we bring together lived experience and psychotherapy insight to unpack the invisible mental load of infertility — the constant thinking, the emotional weight, and the cognitive exhaustion that so many people experience but rarely have language for.This is the episode that helps you understand:Why infertility becomes all-consumingWhy your mind feels like it’s always “on”The psychological impact of prolonged uncertainty and lack of controlDecision fatigue and why even small choices can feel overwhelmingThe emotional toll of holding hope and fear at the same timeWhy your capacity changes — and why that’s not failureAs discussed in the episode, what you’re experiencing is not you “not coping” — it is a very normal response to a deeply demanding and high-stakes situation We also share practical ways to support yourself through this:Naming what’s happening internallyReducing cognitive load and focusing on one step at a timeCreating boundaries to protect your emotional capacityStaying connected to the people who feel safe and supportiveIf you’ve ever felt exhausted, overwhelmed, or like you’re not yourself during this process — this episode will help you understand why.And if you’re supporting someone through infertility, this is the episode that will help you understand what they may not be able to explain.🤍 Work with usAt The Fertility Framework, we offer specialist support across:Fertility-specific psychotherapyOne-on-one fertility coachingWorkplace fertility education and trainingOur work brings together clinical expertise and lived experience to support individuals, couples and organisations navigating fertility with more clarity, compassion and confidence.🌐 www.thefertilityframework.com.au📧 [email protected]📱 Instagram: @fertilityframeworkIf this episode resonatedPlease share it with someone who needs it — whether that’s someone going through infertility or someone who wants to better understand it.You don’t have to navigate this alone.Intro and outro music by Victor O’Neil. Used with permission.
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8
What No One Is Talking About in Donor Conception
I was actually going to release a completely different episode this week…But I had a change of plan.After attending a donor conception event over the weekend, I haven’t stopped thinking about what was shared — not because it was shocking, but because it was honest.In this episode, I unpack the key themes that came out of that day — not from a clinical perspective, but from a real, emotional, human one.Because donor conception isn’t just a pathway to becoming a parent.It’s something much bigger.It’s identity.It’s connection.It’s a lifelong story.We talk about:anonymous donor regret — and why this is something I feel strongly aboutwhat it actually means to meet a donor (and why it’s a relationship, not a moment)the reality of navigating a fragmented donor registry system in Australiaexpectations around donor contact — and why you can’t control the outcomethe impact of late discovery for donor-conceived adultsand why early, open conversations matter more than people realiseI also share my own personal experience — from anonymous donation attempts to building a relationship with my son’s donor family — and how my perspective has evolved over time.If you are considering egg, sperm, or embryo donation — or you know someone who is — this episode is designed to give you:greater awarenessa broader perspectiveand the space to think about these decisions in a deeper wayAnd if this resonates with you, or you’re thinking of someone navigating this space, please share this episode with them.Because the more we talk about donor conception…the more we reduce stigma…and the more supported people feel in these decisions.Connect with me:[email protected] & LinkedIn: @fertilityframeworkWebsite: www.thefertilityframework.com.auIf you’re an organisation looking to better support employees navigating fertility or donor conception, I’d love to connect.
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7
IVF Isn’t Just Physical — It’s a Head Game
In this solo episode, Fiona shares the moment IVF stopped feeling hopeful… and started to feel heavy.From the early sense of optimism and having a plan, to the emotional fatigue that builds over time, Fiona explores the part of fertility treatment that isn’t often spoken about — the head game.She breaks down the pressure to “stay positive,” the guilt that can come with losing hope, and why mindset is so often misunderstood in the fertility space. This episode challenges the idea that positive thinking determines outcomes, and instead offers a more grounded, compassionate way to support yourself through the process.Fiona also shares deeply personal moments from her own journey, including the impact of repeated loss, the layering effect of years of treatment, and the emotional toll it can take on your identity, relationships, and sense of control.Inside this episode:Why IVF can shift from hopeful to heavyThe pressure to “stay positive” — and why it’s unhelpfulLetting go of guilt around how you feelThe concept of “happy tools” and building small moments of reliefThe loss of control and the emotional layering of fertility challengesWhy emotional support is essential — not optionalIf you’re navigating IVF or a complex path to parenthood and finding it harder than you expected, this episode will help you feel seen, and remind you that you don’t have to carry it alone.To learn more about support options, visitwww.thefertilityframework.com.au
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6
I Just Kept Going - And That Was The Problem
In this solo episode, Fiona shares the moment she realised her path to parenthood wasn’t going to be straightforward — and what happened when she kept pushing forward without stopping to process what she was going through.From the shock of zero fertilisation in her first IVF cycle to years of complex treatment, Fiona reflects on the emotional toll of fertility struggles and the hidden reality so many people don’t talk about: this isn’t just a medical process — it’s a psychological one.She explores the concept of “functioning through IVF” — how easy it is to stay busy, stay hopeful, and keep going… while your nervous system is under constant strain.This episode is a reminder that looking after your mental health isn’t something you do when things fall apart — it’s something that supports you through the process.If you’re navigating IVF, trying to conceive, or supporting someone who is, this conversation will help you understand the emotional weight of the journey — and why early support matters.
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5
The IVF Meltdown Plan: Stop White-Knuckling Your Way Through Treatment
If you feel exhausted but wired during IVF…If you’re snapping at people for no reason…If you cry in the shower one minute and feel completely numb the next…You’re not broken.You’re not weak.You’re in survival mode.IVF isn’t just medical.It’s neurological. Emotional. Relentless.Round after round of appointments, injections, waiting, hope, fear, hormones and uncertainty can leave your nervous system stuck in fight, flight or freeze — often for months (or even years).In this episode, we unpack what’s actually happening in your body during fertility treatment and, more importantly, what you can do about it.Instead of “just staying positive,” we give you something far more useful:The IVF Meltdown Plan.Inside this episode, we cover:• What survival mode really feels like during IVF• Why positivity isn’t the solution• Reproductive trauma and how it builds quietly• How to create your personal “meltdown plan” before the storm hits• The four support lists every woman should have before starting treatment• Practical, in-the-moment regulation tools (yes, even sneaky ones you can use in a clinic waiting room — breath tricks, grounding, tongue pressing, covert Kegels and more)• How to stop white-knuckling your way through fertility treatmentThis is fertility psychology in real life.Not meditation on a mountain.Not “just relax.”Not pretending you’re fine.We talk about:Planning for the storm before it hits.Building your support emergency crew.Protecting your energy.And learning how to come back to safety after the waves.If you’re in the thick of IVF right now…If you’re about to start treatment and already feel anxious…Or if you’re considering IVF and wondering how you’ll cope…This episode is for you.Because the storm doesn’t just start with injections.It starts the moment you realise this might be your path.The earlier you understand what IVF does to your nervous system, the better protected you’ll be.Consider this your emotional emergency kit — a free fertility psychology session, minus the invoice.You deserve more than just medical support.You deserve nervous system support too.—🎧 Download our free 5-minute reset and grounding menu at:thefertilityframework.com.auFollow us on Instagram @fertilityframework for practical, human fertility support.—The goal isn’t to avoid stress.It’s to know how to come back from it.You don’t need to do IVF better.You need to do it with yourself, not to yourself.
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4
When Enough Is Enough
There comes a point in long-term fertility treatment where the question is no longer “What else can we try?” but “What is this costing me?”In this episode, Fiona shares the final chapter of her IVF journey — fifteen years of trying, ten rounds of IVF, repeated pregnancy loss, and the cumulative toll of medical trauma, grief, and exhaustion. This is the point where persistence stops being hopeful and begins to cause harm.Fiona also reflects on what happens when the systems meant to support you fall short — missed warning signs, fragmented care, and moments where something feels not quite right, but goes unaddressed. It’s a reminder that fertility treatment doesn’t just take an emotional toll — at times, it can carry real risk.Alongside this, the episode holds space for something else: the quiet generosity that can exist even in the hardest moments. Fiona shares how, amid loss and uncertainty, unexpected offers of care and possibility emerged — reminders that compassion and connection can still surface, even when a system fails you.Rachel brings her perspective as a psychotherapist to gently name what happens when people remain in medical systems that are no longer serving them, how trauma compounds over time, and why learning to advocate for yourself — or to step away — can be an act of protection, not defeat.Together, they explore the blurred line between hope and endurance, the pressure to keep going at all costs, and the reality that stopping treatment is not failure, but a necessary act of care.This episode marks the end of Fiona’s IVF journey.Content note: This episode includes discussion of infertility, medical trauma, miscarriage, and recurrent pregnancy loss. Please take care while listening, and engage only in ways that feel supportive for you.
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3
A Different Beginning, After Everything
This episode marks a turning point.After years of loss, exhaustion, and uncertainty, Fiona and Rachel sit with the moment when the story began to change shape — and with everything that followed. This is the most emotionally charged episode of the series so far.Together, they explore what it means to accept a form of hope that looks different to the one you imagined, and to step into a path to parenthood that sits outside familiar narratives. At the centre of this episode is embryo donation — not as a process, but as a deeply human act of generosity, trust, and connection.Rachel brings her perspective as a psychotherapist to help hold the emotional complexity of this moment: the grief that doesn’t disappear just because something new becomes possible, the ambivalence that can exist alongside relief, and the profound responsibility that comes with receiving such an extraordinary gift.This episode also reflects on the ripple effects of that generosity — for donors, recipients, children, and families — and the way one decision can quietly shape many lives in ways we may never fully see.Tender, honest, and deeply personal, this episode holds both the weight of what came before and the hope of what became possible next.Content note: This episode includes discussion of infertility, miscarriage, recurrent pregnancy loss, and embryo donation. We know these topics can be deeply personal and emotionally intense — please take care while listening, and engage in ways that feel supportive for you.
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2
The Chapter We Skipped
After Episode 1, Fiona realised there was a chapter missing — one that changed everything. Before certain options were even on the table, there was South Africa.In this episode, she returns to that turning point, and to what came after years of IVF had already taken their toll. It’s a chapter shaped by travel, loss, hope that refused to disappear, and moments that quietly shifted the course of what felt possible.Rachel joins the conversation not only as co-host, but as a psychotherapist — gently pausing the story to name what’s happening emotionally beneath the surface. Together, they explore what it’s like to be so deep in the process that perspective becomes hard to find, how grief can layer itself over time, and why people so often stay longer than they ever planned to.They also hold space for the small human moments that can keep you going when nothing else can — unexpected kindness, words that land at exactly the right time, and the subtle ways we learn to stand again.This episode begins to trace the path that would eventually lead to a form of parenthood many would consider unconventional — a path so unique that Fiona still doesn't know anyone else who has done the same thing.If you’re in the middle of your own journey, feeling worn down, conflicted, or unsure how much more you have left to give, this episode is for you. You’re not alone, and there is no single “right” way through.Content note: This episode includes discussion of infertility, miscarriage, and recurrent pregnancy loss. We know these topics can be deeply personal — please take care while listening, and only engage in ways that feel supportive for you.
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1
Not Everyone Gets the Disney Ending
Not everyone gets the Disney ending — and if you’ve found yourself here, you probably already know that.In this first episode of The Fertility Framework, Fiona shares the story behind the work: the years of IVF, the medical appointments that changed everything, the quiet grief, the rage, the resilience — and the way fertility experiences can reshape your identity, relationships, career, and sense of self.This is not a neat success story. It’s an honest account of what it costs to keep going when the system doesn’t hold you, when timelines fall apart, and when the life you imagined starts to look very different to the one you’re living.Fiona speaks from over 15 years of lived IVF experience, reflecting on the emotional toll of infertility, the moments no one prepares you for, and the invisible weight so many people carry while trying to function at work, in relationships, and in the world.This episode sets the foundation for The Fertility Framework: a space for trauma-informed, compassionate conversations about fertility, loss, work, mental health, and the long aftershocks of reproductive experiences — told without platitudes, toxic positivity, or pressure to “find the silver lining.”There is honesty here. There is anger. There is grief. And there is humour — because sometimes a bad joke is the only way to breathe.This podcast is for the people in the weeds.For anyone who didn’t get the ending they were promised.For anyone still standing anyway.You’re not alone here.Listener discretion advised: this episode discusses infertility, IVF, pregnancy loss, and the emotional impact of fertility treatment. Please listen in a way that feels supportive for you.
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ABOUT THIS SHOW
The Fertility Framework is a podcast for people navigating fertility, loss, IVF, and life beyond the tidy narratives.Hosted by sisters Fiona O’Neil, founder of The Fertility Framework and fertility coach with 15 years of lived IVF experience, and Rachel Johns, psychotherapist and IVF mum, the show blends trauma-informed insight with real conversation.Expect honesty, compassion, evidence-based support — and the occasional dark joke when things get heavy.
HOSTED BY
Fiona O’Neil and Rachel Johns
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