<script data-pm-proxy="intercept"></script><?xml version="1.0" encoding="UTF-8"?><rss xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:content="http://purl.org/rss/1.0/modules/content/" xmlns:atom="http://www.w3.org/2005/Atom" version="2.0" xmlns:itunes="http://www.itunes.com/dtds/podcast-1.0.dtd" xmlns:googleplay="http://www.google.com/schemas/play-podcasts/1.0"><channel><title><![CDATA[Well, Actually...]]></title><description><![CDATA[My hot takes on wellness + culture as someone who has navigated chronic illness, infertility, medical malpractice: all while building a wellness brand people trust.]]></description><link>https://ilirianabalaj.substack.com</link><image><url>https://substackcdn.com/image/fetch/$s_!fuwK!,w_256,c_limit,f_auto,q_auto:good,fl_progressive:steep/https%3A%2F%2Fsubstack-post-media.s3.amazonaws.com%2Fpublic%2Fimages%2F3567879c-dbbd-402d-a754-1d1d4c1b082b_1067x1067.png</url><title>Well, Actually...</title><link>https://ilirianabalaj.substack.com</link></image><generator>Substack</generator><lastBuildDate>Wed, 02 Sep 2026 21:10:14 GMT</lastBuildDate><atom:link href="/__u/ilirianabalaj.substack.com/feed" rel="self" type="application/rss+xml"/><copyright><![CDATA[Iliriana Balaj]]></copyright><language><![CDATA[en]]></language><webMaster><![CDATA[ilirianabalaj@substack.com]]></webMaster><itunes:owner><itunes:email><![CDATA[ilirianabalaj@substack.com]]></itunes:email><itunes:name><![CDATA[Iliriana Balaj]]></itunes:name></itunes:owner><itunes:author><![CDATA[Iliriana Balaj]]></itunes:author><googleplay:owner><![CDATA[ilirianabalaj@substack.com]]></googleplay:owner><googleplay:email><![CDATA[ilirianabalaj@substack.com]]></googleplay:email><googleplay:author><![CDATA[Iliriana Balaj]]></googleplay:author><itunes:block><![CDATA[Yes]]></itunes:block><item><title><![CDATA[Why Does Infertility Feel So ... Shameful?]]></title><description><![CDATA[Why does it feel so embarrassing to go through infertility?]]></description><link>https://ilirianabalaj.substack.com/p/why-does-infertility-feel-so-shameful</link><guid isPermaLink="false">https://ilirianabalaj.substack.com/p/why-does-infertility-feel-so-shameful</guid><dc:creator><![CDATA[Iliriana Balaj]]></dc:creator><pubDate>Tue, 01 Sep 2026 17:09:00 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/fa2bca82-6098-45db-8fe2-5ddb37e50492_1200x630.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>Why does it feel so embarrassing to go through infertility? As a woman, it makes me feel like I&#8217;ve failed at something I was supposedly built to do and the strangest part is that I <em>know</em> that feeling doesn&#8217;t make sense &#8212; because when you actually look at the numbers, I am not an anomaly. So why does one of the most common human experiences on earth still feel like a private, shameful secret?</p><p>Let&#8217;s start with just how common it actually is. In 2023, the World Health Organization released a report finding that roughly <strong>1 in 6 people worldwide</strong> &#8212; about 17.5% of adults &#8212; experience infertility in their lifetime. One in six. That&#8217;s not a rare tragedy that happens to unlucky women in the corner. That&#8217;s your sisters, your coworkers, your friends, the women smiling next to you at the baby shower and it isn&#8217;t new, either. Infertility and miscarriage have quietly haunted humanity since the very beginning of time. This has always been part of being human, so how come we haven&#8217;t evolved enough emotionally to see it for what it is?</p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://ilirianabalaj.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Well, Actually... is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>The shame comes from the belief that someone must be at <em>fault.</em> And the deeper I get into this, the more I realize we do not understand fertility nearly well enough to be assigning blame to anyone.</p><p>Our instinct to point a finger is ancient and it has always been aimed at women. For thousands of years, when a couple couldn&#8217;t conceive, there was only ever one person to blame: the wife. She was &#8220;barren&#8221;, a word we literally borrowed from describing empty, <strong>dead</strong> land. Entire marriages and reputations were destroyed over a woman&#8217;s supposed failure, and the man was almost never questioned. Henry VIII discarded and even beheaded wives for failing to give him a male heir, when modern historians strongly suspect the problem may have been <em>him</em> all along. We have been rushing to blame the woman for centuries and we were wrong the entire time.</p><p>And here&#8217;s where the science dismantles the whole blame game. Male factor infertility is roughly <strong>half of the story.</strong> Fertility specialists generally estimate about a third of cases trace to female factors, about a third to male factors, and about a third to a combination or to causes no one can explain. For most of medical history, &#8220;infertility&#8221; was simply treated as a woman&#8217;s condition and the male half was barely studied at all. But, and I want to be really clear here, I am not writing this to flip the blame onto men. That&#8217;s the opposite of my point. The point is that the more we actually learn, the more the simple story of <em>whose fault it is</em> completely falls apart. It was never as simple as one person&#8217;s broken body.</p><p>Because here&#8217;s what we forget: conception is a miracle. Not in a cheesy way but in a literal, statistical, how-does-this-ever-work way. Even a perfectly healthy couple in their most fertile years has only about a <strong>25&#8211;30% chance</strong> of conceiving in any given month. The fertile window is only a few days long, the egg itself is viable for maybe 12 to 24 hours, and even when everything lines up, a large share of fertilized eggs never implant at all. </p><div class="pullquote"><p>When you understand everything that has to go exactly right for one single life to begin, the real question isn&#8217;t &#8220;why do some people struggle.&#8221; It&#8217;s &#8220;how does it <em>ever</em> work for anyone.&#8221; We treat conception like a default setting. It&#8217;s actually one of the most improbable things a body can do.</p></div><p>So when someone deals with long-term infertility, it is very rarely one dramatic villain you can point to, it&#8217;s usually a hundred tiny things: a little bit of timing, a little bit of biology, a little bit of luck that just didn&#8217;t land and sometimes there is <em>no answer at all.</em> As much as a <strong>quarter of infertility cases</strong> are formally classified as &#8220;unexplained&#8221; &#8212; meaning couples go through every test modern medicine has and doctors still cannot find a single thing wrong. Think about how humbling that is. We can&#8217;t even name the cause a shocking amount of the time so how on earth are we handing out shame for it?</p><p>Which brings me to the thing I actually want to say, the ego of it all. When conception happens fast for a couple, they often quietly mistake luck for merit. &#8220;We just tried and it happened.&#8221; &#8220;We&#8217;re so fertile.&#8221; As if it were a skill they earned rather than a coin flip that happened to land their way. And that ego, that subtle belief that getting pregnant easily means you did something <em>right</em>, is exactly what manufactures shame for everyone it doesn&#8217;t come easily to. Because if easy conception is a virtue, then hard conception must be a failing. </p><p>And if you need proof that fertility isn&#8217;t a scoreboard of who deserves it, look around. We genuinely cannot explain why a person in deep poverty, in poor health, living on the street, maybe struggling with addiction, can conceive without even trying, WHILE a conventionally healthy couple with no obvious health issues cannot. It makes no sense. There is no version of &#8220;she just took better care of herself&#8221; that survives contact with reality. The healthiest don&#8217;t always win and the struggling aren&#8217;t always punished, which means fertility was never a measure of your worth, your health, your love or your discipline. It&#8217;s a mystery. One that medicine, with all its tools, still cannot fully explain.</p><p>So.. there is no one to blame and therefore there is nothing to be ashamed of. The shame only exists because we&#8217;ve been pretending fertility is something we fully understand and fully control &#8212; a test you pass or fail &#8212; when the truth is it&#8217;s a miracle we&#8217;ve all just been taking for granted.</p><p>If you&#8217;re in it too: you did nothing wrong. Neither did your partner. You are not barren soil and you did not fail a test. You&#8217;re standing in front of one of the oldest mysteries there is, doing your best, like millions before you. There&#8217;s no blame to carry here and there was never any shame in it either.</p><div><hr></div><p><em>Sources / studies:</em></p><ul><li><p><em>World Health Organization (2023): ~1 in 6 people (17.5% of adults) globally experience infertility in their lifetime.</em></p></li><li><p><em>Male factor is involved in roughly half of infertility cases (commonly framed as ~&#8531; female factor, ~&#8531; male factor, ~&#8531; combined/unexplained) &#8212; RESOLVE / clinical fertility literature.</em></p></li><li><p><em>A healthy couple in peak fertile years has roughly a 25&#8211;30% chance of conception per cycle; the fertile window is short and the egg is viable ~12&#8211;24 hours; many fertilized eggs never implant &#8212; reproductive medicine (ASRM).</em></p></li><li><p><em>&#8220;Unexplained infertility&#8221; accounts for an estimated 15&#8211;30% of cases &#8212; no identifiable cause found after full evaluation.</em></p></li><li><p><em>Historical context: infertility was long blamed on women (&#8221;barren&#8221;); male infertility was under-studied until the modern era </em></p></li></ul><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://ilirianabalaj.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Well, Actually... is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item><item><title><![CDATA[My Social Media Hiatus Made Me Hate You]]></title><description><![CDATA[not really but hear me out.]]></description><link>https://ilirianabalaj.substack.com/p/my-social-media-hiatus-made-me-hate</link><guid isPermaLink="false">https://ilirianabalaj.substack.com/p/my-social-media-hiatus-made-me-hate</guid><dc:creator><![CDATA[Iliriana Balaj]]></dc:creator><pubDate>Sun, 09 Aug 2026 15:43:16 GMT</pubDate><enclosure url="https://substack-post-media.s3.amazonaws.com/public/images/51d24c73-983e-49a1-adfa-7d97585d7911_1200x630.png" length="0" type="image/jpeg"/><content:encoded><![CDATA[<p>I want to be honest with you about why I stepped away and I want to be gentle about it too (mostly because I&#8217;m still learning how to be gentle with myself).</p><p>My social media screen time was an absurdly high number that I&#8217;m even embarrassed to admit. I became the person I criticize for being &#8220;chronically online&#8221;, but underneath that number was something harder to admit. </p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://ilirianabalaj.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Well, Actually... is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div><p>It&#8217;s not a secret to my followers I&#8217;ve been walking through infertility, which is its own quiet grief that most people never see and I was opening an app all day long to be met with pregnancy announcement after pregnancy announcement, each one a small sting and somewhere along the way I realized I had almost gotten addicted to the sting. To the rush of being triggered, to checking again and again even though it hurt, maybe <em>because</em> it hurt. </p><p>I don&#8217;t want to call that weakness and I&#8217;ve decided I won&#8217;t &#8212; because walking away from something that&#8217;s quietly hurting you isn&#8217;t weakness, <em>even when it doesn&#8217;t feel like strength either</em>. Sometimes it&#8217;s just honesty. I definitely don&#8217;t feel strong right now but I think I&#8217;m finally being truthful and maybe that counts for more.</p><p>Here&#8217;s the first thing stepping back taught me: <strong>not every follower is your friend.</strong></p><p>And I say that holding both things at once: I have made genuine friends on the internet &#8212; people I&#8217;ve been in the DMs with for years, pen pals I&#8217;ve never once met in person who somehow understand me better than people I see in real life. Those connections are a gift and I will never talk down about them but the honest other half is that a good number of people follow me (or stalk me) precisely because they don&#8217;t like me. </p><div class="pullquote"><p>They&#8217;re not here to connect. They&#8217;re here to watch, to wait, to comment and when that&#8217;s true, you have to ask yourself a question nobody really ever asks: <strong>how do you protect yourself from strangers on a public platform with no set boundaries?</strong></p></div><p>Which leads to the tension I&#8217;ve been sitting in for a while now. My entire business was built on wanting to help people. I shared the most intimate details of my infertility because I genuinely believed that if it helped one person feel less alone, it was worth it, but at some point I had to ask: <em>when does helping everyone else stop helping me?</em> Because the unfortunate truth is that lately, the bad has outweighed the good and I&#8217;ve had to accept that I don&#8217;t deserve the comments I get or the constant bullying, simply because I live a different life than someone or believe something they don&#8217;t.</p><p>I&#8217;ve also noticed something telling: people tend to only speak up, only get brave, once <em>they&#8217;ve</em> already &#8220;succeeded&#8221; &amp; I see why,the cruelty comes cheap and anonymous, from behind a screen from a person you&#8217;ll never see and will never be held accountable. That realization is a big part of why I started this Substack, so I could have a little sense of control over who gets access to me. Not everyone gets a front-row seat to my life anymore and I&#8217;m learning that&#8217;s allowed.</p><p>AND here&#8217;s another thing I&#8217;ve come to believe: we don&#8217;t actually need to know everything about everyone. It runs against the whole logic of being an influencer, where the more you open up, the more people connect with you but I keep coming back to the same question. <em>Who</em> is connecting to you? Openness is beautiful until you realize you&#8217;ve left the door open to people who don&#8217;t wish you well and you have no way of knowing which is which.</p><blockquote><p>The strangest and best part of stepping away has been remembering what people are actually like off the screen. It&#8217;s made me want to do so many more in-person events, because in real life, people are kind &#8212; not like on the internet. People are open-minded &#8212; not like on the internet. People can hold two different opinions in the same room and still treat each other with respect &#8212; not like on the internet. I&#8217;m so grateful my business has given me the chance to be in rooms with real people again, because it turns out humanity is doing a lot better in person than the comment section would have you believe.</p></blockquote><p>I&#8217;ll admit stepping back has made me see influencing as almost&#8230; sinister. I hate even typing that. But I am not someone&#8217;s entertainment. My grief is not someone&#8217;s entertainment. My struggle, my body, my life &#8212; none of it is content for a stranger to consume and judge and move on from. I&#8217;m a whole person behind this screen and I think a huge portion of the internet has genuinely forgotten that the people they interact with are people at all.</p><p>The parasocial relationships, the need to add your 2 cents to literally anything, even if it doesn&#8217;t relate to you, the &#8220;whataboutism&#8221;, the chronic bullying over just not liking someones outfit, the harassment in the dms, personal attacks, then taking it to reddit &#8230; if this was how someone acting IRL, they would have no friends. </p><div class="callout-block" data-callout="true"><p>And I believe a huge amount of people who are like this don&#8217;t have friends at all. I found a stat that said, roughly 12% to 17% of American adults now report having zero close friends, according to the Survey Center on American Life and Pew Research Center. In 1990, that number was just 3%. It has multiplied several times over in a single generation. A lot of the people interacting with you online every single day have no one in their real life &#8212; no one to keep them accountable, no one to have an honest, open, face-to-face conversation with. The internet isn&#8217;t their window into the world. It&#8217;s become the whole world.</p></div><p>That&#8217;s a scary thing to hold. So many people are living inside a bubble made of screens and truly believing that <em>this</em> is life. That the comment section is community. That watching a stranger&#8217;s day is the same as having someone in yours.</p><p>Life is beyond our phones. I know it sounds obvious, but I really, truly think people forget and stepping away has helped me remember, that yes what we see on social media is happening but not IN my life. </p><p>I don&#8217;t know exactly what my relationship with all of this looks like going forward. I just know I want to be more of a person and less of a feed. I want smaller rooms and realer conversations. I want to protect the tender parts of my life instead of handing them out to be picked apart.</p><p>By no means does this mean Im backing down from fighting for our health rights and fertility rights or sharing my favorite low tox swaps and health knowledge but I need boundaries (we all do.) </p><p>Thank you to the ones who are actually here &#8212; you know who you are. I&#8217;m still learning, but I&#8217;m learning it as a person again, and not as content.</p><div><hr></div><p><em>Sources: <a href="https://www.americansurveycenter.org/research/the-state-of-american-friendship-change-challenges-and-loss/">The State of American Friendship, Survey Center on American Life</a>; <a href="https://www.pewresearch.org/short-reads/2023/10/12/what-does-friendship-look-like-in-america/">Pew Research Center on friendship in America</a>. Share of U.S. adults reporting no close friends rose from ~3% in 1990 to roughly 12% (and ~15% among men) by 2021.</em></p><div class="subscription-widget-wrap-editor" data-attrs="{&quot;url&quot;:&quot;https://ilirianabalaj.substack.com/subscribe?&quot;,&quot;text&quot;:&quot;Subscribe&quot;,&quot;language&quot;:&quot;en&quot;}" data-component-name="SubscribeWidgetToDOM"><div class="subscription-widget show-subscribe"><div class="preamble"><p class="cta-caption">Well, Actually... is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.</p></div><form class="subscription-widget-subscribe"><input type="email" class="email-input" name="email" placeholder="Type your email&#8230;" tabindex="-1"><input type="submit" class="button primary" value="Subscribe"><div class="fake-input-wrapper"><div class="fake-input"></div><div class="fake-button"></div></div></form></div></div>]]></content:encoded></item></channel></rss>