Amanda Kehler packed away the baby book where she had been keeping track of her doctors' appointments and how she was feeling.

She boxed up the baby outfits she had been so excited to receive from her grandmother and sisters, along with every other item that served as a painful reminder of her pregnancy.

And she shut down.

Amanda fell into a deep depression in March 2010, hardly leaving her house in New Paris, just south of Goshen, for weeks after she miscarried.

She turned to prescription medication to fall asleep, or she couldn't sleep.

It had taken the better part of a year for Amanda and her husband, Brad, to become pregnant with their first child and she was emotionally devastated.

Three months earlier, in late December, the Kehlers had quickly moved into baby-planning mode after Amanda received positive results from a home pregnancy test. They immediately started picking out possible names for their baby and planning the nursery.

They heard the baby's heartbeat at their prenatal appointment in January and Amanda could hardly contain her exuberance.

"In the back of my mind, I always knew getting pregnant was going to be difficult," she said, of her having endometriosis, a health condition that can make conceiving a child more challenging. "But we had done it all on our own, so I couldn't believe this was really happening."

The first sign of trouble appeared in early March, when she noticed some bleeding. She didn't panic, knowing many women experience a little bleeding in early pregnancy.

Still, Amanda scheduled a doctor's appointment and had an ultrasound. This time, the technician could not find the heartbeat.

It was actually called a missed miscarriage because embryonic tissues remained in her uterus after the fetus died. Not wanting to have the surgical procedure to remove the tissue, she took medication to induce labor.

Amanda miscarried at home in March.

Should she become pregnant again, she told herself, she would not become emotionally attached. "I was fearful of the same disappointment. That it would happen again."

She and Brad found out they were pregnant again in June 2010. Amanda tried to be optimistic, but her progesterone levels were so low she miscarried one month later.

"Now what do we do?" she asked her doctors after the second miscarriage.

Additional testing revealed Amanda had polycystic ovary syndrome and insulin resistance. The couple were referred to a Fort Wayne reproductive endocrinologist, a doctor who specializes in reproductive disorders.

"He said we could continue what we were doing or we could start fertility treatment in hopes of speeding up the process and having a better quality egg," she said.

The Kehlers decided the treatments would give them the best chance of success, so they started the expensive process in November 2010.