An intensely personal narrative of loss, hope, and longing for a child. In this brave and lucid account, Julia Leigh broaches a challenging life event often left undiscussed: how the struggle to have a child can take an agonizing toll.

Leigh’s experience at the vanguard of medical science is acutely rendered, both physically and emotionally, transmitting what it feels like to so desperately wish for a child while knowing that the odds are stacked against you. From the daily shots she puts herself through at home, to hopes raised and dashed, and finally to the decision to stop treatment, Avalanche bears witness to Leigh’s raw desire, suffering, strength, and, in the end, transformation—a shift to a different kind of love.

The reader looks behind the scenes of a clinic and discovers how things really work: reality is a far cry from the slick marketing of the billion-dollar infertility industry. As for so many women, Leigh’s treatment failed, but her ghost child lingers in memory.