Long COVID is snuffing out some patients’ dreams of having children, sharpening the pain of loss, grief and medical neglect.

When Melanie Broadley and her husband started going out in 2019, like many couples their age they decided to put “starting a family” on the shelf for a few years so they could focus on their careers. A postdoctoral researcher who studies diabetes and psychology, Broadley was 28 and in good health — she had plenty of time, she reasoned. Then, in 2022, she caught SARS-CoV-2 and developed long COVID, blowing up her life as she knew it and, for now at least, her hopes of having a baby.

“I became totally disabled by long COVID,” says Broadley, 34, who lives at her parents’ house in Brisbane. On a good day she struggles with debilitating fatigue that worsens after any kind of physical or mental activity, an autonomic nervous system disorder called postural orthostatic tachycardia syndrome (POTS), which causes her heart rate to spike when she stands up, cognitive dysfunction that means she can’t read or write for more than 10 minutes at a time, and an immune disorder, called mast cell activation syndrome, that triggers allergic reactions. Even though she’s been doing everything she can to recover, she’s still too unwell to cope with a potential pregnancy.