Kristen and Josh's story is real. There are so many trigger warnings that come with this read, but it made the characters stand out to me. There are health issues, death, motor accident, and one horrible mother. There are also best friends and love and real talk. Not silly miscommunication but real relationship discussions. 
I have not had the fertility issues, fibroid tumors, or debilitating periods that others fight. This may be a hard read for women with this battle or it may be nice to see those struggles acknowledged.  Abby Jimenez handled it well. This read is not the typical rom-com and I liked it even more for it.