Infertility and Its Effects: What You Need to Know

The impact of infertility is not discussed enough, but it is a prevalent problem. Its effects take a toll on a person physiologically and mentally. One in eight couples have reported to have difficulty conceiving or maintaining pregnancy. There are numerous complex relationships between infertility and mental health.

Infertility is defined as the “inability to conceive after 12 months of regular, unprotected sexual intercourse or an impairment of a person’s capacity to reproduce either as an individual or with his or her partner.”

According to an American Psychiatric Association (APA) Reference Publication, the inability to conceive psychologically causes a great loss and a major life crisis. Anger, sadness, shame, and grief are all possible emotions associated with and responses to infertility. It can be challenging for couples to be around other families with children since they may feel stigmatized and alone.

Infertility and its treatments can be extremely stressful and can affect many facets of life, including jobs, family, and relationships.

When compared to the general population, men and women both report higher levels of anxiety and depression during in vitro fertilization (IVF) or other treatments. Women report greater psychological distress than men.  Stress related to infertility and treatment can be reduced with the aid of mental health services like psychotherapy or infertility counseling.

The medications often used to treat infertility can also affect mood and may contribute to symptoms of anxiety, depression, and irritability.

Medication may be used if mood problems worsen or do not improve with counseling and assistance. Several of these medications can have a detrimental effect on fertility even though many of them are necessary and useful in addressing mood disorders. By considering the benefits and dangers, your doctor can assist you in selecting the best course of action. It’s crucial to seek help when symptoms are severe and/or persistent because maintaining mental well-being is a crucial part of treating infertility.

Tips for coping include:

• Give yourself permission to feel your emotions.
• Give your spouse/partner permission to feel and cope differently than you.
• Tell your spouse/partner how you want to be helped.
• Get more informed.
• Connect with others.

References: 

Infertility 101 | RESOLVE

Resource Document on Psychiatric Aspects of Infertility

Edited by TLC Intern Sabrina McCoy