5 Tips for Couples Coping with Infertility During the Holidays

If you’re struggling with infertility, you’re not alone. According to the Centers for Disease Control and Prevention (CDC), approximately 10% of women between the ages of 15 and 44 struggle to conceive or carry a pregnancy to full term. For many couples, the pressure and stress around trying to start a family can be especially difficult and overwhelming around the holidays. At California Center for Reproductive Health, our team of fertility doctors and specialists offer a range of services across several convenient locations in West Hollywood, Santa Monica, Valencia, Encino, and Alhambra.
Holiday coping strategies when you’re dealing with infertility
Every couple is different, and the struggle to conceive and start a family will affect you and your loved ones in different ways. Here are a few tips to help you navigate and enjoy the holidays through what can be a painful and difficult time.
Give yourself permission to feel bad
It might sound counterintuitive, given the emphasis on feeling happy, joyful, and positive at all costs during the holidays. While you should prioritize your own mental health and emotional well-being by participating in activities and events that make you feel better, burying your emotions or “putting on a happy face” for others can do more harm than good, and exacerbate stress, anxiety, and other negative emotions.
It’s OK to say no and turn down invitations
The holiday season can be a parade of back-to-back parties and social engagements that can get overwhelming even during the best of times. When you’re going through a difficult time, it’s perfectly acceptable (and advisable) to politely decline invitations if you’re just not feeling up to it. Remember that there’s always next year. If large gatherings and social events are too painful for you to handle at the moment, suggest meeting with friends and loved ones in a quieter, more intimate setting or anywhere you feel more comfortable and supported.
Find support
Maybe being around children and babies is exactly what you need to feel better, or maybe an adults-only environment is all that you can manage right now. Spend time with people that make you feel supported and at ease.
Do something different for the holidays
There are no hard and fast rules that dictate how you must spend the holidays, especially during a difficult time. If traditional holiday celebrations are too much for you to handle this year, consider doing something entirely different, like taking a trip that takes you out of the holiday pressure cooker, or celebrating in a new and different way. It’s also perfectly acceptable to opt-out of the holidays entirely if that’s what feels right for you! There is no right or wrong way to spend the holiday season as long as you’re prioritizing your health and well-being.
Communicate your needs to friends and loved ones
Your family, friends, and co-workers may have the best intentions, but it can be difficult to know what to say when someone is dealing with infertility. Whether you need a shoulder to cry on or prefer not to talk about it, setting your boundaries ahead of time can help you avoid getting stuck in awkward and uncomfortable situations.
Learn more about your options
If you’re ready to start a family or have dealt with infertility in the past, we can help. Contact us today to schedule an appointment with a fertility specialist at one of our convenient locations.
Eliran Mor, MD
Reproductive Endocrinologist located in Encino, Santa Monica, Valencia & West Hollywood, CA
FAQ
Reproductive endocrinology and Infertility is a sub-specialty of Obstetrics and Gynecology. In addition to managing medical and surgical treatment of disorders of the female reproductive tract, reproductive endocrinologist and infertility (REI) specialists undergo additional years of training to provide fertility treatments using assisted reproductive technology (ART) such as in vitro fertilization.
Reproductive endocrinologists receive board certification by the American Board of Obstetrics and Gynecology in both Obstetrics and Gynecology and Reproductive Endocrinology and Infertility.
In general, patients should consider consulting with an REI specialist after one year of trying unsuccessfully to achieve pregnancy. The chance of conceiving every month is around 20%, therefore after a full year of trying approximately 15% of couples will still not have achieved a pregnancy.
However, if a woman is over the age of 35 it would be reasonable to see a fertility specialist earlier, typically after 6 months of trying.
Other candidates to seek earlier treatment are women who have irregular menses, endometriosis, fibroids, polycystic ovary syndrome (PCOS), women who have had 2 or more miscarriages, or problems with the fallopian tubes (prior ectopic pregnancy).
Approximately 1/3 of the time cause for infertility is a female factor, 1/3 of the time a male factor, and the remaining 1/3 a couples’ factor.
At CCRH, we emphasize the importance of establishing a correct diagnosis. Both partners undergo a comprehensive evaluation including a medical history and physical exam.
Furthremore, the woman’s ovarian reserve is assessed with a pelvic ultrasound and a hormonal profile. A hysterosalpingogram (HSG) will confirm fallopian tube patency and the uterine cavity is free of intracavitary lesions. A semen analysis is also obtained to evaluate for concentration, motility, and morphology of the sperm.
Additional work up is then individualized to direct the best possible treatment option for each couple.
In vitro fertilization (IVF) is the process that involves fertilization of an egg outside of a woman’s body.
The process starts with fertility drugs prescribed to help stimulate egg development. In your natural cycle, your body is only able to grow one dominant egg, but with stimulation medication we can recruit multiple eggs to continue to grow. After about 8-10 days of stimulation, the eggs are surgically retrieved and then fertilized with sperm in a specialized laboratory. Fertilized eggs are then cultured under a strictly controlled environment within specialized incubators in the IVF laboratory for 3-5 days while they develop as embryos. Finally, embryos (or an embryo) are transferred into the uterine cavity for implantation.
Before deciding if IVF is the right choice, it’s important to sit down with an REI specialist to discuss available treatment options. For some people, other methods such as fertility drugs, intrauterine insemination (IUI) may be the best first choice treatment. At CCRH, we believe each individual couple is unique and not everyone needs IVF.
While not painful, the fertility medications may some side effects including headaches, hot flashes, mood swings, and bloating. The injection sites may also bruise.
Unfortunately, no. Many people think once they start IVF it’s a matter of time that they will be pregnant and have a baby. But according to national statistics per the Society of Assisted Reproduction (SART), on average 40% of assisted reproduction cycles achieve live births in women under age 35. The chances of success then continue to decrease with advancing age.
At CCRH, we employ only evidence-based interventions to ensure patient safety and optimal outcome. While we cannot guarantee a baby, we guarantee that you will receive the best, most advanced, personalized care to help you maximize your chance of a baby.
The average IVF success rate (success measured in live birth rate) using one’s own eggs begins to drop around age 35 and then rapidly after age 40. This is due to the decline in egg quantity and egg quality as a woman ages.
Our clinic’s success rate consistently beats the national average year after year.
Individual insurance plans often do not have any coverage for infertility treatments. If you have a group plan, you can call members services to see if they have coverage for infertility (including consultation/workup and IVF).
After your consultation with our REI specialist, one of our dedicated account managers with sit with you to go over the cost of treatment.