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How to Cope with the Stress of Infertility Treatment

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While infertility is a physical condition, there are mental and emotional health issues that are often linked to it. Sources of stress include the need for injections, the financial toll, negative pregnancy readings, and the social stresses of holidays and baby showers.

Because of all these various factors, handling the stress of infertility is certainly not easy, but the path is made a bit more manageable by advice on the topic provided by associations and experts. Here are 7 of the most common strategies that are recommended in order to cope with infertility and process related stresses in a healthy manner:

1.) Collect information.

It is good to learn about a healthy and normal infertility response. One way to stop feeling negative about your perspective while you are working with a fertility clinic is to see how other people have felt vulnerable in the same situation.

2.) Let yourself grieve.

While you want to end with a successful pregnancy, it is difficult not to start to go through grieving for a child that does not yet exist. When you have grief that is sustained and that cannot reach a resolution, you may start to feel anxious. Grieving the child that you have not had is all right. Parents Magazine calls this “grieving a dream.” There are various ways to approach this mourning process. You can speak with a good friend or with your partner. You can write your responses. Whatever you do, you want to be recognizing the grief that you have and resolving it – which in turn will allow you to release it.

3.) Get physical.

Working out can help to release stress, as noted in the 6th item below. Exercise has manifold additional benefits, such as allowing the release of healthy endorphins, allowing us to cope with anything that comes our way so we can maintain better positivity.

Canadian registered psychologist Ronda Trumper advises to try low-impact options such as walking, especially if you can do it outside and get the additional benefits of spending time in a natural setting. Any exercise will help you to stay fit and keep you feeling positive as well. Some people will choose to go for runs instead. It is more common to feel energetic and want to exercise in between IVF cycles than during the cycles.

Trumper also mentions yoga as a possible exercise, as long as you do some form other than the hot variety. It is also a good idea to notify the teacher that you are trying to get pregnant – since they may have specific suggestions for how to perform poses differently or avoid some of them altogether. Be aware that your physician may tell you to stay away from certain types of workouts following transfer of the embryos and as you are waiting to learn if you are pregnant or not.

4.) Keep your loved ones in the loop.

The infertility nonprofit RESOLVE advises that you can help those around you better respond to the situation by informing them about the issue. You could suggest a reading for them to get a basic sense of the challenges surrounding infertility. Plus, you could benefit from letting those around you know specifically how you want them to treat you related to this part of your life.

5.) Practice your breathing.

You will naturally be able to bring down your stress level simply by learning to breathe deeply. You can go through a series of deep breaths either with your partner or by yourself. To start with deep breathing, sit in a comfortable position, and close your eyes. Start inhaling gradually and deeply. Inhale through your nostrils, and exhale through your mouth. You want your diaphragm and chest to both feel filled with air. This practice should be conducted slowly and mindfully. When you feel stress, simply use deep-breathing exercises for 5 minutes to get some relief.

6.) Allow yourself to feel emotional.

It is not always wrong or inappropriate to get angry or to feel terribly sad. Suppressing your true emotional response can be very unhealthy. Crying when you feel frustrated about not being able to achieve a pregnancy is something that you should feel comfortable doing. Taking out angry energy with a punching bag or other high-intensity workout can help in dealing with that emotion.

7.) Talk to your partner.

Your partner will not be able to figure out how to support you properly if you do not let them know what you need. If you are feeling down and want to stay home from an event, that should not be a problem but should be supported. It is up to you to say something. Let your partner know if you want to have additional alone time, or if you just could use a hug.

Compassionate help for infertility

Are you feeling high stress related to infertility? At California Center for Reproductive Health, we want you to feel calm and to ultimately be successful. Our patient Stacey B. said that Dr. Mor “was informative, compassionate and truly dove into my case keeping my wishes first.” See our testimonials and reviews.

Eliran Mor, MD

Reproductive Endocrinologist located in Encino, Santa Monica, Valencia & West Hollywood, CA
Reproductive Endocrinologist located in Encino, Valencia & West Hollywood, CA Doctor Mor received his medical degree from Tel Aviv University-Sackler School of Medicine in Israel. He completed a four-year residency in Obstetrics and Gynecology at New York Methodist Hospital in Brooklyn, New York. Subsequently, Dr. Mor completed a three-year fellowship in Reproductive Endocrinology and Infertility […]

FAQ

What does a reproductive endocrinologist and infertility specialist do?

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.

When should I see an REI specialist?

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).

What are the reasons we are having trouble conceiving?

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.

What is IVF? What is the process like?

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.

Should I have IVF?

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.

Is the IVF procedure painful?

While not painful, the fertility medications may some side effects including headaches, hot flashes, mood swings, and bloating. The injection sites may also bruise.

Will IVF guarantee a baby?

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.

What is the success rate for IVF?

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.

Do insurance plans cover infertility treatment? How much does IVF cost?

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.