In September I began a training in infertility counseling with Sharon Covington, MSW and Nancy Hafkin, PhD and together with seven other practitioners in the field, we began the journey to learn more about assisting individuals and couples who are facing challenging reproductive issues. Our second session’s focus of attention was on identifying some of the mental health issues that can arise as a result of getting a diagnosis of infertility and its subsequent treatment.
When clients go through a period of approximately one year of regular, unprotected intercourse without a resulting pregnancy, reproductive assistance is usually the next step in aiding conception. Clients are referred to a reproductive specialist and an in-depth assessment is done to determine the cause of infertility. When clients first find out the reason they have been unable to conceive they may experience a range of emotions including shock, disbelief, anxiety, depression, shame and anger .
Assisted reproductive specialists and their support staff are trained in guiding clients through the medical steps of promoting fertility but when clients confront emotional challenges that can arise during this process, counseling may be a helpful component of treatment. A diagnosis of infertility can affect one’s sense of self; a deep realization of an altered perception of body, mind and soul. It can affect close personal relationships with partners, family and friends and navigating through this phase while undergoing rigorous medical interventions may be aided by talking with a therapist trained in assisted reproductive issues.
The range of emotions experienced by men and women upon receiving an infertility diagnosis is vast and those who have a strong relationship and support network appear to have an increased ability to manage the future challenges of trying to have a baby. Sometimes an infertility diagnosis opens up older issues including relationship problems, family expectations, societal pressures, history of abuse among others. The diagnosis itself is not the only trigger for powerful emotions as the options presented for conception including hormone treatment, donor eggs, donor sperm, IVF, surrogacy, etc. all require a thoughtful approach requiring self awareness, honesty and the ability to collaborate with one’s partner and medical staff while remaining in the community as a family member, worker and friend.
A person who is diagnosed with infertility confronts an unexpected reality; a future self and plan that goes against what had been thought of as a given – I/we will become pregnant and have a baby. Infertility creates a paradigm shift that requires the strength to negotiate a variety of medical interventions and unexpected emotional states.
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