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Psychosomatics of infertility in women: what do psychologists say?

In short

There’s no reliable evidence that emotions on their own cause infertility, so start with a medical check-up, for both partners. Psychologists talk about something else: infertility and its treatment are hard to go through, and stress, guilt, family pressure and fear of another failure deserve support of their own. This work goes alongside treatment and doesn’t replace it.

Aizhan Li
Aizhan LiAuthor of the Ladder method
Updated

Doctor first, and together

Infertility is diagnosed when pregnancy doesn’t happen after a year of regular unprotected sex, or after six months if you’re over 35. According to the World Health Organization, about one in six people of reproductive age faces infertility in their lifetime.

The cause can be in the woman, in the man, or sometimes in both. That’s why both partners get checked: a gynaecologist or fertility specialist for the woman, a urologist for the man. Sometimes all the tests are fine and pregnancy still doesn’t happen. That’s a diagnosis too, and a doctor works with it as well.

What psychologists say

The honest answer: science doesn’t confirm a direct link like “an emotion causes infertility”. Phrases like “you want it too much”, “just let go and it’ll happen” or “infertility comes from resentment toward your mother” don’t help. They add guilt to something that’s already hard.

The reverse, though, is well known. Months of waiting, tests, procedures, hope at the start of each cycle and disappointment at the end wear you out. That’s why many fertility clinics themselves recommend psychological support during tests and IVF.

What people bring to this work

How the Ladder method sees it

I don’t explain infertility by feelings, and I don’t take on what a doctor does. In the Ladder method, the goal “to become a mother” is at the top, and next to it you can see what’s pressing on you: stories about childbirth in your family, other people’s words, fears about how life will change afterwards. It isn’t treatment and it isn’t a promise of pregnancy. It’s a way to see what’s hard for you while treatment is under way.

The free diagnostic builds this ladder in 10 minutes on your phone. A full article with the medical side and questions to ask yourself is on the page “Infertility psychosomatics”.

Psychological work goes alongside treatment, not instead of it. Diagnosis is made by a doctor.

Frequently asked questions

Is it true that infertility is “all in your head” and you just need to stop thinking about it?

No. People say this often, but it isn’t proven and it sounds like blame. You can’t stop wanting a child on command. What you can do is ease the pressure around the goal: from relatives, from schedules, from yourself.

When should I see a doctor?

If you haven’t got pregnant after a year, or after six months if you’re over 35. Don’t wait that long if your cycle is irregular, your periods have stopped or are very painful, or you’ve had miscarriages.

Do I need psychological support during IVF?

Many people do: IVF is hard on both the body and the mind. Look for a specialist who works alongside your fertility doctor and doesn’t promise pregnancy in a few sessions.

See what is holding you back.

In 10 minutes, the Ladder shows past events, other people’s words and your fears on one map.

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