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Psychological support

Emotional aspects of sterility: a guide for patients

The ability to conceive is often taken for granted. Nearly everybody hopes to have children, so that discovering that one has an infertility problem can cause pain and emotional difficulties.

If you and your partner are having an experience of this sort, you are not alone. Infertility affects one 1 out of 12 couples, but as the problem is not visible or palpable, others do not understand the stress you may be experiencing.

Every person responds to infertility in a different way depending on their specific situation, their strategies for confronting it, and their personality. The emotional impact must be faced before, during and after the infertility treatment. Getting ready for this difficult period can be of great help. With emotional support and good mental preparation, the suffering that sterility may bring about can be reduced.

IVI’s Psychology Unit aims to treat some of the feelings you will have to face as an individual, a patient, and a couple as you take decisions throughout the treatment.


  • When you discover you have an infertility problem

    To face up to infertility, one needs both physical and psychological energy, and it is important that both you and your partner get ready for the emotions you are going to experience. Some of the most common emotions are:
    Shock, Denial, Guilt, Anxiety, Depression, Desperation, Rage, Loss of control, and Loneliness.
  • Especially difficult times

    There are times in day to day life that make you feel more depressed and lacking in resources. But if you have become emotionally prepared, you will find that these situations can be handled. It is important that you remember that you should not participate in activities that depress you. For example, instead of looking after a baby you can plan something special for that day.

    You should also be prepared for situations that are initially simple to face but which at that moment become unapproachable circumstances. For example, taking part in conversations focusing on pregnancy or on children, or conversations with pregnant friends during your fertility treatment. Perhaps holidays and birthdays imply additional stress due to the fact that time is passing by and you still have no children. Remember that you are on the way to achieving it.

    Another difficulty may be visits to doctors. You will see pregnant women in the consultancy and you will face negative results in the tests. You and your partner will consider the possibility of abandoning the treatment. Generally, many women experience the beginning of the first menstrual cycle as a traumatic event from the moment this indicates that there is no pregnancy after a month of waiting and the need to start over again.

    In order to face up to these situations, in IVI’s Psychological Support Unit we will help to build up this emotional strength and to prepare you for these events that may happen. Reflect on these kinds of circumstances and ask yourself how you will react. One good therapy is to talk to people that have experienced the same emotions. See how they have managed and what they have done differently from you.

  • Taking the decision

    Taking decisions is an essential part of the experience of infertility. There are options, such as In Vitro fertilisation, sperm or ova donations, surgical treatment etc. that can lead to different reactions in each of the partners in the couple. The couple’s partner that has the specific medical problem may find themselves under pressure when expressing their wishes. You have to feel free to do it. Men are sometimes worried when choosing a kind of treatment that requires invasive techniques, such as daily surgery or puncturing, on their partners. Other couples may find that they have “different rules of play” with respect to the time, effort and economic outlay they are thinking of dedicating to the treatment. For many couples, the decision about “when to say enough” can be one of the most difficult things to discuss.
  • The treatment

    After various months of tests and identification of your particular problem, you may be starting your first treatment or have already been through a cycle of assisted reproduction. In general, the doctor and team that are dealing with your treatment use terms that were probably unknown to you before. Don’t hesitate to ask about anything you need to know about the medication or about the specific technique that interests you. Generally, in the Reproduction Medicine Services’ offices they can give you graphic and visual documentation that will help to inform you better about what monitoring means, or the mechanical apparatus used for your treatment, the techniques that you didn’t know about until now, or the drugs that you are going to be prescribed. It may be useful to make a list of questions to remember them when you visit.

    IVI’s Psychological Support Programme involves an average of four or five sessions in which patients are trained in cognitive behavioural techniques and self-control techniques. It is designed to combat and reduce symptoms of anxiety and stress, to improve difficulties in communicating with one’s community (family, friends, work) and with the medical and health care team. It restores self-esteem and improves the couple’s sex life: from learning to relax to developing psychological and social abilities, as well as combating and overcoming stress, getting to know oneself better, and learning to confront difficult situations. Keeping a positive attitude and anxiety under control, patients get involved in better conditions in all kinds of ART (Assisted Reproduction Treatment) and the rate of success in the treatment is increased.