The Emotional Plight of Infertility: The Strains on Intimacy

***T H E  S T R A I N S  O N  I N T I M A C Y***

Welcome back! We hope you are learning a lot this week and we hope you are starting to realize that You Are Not Alone.?

In the magazine “Inside Medicine,” Dr. D writes about the strains on intimacy that can come as a result of a couple’s plight with infertility…

“During a couple’s struggle with infertility, it is very common to see sex become a chore rather than a show of intimacy. The mental association that a woman may develop between sex and failure may make it to where she is only interested in sex around the time of ovulation.

Conversely, misconceptions about the optimal frequency and timing of intercourse in order to conceive often results in couples having intercourse much more frequently than is even enjoyable for either of them.”

So there you have it. If you’ve been feeling this way, know that you are not alone. It is very common to have these struggles and there are so many other couples who are going through the exact same thing.

In fact, tomorrow we will discuss how common it really is, how many other couples are going through this, and what realistic expectations truly are when a couple is determining how soon they should conceive.

?Join us here tomorrow to learn more about *Misdirected Expectations.

The Emotional Plight of Infertility: Reactions of Men vs. Women

***R E A C T I O N S  O F  M E N  V S. W O M E N***

Dr. D shares some general observations from his daily clinical encounters with couples:

“In general, men and women deal with infertility in different ways. It has been shown that women are quicker to become distressed about infertility than their male partner, and often struggle with jealousy when another person around them conceives. My experience supports this data.

Additionally, both men and women tend to have lowered self-esteem if the diagnosis or perception of the problem is related to his/her body, respectively. Men frequently even deny that they could be a contributing factor until it has been demonstrated to them objectively.

All of these differences place a strain on the ability of a couple to empathize with one another appropriately during a time that they desperately need each other’s support.”

As you can see, both men and women are affected emotionally and physically on this journey. Opening the lines of communication, being honest, and supporting each other is such an important part of the fertility journey.

?Join us back here tomorrow as we discuss *The Strains on Intimacy.

The Emotional Plight of Infertility: You Are Not Alone

All this week on our blog, we will be discussing a topic that you have probably been wondering about but perhaps haven’t discussed with anyone because it isn’t easy to talk about, especially when you don’t know anyone else who is having the same struggles.

But we are here to tell you that You Are Not Alone.?

***T H E  L O N E L I N E S S  O F  I N F E R T I L I T Y***

“My husband and I have stopped using birth control. Why aren’t we getting pregnant?”

This is a common sentiment that Dr. D encounters each week in the clinic as couples struggle with a roller coaster of emotions.

It comes natural for most to dream of a future with children. Because conception is a natural expectation it becomes quite frustrating and disappointing when plans do not become reality on demand.

Many couples will uniquely relay the heartaches of a lonely struggle. As they are surrounded by friends, family, neighbors, and co-workers who conceive easily, the frequent refrain is “what’s wrong with me?” The struggle all too often becomes personal. Many approach fertility with unrealistic expectations, and still more lack an understanding of just how common infertility is.

For most couples, attempting to conceive a child is a very intimate process that is clothed in privacy…and rightly so. But because of the quiet nature of this process, those who are unable to voluntarily conceive often suffer in private as well. Infertility if spoken of far too seldom in our society, which makes those couples that are experiencing infertility feel as if they are on an island. Even more, the relationship between intimate partners is often greatly affected by infertility.

?Join us back here tomorrow as we discuss *The Reactions of Men vs. Women.

Fertility 101

Have you ever wondered?…

  • What is infertility?
  • How many couples does this affect?
  • Does this affect females as well as males?
  • What are the odds of having a successful pregnancy if you’ve had recurrent miscarriages?
  • How do you know if it’s time to consult a doctor?

**Female Infertility**

You may be surprised at how many couples deal with these same struggles. In fact, infertility occurs in 15% of all couples.

So what exactly is infertility, and how do you know if this is something to take a further look into?

✔️If you are younger than 35 years old and have been trying for 1 year with no success of pregnancy

✔️If you are older than 35 and no pregnancy after 6 months of trying

The most common cause of female infertility is irregular or lack of ovulation. Therefore, the first step will be to ensure that you are ovulating predictably. If it is determined that you are not, your ovulation can be induced via medicine. If ovulation is confirmed, a thorough history and examination can be used to search for other causes.

Some of these issues could be:
+ Hypothalamic/Pituitary disorders
+ Tubal disease or dysfunction
+ Uterine defects (polyps or fibroids)
+ Uterine malformations
+ Endometriosis
+ Metabolic disorders

However, females aren’t the only ones who deal with infertility.

**Male Infertility**

In fact, 40-50% of all infertile couples will have some form of male factor infertility, with male factor being the sole cause in 30% of cases.

As a matter of fact, more cases of infertility are due to a male factor than any other single cause.

There are several different male issues that can be tested for.
+ Low sperm counts
+ Low motility
+ Poor morphology
+ DNA fragmentation
+ Immune-related
+ Metabolic disorders

If it is determined that any of these factors are an issue that you or your partner are struggling with, there is help available. Technology has come such a long way to help couples reach their pregnancy goals.

**Recurrent Miscarriages**
The definition of recurrent miscarriage, (aka recurrent pregnancy loss), is the loss of 2 or more clinically-recognized pregnancies involuntarily before 20 weeks.
A little known fact is that 15% of all clinically recognized pregnancies end in miscarriage. However, it is only 1-2% of all women who experience recurrent miscarriages.
If you are in this small percentage of women, don’t lose hope! Even after 4 consecutive miscarriages, the chances that your next conception will be a live birth are at least 70%.
The various causes of recurrent miscarriages can be:

+ Hormonal abnormalities
+ Immune-related causes
+ Environmental factors
+ Uterine abnormalities
+ Female genetic abnormalities
+ Male genetic abnormalities
+ Infection or inflammation

Frustratingly, 50% of women never figure out the cause of their recurrent miscarriages. However, greater than 80% of these women will go on to have a live-born baby if they are appropriately counseled and receive psychological support.

There is so much hope for those struggling. In addition to the advances in technology that help couples reach their pregnancy goals, our infertility clinic is designed to personally assist you through this tough time. You do not have to take this journey alone.? Don’t hesitate to call us at 256-217-9613 if you are ready to talk with someone to see how we can help!

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