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Coping
 
with
 
Infertility
 
The
 
8
 
Steps
 
Through
 
the
 
Emotional
 
Journey
 
of 
 
Infertility!
 
Often times we get so wrapped up in the physicalaspects of infertility that we neglect to care for ouremotional being, not for lack of the faithful “just relax” mantra that seems to follow us wherever wego. Depression is common in women and men that are experiencing infertility. Learning to cope withinfertility is just as important as learning to overcomeinfertility itself.There are eight steps that are commonly associatedwith this journey: surprise, denial, stress & anxiety,anger, self‐blame, isolation, grief & depression, andultimately acceptance.
 
Coping
 
with
 
Infertility
 
2
 
So you’ve both decided that you’re going to take that big step, good for you! Now that you’ve ditched yourbirth control and started charting your ovulation, getting pregnant will be a cinch, right? Or maybe it’s not always as simple as our mothers told us that it would be…Ten percent of Americans are said to suffer from infertility. Infertility is not just a physical defect or achemical imbalance. For you and your partner it can mean wave after wave of difficult decisions, awkwardsocial questions, and volumes of uninvited advice from self‐ordained experts. Unfortunately, we don’t have asay in whether we are one of the couples that will experience infertility.Often times we get so wrapped up in the physical aspects of infertility that we neglect to care for ouremotional being, not for lack of the faithful “just relax” mantra that seems to follow us wherever we go.Depression is common in women and men that are experiencing infertility. It is easy to allow ourselves not only to allow our fertility problems to overwhelm us, but also to assign blame to either ourselves or ourpartners. Learning to cope with infertility is just as important as learning to overcome infertility itself.
The
 
Emotional
 
Journey
 
of 
 
Infertility
 
Though you may well understand what your doctor has told you, there is still a journey that many make overand over when they are learning to live with infertility. There are eight steps that are commonly associatedwith this journey: surprise, denial, stress & anxiety, anger, self‐blame, isolation, grief & depression, andultimately acceptance.
 
Surprise
 
When your doctor first tells you that your problems conceiving are related to infertility, it's natural that yourinitial reaction may be shock or surprise. Thoughts like, "How could this happen?", or "This isn't supposed tohappen to me!" may overcome you. In the years that we spend in preparation for our own families it's likelythat nobody ever mentioned the possibility of infertility. For some, the first emotion experienced is relief orhopefulness. Knowledge of infertility gives them an answer to why they have been having difficulty in tryingto conceive. Hope can be rekindled in knowing that you are not doing something wrong, and understandingthat there are options available.
 
Denial
 
Since most do not consider that 1 in 6 women and 1 in 4 men suffer from infertility when they decide to havea family of their own, the information will most likely have difficulty resonating in their minds. Denial is aself‐defense mechanism that we use to insulate ourselves from painful knowledge. The voice within mayreassure you that you are a healthy man or woman, and that you can't possibly be infertile.
It 
 
 just 
 
doesn't 
 
make
 
sense! 
Denial in extremes can drive people to ignore treatment options, or go from specialist tospecialist looking for someone to assure them of their fertility. Some never make it past denial.
 
Stress
 
&
 
 Anxiety
 
In their search for answers to
why 
this would happen to them, stress and anxiety related to the knowledge of infertility often follows denial. The images of familial bliss, such as families at the park and pregnant womenin the grocery store, can be very stressful for you to witness. These experiences may always be somewhat painful, but in this stage these emotions are amplified. From the anxiety of wondering if you did somethingwrong, to the fear of never being able to conceive, to a plethora of advice and ignorant comments, to theanticipatory anxiety of each new cycle, stress can strain both your relationships and your faith.
 
Coping
 
with
 
Infertility
 
3
 
 
 Anger
 
Anger is a healthy emotion, but we need to be able to work both through it and past it. Anger stems frommany places in infertility. You may be angry that abusive families and teenagers seem to be having noproblem getting pregnant over and over; you might feel cheated that such a loving mother or father asyourself may not conceive at all. You may be angry at God for denying you the baby you deserve, angry at surrendering your dignity to a series of uncomfortable tests, or surrendering the control you thought you hadover your body to a doctor. Financial difficulties and religious conflicts may also ignite your temper. It'snatural to be jealous of "normal" families.
 
Self 
-
blame
 
Self‐blame, negative self image and guilt are all part of this same step on your journey. As humans, if wecannot find an answer to the question "Why?” we may internalize the blame. This is an irrational, unhealthyprocess that can lead to depression. Some may start to believe that through some sin or indiscretion theyhave invited this problem upon themselves. Others may believe that they are being made to suffer as penancefor an event that has passed, inviting both physical and emotional pain as though they are paying a debt. It isimportant to remember that this is irrational thinking. These emotions must be managed as they can have adamaging effect on your personal relationships, career, and every other aspect of your life.
 
Social
 
Isolation
 
Couples may withdraw from social situations as they feel oppressed by images of happy families, pregnanciesand babies. Your own family and friends may accidentally or overtly make painful comments, give unwelcomeadvice, or ask insensitive questions. This breakdown can happen in your own home as well. Men have atendency to suppress their emotions, and women have a tendency to immerse themselves in treatments.These coping mechanisms can easily be misinterpreted on either side of the fence (she feels he doesn’t care,he feels she is obsessed). Since 1 in 6 marriages do not survive infertility, it is important to maintain yourcommunications with your partner, and discuss what and how you will communicate with family and friendsregarding your situation.
 
Grief 
 
&
 
Depression
 
It is natural to grieve over many actual and perceived losses that you have incurred as a result of yourinfertility. You discovered that you are no longer in control of your body. You surrendered your privacy tomedicine in your quest for answers. Your life goals have been altered and your relationships may be suffering.You may have lost faith in your God or belief in justice. Every time you have another negative test the grievingprocess can rekindle. Though grief may be natural, depression is not. Depression is irrational and damagingto yourself and your relationships. Feelings of unworthiness and loss of purpose in your daily life are baselessand destructive. Develop positive coping techniques, participate in treatment, and monitor your thoughts forrationality and value.
 
 Acceptance
 
Acceptance does not mean that you’re ok with it; it just means that you understand and acknowledge thetruth and are willing to work through your feelings to progress in whatever your subsequent plans may be.Acceptance may be the end of the journey, but you will probably find yourself making the journey severaltimes for many reasons. You may not experience all of them, or in this order; this process can take hours oryears. Some never even make it to acceptance. No matter what your particular circumstances are, acceptanceis the step that allows you to rebuild your relationships, career aspirations, and self‐esteem while planningyour treatment. In 2002, the CDC reported 7.2 million cases of infertility in America, so the one thing that weknow for sure is that you are not alone.
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Please visit http://www.conceivableworld.com for more helpful information related to infertility and difficulty conceiving.

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