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Counseling

Clinical research papers, like the ones cited below, indicate that psychological distress is associated with lower pregnancy rates.  The scientific explination for this is rather simple; it is the solution that can be more difficult.  While stress may be a part of the cause of infertility, the fertility journey itself can be a rather potent generator of stress.  Couples are thrown into a world of high tech science that is itself in a stage of infancy, often times unable to provide clear diagnostic answers or clinical solutions.  The result can be a very expensive and invasive high stakes game of trial and error that takes the couple on an emotional roller coaster.  Fincancial stress, emotional stress, physical stress, marital stress; this is supposed to promote pregnancy?

Whether your stress is the cause of your fertility struggle or the result of it, psychological counseling from a therapist who understands the struggle of infertility can be a life saver; and a marriage saver.  Dr. Alyssa Berlin, a Gottman Certified Educator, offers short term individual and couples therapy geared specifically toward transitional changes.  By countering some of the stress of the process, Dr. Berlin can help restore your ability and desire to smile and laugh, experience joy and bonding in your marriage, and better weather the storm to parenthood.  For more information, or to schedule an appointment, please call (323) 549-0070.


THE IMPACT OF STRESS ON PREGNANCY RATES

A paper published by Alice Domar, Ph.D., in Fertility & Sterility (Journal of the American Society for Reproductive Medicine), February 2004, stated that "recent research on the relationship between psychological distress and IVF success indicates that pre-cycle distress is associated with lower pregnancy rates." Dr. Domar cited 15 studies found in the literature from around the world, and ten of these studies "provided statistically significant results to support the theory that distress is associated with lower pregnancy rates. Two of the studies had small numbers of patients but showed a trend toward the same direction. Three showed no relationship."

Dr. Domar also cited a Turkish study by Terzioglu where 60 couples were evaluated. Half of the couples received counseling and support throughout their IVF cycles, whereas the other half received routine medical care. Terzioglu found that "the experimental patients had lower anxiety and depression scores in addition to significantly higher pregnancy rates."

 In the same issue of Fertility & Sterility, Catharina Olivius et. al. reported "that 54% of the patients not achieving live birth discontinued the IVF program, despite the treatment being free of charge." She concluded that the "majority of discontinuations were due to psychological stress."

 Continued research on the effects of stress and the impact of stress management and psychological support on pregnancy rates is needed. However, there appears to be a solid foundation to support the need for fertility clinics and providers to address the emotional aspects of patient care. Fertility treatment at its best provides excellent medical care as well as comprehensive psychological support and stress management.

 This research is from infertilitymindbody: http://www.infertilitymindbody.com/stress.htm

 

 


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