Stress Management

What is stress?

Stress is one of the most common, yet highly misunderstood terms that we use in our everyday life. Stress is our body’s way of responding to any kind of demand or stressors. Stressors are internal or external factors affecting the individual.

Does stress cause infertility?

There is no conclusive evidence that says that stress causes infertility. There is no direct cause and effect relationship between stress and infertility. But if stress is left untreated, it can add to the difficulties of infertile couples.

Does infertility lead to stress?

Yes, a lot of studies suggest that the diagnosis of infertility does lead to stress, anxiety and depression in a lot of couples. Research has shown that infertile couples are more stressed when compared with a matched sample of fertile couples. Some infertile couples describe the experience of infertility to be as stressful as the experience of divorce or the death of a loved one.

Consider the situation. When a couple is unable to conceive, facing family and societal pressures to have a baby, the pressures sometimes could be silent ones, the couple faces self-doubt, and society frequently fails to realize how much grief childlessness can carry. Being infertile is not a dangerous medical condition, but it is a struggle to build a family, to fulfill a dream and to be happy. Such circumstances can be stressful for the couple experiencing infertility.

Can stress affect infertility treatment?

Yes, it can. There is evidence from some studies that suggest that pre-existing stress can have detrimental effects on pregnancy outcomes from infertility treatment.

Factors that contribute to stress in current times include:

External Factors:

  • Your job
  • Relationship with loved ones, social relationships
  • Your home
  • Challenges, difficulties and expectations of everyday life
  • Your environment, pollution etc.

Internal Factors:

  • Your nutritional status
  • Any addictions (alcohol, smoking, excessive smartphone usage)
  • Overall health and fitness, exercise regime
  • Sleep and rest that you get
  • Emotional well-being

Do lifestyle factors have an effect on infertility?

Yes. Lifestyle factors do have a negative effect on infertility and its subsequent treatment. These factors could be:

  • Obesity
  • Hectic daily schedule – When you are drained out, there is no time for sex.
  • Irregular and unhealthy eating habits

Lack of physical activity- No exercise, sport etc.

What can I do to reduce the stress of infertility?

  • Identify the technique that helps you feel relaxed, and incorporate it into your schedule.
  • You can practice yoga, meditation, relaxation exercises, playing a sport etc. Physical activity helps in regulating stress levels.
  • Incorporate lifestyle changes such as eating healthy, taking adequate rest, taking breaks from work, going on vacations, etc.
  • Communication with your partner: Communication and healthy discussions with your spouse provide you with support and strengthen your marital relations.
  • Identify your support. Find social support in some family member or friend if possible.
  • Visit an infertility counsellor or psychologist. Consulting a psychologist can be an additional way for you to reduce your stress.
  • Identify support groups. It can help talking to others who are undergoing similar difficulties and have similar experiences.

Does infertility cause sexual dysfunction?

No, it does not. However,

Consider the situation. You are a couple with both you and your spouse working full time. You wake up in the morning, finish daily chores and rush to work. Both husband and wife have to face traffic woes, slog at the workplace, come back home facing even worse traffic, cook dinner once back home, eat, watch some television, and then go off to sleep after being dead tired. Is there time or energy left for sex??

I have a lack of desire due to scheduled sex. What should I do?

  • Infertility can increase sexual discontent among couples. Not being able to conceive increases the demand to have sex on particular days, when the ovulation period occurs.
  • Not being in the mood, being drained out after a hectic day, or being out on business trips on these days could increase the disturbance between couples. Scheduled sex can rob the spontaneity and excitement out of it, and might make it more like a chore that needs to be done.
  • Instead, try to focus on having a regular and active sex life so that it is ensured that you have a chance at conception during the ovulation period.

What do I do if I am experiencing performance anxiety?

  • As a man, you may feel that the label of infertility might signify a loss of masculinity. This is not the case.
  • But, you may feel as if sex has been reduced to a ‘performing act’, and the pressure to ‘perform’ on the days of ovulation.
  • On top of that, if there is lack of time since the couple is tired, this pressure can lead to performance anxiety, and thus sexual dysfunction. You can then try harder to ‘perform’ the next time, and this is then met with further failure, as there is more pressure created.
  • Instead, reduce your stress and pressure by not focusing on the goal of conception during sex.
  • Find practices that help you relax and ensure that you do not feel the pressure.
    • Communicating with your partner, meditation, and not scheduling sex can be tools to help you.