Psychological infertility

Infertility can be primary or secondary, absolute or relative. Primary infertility is characterized by the absence of pregnancy in a woman who has never conceived before, while secondary infertility occurs after one or more successful pregnancies. It can be associated with hormonal disorders or diseases of the reproductive system. Among the different forms of infertility, idiopathic infertility, also known as psychogenic infertility, occupies a distinct place due to its unclear origin.

According to various data, psychological infertility ranges from 4 to 40% within the structure of all forms of reproductive disorders in women. These figures are based on studies conducted by various medical and psychological institutions, including the European Society of Human Reproduction and Embryology and the World Health Organization. Such a diagnosis is made when, after a thorough medical examination of the couple, no biological reason prevents conception.

Causes of Psychological Infertility

Stress and Its Forms

Significant emotional stress can manifest in different ways: from financial instability and a tense family environment to a tendency towards depression or an excessive desire to have a child. These conditions lead to disruptions in the physiological processes necessary for conception.

Life Traumas

For many women, psychological infertility is associated with psychological traumas. For example, painful memories of a difficult childhood or a long life of instability. Women may fear that their husband will leave them with a child if they themselves grew up in a single-parent family. It can also involve fears related to financial difficulties, maternal responsibilities, or the health of the unborn child. Pregnancy is only possible when the woman feels safe.

Internal Conflicts

Another reason can be internal conflict. For example, a woman may strive to succeed in her career while dreaming of a child. These opposing desires create tension that prevents the realization of both goals. Resolving these conflicts requires in-depth psychological work.

Social Pressure and Its Consequences

Some women, faced with difficulties in conception, begin to feel social pressure. Stereotypes about a woman's role as a mother, expectations from family and society, and constant comparisons with others increase feelings of anxiety and inferiority. These emotions can lead to:

• Deterioration of the immune system
• Disruption of ovarian function;
• Disturbances in the hormonal regulation of the body;
• Deterioration of the fallopian tubes and uterus.

These changes further reduce the chances of successful conception.

The Role of Professional Help

Many gynecologists and reproductive specialists pay special attention to the psychological aspects of infertility. Among the methods used to work with patients are

• Cognitive-behavioral therapy: helps change negative attitudes and fears;
• Relaxation techniques: meditation, breathing exercises, and yoga help reduce stress levels;
• Psychotherapy: allows individuals to cope with a traumatic past and restore self-confidence.

Patients are often advised to consult a psychotherapist. This helps manage inner fears, reduce stress levels, and strengthen confidence in the success of treatment.

Other Paths to Parenthood

If psychological and medical help does not yield the expected results, there are other options for those wishing to have children:

• IVF (in vitro fertilization): effective for physiological causes of infertility;
• Adoption: a humane solution for those willing to welcome and care for a child;
• Surrogacy (GPA): suitable if a woman cannot carry a child herself (prohibited in European countries)
• Donor Programs: the use of donor eggs or sperm helps couples with genetic or reproductive issues.

Each of these methods requires an informed approach and the support of professionals.

Psychological infertility is a multifaceted problem that requires a comprehensive approach. Taking into account stress factors, addressing internal conflicts and past experiences, as well as utilizing the advances of modern medicine can help improve the chances of successful conception. With professional support and the various possibilities of modern reproductive medicine, every woman can regain confidence and hope to become a parent.