Couples Issues26 Sep, 2025

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Infertility and Fertility Treatments

Infertility is a deeply emotional issue that can strain a relationship. Couples may experience frustration, grief, and feelings of failure when they struggle to conceive, and the process of fertility treatments can add even more stress. Therapist Dr. Julie Bindeman, who specializes in reproductive issues, notes that “infertility is often a silent struggle, but its emotional impact can be profound, causing significant distress in both partners.”

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In therapy, couples facing infertility work through the complex emotions that come with it—such as sadness, anger, and fear. It’s common for one partner to feel guilt, thinking they are at fault, while the other may feel helpless or unsure of how to offer support. Therapists encourage open communication, where both partners can express their feelings without fear of judgment or blame.

Dr. John Gottman emphasizes that “couples must act as a team during challenging times like infertility. Supporting each other emotionally is crucial for maintaining the relationship.”

Another common issue that arises is differing opinions about how far to go with fertility treatments. One partner may want to pursue all available options, including IVF or surrogacy, while the other may be hesitant due to the physical, emotional, or financial costs. Therapy helps couples discuss these options honestly, weighing the pros and cons while respecting each other’s boundaries and concerns.

Dr. Sue Johnson suggests that “couples should approach these decisions as partners, understanding that it’s a joint journey with no right or wrong answers—only what feels best for both of them.”

Therapists also help couples manage the impact of fertility treatments, which can be physically exhausting and emotionally draining. The constant cycle of hope and disappointment can wear down even the strongest relationships. Therapy provides a space to process these emotions and develop coping strategies to manage the stress.

Ultimately, infertility is a challenging experience, but with support from therapy, couples can navigate the emotional and physical toll together, maintaining their connection and strengthening their bond.

(All content we share in print, video, or other media reflects our personal opinions and is provided for general informational purposes only; it should not be considered legal, financial, medical, or professional advice, and should not be relied upon without seeking guidance from a qualified professional)

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