A brief discussion of the psychological aspects of infertility

  Infertility is now a common disease, as its causes are quite complex and may have both organic and functional disorders, as well as psychological causes. In a considerable number of patients, the importance is attached to organic lesions, the functional disorders are taken lightly, and the psychological disorders are ignored.  Sources of psychological problems of infertile couples 1, the infertile couple’s own psychological pressure from their own fertility requirements, some couples once married or once the release of contraception, they are eager to get pregnant, and the January pregnancy, which month was born, the pig is a dog and other issues made a detailed plan, and prepared a variety of childcare facilities, friends and relatives are also widely informed. Once the purpose is not achieved, it is disappointed and frustrated, anxiety, while doubting whether they as a normal person should have the ability to have a normal fertility.  2.Friends, family and environment Concern, sympathy, or contempt may come from the relatives, friends and colleagues around. In China, the idea of heirloom is still deep-rooted in people’s minds, especially in rural and more remote areas. This puts a lot of pressure on infertile patients. The excessive concern of both parents is also an important factor that causes psychological stress to infertile couples.  The patient’s limited psychological ability to cope with their disease is also a source of psychological stress. The length of infertility, the different causes and expectations of the treatment process, as well as the socio-cultural background of the patient’s own family can all affect the pressure the patient is under. Studies have concluded that patients with ovulatory disorders show stronger feelings of tension and fear than those with tubal causes; moreover, the lower the literacy level of the patient’s family members, the higher the stress experienced by the patient. The anticipation of the treatment process is more likely to cause psychological stress, even affecting sleep and diet.  Psychosocial characteristics of infertility patients 1. Fear: After a series of treatments and failures, patients are obviously emotionally suppressed, and behind the suppression lurks a strong sense of fear. Fear of going to the hospital, fear of seeing the doctor, fear of examination, fear of starting a new course of treatment, fear of facing another failure.  2. Radicalization: Infertility patients tend to express their feelings in a radical way and are not rational enough to understand their condition. No one would expect that they would have infertility, so the first feeling they feel is surprise and they cannot accept this fact. Therefore, they adopt an attitude of denial for self-defense and self-deception, and take an extremely resentful attitude toward others’ care and help. They cannot accept the objective evaluation of their condition by doctors and people around them, and even suspect that doctors are cheating them, especially those who have been cheated by some informal medical institutions or traveling doctors.  3. Depression: indifference and blame from family and spouse, repeated infertility examinations, attempted treatments, and repeated treatment failures make patients also show irrationality towards their own body and fate, and these patients often become resentful, depressed and disappointed, and even begin to deny everything about themselves.  4. Guilt psychology: In the process of infertility examination and treatment, women often bear the brunt and develop a strong sense of guilt, believing that infertility is God’s punishment for them and feeling sorry for their spouses. Such guilt also exists in men, who consequently doubt their manhood, lose their self-confidence, and feel deeply guilty and guilty towards their spouses.  Psychological treatment for infertile patients Because of the unique psychosocial characteristics of this patient group, clinicians should pay attention to implementing psychological counseling or psychotherapy for patients. On the one hand, they should relieve patients’ stress, improve their psychological tolerance to frustration, provide coping skills, reduce emotional reactions, and improve the quality of family and social life; on the other hand, they should provide adequate information to infertile couples, offer medical counseling, and guide the consultation procedure, aiming to create more chances for successful conception for infertility patients. We also appeal to all sectors of society to change the secular concept, respect and sympathize with infertile couples, help them regain their self-esteem, reduce their psychological pressure, avoid and reduce as much as possible the stressful changes and endocrine disorders caused by intense emotional fluctuations and psychological pressure, so that patients can be in a good state of mind and actively cooperate with treatment, effectively increasing the pregnancy success rate of infertility patients.  At present, there are various forms of psychological counseling or psychotherapy for infertile patients, including psychologist outpatient clinics, creating newspaper and magazine columns, organizing mutual help clubs for patients, and providing information about counseling by telephone or Internet. Moreover, for each patient, different forms of psychological treatment are considered for different personality characteristics, social background, etiology and different treatment periods. However, not enough has been done in our country in terms of psychological counseling or psychotherapy for infertility. The lack of psychological professionals and the busy clinical work make it difficult to have time and energy to focus on the psychological and emotional changes of patients. Nevertheless, we should try to solve the psychological and emotional problems of infertile patients by improving service attitude, enhancing doctor-patient communication, providing medical counseling, guiding consultation procedures, providing humanistic care and improving medical quality.  Psychological self-help is the patient maintaining a good state of mind to face positively. Self-adjustment, communication between couples, confidences between close friends, communication between doctors and patients, and contact between patients are all good ways to adjust their mindset.  It is the duty of every doctor to give deep care to each infertile couple and provide high quality services.  May every infertile couple in the world have their dreams come true!