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When ART fails: figures, experiences, interventions and a plea for the 'plan B'
Tewes Wischmann1, Petra Thorn2
1Institute of Medical Psychology, Heidelberg University Hospital, Bergheimer Str. 20, D-69115, Heidelberg, Germany. tewes.wischmann@med.uni-heidelberg.de.
Journal of Assisted Reproduction and Genetics
|January 5, 2022
Summary
Infertility causes significant stress, but most individuals eventually adapt to childlessness. Planning for a future without biological children is crucial for psychological well-being.
Area of Science:
- Reproductive Medicine
- Psychology
- Sociology
Background:
- Infertility is a major life stressor for many individuals and couples.
- Assisted reproductive technologies offer solutions for only a subset of those seeking biological children.
Purpose of the Study:
- To explore the psychological impact of infertility and involuntary childlessness.
- To emphasize the importance of accepting permanent childlessness and developing alternative life plans.
Main Methods:
- Qualitative analysis of patient experiences.
- Review of psychological adjustment strategies.
- Exploration of coping mechanisms for involuntary childlessness.
Main Results:
- While infertility is highly stressful, most individuals achieve psychological adjustment to permanent childlessness.
- Early acceptance of a 'plan B' is associated with better long-term psychological well-being.
Conclusions:
- Permanent childlessness is a reality for many, requiring proactive psychological adaptation.
- Open communication about "plan B" between patients and healthcare providers is essential for managing infertility-related distress.
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