Conception and fertility difficulties

For many people, the journey of planning a family is filled with the anticipation of conception, the excitement of pregnancy, and the joy of birth. However, this is not the case for everyone, including those who face challenges trying to conceive. In fact, 1 in 6 Australian families have difficulties conceiving, and approximately 1 in 25 babies are born following assisted reproduction.

Trying to conceive can be an overwhelming and lengthy experience. Some couples find these experiences bring them closer together, while other relationships become strained due to invasive medical testing, an emotional toll, the financial investment, and difficult decision-making processes. Sex and intimacy may also change during this time as it becomes more methodical and planned. 

For those who are planning to conceive as a single parent by choice or for same sex couples, there are additional practical and emotional factors to consider, often without the same level of health service support.

Those living in rural or remote Australia may also experience additional stresses when seeking treatment, due to lengthy travel times and limited access to conception specialists.

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The Impact

Difficulties conceiving can trigger a range of emotions, with repeated cycles of hope and disappointment. It can also be an isolating and lonely experience for many. Common emotions and experiences include:

Doubts, anxiety and uncertainty about if or when a pregnancy might eventuate
Fear of failure and anxiety about the future
Fatigue and emotional exhaustion
Depression and sadness
Loneliness and isolation
Frustration, anger or resentment
Guilt and self-blame
Resentment towards other who are able to conceive
A feeling that life is on hold
Tension or conflict with a partner or other family
Financial stress
Career uncertainty

When facing difficulties, it is important to practice self-compassion, reach out to others, and acknowledge all feelings. Support groups and counselling can offer much needed support.

_{Assisted reproductive technology in Australia and New Zealand 2019 Jade E Newman Repon C Paul Georgina M Chambers September 2021}

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