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Mental Health on Your Fertility Journey

Focus on the present. You can’t change the past, so stop reliving the “should have’s” and “could have’s.” You can’t control the future either, so stop pre-living worries and anxieties. Try to stay in the present, because it’s the only place you can really choose to behave in ways that can reduce stress and anxiety.

Practice self-care. That means treating yourself even half as well as you treat your family and friends. Get enough sleep, exercise, time alone, and time with others to make yourself feel cared for. Practice being your own best friend! 

Talk to yourself. Give yourself a pep-talk, because what we say to ourselves is powerful. If others remind you that there’s always a way to build a family, it usually has little or no effect. But if you remind yourself that there’s always a way, your mood will usually lift. Try it!

Talk to others. There are many reasons to be reluctant about discussing infertility with family, friends, or in the workplace. You may want to keep medical issues private because you don’t want unsolicited advice, you don’t want to hear everyone else’s fertility stories, or because you feel there is a stigma attached to infertility. You may worry about keeping your job or even keeping your dating options open.

The result is that you may feel isolated just when you need understanding and support. Emotions are far more manageable when they are said aloud than when they’re buzzing in your head.

Focus on your work. As stressful and preoccupying as fertility treatments can be, work can provide an effective distraction from the persistent anxiety you may be feeling from infertility. Staying busy and active with projects can distract you, give you a sense of accomplishment, and help boost your self-esteem and confidence.

Try cognitive restructuring. Cognition refers to thinking; restructuring refers to creating new views. Together these terms tell us that we can choose to think in a new way, and the result can be new behaviors and feelings.

For example, when we focus on hopeless thoughts, we convince not only ourselves but also everyone around us that hope is not worth wasting energy on, and our inertia can make it true. This thought process is one of the major reasons patients drop out of fertility treatment. On the other hand, if we choose to be hopeful, we are more likely to approach problems with strategic behavior that leads to results that justify our hope—positive self-fulfilling prophecies. 

Check for depression. Mild depression may make you feel tired and sad. More severe depression may mean frequent crying, loss of appetite, and despair.

All signs of depression should be taken seriously and addressed to make sure that the suffering is alleviated as soon as possible. Whether it is triggered by hormonal therapy, recurrent pregnancy loss, treatment failure, financial or relationship stress, there is help available. Speak to your physician about a referral for therapy, support, and/or medication. A change or break in fertility treatment may help, too.

Work and play will help you cope with this journey, so don’t wait until you are overwhelmed. Make your mental health a priority now

Partner support through miscarriage

Miscarriage is something that impacts both partners, with each individual trying to process their recent loss. Even though as the partner you might not have felt the physical changes of pregnancy or miscarriage, the emotional loss and self-blame is still just as significant. As partners, you can experience things very differently, but the important part is being there for one another. Find out some of the strategies our fertility experts and counsellors recommend for staying connected and getting through it, together.

✅ Connect with your caregivers and be kind to each other.

Communicating is the first step, but sometimes you may need an external ear and this is where counselling can come in as an important element to help couples process their loss together. For the partner who did not physically carry the baby, they can place a lot of pressure on themselves to provide support for the person who did, and push their own grief aside. When you speak to someone such as a fertility counsellor, it can help both individuals by voicing their feelings out loud to someone outside of their relationship.

✅ Recognise that people experience things very differently.

As difficult as it is, try to remember that individuals experience things very differently, and try not to have expectations that your partner will feel or act in a certain way. Oftentimes, the grief is the same, but the expression of that grief can be different. Even if you’ve known your partner for years, they may not act in a way that you expect. And you don’t need to have the answer. The most important thing is to listen to each other, and let each other grieve in their own way.

✅ It’s ok to let the grief fill the room.

This can be uncomfortable, and that’s ok. Pregnancy loss is a very difficult thing to go through. Let yourselves acknowledge the hurt and the pain, together, and don’t be afraid for the grief to fill the room when you’re in a safe space.

✅ Keep connected and ask each other what’s helpful.

Because miscarriage and pregnancy loss is something outside of anyone’s control, it can take a few extra strategies to learn how to cope, and how to support each other through it. If you’ve been in a relationship for a long time, it can be easy to assume how your partner is feeling. This is why it’s so important to ask each other what you can do to provide support. You can each think about what is helpful for you and share these ideas. Sometimes, the partner who didn’t physically go through the pregnancy loss can feel that they are on the sideline. Each person in the relationship can become focused on processing things on their own – staying connected is important to prioritise. So take some time to do things you would normally enjoy doing together.

✅ Find a way to acknowledge the pregnancy.

When it comes to pregnancy loss, whether it’s week 7 or week 20, there is so much more than the biology of that loss that needs to be grieved. The dreams of the future with the baby, the initial excitement of the pregnancy, the milestones that go with expecting. These are all suddenly taken away when miscarriage occurs. When a family member or loved one passes away, we have ceremonies and traditions to allow our grief to surface. Finding a way to acknowledge the pregnancy in a physical representation can be helpful. Couples may choose to do this by planting a tree in their garden, or having a memento that can be seen and taken out when they feel the need to honour their loss. Having a physical representation can also be used as a way to connect the loss of the baby to the parents’ children who are already a part of the family.

The Mysteries of Luteinizing Hormone Unraveled

Ever heard of the phrase, “It takes two to tango”? Well, in the intricate dance of human reproduction, luteinizing hormone (LH) plays a starring role. This mysterious yet vital hormone is the unsung hero of fertility, and understanding its functions is essential for anyone grappling with reproductive health issues. In this article, we’ll delve into the nitty-gritty of LH, from its regulation to its implications on overall health. So, buckle up and join us on this hormone-driven rollercoaster ride!

LH – what you need to know

Luteinizing Hormone: The Reproductive Conductor

The Nuts and Bolts of LH Production

The anterior pituitary gland produces and secretes luteinizing hormone, a glycoprotein hormone. The hypothalamus triggers its production by releasing gonadotropin-releasing hormone (GnRH). The release of LH is regulated by a complex feedback loop involving sex hormones such as estrogen and testosterone.

Luteinizing Hormone’s Role in the Menstrual Cycle

For women, LH is critical in the menstrual cycle. Let’s break it down:

Follicular Phase

  • During the follicular phase, LH stimulates the growth of ovarian follicles, which house the eggs. This phase typically lasts 10-14 days and ends with a surge in luteinizing hormone levels.


  • The LH surge triggers ovulation, releasing the mature egg from the ovarian follicle. The egg then makes its way down the fallopian tube, where it’s ready for fertilization.

Luteal Phase

  • Following ovulation, LH facilitates the transformation of the ruptured follicle into the corpus luteum, a temporary endocrine structure that produces progesterone, preparing the uterus for a potential pregnancy.
luteinizing hormone, LH

LH – what you need to know

Luteinizing Hormone in Men

In men, luteinizing hormone is no less important, as it stimulates the production of testosterone and supports sperm development. Here’s a quick rundown:

Testosterone Production

  • LH acts on Leydig cells in the testes, triggering the production of testosterone, the primary male sex hormone.


  • Testosterone, in turn, supports the process of spermatogenesis, or sperm production, within the seminiferous tubules of the testes.

Luteinizing Hormone Imbalances and Health Implications

LH levels can fluctuate, leading to various health concerns, such as:

  • Infertility
  • Polycystic ovary syndrome (PCOS)
  • Hypogonadism

The Lowdown on LH Testing

The tests for this hormone are often performed to evaluate fertility, diagnose hormonal imbalances, or monitor hormone replacement therapy. Blood tests and urine tests can measure LH levels.


What causes an LH surge?

  • An increase in estrogen levels during the follicular phase of the menstrual cycle triggers the LH surge, which leads to ovulation.

Can luteinizing hormone levels be too high or too low?

  • Yes, imbalances in LH levels can lead to health issues, such as infertility or hormonal disorders.

How does luteinizing hormone impact menopause?

  • During menopause, the ovaries produce less estrogen and progesterone, leading to irregular menstrual cycles and eventually stopping them altogether. As a result, the feedback loop that regulates LH production is disrupted, causing an increase in luteinizing hormone levels.

The Takeaway on Luteinizing Hormone

Luteinizing hormone is a critical player in the intricate dance of human reproduction. Its roles span from regulating the menstrual cycle in women to supporting testosterone production and sperm development in men. Understanding the ins and outs of LH and its potential impact on our health is essential for maintaining our reproductive well-being.

To sum up, here are the key points covered in this article:

  • LH production is regulated by a complex feedback loop involving the hypothalamus, anterior pituitary gland, and sex hormones.
  • Luteinizing hormone plays a crucial role in the menstrual cycle, triggering ovulation and facilitating the transformation of the ruptured follicle into the corpus luteum.
  • In men, LH is responsible for stimulating testosterone production and supporting spermatogenesis.
  • Imbalances in luteinizing hormone levels can lead to various health issues, such as infertility, PCOS, and hypogonadism.
  • LH tests can help diagnose hormonal imbalances or evaluate fertility.

By unraveling the mysteries of luteinizing hormone, we can better comprehend its significance in our lives and take charge of our reproductive health. Knowledge is power, after all!

luteinizing hormone

IVF is not the last resort

In today’s modern world, many couples face the difficult decision of whether or not to pursue in vitro fertilization (IVF) when trying to conceive a child. It’s a decision that carries immense emotional, physical, and financial weight. To help you navigate this complex choice, we’ve created a comprehensive guide to understanding IVF and factors to consider before choosing it. We’ll also explore the pros and cons of IVF and present alternative options. Lastly, we’ll discuss the importance of seeking professional advice throughout your journey. By the end of this article, you’ll have a clearer understanding of whether or not IVF is the right path for you.

should i do ivf

Understanding IVF: A Brief Overview

In today’s world, advancements in medical technology have made it possible for couples struggling with infertility to have a chance at starting a family. One such method is in vitro fertilization, commonly known as IVF. This groundbreaking procedure has brought hope to countless individuals and has revolutionized the field of reproductive medicine.

What is IVF?

IVF, or in vitro fertilization, is a medical procedure that involves fertilizing an egg with sperm outside of the body in a laboratory setting. This remarkable technique allows couples who are unable to conceive naturally to have a chance at parenthood. By combining the woman’s eggs and the man’s sperm in a controlled environment, IVF provides an opportunity for fertilization to occur.

During the IVF process, the eggs are carefully monitored and stimulated to mature through the administration of fertility medications. This ensures that multiple eggs are available for retrieval, increasing the chances of successful fertilization. Once the eggs have reached the desired stage of development, a minor surgical procedure is performed to retrieve them.

Once the eggs have been retrieved, they are brought to the laboratory, where they are combined with the sperm. This step is crucial, as it mimics the natural process of fertilization that would occur within the woman’s body. The eggs and sperm are placed together in a laboratory dish, creating an environment that promotes fertilization.

The IVF Process Explained

The IVF process consists of several steps, each carefully orchestrated to maximize the chances of a successful pregnancy. After the eggs have been fertilized, they are closely monitored for a few days to ensure proper development. During this time, the embryologists assess the quality of the embryos, looking for signs of healthy growth and development.

Once the embryos have reached the optimal stage of development, one or more are selected for transfer into the woman’s uterus. This decision is made based on various factors, including the quality of the embryos and the age of the woman. The selected embryos are delicately placed into the uterus, where they will hopefully implant and establish a pregnancy.

Following the embryo transfer, the woman enters a waiting period, during which she anxiously awaits the results of the IVF procedure. This period can be filled with a mix of emotions, ranging from excitement and hope to anxiety and uncertainty. It is a time of anticipation and longing, as couples eagerly await the news that could change their lives forever.

It is important to note that IVF is not always successful on the first attempt. In some cases, multiple cycles may be required to achieve a pregnancy. However, the advancements in IVF technology have significantly increased the success rates, giving couples a renewed sense of hope and optimism.

In conclusion, IVF is a remarkable medical procedure that has brought joy and happiness to countless couples around the world. By providing an alternative path to parenthood, it has given hope to those who thought they would never have the opportunity to experience the joys of raising a child. With ongoing advancements in reproductive medicine, the future of IVF looks promising, offering new possibilities and opportunities for couples longing to start a family.

Factors to Consider Before Choosing IVF

Assessing Your Physical Health

Prior to considering IVF, it’s essential to evaluate your overall physical health. This includes discussing any underlying medical conditions with your healthcare provider. Factors such as age, BMI, and ovarian reserve play a significant role in determining the success of IVF treatment.

When assessing your physical health, it’s important to consider not only your current state but also any potential risks or complications that may arise during the IVF process. Your healthcare provider will conduct a thorough examination and may recommend additional tests to ensure that you are in the best possible condition for IVF.

Furthermore, understanding the impact of lifestyle factors on your physical health is crucial. Factors such as smoking, excessive alcohol consumption, and poor nutrition can affect fertility and the success of IVF. Making positive changes to your lifestyle before embarking on IVF can improve your chances of a successful outcome.

Additionally, it’s important to assess the health of your reproductive system. Conditions such as blocked fallopian tubes or endometriosis may affect the suitability of IVF. Consulting with a fertility specialist can help you understand how these factors will impact your chances of success. They can provide guidance on potential treatments or interventions that may be necessary before proceeding with IVF.

Emotional Readiness for IVF

Undergoing IVF can be an emotional rollercoaster. The process is both physically and mentally demanding, requiring patience, resilience, and perseverance. It’s crucial to assess your emotional readiness and ensure you have a support system in place.

When considering your emotional readiness, it’s important to reflect on your personal coping mechanisms and how you typically handle stress. IVF can bring about a range of emotions, including hope, disappointment, and anxiety. It’s essential to have open and honest conversations with your partner, family, and friends about the potential challenges and long-term commitment that IVF entails.

Additionally, seeking professional psychological support can help you navigate the emotional aspects of IVF. A trained therapist or counselor can provide guidance and strategies to help you cope with the ups and downs of the process. They can also help you develop healthy coping mechanisms and provide a safe space to express your feelings and concerns.

Remember, emotional readiness is just as important as physical readiness when it comes to IVF. Taking the time to assess and address your emotional well-being can contribute to a more positive experience and increase your chances of success.

Financial Implications of IVF

IVF is a costly procedure. It’s essential to consider the financial implications before making a decision. While the cost of IVF varies depending on factors such as location and clinic, it’s important to research the average costs associated with IVF in your area.

When assessing the financial implications, it’s important to consider not only the upfront costs but also any potential additional expenses that may arise during the IVF process. These can include medication costs, additional tests or procedures, and potential complications that may require further medical attention.

Investigating your insurance coverage is also crucial. Some insurance plans may cover a portion of the costs associated with IVF, while others may not provide any coverage at all. Understanding your insurance benefits and limitations can help you plan and budget accordingly.

Creating a budget specifically for IVF is highly recommended. This will allow you to assess your financial situation and determine if you have the necessary funds available or if you need to explore potential financing options. Many fertility clinics offer financing programs or payment plans to help alleviate the financial burden of IVF.

Knowing the financial strain that IVF could place on your family is vital for making an informed decision. It’s important to weigh the potential costs against the potential benefits and consider alternative options if necessary. Remember, there are various paths to parenthood, and IVF may not be the right choice for everyone.

The Pros and Cons of IVF

When it comes to fertility treatments, in vitro fertilization (IVF) is a popular option for couples struggling to conceive. IVF involves the fertilization of eggs with sperm outside of the body, in a laboratory setting. While IVF has its advantages, it also comes with potential drawbacks that couples should consider.

Advantages of IVF

One of the significant advantages of IVF is its high success rate. For couples struggling with infertility, IVF offers a chance at conceiving and having a biological child. This can be a source of great joy and fulfillment for couples who have longed for a family of their own.

IVF also allows for preimplantation genetic testing, which can help identify genetic disorders and increase the chances of a healthy pregnancy. This testing can provide valuable information to couples, allowing them to make informed decisions about their reproductive journey.

Moreover, IVF provides hope and empowers couples who have exhausted other fertility treatments. After facing disappointment and frustration, IVF can be seen as a beacon of hope, offering a renewed sense of possibility.

Potential Drawbacks of IVF

IVF is not without its challenges. The process is physically demanding and invasive, involving hormone injections, regular monitoring, and potential surgical procedures. These procedures can be uncomfortable and may cause side effects such as bloating, mood swings, and fatigue.

There is also a risk of multiple pregnancies with IVF, which can increase the chance of complications. While the idea of having twins or triplets may sound exciting to some, it also brings a higher risk of premature birth, low birth weight, and other health issues for both the mother and the babies.

The emotional toll of unsuccessful cycles or pregnancy loss can be devastating. Couples invest not only their time and money but also their hopes and dreams into the IVF process. Dealing with the disappointment of failed cycles or experiencing the heartbreak of a miscarriage can take a significant emotional toll on individuals and their relationships.

Additionally, the financial strain of IVF might not be feasible for everyone. IVF can be an expensive treatment, and the costs can add up quickly. From medications to doctor’s visits to laboratory fees, the financial burden of IVF can be overwhelming for some couples.

Despite these potential drawbacks, IVF remains a viable option for many couples. It is essential for individuals to weigh the pros and cons, considering their unique circumstances and desires, before making a decision about pursuing IVF.

Alternatives to IVF

Natural Fertility Treatments

Before pursuing IVF, it’s worth exploring natural fertility treatments. These treatments focus on optimizing overall health, improving fertility, and increasing the chances of conception. Natural fertility treatments may include lifestyle changes, acupuncture, herbal remedies, and nutritional supplements. Consulting with a holistic practitioner or a healthcare professional experienced in fertility can help guide you in this direction.

Adoption and Surrogacy

For couples who are unable to conceive or carry a pregnancy, adoption and surrogacy can be alternative paths to parenthood. Adoption provides the opportunity to provide a loving home to a child in need, while surrogacy allows couples to have a biological connection to their child through a gestational carrier. Both options require careful consideration and extensive research to determine the best fit for your family.

Seeking Professional Advice

Consulting with Fertility Specialists

When faced with the decision of whether or not to pursue IVF, it’s crucial to seek professional advice. Fertility specialists are well-versed in the latest advancements and can provide personalized guidance based on your unique circumstances. They will assess your medical history, perform necessary tests, and help you understand the potential success rates and risks associated with IVF. Their expertise will empower you to make an informed decision.

Psychological Support and Counseling

The emotional journey of considering, undergoing, or not pursuing IVF can be overwhelming. During this time, it can be immensely beneficial to seek psychological support and counseling. Mental health professionals specializing in fertility can provide emotional support, coping strategies, and a safe space to express your fears and concerns. They can also help you navigate the complex emotions that accompany each stage of the IVF journey.

In conclusion, the decision of whether or not to pursue IVF is one that should be approached with careful consideration. Understanding the process, evaluating personal factors, and exploring alternative options are crucial stepping stones toward making the right choice. Remember, seeking professional advice throughout your journey and building a solid support system are vital components in making an informed decision that is best for you and your future family.

should i do ivf

What is the difference between OB/GYN and REI?

OB/GYN vs REI doctors

Have you ever wondered what the difference is between a REI doctor and an OBGYN doctor? While both specialties deal with women’s reproductive health, there are some important distinctions between the two. When it comes to women’s reproductive health, there are a variety of medical professionals who can help. Two of the most commonly heard of are REI doctors and OBGYN doctors. But what do these terms mean, and how do these doctors differ? In this article, we’ll explore the key differences between them.

What is an REI doctor?

Reproductive endocrinology and infertility or just REI doctors, stand for medical specialists who focus on diagnosing and treating hormonal imbalances and infertility in both men and women. They receive extensive training in the reproductive system and its function, and are experts in assisted reproductive technologies (ART) such as in vitro fertilization (IVF).

REI doctors work with those coping with thing such as:

– Endometriosis

– Polycystic ovarian syndrome (PCOS)

Male factor infertility

– Tubal factor infertility

Unexplained Infertility

What is an OBGYN doctor?

OBGYN stands for obstetrics and gynecology. These doctors specialize in women’s reproductive health and childbirth. They provide a wide range of services, including routine check-ups, prenatal care, labor and delivery, and menopause management. They are also trained to perform gynecological surgeries.

obgyn or rei

What are the key differences between REI and OBGYN doctors?

While both REI and OBGYN doctors work in the field of women’s reproductive health, there are some key differences between the two. One of the main distinctions is that OBGYNs provide a wider range of services including pregnancy and childbirth care, while REI doctors focus primarily on fertility and hormonal issues.

Another key difference is the training required for each specialty. OBGYNs complete a four-year residency program, whereas REI doctors typically complete a three-year fellowship program after their residency in obstetrics and gynecology. This means that OBGYNs have a more extensive general training, while REI doctors have additional training in fertility and hormonal issues.

Finally, the types of procedures and treatments that each specialty provides are also different. OBGYNs perform a wide range of gynecological surgeries, while REI doctors specialize in general infertility (ART) procedures such as IVF.

Conclusion, OBGYN or REI?

In conclusion, while both REI and OBGYN doctors work in the field of women’s reproductive health, they differ in their focus, training, and services offered. OBGYNs provide a wider range of services, including pregnancy and childbirth care, and have a longer general training period while REI doctors specialize in general infertility (ART) procedures such as IVF. Ahormonal issues and undergo additional training in this area. If you have concerns about your reproductive health, it’s important to consult with the appropriate specialist to ensure you receive the best possible care.

obgyn or rei