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Archive for: coping with infertility

SELF-ADVOCACY: CLAIMING WHAT YOU NEED FROM YOUR DOCTOR

Let’s get one thing straight right away: It is normal to feel intimidated in any doctor’s office and it is normal for your IQ to drop to zero when creating the next generation becomes an ordeal.

That being said, how do you maximize the opportunity to minimize your stress with good self-advocacy? How can you best facilitate a dialogue with your doctor so that the complications that go with treatment get clarified so you can make informed decisions?

It will help if you can organize your thoughts according to these questions:

  •  Who is this person, your doctor?
  •  Who do you become in the face of adversity?
  •  Self-advocacy: What do you need?

Who is your doctor?

A skilled reproductive endocrinologist (RE) with a glorious reputation may not be a good match for you in the same way that you may not have enjoyed a teacher that everyone else thought was fabulous.

Therefore you need to scrutinize if the doctor that you’ve chosen is right for you. Ask yourself:

  • Do you feel (s)he is giving you the time you deserve?
  • Does (s)he show compassion for your concerns, fears, upsets?
  • How available is (s)he by phone or email when questions inevitably arise in between appointments?
  • Does (s)he provide a back-up person, perhaps a nurse, who will know your case?
  • Does (s)he inspire confidence that you can be helped even if you do not have a clear diagnosis?

It is important to honor yourself with a choice of a doctor with whom you feel a connection. Unfortunately, there may be practical considerations beyond your control (such as insurance, location, etc.). Where choice is limited, accepting what is possible becomes your job.

Who do you become in the face of adversity?

It is just as important to know what happens to you when you are under duress. Infertility is capable of knocking Godzilla for a loop. No matter how empowered you feel in the world, it’s common to feel at a loss with the thwarting of this goal.

Anyone’s IQ is apt to disappear if they view their doctor as an M Deity instead of an MD. Doctors are authorities in Assisted Reproductive Technology (ART). You are the authority on you. Think of this as an equal partnership. Consider these details:

  • Your capacity to communicate and your capacity to feel entitled to getting what you need are crucial. If you have trouble communicating and if you do not feel entitled to your doctor’s time, you are in a battle with your own history.
  • Your motivation can boost you past your internal obstacles. Your needs belong front and center; it is not your job to be worried if the doctor has time for all of your questions. Presume (s)he does. And, no, this does not make you selfish. It makes you dedicated to getting to your goal.
  • If you have difficulty getting past whatever historical experiences have left you feeling that you can’t speak your mind, seek help in learning stress-reduction techniques. Thinking things through depends upon taming down the feeling of being overwhelmed so you can find your inner strength.

Self-advocacy: What do you need?

Of the many infertility situations that require self-advocacy, how to get your needs met with your doctor is an unavoidable prerequisite for traversing the universe of ART. Once you scrutinize your doctor and yourself, you can utilize these practical considerations:

  • Ask for handouts so that you can be educated about your physiology and the treatment protocol(s).
  • Many people use the internet or chat rooms to get or compare information. Be careful with this. I’ve seen women drive themselves crazy because they can’t help but gravitate toward the worst news. Make as much sense of the information as you can with your partner or a trusted confident but always go back to your doctor with the information you get from other sources. If (s)he debunks your intuitive sense of things, consider another opinion.
  • Don’t expect to remember your questions; write them down! Same goes for the answers. You might even request permission to tape record the conversation, especially if your partner cannot be with you.
  • There will be many decisions. Don’t be afraid to buy time so that you do not commit to any treatment until you are ready.
  • The realm of ART is complicated, especially for a lay person. Don’t be afraid to ask “Why?” or “Can you explain that in another way?”.

I have seen many women develop a stunning capacity to understand the jargon of this hi-tech science. Have faith in your capacities to rise to the occasion. You could get to surprise yourself.

It’s hard to believe that you’re in this situation, never mind that you have to become a scientist when everyone else barely needs to know one body part from another. One of the most challenging aspects of dealing with infertility is the need to be your own best advocate when what you most feel like doing is crawling in a hole, hoping that a magical force will replace this unwanted reality with the idyllic one of your dreams.

Understandably you’re in a hurry to resolve this nightmare. Lily Tomlin is famous for saying, “For fast-acting relief, try slowing down.”

NEWS MEN CAN USE

This Father’s Day Infertility Bloggers Come together to Make Sure Your Men Don’t Get Left Out. All this Week at Laughing IS Conceivable. http://laughingisconceivable.com

Making your way through an infertility struggle is an ordeal. The emotional component of the infertility journey can be even more of an ordeal.

Women are generally freer to feel and express their emotions than men. Father’s Day is a reminder that you are not a parent yet either. Culturally, in a man’s world, emotions can be looked upon as weakness. Even if the difficulty in conception is due to the male factor, men often feel obliged to take a posture of strength for the sake of his partner.

As this holiday approaches, you may or may not care to claim your right to experience your upset. Old habits die hard. But one thing is for sure: the news you can use has to do with how to feel more at ease with the emotions of your spouse.

Think about this: If as a small child, you had a mother who was often frantic or tearful about situations, and if you intuitively sensed that mother wanted you to “fix” her upset, then you would have been tossed into a place of panic and helplessness. A small child cannot make mommy’s life better.

If this was your history and you have not “worked it through,” then as an adult, you would be vulnerable to and often avoidant of anyone who is overwrought emotionally. It would become an unconscious reflex for you to want to remove yourself from those early imprinted feelings of panic and helplessness.

If your wife is thrashing around with her emotional reaction to all-things-infertility, you may unwittingly be tossed into this ancient place, without either of you realizing what’s happening, creating distance when what you need is closeness.

When I explain this to women or couples, I watch the tension release like air from a balloon. What you as a husband need to do when your wife is overwrought is to be there in a loving way—without figuratively running away, getting annoyed, judging or scolding. You need not say anything beyond, “I know how hard this is. It’s hard for me, too. We’ll get through this. Let me just hold you.”

Of course, your wife would need to accept this as an appropriate ministration. If in her agony, it feels to you as if she is demanding that you “fix” the problem, you will feel as if you are back in that untenable place of your childhood.

Here’s where you can use your strength—you can insist that she settle down with you.  The infertility journey has its own timetable. It gets resolved as it can. Meanwhile, you both need to keep your love for each other at the center of this story.

THE POWER OF REFRAMING

Reframing is about deciding to look at our thoughts from a different perspective. When it comes to infertility, the act of reframing is a skill worth cultivating. Keep reading to find out why.

As a rule, thinking negatively is part of the human condition. Because caveman presumed that the twig that snapped was a saber tooth tiger and not a squirrel, we are here today. Cultural consciousness reinforces negative thinking as do underlying belief systems that we absorb from our early role models.

Even those who tend to have a positive outlook fall prey to negative thinking when on the infertility journey. Yesterday’s disappointments have a way of becoming tomorrow’s negative thoughts.

It is common to believe what we think. Yet we have the capacity to think about what we think about and decide if we want to latch on to negative thoughts as if they were gospel truth, as opposed to just noticing and acknowledging these thoughts—and even better, reframing them. If you can catch yourself in the act of having a negative thought, you can learn to flip it into a positive one.

Infertility is totally debilitating, leaving you feeling out of control of your life. And, negative thinking has a gravitational pull to it which can make reframing seem difficult. But reframing returns the locus of control to you. You have a right to feel how you feel but you have a choice not to! Your power lies in exercising that choice. Even though you need mental muscle to fight the inclination to get trapped in the negative, in the end, it’s easier to live in a positive place than a negative one. And while the lure of negative thoughts feels real, the bottom line is that feelings are not facts. To cultivate the ability to reframe a negative thought can change everything.

The rationale for releasing yourself from the prison of negative thinking is huge and is rooted in current scientific research: We can use our mind to rewire our brain. The capacity to rewire is called neuroplasticity. As they say, neurons that fire together, wire together.

Reframed thoughts gives your “bodymind” a chance to rebalance. To be free of negativity, if only for a brief while, creates receptivity and openness. Positive thoughts let go of the stress that accompanies negativity and have a correlation to rates of pregnancy. Herein lays the motivation to develop this skill.

Here are some examples of negative thoughts that go with the infertility territory and their reframes:

* I’ll never get pregnant………………………..* I’m not pregnant yet

* I was downsized on my job…………………* Lucky me, I only have 1 job now – getting pregnant

*I waited too long to have a baby……………* All things are in place now

……………………………………………………* We’ve had time to save money

……………………………………………………* We have a much better relationship now than we did

TRY THIS

1. What negative thought is swamping you? Write it down (or use one of the negative thoughts from the list above.)
2. Ask yourself where you feel the thought in your body. Write that down.
3. What mental feeling does the negative thought evoke? Write that down, too.
4. Close your eyes and convert the negative thought into an image—any image.
5. Visualize the image floating away as if it were a kite.
6. Say goodbye to the negative thought.
7. Take a deep breath and let your conscious mind come up with a reframe for the negative thought by flipping it to its opposite.  Write the reframe down.
8. Now holding the reframe in your mind, ask yourself where you feel the positive outlook in your body. Write that down.
9. What mental feeling is evoked by the reframe? Write that down.
10. Compare the mind/body experience of the negative thought and the reframed thought.

Get the point?
Now, if you can develop the discipline to transform negative thoughts one at a time, here’s some more good news. Hard as it may be to imagine, the entire infertility experience has the potential to be reframed! This is one of the premises of my book, On Fertile Ground: Healing Infertility. Former patients whom I interviewed looked back on the battle to get their family and were able to see ways in which their experience of dealing with infertility had not only traumatized them, but given them the opportunity to learn to heal the trauma. There are ways to become a new, improved version of yourself because you are faced with adversity.

The March 25th magazine section of the Sunday New York Times contained an article which reported the research findings of Richard Tedeschi and Lawrence Calhoun.

They studied in depth seriously injured war veterans and other trauma victims who had been labeled with Post Traumatic Stress Disorder. Some were found to have chosen to change by “looking for the bless in the mess,” as comedienne Loretta La Roche would say. This definition of reframe—choosing to change for the better despite their experience—prompted the researchers to coin the phrase “post-traumatic growth.”

Even though infertility is a nightmare, you can ask yourself the following questions as a way of determining if you can create post-traumatic growth:

Is there a way that you feel, or can imagine yourself coming to feel, a renewed

• appreciation for life?
• imagine yourself feeling stronger?
• imagine feeling more satisfied spiritually?
• imagine feeling more appreciation for others?
• imagine feeling wiser?
• imagine feeling closer in your important relationships?
• imagine feeling more discerning?
• imagine feeling less angry, impatient, insecure, afraid or even less negative?

While you might think that it is easier to make these attitude adjustments after you get your family, with proper guidance, you can ease your emotional burden right now. If you reframe what you are going through as an opportunity for growth, your life can take on new meaning.

Nature Loves the Truth

Would an orchid keep its bloom in a closet without water, fertilizer, or exposure to the light of day?  Would a palm tree last very long in Siberia?  Could a herd of elephants sustain itself in a concrete jungle?  Doesn’t Mother Nature demand that each form of life live according to a certain set of built-in truths or risk death?

What are the truths which control our human species?  Of course, there is the basic need for water, food and shelter.  Given the unity of body and mind, our physical needs slide over to a psychological realm where we aim to thrive, not only survive.  There is a vast array of emotional responses which reflect the experience of living in a human body, running the gamut from ecstasy to despair.  It is my belief that our nature is most at equilibrium if what we feel and what we show – to ourselves – are in sync.

Some emotions are easier to experience than others.  Our capacity for denial and suppression allow us to manage our emotions to a certain degree.  Sometimes we use denial to the hilt.  Sometimes this capacity for denial saves our lives.

But when we are stressed to the max, as is the case with infertility, if denial is not helping you, could it be hurting you?  I am not talking about denial of the infertility.  I am talking about denial of the feelings which cannot help but be evoked when something as profound as procreation is at stake.

How does one square denial as a bona fide coping mechanism against a “nature loves the truth” postulate?  This story is illustrative:

I was working with a woman who became a convert to the power of emotional truth.  Let’s call her Jane.  Jane was relatively sophisticated and understood that emotions land in the body in the form of symptoms, and that symptoms are the body’s wisdom trying to grab our attention.  She had a pain on the left side of her neck which was unresponsive to Advil, heat packs, ice packs or yoga stretches.  Deep tissue massage had given her relief, but shortly after getting off of the table, her neck went back into spasm.

She came in for a session totally frustrated.  I gave her a paper and pen and asked her to “journal,” stream of consciousness style, while I remained quiet.  I wanted her to be in touch with herself – in touch with her truth.  She wrote and wrote and suddenly looked up at me as if she had seen a ghost.  I asked her what had just happened.  She said that she had found herself writing about Mary who was a real “pain in her neck.”  She had not thought of her friend in this way, but when she wrote this, her pain went away.  Nature loves the truth.

Of course, the problem with denial is that it can be out of conscious awareness.  This notwithstanding, nature has a way of poking at our body, hoping that we’ll respond to the invitation to “get it.”  Jane was not going to get relief from her discomfort until she allowed her body to teach her how she was feeling.

Infertility is “treated” by the medical community on the basis of what scientific evidence is revealed by blood tests, sperm tests, post-coital tests and surgery.  That is fine and dandy.  Many grateful moms and dads are pushing strollers around because of the sophistication of modern medicine that seems sometimes to border on science fiction.

But for you, the patient, it’s only half of the story.  Stress levels can interfere with a logical conclusion to this approach.  It opens up a “treatment” approach to unexplained infertility, doesn’t it?  It also allows those with a clear diagnosis to “participate” in their medical care.  In both cases, self-awareness can make the difference between conception and disappointment.  I’ve seen it!

If in Jane’s case, the pain in her neck resolved when she identified the “truth,” imagine your power to contribute to the resolution of your fertility challenge.  This does NOT mean that your infertility is your fault!  It does mean that you can suspend the horrible feeling of being out of control and participate in discovering the truth of what you are feeling that, as they say, can set you free.

Excerpt from, “On Fertile Ground: Healing Infertility”

The following excerpt from my book speaks directly to those in an infertility struggle, but keep in mind that the tenets apply no matter what adversity you might be dealing with.

by Helen Adrienne, LCSW, BCD
Chapter 10
Gain from the Pain:
Would You Believe There’s an Upside?

So what do you stand to gain by suffering through the delay in getting your baby?  Your cheerleaders, who are on the other side of the infertility battleground, are eager for you to know what the experience meant to them so you can hang in there.  This book has been, among other things, an invitation for you to ponder how this experience could turn out to have been surprisingly beneficial.  Read these stories.  Which resonate?

Growth from adversity always involves coming to terms with something that you would never have chosen.  Looking for what is to be gained from any adversity is not what concerns you at first and may even annoy you.  But it is a way to assign meaning to your life and avoid living with bitterness.

Not Just Strength but Inner Strength

When I was a little girl my grandmother used to use an expression that I did not connect with at first.  She would say, “You should do such and such – it will put hair on your chest.”  Hair on my chest?   I was preoccupied with the not-so-hidden message that she thought it was better to be a man.  Eventually I understood that she was saying more than that.  She apparently thought that men had a corner on the strength market.  On another level, ‘such and such will make you strong’ was the communication I was supposed to derive from her words.  There are other less judgmental expressions of the “what doesn’t kill you will make you strong” ilk.

The issue is not just about getting strong.  It is about feeling strong, owning the strength that can build in the face of challenge.  The life force, the Popeye Effect, whatever you want to call it, is a hard-wired aspect of our nature.  It is just there, but some of us are more purposeful about developing it than others.  Developing inner strength can be both a conscious and an unconscious byproduct of adversity.

Melissa, an artist, put it this way: “If it had not been for this amazing challenge in my life, I would still be afraid of the great unknown and would wonder if I had the balls – I mean ovaries – to get through it.  I now know that I can and will get through anything.”

But some of us are born into environments where developing inner strength is not encouraged and may even be discouraged.   This kind of environment can rob us of the drive to feel and use our capacities, leaving us likely to form an inaccurate picture of ourselves.  Personalities, or aspects of our personalities, get formed around distortions.  When adversity brings us face to face with ourselves, we have a chance to course-correct.  All of us get tossed around by life.  As Gilda Radner once said, “If it ain’t one thing, it’s another.”  My point is that with awareness, if our sense of ourselves has gotten distorted, we can set the record straight.

Self-awareness can open us up what needs to be changed and your resolve to work toward change can be fortified.  And as you continue to navigate turbulent waters, self-awareness can bring you to a realization of what has changed due to your efforts.  Reveling in the self-awareness that develops cannot help but call attention to increasing levels of inner strength.  In the process, we stand to discover or rediscover who we were really born to be and as a consequence, connect with our in-born authenticity.  Inner awareness and inner strength make for a wonderful partnership and form the substrata upon which gains from pain accrue.

The Heart of the Matter

Seeking authenticity or connection to your in-born realness does not mean that you have been inauthentic.  It just means that the lessons that come from the impact of unavoidable stress give us a chance to evaluate what feels right and what does not.  It is up to us to recognize and honor the messages which bubble up from the inside.  Honesty about aspects of our life style which are not working or facing stress warning signals are gifts if you let them be.  Recognizing these messages can be challenging.  They can be quite subtle.  Sometimes we don’t have access to our true selves.  Sometimes our suffering can block access to hearing that inner whisper.  Sometimes we don’t hear what is coming from within even if it screams at us.  As Oscar Wilde once said, “Some of us trip over the truth.  Most of us get up and keep going as if nothing happened.”

Realness is simple when we are infants.  When we are hungry or uncomfortable, we scream.  When we are afraid, we scream.  When we are content, we are free to vocalize and play with abandon.

As we get older, with years of experiences stamped on our templates, that inner knowing and freedom to express how we feel can get glossed over.  The infertility diagnosis all but guarantees that even those of us who are usually in touch with what we are feeling, get bumped off track.  Now you have a chance to quiet yourselves, the better to learn to hear or see or feel – and trust – the whispers or shouts from within that can put you back on track.  You will feel the resonance of you truth if who you are is congruent with where you are going.  The synopsis of how others gained from their pain can be a beacon shining on what you can gain as well.  Read on.

Ellen’s Gains

Ellen, a photo editor, called me when I had already written seven chapters of this book.  “Was it too late to participate?” she asked.  I gladly set up an appointment to speak with her.

When I opened the door, I noticed immediately how well she looked.  Her facial features were soft and relaxed.  Her twin son and daughter were 14 months old and she was back to her very challenging job.  Yet she looked younger than her 42 years and younger than she had looked when she was in the midst of the infertility crisis.

Ellen told me that she had a breakthrough moment recently which made her say to herself, “Oh my God, I want to contact Helen and be a part of her book.  All of a sudden, I realized that I am using all of these things that I learned.  I’ve grown from this experience.

I realized the incredible joy that has resulted from our pursuit of this goal.  It is a miracle.  Miracles are possible if you really set your sights on them.  I am joyous every minute that I’m with the babies and never forget that feeling when I am away from them.”  No wonder she looked so good.

This breakthrough came at a point in time when Ellen had been feeling stressed and tired from her two full time jobs – work and motherhood.  She felt jubilant to realize that not only did being a mommy bring her to a place where joy, all kinds of joy,  were central to her life, but she now was realizing that she had the tools to apply to this next challenging phase of her life when the combination of parenthood and professionalism intensified demands on her.  When she realized that the self-awareness tools she had learned and used to get through the infertility crisis were the tools she could recruit now to deal with her new life stressors, she called me immediately because she wanted you, the reader, to know it.

In her twenties and again in her thirties, Ellen had participated in Outward Bound.  They had been the biggest challenges of her life.  Now she understood that infertility “was like Outward Bound in that it strips you to be face to face with yourself and shows you your inner strength.  I now know that infertility was the biggest Outward Bound of all.”  I might add that it can also be the biggest inward bound experience if you let it.

Ellen also wanted you to know that “when you are at the beginning of any challenge, it is never obvious which path you should take.”  She began her quest to parenthood at 39.  Herbs and acupuncture did not bring her FSH down.  Clomid and inseminations got her nowhere.  Ultimately, the third Reproductive Endocrinologist and the second Ovum Donation cycle was when she hit the jackpot.  Her babies were born when she was 41.

Authenticity for Ellen cuts a wide swath.  It resides in the awareness of her inner strength, in an unshakeable resolve to do everything possible to get to any goal, and in never letting herself move very far away from experiencing joy.  Along with joy has come an intense love. This struggle really opened her heart to the babies and her husband in ways that had been unimaginable.

Ellen also takes great pleasure in the awareness that her level of self-esteem has risen.  She has achieved a belief in herself and a faith that if she needs help, she can get help.  If she has one regret it was that she did not reach out to me for emotional help sooner, now thinking that the struggle might have been shorter.

An important aspect of living from a place of authenticity for Ellen that she wanted to be sure I shared with you, was the importance of acceptance.  “I realized along the way,” she told me, “that people who are successful don’t keep trying to do something the same way when it doesn’t work.  I had to step back from myself and look at the bigger picture with flexibility.  I accepted ovum donation and I was prepared to accept adoption if need be.” … .

For many more examples of how it is possible to benefit from struggling with infertility, read the rest of chapter 10 in On Fertile Ground: Healing Infertility.

Ten Commandments for Dealing with Infertility

Today’s post is shared with you from the book: Ten Commandments for Couples for Every Aspect of Your Relationship Journey. Seventy experts in relationships provided their 10 commandments for dealing successfully with everything from maintaining connection to dealing with financial and sexual issues.  Here is my excerpt:

1. Infertility is demanding. Keep your love for each other–not the technology–central to the quest for a baby!

2. Infertility can be all-consuming. Create an infertility-free zone! Fill it with joy!

3. The infertility struggle is all about waiting: waiting for your period; waiting for test results; waiting to heal physically or emotionally; waiting for a gamete donor or surrogate; waiting for the hCG surge for an insemination; waiting for fertilization in a Petri dish; and the big one, the two week wait to find out if you are pregnant. Develop patience with and for each other and the process!

4. Cavemen needed to think negatively in order to survive. That DNA has come through the generations into us. Infertility intensifies the difficulty in seeing the positive. Team up and look for the bless in the mess so you’re not trapped in negativity!

5. We tend to be most comfortable with sameness even though life is always changing. Some changes flow as part of a natural order. Infertility is not one of them. Infertility is an unwelcomed change that comes out of the blue and feels violent. You can knee-jerk react to the ongoing changes inherent in infertility or you can learn to respond to the frustration and disappointments. Both of you need to take on this challenge as your response-ability!

6. It’s common to see our partner’s liabilities clearly while remaining sketchy about our own. It’s easy for stress to lead to the blame game. Even if one of you is the infertile one, remember that you’re in this together!

7. Every menstrual period represents another “death.” If you accept the reality, build awareness and seek ways to adapt, you get to grow as a couple. Transform grief and loss into empowerment!

8. Communication is key to a good relationship. Words can be the least effective means, especially if having the last word is your goal. Develop listening as an art form. Allow nonverbal behavior such as hugs to matter. Morph communication into commune-ication!

9. And then there’s sex. Medical treatment is intrusive. Your private parts are exposed to the glare of fluorescent lights. Sex on demand or ejaculating into a cup are requirements. With in vitro fertilization, sex is unnecessary. These intrusions can trump your heart’s involvement in your sexual connection. Find a way to accept lapses in desire and performance!

10. Under duress, disconnections in your style of being a couple will be exacerbated. With so much at stake you can learn another way. Don’t be afraid to get help and gain from the pain!

More information on this book can be found by clicking here.

Publisher: Zeig, Tucker, & Theisen Inc.

Editors: Jeffrey K. Zeig, PhD, & Tami Kulbatski, PsyD, C.Psych

RESOLVE and Redbook Launch National Public Awareness Campaign on Infertility

Good News!  Redbook Magazine and RESOLVE have teamed up to bring awareness about the pain of isolation for those struggling with infertility.  There is a wealth of information, not to mention an option to participate!  You can read and respond to Infertility Blogs and watch videos and/or create and post your own to the site.  These things will create a sense of connection, provide information, and help you to discharge the frustration of the stress and uncertainty of infertility.  It can make a big difference if you exchange stories with people who are going through the same thing as you.

There are, however, three caveats:

  1. Cyberspace for some people lacks the satisfaction of face-to-face friendships.
  2. Cyberspace provides anonymity, which can free some people to reach out.  However, making a baby is still a very private endeavor.  Feeling that it’s too sacred to put out there, anonymously or otherwise, is a valid stance to take.
  3. Some who participate in blogs are overzealous and can upset the reader.  And other people’s sagas can be off-putting to some women/couples who feel that they need all of their energy to cope.

At the very least, you owe it to yourself to check out Redbook’s most important public service to see if it helps you.  Infertility is an agonizing experience—a bio-psycho-socio-spiritual crisis.  Coming out of isolation only addresses the social aspect.  What else is needed here is the awareness that you need the kind of self-care that eases the biological, psychological and spiritual challenges as well.

Here’s the link: http://www.redbookmag.com/health-wellness/advice/infertility-video-series

Vulnerability and Infertility

This entry on The Baby Manifest-O Blog is in response to a post on a blog run by Sarah Wilson. The topic is about vulnerability particularly as it pertains to infertility.

Reader Dharma describes the vulnerability she feels, the uncertainty about her dreams coming true and how hard it is to trust and remain optimistic.  Read my response to Dharma by clicking here.

Stress of the Holidays

The Jewish New Year is upon us. That reminds me that any holiday brings with it an expectation that you will participate in family gatherings. When dealing with adversity, this could be deadly. Read my articles on dealing with for ideas about dealing with the stress of the holidays by clicking here and scrolling down to numbers 19 – 23 http://www.mind-body-unity.com/articles.php.

Unexplained Infertility and the Mind/Body Connection: Food for Thought

When I first went into practice in 1979 as a psychotherapist serving infertility patients, the scuttlebutt was that any inability to conceive for which there wasn’t an explanation meant that research hadn’t yet clarified the person’s specific problem.  Today, much has been clarified and medical experts believe that if a correct diagnosis could be guaranteed, the number of those labeled “undiagnosed” would be very small indeed, rather than the 10% to 30% or more (depending upon whose statistics you look at) who fall in this category now.

Whether the diagnosis is incorrect or unknown, any couple who is told that the reason for their questionable fertility is unexplainable suffers in double time.  Each undiagnosed person with whom I’ve worked over these many years has said, “I wish I had a diagnosis – at least I’d know what I’m up against, and the doctors would know what to do.”

Medical reasoning, while it has merit, leaves out of the story what could be going on having to do with how our minds and bodies communicate with each other, often below our conscious awareness.  While we may not be mentally aware of how our subconscious mind interprets our experiences, our bodies hold this information for us.  Tuning in to our bodies by way of our intuition is how we stand to discover what our experiences mean to teach us.

Case in point: Many years ago, a woman came into my office and even before she was sitting on my couch asked, “Could this infertility be my fault?”  I told her that I was opposed to her blaming herself, but I was curious why she was inclined to do so.  A story tumbled out having to do with a medical condition which had made it impossible for her to get through the night without wetting the bed — until she was 16 when the problem, finally, was surgically corrected.  Meanwhile, her mother’s harsh criticism and judgment had had its impact.  After hearing her story I simply said to her, ‘Are you afraid that you will be the kind of mother that you had?’  She burst into tears.  And she conceived during the next cycle.

While we cannot say for sure that this is why she conceived, it is clear that her tears were tears of relief.  When our minds feel relieved, our bodies are less tense.  What else might loosen up besides our muscles and our breathing?  This lovely lady, by following her intuition and making an appointment with me, gave herself an opportunity to discover her greatest fear.  Lodged just below her conscious awareness was the byproduct of her life experience which manifested in the fear that she would imitate her mother’s style of mothering and her child would suffer the way she did.   She was even more relieved to come to understand in our session that with conscious awareness, determination, and perhaps a little guidance, she’d be a fine mother.  Her longing for parenthood came out from under her fear of repeating history.

The harshness and judgment with which this woman had been raised had come out in the form of self-blame, not a surprise when a small child assesses the environment and concludes that she’s not okay, not loveable, not worthy of kindness and compassion.  The up side of blaming herself is that it led to her discovery of what her body was holding for her – fear of being like her mother.

There are infinite intricacies to the interplay between mind and body. I am not saying that a personal issue causes infertility.  Fear of conception, even for a very good reason, may not be in your story at all.  And even if it is, you can’t be held responsible for something of which you are unaware.  You can choose to be responsible to yourself by following a hunch the way my patient did.

Here’s the food for thought:  Why do some fail to conceive even with the correct diagnosis?  On many occasions besides the one reported here, I have witnessed people choosing to face a fear which sits at the juncture between conscious and unconscious awareness, waiting for recognition so the body can release the grip it has on us when it’s trying to get our attention.  From my vantage point as a mind/body therapist, I invite you to give yourself a chance to “listen in” on the conversation that your mind and body may be having.  Would something release in you?