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The main causes of “psychological infertility”, or why you can not get pregnant

Almost a third of couples who cannot conceive get an explanation that it is a matter of “psychological sterility”. This means that they have no health problems, but despite all the attempts, pregnancy does not occur. Or you can not save it. What reasons lead to the fact that the psyche does not allow you to get pregnant, whether it depends on the relationship in the couple or only on the attitudes of the woman herself and how to cope with such a situation – in the material of a specialist in reproductive psychology Galina Babichenko.Psychological (psychosomatic, psychogenic) infertility is a fairly common situation where a couple who have no physiological problems with men’s and women’s health does not have the desired pregnancy for at least a year of trying. It also happens that pregnancy nevertheless occurs, but it cannot be preserved and endured, although again the woman has no serious health problems. In this case, doctors often recommend the couple to seek psychological help.

According to some reports, about 30% of couples seeking medical help for infertility, are faced with what is called psychological infertility. The most common causes of psychological infertility encountered in the practice of the psychotherapist are as follows.

1. Increased level of anxiety in women (and couples in general)
Every woman who decides to become a mother, every month with impatience and excitement waits for two cherished strips on the test. But the scale of this excitement can be different, and just as differently affect the possibility of conception and the development of pregnancy in the earliest terms. If a woman is anxious by nature or her self-esteem is not very stable, she feels critically strong anxiety and even fear of failure. In the same fear and uncontrolled anxiety, she listens to her body – has ovulation occurred? What will the test strip on LH show now? Is everything all right with me?

In the head of a woman, only one dominant – an obsessive desire to have a child. It is logical that sexual relations in a couple are reduced only to the function of fertilization – scheduled sex on ovulation days and further waiting for the onset of a long-awaited pregnancy, which again and again does not occur. Here relations in a couple are already beginning to suffer, passion and tenderness are gone, there is a feeling of “obliging” and mechanistic relations. As a result, the partners in the couple no longer feel at ease in the relationship, irritation and resentment appear, stress accumulates, which in turn can lead to a completely medical diagnosis of ovarian dysfunction. In this case, the ovaries no longer produce ready-to-fertilize eggs, hormonal disruptions begin, which also significantly reduces the chances of conception.

Thus, the expectation of the desired conception becomes permanent stress, thoughts about pregnancy become a factor of anxiety and fear. As a result, the body perceives pregnancy as a risk and an extra stress factor, blocking the possibility of its occurrence.

The mechanism is as follows: anxiety and fear are emotions, and, like any other emotions, they are accompanied by biochemical changes in the neurohumoral regulation system, namely, irregular cortisol and adrenaline. High levels of cortisol, in turn, inhibit the production of estrogen and adversely affect progesterone, and also provoke an imbalance between LH and FSH. This implies a violation of the cycle, the suppression of ovulation and the reduction of the growth of the endometrium, necessary for successful implantation and the development of pregnancy in the early stages.

A woman finds herself in a vicious circle: she is afraid not to get pregnant, but her constant fear interferes with conception even more, and one clings to the other. In addition, there are distrust, resentment, annoyance towards his own body.

2. Uncertainty about partner
Another cause of infertility may be the subconscious feeling that the person is not the one with whom you would like to live your whole life and be associated with him forever as a common child. Or a woman unconsciously has a lot of insults, discontent and lack of confidence in a partner. In these cases, the woman’s body can block the possibility of pregnancy either by lack of ovulation or by an insufficient layer of the endometrium, to which the fertilized egg simply cannot attach.

3. A woman is not morally ripe for pregnancy
The third major cause of psychological infertility lies in the subconscious unpreparedness of a woman for pregnancy.

– Often, upon closer examination, it turns out that a woman has too many fears about pregnancy and childbirth. These fears may be associated with a traumatic family history, when in the family of a woman, pregnancy and childbirth sometimes ended up unsuccessfully (fading, miscarriages, death during childbirth) or the woman herself already has experience of unsuccessful pregnancies.

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