Depression and Anxiety: Leading cause of IVF failure in women

BY IANSLIFE FEATURES 

New Delhi, May 27  Getting bouts of anxiety while going through In-vitro fertilization (IVF) or any other fertility treatment is common for any childless couple. Dr. Aswati Nair, Fertility Consultant, Nova IVF Fertility, Delhi sheds light on how depression and anxiety can affect IVF.

But it’s pivotal that the stress should be managed initially, if it is ignored it can take an emotional toll on women’s mental health. Firstly, opting to for IVF is a life-altering decision by a couple. Though it brings with it a renewed sense of hope and purpose, the experience can be an intense for everyone involved.

According to a latest report published in the ‘Fertility and Sterility Journal’, women who are stressed and anxious before IVF can face serious mental disorders if the treatment fails. The journal further added women should not feel pressured to be a “good IVF patient” who’s free of stress. And, they should not blame themselves if they feel stressed out and their IVF attempt fails. The doctors should facilitate psychological intervention, if need be to help women feel better, and not focus entirely on just increasing their chances of pregnancy.

Relation between depression and infertility

It is still unclear whether depression itself can cause infertility but there are some studies available which found a correlation between depression and increased rates of infertility. Some suggests that an overlap in some of the hormonal issues are involved in both conditions. Moreover, depression disrupts your daily routine and lifestyle that adversely impact the fertility. For example, depression often causes an over reaction or lack of appetite,resulting in being overweight or underweight. All these increase the chances of infertility. Besides, sometimes depressed people get addicted to smoke or liquor to get rid of their negative thoughts, resulting in infertility issues.

Can pregnancy Cure Depression?

It has been witnessed that people, who have experiences infertility failures in the past, are more prone to depression during pregnancy and also have an increased chance of getting postpartum depression. A woman or a couple needs to understand that not being able to conceive or failing to become a parent through means like surrogacy or adoption,isn’t the end o the world. It is possible to find hope and happiness again if we just shift our focus on something else for some time. If depression has taken hold, it’s unlikely to resolve on its own. Depression due to a miscarriage or failed IVF treatment is tough to overcome. Researchers have found that it can stay up to three years irrespective of if you’re pregnant or not. Therefore, counseling is pivotal throughout the grieving process so that one can overcome this dark phase and start afresh with new hopes and outlook.

Feeling better is the Key

Some couples feel antidepressants which are used for treatment have a negative effect on health as they cause hindrance when trying to conceive again. While once cannot completely rule this thought process out.

In fact, some studies have found that treating depression with counseling and anti-depressants together increased pregnancy success. That said, for milder depression, anti-depressant medications are just one of many treatment options. Depression can also be treated with psychological counselling, support groups, and mind-body therapies.

(IANSlife Features can be contacted at ianslife@ians.in)