How we manage stress is so critically important - especially for couples who are struggling with infertility - because, in recent years, scientific studies have shown that sustained high levels of stress can have direct, negative impacts on our physical and mental health.
Everything truly is connected: stress, our emotional and mental state, our physical health, and our fertility.
Add the emotional turmoil of infertility to our constant state of “everyday stress”, and the impact is significant. Women who are experiencing difficulty getting pregnant can experience similar levels of depression and anxiety as those suffering from a life-threatening disease like cancer or heart disease.
Stress negatively impacts fertility. And unfortunately, stress is compounded when we try to conceive month after month, creating a downward spiral that is difficult to break.
How Does Stress Affect Infertility?Telling a woman who is having difficulty getting pregnant to “just relax” is a painful suggestion. Not only does it imply that her infertility is somehow her fault, but it is also an overly-simplified view of the physical and psychological influences on the human reproductive system.
It is rarely as simple as “just relax”. However, addressing the causes and management of stress can often help improve fertility. This has been supported by several medical studies that found that stress and the hormones that help regulate our body’s response to stress play a significant role in fertility.
Several of These Studies Talk About Stress and Infertility
The Stress Hormone Cortisol Affects OvulationEmory University’s Dr. Sarah Berga has noted that our brain’s hypothalamus (a walnut-sized area of our forebrain) handles the functioning of our reproductive system. It also regulates stress by emitting cortisol as needed to keep our bodies in balance. It manages a delicate interplay of hormones. Dr. Berga’s research has found that stress often leads to reduced levels of two hormones needed for ovulation. Her 2006 study found that women who didn't ovulate had excessive cortisol levels in their brain fluid. An earlier study also found that the majority of women who underwent cognitive behavioral therapy saw their ovulation restored.
The Benefits of Relaxation Training for PregnancyA study conducted by Harvard Medical School on 184 women going through relaxation training for infertility: 55% had a viable pregnancy within one year, compared to only 20% of the control group achieving a viable pregnancy.
Anxiety Delays ConceptionIn a study with women undergoing donor sperm insemination, those with higher levels of anxiety prior to undergoing inseminations took significantly longer to conceive).
Stress and Depression Significantly Reduce IVF Conception RateWomen who were not stressed and/or depressed before starting IVF treatment had a conception rate twice as high as women who were stressed and/or depressed before treatment.
While “just relax” is hardly ever the complete answer to solve infertility, addressing both the source of stress and the way stress is handled in the body can help.
One way to help relieve the combined stresses from normal life and the added stress of trying to get pregnant is to use guided visualization and meditation. These methods can help you to take time for yourself every day to deeply relax and help reset your body’s hormones.
Our friends at Circle + Bloom provide several medically-based visualization exercises specifically created to help with infertility that sync to your monthly reproductive cycle. Click here to find out more about Circle + Bloom’s fertility visualization and meditation programs, and the science behind how they work.
Right now, Circle+Bloom is giving a 20% discount on all of their fertility programs just for readers of Fertility Coach! Please enter coupon FertilityCoach20 at Circle+Bloom checkout.
 American Psychological Association. (2018, November 1). Stress effects on the body. American Psychological Association. Retrieved from https://www.apa.org/topics/stress/body
 Kalantaridou, S. N., Makrigiannakis, A., Zoumakis, E., & Chrousos, G. P. (2004). Stress and the female reproductive system. Journal of reproductive immunology, 62(1-2), 61-68. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/15288182
 Psychological impact of infertility - Harvard Health Publications. Harvard Health. (2009, May 1). Retrieved from https://www.health.harvard.edu/press_releases/psychological-impact-of-infertility
 Campbell, O. (2017, March 9). Why 'just relax' has always been bad advice for women looking to get pregnant. The Cut. Retrieved from https://www.thecut.com/2017/03/just-relax-has-always-been-bad-advice-for-getting-pregnant.html
 Epstein, R. H. (2007, September 4). A low-tech approach to fertility: Just relax. The New York Times. Retrieved from https://www.nytimes.com/2007/09/04/health/04conv.html
 Ianzito, C. (2002, April 2). Relax to conceive? The Washington Post. Retrieved from https://www.washingtonpost.com/archive/lifestyle/wellness/2002/04/02/relax-to-conceive/b593204c-ceef-4dd7-b57a-cfd86ee65477/
 Demyttenaere, K., Nijs, P., Steeno, O., Koninckx, P., & Evers-Kiebooms, G. (1988). Anxiety and conception rates in donor insemination. Journal of Psychosomatic Obstetrics & Gynecology, 8(3), 175-181. Retrieved from https://psycnet.apa.org/record/1989-12961-001
 Thiering, P., Beaurepaire, J., Jones, M., Saunders, D., & Tennant, C. (1993). Mood state as a predictor of treatment outcome after in vitro fertilization/embryo transfer technology (IVF/ET). Journal of psychosomatic research, 37(5), 481-491. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/8350290