Fertility
Understanding Fertility Concerns: Causes, Impacts, and Support
The term ‘fertility concerns’ encompasses a broad range of challenges related to conception including difficulty conceiving, irregular cycles, or conditions that may impact reproductive health. Infertility, on the other hand, is a medical diagnosis defined as the inability to conceive after 12 months of regular, unprotected sex (or six months if the individual is over 35). While some people may receive a formal diagnosis on infertility, others may experience fertility concerns which don’t meet the medical definition, but still require support and intervention.
Types of Infertility
- Primary Infertility – When someone has never been able to conceive.
- Secondary Infertility – When someone has conceived before but is now struggling to become pregnant.
Potential Causes of Infertility
Fertility concerns can have many causes, and in some cases, the underlying reason remains unexplained. However, common causes can include:
In Women
⏺ Ovulatory Disorders – Conditions such as Polycystic Ovary Syndrome (PCOS) and thyroid disorders can impact ovulation.
⏺ Fallopian Tube Damage or Blockage – Can prevent fertilisation from occurring.
⏺ Endometriosis – A condition where tissue similar to the lining of the uterus grows outside the uterus, and can affect fertility.
⏺ Uterine Abnormalities – Conditions like fibroids, polyps, and structural irregularities may interfere with implantation.
⏺ Age-Related Decline – A reduction in egg quantity and quality over time.
In Men
⏺ Low Sperm Count or Poor Sperm Quality – Can reduce the chances of fertilisation.
⏺ Erectile Dysfunction or Ejaculatory Issues – May prevent successful conception.
⏺ Varicocele – Swelling of veins in the scrotum, which can affect sperm production
Infections or Genetic Conditions – Some infections and inherited conditions may impair fertility.
Lifestyle Factors Contributing to Fertility Concerns
Certain lifestyle factors have been found to impact fertility, including:
- Smoking, high alcohol consumption, and drug use.
- High prolonged stress levels.
- Inadequate nutrient intake.
- Too much or too little exercise.
- Exposure to environmental toxins (e.g., pesticides, radiation).
Eating Disorders and Fertility
Eating disorders can significantly impact fertility in multiple ways, including:
- Energy Deficiency – Inadequate nutrient energy intake can lead to menstrual irregularities, anovulation, reduced sperm quality, and changes in libido and the ability to maintain an erection.
- Nutrient Deficiency – Depletion of key nutrients needed for fertility.
Focused treatment, including nutritional rehabilitation and psychological support, can assist people in restoring their and overall health, potentially contributing to improved fertility.
Impacts of Fertility on Mental Health
The stress of fertility issues and infertility can take a significant toll on a persons mental health. The emotional weight of fertility concerns, coupled with potential medical treatments like IVF, can make this journey particularly challenging. Infertility is associated with higher rates of anxiety and depression, feelings of shame, social isolation and relationship stress. Seeking psychological support can help individual and couples develop strategies to navigate these emotional challenges.
How We Can Help
The team of experienced Psychologists and Dietitians at Mind Body Well can support people to manage the physical and emotional impacts of infertility, and may also be able to assist in addressing the factors which contribute to fertility concerns.
Our Melbourne Practice
Clinic address: 103 / 34 Queens Road, Melbourne, VIC, 3004.
