{"id":23823,"date":"2025-12-16T08:00:29","date_gmt":"2025-12-16T14:00:29","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=23823"},"modified":"2025-12-16T08:39:05","modified_gmt":"2025-12-16T14:39:05","slug":"%d0%bf%d0%be%d0%b4%d0%b4%d0%b5%d1%80%d0%b6%d0%ba%d0%b0-%d0%bf%d0%b0%d1%80-%d1%81%d1%82%d0%be%d0%bb%d0%ba%d0%bd%d1%83%d0%b2%d1%88%d0%b8%d1%85%d1%81%d1%8f-%d1%81-%d0%bf%d1%80%d0%be%d0%b1%d0%bb%d0%b5","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/ru\/supporting-couples-facing-infertility\/","title":{"rendered":"\u041a\u0430\u043a \u0438\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u043e\u0440\u044b \u043f\u043e \u043c\u0435\u0442\u043e\u0434\u0443 \u043e\u0441\u043e\u0437\u043d\u0430\u043d\u0438\u044f \u0431\u0435\u0441\u043f\u043b\u043e\u0434\u0438\u044f (FAM) \u043c\u043e\u0433\u0443\u0442 \u043f\u043e\u043c\u043e\u0447\u044c \u043f\u0430\u0440\u0430\u043c, \u0441\u0442\u043e\u043b\u043a\u043d\u0443\u0432\u0448\u0438\u043c\u0441\u044f \u0441 \u0431\u0435\u0441\u043f\u043b\u043e\u0434\u0438\u0435\u043c"},"content":{"rendered":"\n

<\/p>\n\n\n\n

For couples facing infertility, defined as at least 12 cycles of random, unprotected intercourse without conception, the question of whether or not they will ever become parents can be as stressful as a cancer diagnosis<\/a>.\u00a0<\/p>\n\n\n\n

An excellent first-line approach to helping couples conceive is helping them learn the optimal time to get pregnant, i.e., by helping them identify their fertility window<\/a> with a fertility awareness method (FAM) [1]. In fact, for couples who have worked with a certified FAM instructor<\/a> to accurately identify their fertile window, only 6 cycles of unprotected, properly timed intercourse without conception is grounds for seeking medical evaluation.\u00a0<\/p>\n\n\n\n

FAM instructors can therefore play a unique role in supporting couples during one of the toughest situations they may ever face. While there\u2019s no foolproof formula for supporting couples experiencing the stress of delayed time to conception and a healthy, full-term pregnancy, the following are some key facts and tested strategies to keep in mind if you are part of a couple\u2019s infertility support network, gleaned from my experience as a certified FAM instructor with over a decade in Restorative Reproductive Medicine<\/a> (RRM).<\/p>\n\n\n\n

The relationship between stress and infertility <\/span><\/h2>\n\n\n\n

While the relationship between stress and infertility is complicated, studies show that an infertility diagnosis is often accompanied by significant risk for depression, anxiety, and distress [2]. Fertility testing and treatments can bring their own stress, with the process of in vitro fertilization (IVF) causing notable stress in couples<\/a>. The further a couple goes into exploring their options, the more at-risk they may become for \u201cdecision fatigue,\u201d pressure, and feelings of inadequacy in their intimate lives, hopelessness, anger, guilt, loss, and depression. When infertility treatment is unsuccessful, couples describe failed IVF cycles in terms of \u201cheartbrokenness\u201d and \u201cbereavement.\u201d<\/a> Whether one is utilizing IVF or RRM, these negative feelings are exacerbated by the hormonal drop-off women experience with each new menstrual period, realizing there was yet another failed attempt to become pregnant.<\/p>\n\n\n\n

A diagnosis of \u201cunexplained infertility\u201d may be an especially frustrating experience. As a 2018 article published in Dialogues in Clinical Neuroscience<\/em> notes<\/a>, \u201cKnowing the root cause of an infertility diagnosis can reduce the burden for patients as they understand why this may be happening to them; while still heart-broken, they can place blame on \u2018something.\u2019 Patients with unexplained infertility do not know why they cannot get pregnant. They may become obsessed with this diagnosis. In fact, infertile women may display a high prevalence of obsession\u201d [2].\u00a0\u00a0<\/p>\n\n\n\n

\u201cKnowing the root cause of an infertility diagnosis can reduce the burden for patients as they understand why this may be happening to them; while still heart-broken, they can place blame on \u2018something.\u2019 Patients with unexplained infertility do not know why they cannot get pregnant. They may become obsessed with this diagnosis. In fact, infertile women may display a high prevalence of obsession.\u201d <\/p><\/blockquote><\/figure>\n\n\n\n

Ask couples: How are you, and what do you need right now<\/em>? <\/span><\/h2>\n\n\n\n

At a recent international conference of certified fertility educators specializing in Restorative Reproductive Medicine<\/a>, Ivana Zecevic, Psychotherapist and NeoFertility advisor, emphasized the importance of fertility awareness instructors learning \u201cwhere a couple is at\u201d when they initially seek a FAM consult. She recommends that, without being too direct, a fertility awareness instructor takes the time to discover if the couple just came from a doctor\u2019s visit, if they\u2019re in their \u201c2-week wait\u201d or if they\u2019ve decided to \u201ctake a break.\u201d An open-ended, non-specific question allows the couple to decide what to share. It\u2019s okay if they don\u2019t want to discuss fertility, Zecevic stresses. Honor their lead. She notes that following up with a more focused question adds to their sense of agency and control, while reinforcing that you are truly ready to try to support them at this very moment.\u00a0<\/p>\n\n\n\n

Remember: couples who are stressed about their fertility feel out of control due to the uncertainty of the issue, so it\u2019s important to give them control over whether or not they want help and what any help looks like. While today\u2019s stressors are likely transient, they are the only stressors that matter right now.  <\/p>\n\n\n\n

Inform them that fertility is a multi-factoral, multi-system issue <\/span><\/h2>\n\n\n\n

If you\u2019re helping a couple facing infertility, it might be helpful to remind them that fertility is not an exclusively female concern. Male factors account for at least 40 percent<\/a> of all factors contributing to couples\u2019 struggles [2]. There are multiple body systems that will need a check-up for both partners, and encouraging the couple to take a multi-factoral, multi-system approach may help them understand what choices they can make, and over which factors they may have control. A thorough infertility workup will include an evaluation of the following aspects of a couple\u2019s health:\u00a0<\/p>\n\n\n\n

    \n
  1. Metabolic, i.e., insulin resistance<\/a>, which impacts ovulation<\/a> and sperm quality<\/a> [4] [5]<\/li>\n\n\n\n
  2. Anatomical, e.g., varicocele, which affects up to 25% of men<\/a> [6], or issues with the uterus or fallopian tubes<\/a><\/li>\n\n\n\n
  3. Infections, e.g., ureaplasma<\/a> or endometritis<\/a> infections (both of which are diagnosable and treatable)<\/li>\n\n\n\n
  4. Hormonal, e.g., low progesterone or low estrogen, both of which are risk factors for an inability to conceive and miscarriage<\/a><\/li>\n\n\n\n
  5. Immunological, e.g., autoimmune conditions like certain thyroid dysfunctions<\/a> (which are also diagnosable and treatable)<\/li>\n\n\n\n
  6. Lifestyle, e.g., recreational drug use<\/a>, alcohol, smoking or vaping, poor diet, low physical activity, exposure to known reproductive toxins<\/a>, and more [7]<\/li>\n<\/ol>\n\n\n\n


    Help couples discover the root-cause approach to infertility treatment<\/span><\/h2>\n\n\n\n

    As a FAM instructor, you are uniquely positioned to let couples know the good news: many, if not all, of the factors which contribute to infertility can be diagnosed, treated, or managed. Addressing these factors improves overall health as well as fertility\u2014a crucial fact about which to remind couples. You can also let them know that they are unlikely to find an IVF clinic that will perform the thorough workup necessary to determine the root cause of their struggles to conceive, which is why up to 1 in 3 infertility cases treated according to protocols issued by the American Society for Reproductive Medicine remain \u201cunexplained.\u201d<\/a> By contrast, NaProTechnology\u2014a form of Restorative Reproductive Medicine (RRM)<\/a>\u2014boasts an \u201cability to identify specific etiological factors in nearly all couples,\u201d as evidenced by a recent 2025 Spanish study<\/a> published in Frontiers in Reproductive Health<\/em> [8].\u00a0<\/p>\n\n\n\n

    You can help couples interested in root-cause diagnosis and treatment of infertility to find a doctor or other healthcare professional trained in RRM by directing them to this Natural Womanhood resource<\/a>. You can also let them know that the International Institute for Restorative Reproductive Medicine (IIRRM) hosts a scientific resource<\/a> page where scholarly articles from a variety of publications are available to read. Perusing this page may help couples think about their medical options based on current scientific evidence.<\/p>\n\n\n\n

    As a couple\u2019s FAM instructor, you can be a critical support person, encouraging a positive view of health and lifestyle changes to increase their energy levels, longevity, and<\/em> fertility. The broader view of fertility goals in the context of health optimization can prevent \u201ctunnel vision\u201d on the wish for a child. You can also assure them that it is also completely acceptable to forgo medical evaluation for fertility, and to be at peace \u201cletting it be\u201d while focusing on living well. <\/p>\n\n\n\n

    As a couple\u2019s FAM instructor, you can be a critical support person, encouraging a positive view of health and lifestyle changes to increase their energy levels, longevity, and<\/em> fertility. The broader view of fertility goals in the context of health optimization can prevent \u201ctunnel vision\u201d on the wish for a child. You can also assure them that it is also completely acceptable to forgo medical evaluation for fertility, and to be at peace \u201cletting it be\u201d while focusing on living well.\u00a0<\/p><\/blockquote><\/figure>\n\n\n\n

    Encourage them to nurture other interests and goals<\/span><\/h2>\n\n\n\n

    On that note, ask yourself: Did you know the couple before they started trying to conceive? If so, remind them to prioritize doing the things you know they loved before infertility took center stage. Even if you didn\u2019t know a couple well before they started trying for a baby, you can gently remind them that there\u2019s more to their identity and life together than trying to have a baby. <\/p>\n\n\n\n

    Without making light of how heavy and unforgettable fertility challenges can be, encourage the couple to make time to explore new hobbies, travel, or pursue professional development. Creative hobbies in particular, like art, music or theatre, can be a healthy outlet for emotions. Regular, shared, recreational activities, including sports or learning a foreign language, can help a couple re-connect in ways that support co-creation without the pressure. <\/p>\n\n\n\n

    While fertility appointments can feel like a part-time job, every couple can choose how much time and effort they put into fertility. Encourage discussion on boundaries and allotting space for other meaningful activities. This safeguards from obsessing over their struggles to conceive, or from creating a false idol of the wished-for child. <\/p>\n\n\n\n

    While fertility appointments can feel like a part-time job, every couple can choose how much time and effort they put into fertility. Encourage discussion on boundaries and allotting space for other meaningful activities. <\/p><\/blockquote><\/figure>\n\n\n\n

    Ask (and answer) the hard questions<\/span><\/h2>\n\n\n\n

    Fear of childlessness can fizzle if you shine a light on it and face it head on. Supporting a couple may mean offering (just offering, not insisting) to listen to them talk about their biggest fears and their ideas around parenthood and their fertility journey. Examples of some hard questions, inspired by the Organic Conceptions program<\/a>, could be:<\/p>\n\n\n\n

      \n
    1. When did you first start wishing for parenthood? What does parenthood mean for you? Are there other hopes for your future that you can start exploring right now while waiting for parenthood?<\/li>\n\n\n\n
    2. Without giving up on parenthood, can you imagine what \u201ctaking a break\u201d would feel like for you, for your partner, and your life together?<\/li>\n\n\n\n
    3. What, if any, does the role of faith\/spirituality play in your fertility journey? Do you believe in a Creator who has a plan for you, or is this journey solely based on yours and your partner\u2019s plans? If you believe in a Creator or Giver of Life, can you include them more in this journey?<\/li>\n\n\n\n
    4. Have you or your partner felt broken or ashamed in this process? How might you help each other to see the truth that you are not broken or at fault, and to heal from these blows to your spirit?<\/li>\n\n\n\n
    5. What does it mean to be a family? Is there only one way to build one? What are their thoughts on adoption<\/a>? Are there any objectively unethical ways to become parents?\u00a0<\/li>\n<\/ol>\n\n\n\n

      It\u2019s important to just listen, not offer solutions. And be prepared for tears. There are no wrong answers to most of these questions. Remember that, as a couple\u2019s FAM instructor, you can be a powerful support person\u2014especially if you indicate a willingness to put your own ideas aside, signaling confidence that the couple can process their emotions and find their own solutions.\u00a0\u00a0<\/p>\n\n\n\n

      Finally, share information about counselling services<\/span><\/h2>\n\n\n\n

      As a FAM instructor, your listening ear can be invaluable, and you may sometimes hear clear signs that the couple could benefit from working with a mental health professional. It is important to suggest a professional who has experience with fertility. Here\u2019s one directory<\/a> with many therapists who offer introductory phone calls.\u00a0<\/p>\n\n\n\n

      Walking with couples on their fertility journeys\u2014no matter what those journeys entail\u2014is an incredible gift you can give others as a FAM instructor. <\/p>\n\n\n\n

      References<\/span><\/h4>\n\n\n\n[1] Stanford JB, White GL, Hatasaka H. Timing intercourse to achieve pregnancy: current evidence. Obstet Gynecol. 2002 Dec;100(6):1333-41. doi: 10.1016\/s0029-7844(02)02382-7. PMID: 12468181.<\/p>\n\n\n\n[2] Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci. 2018 Mar;20(1):41-47. doi: 10.31887\/DCNS.2018.20.1\/klrooney. PMID: 29946210; PMCID: PMC6016043.<\/p>\n\n\n\n[3] Kumar N, Singh AK. Trends of male factor infertility, an important cause of infertility: A review of literature. J Hum Reprod Sci. 2015 Oct-Dec;8(4):191-6. doi: 10.4103\/0974-1208.170370. PMID: 26752853; PMCID: PMC4691969.<\/p>\n\n\n\n[4] Sakumoto T, Tokunaga Y, Tanaka H, Nohara M, Motegi E, Shinkawa T, Nakaza A, Higashi M. Insulin resistance\/hyperinsulinemia and reproductive disorders in infertile women. Reprod Med Biol. 2010 Sep 7;9(4):185-190. doi: 10.1007\/s12522-010-0062-5. PMID: 29699342; PMCID: PMC5904600.<\/p>\n\n\n\n[5] Za\u0144ko A, Siewko K, Kr\u0119towski AJ, Milewski R. Lifestyle, Insulin Resistance and Semen Quality as Co-Dependent Factors of Male Infertility. Int J Environ Res Public Health. 2022 Dec 30;20(1):732. doi: 10.3390\/ijerph20010732. PMID: 36613051; PMCID: PMC9819053.<\/p>\n\n\n\n

      References Continued<\/span><\/h4>\n\n\n\n[6] Lundy SD, Sabanegh ES Jr. Varicocele management for infertility and pain: A systematic review. Arab J Urol. 2017 Dec 14;16(1):157-170. doi: 10.1016\/j.aju.2017.11.003. PMID: 29713547; PMCID: PMC5922006.<\/p>\n\n\n\n[7] Payne KS, Mazur DJ, Hotaling JM, Pastuszak AW. Cannabis and Male Fertility: A Systematic Review. J Urol. 2019 Oct;202(4):674-681. doi: 10.1097\/JU.0000000000000248. Epub 2019 Sep 6. PMID: 30916627; PMCID: PMC7385722.<\/p>\n\n\n\n[8] S\u00e1nchez-M\u00e9ndez JI, Lombarte M, Abeng\u00f3zar-Muela R, Acosta-D\u00edez J, Alonso-Fern\u00e1ndez P, Ca\u00f1ones-Casta\u00f1\u00f3n MP, Calder\u00f3n-Ruiz O, Espinosa-Garc\u00eda E, Galocha-Morgado C, Siegrist J, Alonso-Salvador S. Natural procreative technology (NaProTechnology) for infertility: take-home baby rate and clinical outcomes in a 5-year single-center cohort of 1,310 couples. Front Reprod Health. 2025 Nov 14;7:1696679. doi: 10.3389\/frph.2025.1696679. PMID: 41323405; PMCID: PMC12660242.<\/p>\n","protected":false},"excerpt":{"rendered":"\u0412\u044b \u043c\u043e\u0436\u0435\u0442\u0435 \u043c\u043d\u043e\u0433\u043e\u0435 \u0441\u0434\u0435\u043b\u0430\u0442\u044c, \u0447\u0442\u043e\u0431\u044b \u043f\u043e\u043c\u043e\u0447\u044c","protected":false},"author":146,"featured_media":23826,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","csco_singular_sidebar":"","csco_page_header_type":"","csco_page_load_nextpost":"","csco_post_video_location":[],"csco_post_video_url":"","csco_post_video_bg_start_time":0,"csco_post_video_bg_end_time":0,"footnotes":""},"categories":[5368,5316],"tags":[4387,59,5471],"class_list":{"0":"post-23823","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-infertility","8":"category-trying-to-conceive","9":"tag-fam","10":"tag-infertility","11":"tag-trying-to-conceive","12":"cs-entry","13":"cs-video-wrap"},"acf":[],"yoast_head":"\nSupporting couples facing infertility - Natural Womanhood<\/title>\n<meta name=\"description\" content=\"You can support couples facing infertility in your critical role as a FAM instructor during a challenging time.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/naturalwomanhood.org\/ru\/\u043f\u043e\u0434\u0434\u0435\u0440\u0436\u043a\u0430-\u043f\u0430\u0440-\u0441\u0442\u043e\u043b\u043a\u043d\u0443\u0432\u0448\u0438\u0445\u0441\u044f-\u0441-\u043f\u0440\u043e\u0431\u043b\u0435\/\" \/>\n<meta property=\"og:locale\" content=\"ru_RU\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"How fertility awareness method (FAM) instructors can support couples facing infertility\" \/>\n<meta property=\"og:description\" content=\"There's so much you can do to help\" \/>\n<meta property=\"og:url\" content=\"https:\/\/naturalwomanhood.org\/ru\/\u043f\u043e\u0434\u0434\u0435\u0440\u0436\u043a\u0430-\u043f\u0430\u0440-\u0441\u0442\u043e\u043b\u043a\u043d\u0443\u0432\u0448\u0438\u0445\u0441\u044f-\u0441-\u043f\u0440\u043e\u0431\u043b\u0435\/\" \/>\n<meta property=\"og:site_name\" content=\"Natural Womanhood\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/NaturalWomanhood\" \/>\n<meta property=\"article:published_time\" content=\"2025-12-16T14:00:29+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-12-16T14:39:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/naturalwomanhood.org\/wp-content\/uploads\/AdobeStock_712015069-scaled.jpeg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"1707\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Monica B. 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