Many couples break up over infertility
Couples that experience fertility problems are more likely to stay together if they eventually have a child together, new research indicates.
Previous studies have shown that fertility problems can have a massive impact - both physically and psychologically - on couples, particularly women. Some studies have even found that undergoing unsuccessful fertility treatment may increase stress and depression levels and lower overall quality of life.
However, other studies have found that fertility problems can bring couples closer together, so Danish researchers decided to look into this further.
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They identified over 45,000 women who had been evaluated for fertility issues between 1990 and 2006. The women were around 32 when they were first evaluated and they were followed up with for several years. Among the participants, 57% went on to have at least one child following their initial treatment for infertility, while 43% did not have any children.
The study found that women who had a child after experiencing fertility issues were more likely to still be with the same partner. In the 12 years after the initial fertility assessment, women who did not have any children were up to three times more likely to have divorced or separated from the person they were with at that time.
"Our findings suggest that not having a child after fertility treatment may adversely affect the duration of a relationship for couples with fertility issues. Further investigations that account for marital quality and relational wellbeing of couples with fertility problems are now needed," the researchers said.
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Shop Now →Does infertility treatment cause divorce?
Research shows that infertility itself doesn't directly cause divorce, but rather the inability to conceive after treatment significantly increases relationship strain. A major Danish study found that couples who remained childless after fertility treatment were up to three times more likely to separate compared to those who successfully conceived. However, many couples also report that navigating infertility together strengthens their bond, suggesting outcomes depend heavily on individual relationship dynamics and support systems.
What percentage of couples stay together after infertility?
According to recent research, couples who successfully have a child after infertility treatment are significantly more likely to remain together long-term. The study tracked over 45,000 women and found that those who had at least one child following fertility treatment showed much higher relationship stability over 12 years compared to those who remained childless. The exact percentage varies by individual circumstances, but successful conception appears to be a key factor in relationship continuation.
How does infertility affect mental health in relationships?
Infertility can increase stress, depression, and anxiety in both partners, potentially straining even strong relationships. Studies show that unsuccessful fertility treatment may lower overall quality of life and create emotional distance between partners, particularly affecting women. Open communication, couples counseling, and mental health support through your fertility clinic or ASRM-affiliated therapists can help couples navigate these psychological challenges together.
Should we seek counseling during fertility treatment?
Yes, mental health support is highly recommended during fertility treatment, as it can strengthen your relationship and help you process the emotional toll of infertility. The American Society for Reproductive Medicine (ASRM) acknowledges that counseling improves treatment outcomes and relationship satisfaction. Many fertility clinics offer or can refer you to mental health professionals who specialize in reproductive issues, and some insurance plans cover fertility counseling as part of treatment.
What can couples do to stay together during infertility?
Successful couples prioritize open communication, seek professional support when needed, and maintain emotional intimacy beyond fertility discussions.
Does age affect relationship stability during infertility treatment?
While the research doesn't directly compare age groups, the original study focused on women around age 32 at initial evaluation, a common time when couples face fertility concerns. Younger couples may have more time to explore options, while older couples may feel increased pressure from biological timelines, both of which can impact relationship dynamics. Regardless of age, relationship quality and mutual support are more important predictors of staying together than age itself.
How can we improve our relationship while trying to conceive?
Focus on maintaining your emotional connection by scheduling time together outside of fertility discussions, supporting each other's mental health, and keeping physical intimacy alive beyond conception attempts. Research shows that couples who experience infertility together and successfully conceive benefit from strong communication and mutual understanding throughout the process. Consider fertility counseling early on, maintain healthy lifestyles that support reproductive health, and remember that your relationship matters as much as your fertility goals.
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