Chances are if you’re reading this right now, you know exactly how complicated it feels to go to a social or family gathering where couples you know are expecting babies. You may manage to get to the party with a smile on your face. But then Aunt Doreen saunters up and asks when you plan to have kids. It hurts to paste that smile on your face and pretend you’re fine, everything is fine—when all you want is to disappear, find a safe place, curl up, and have a straight-up ugly cry for the rest of the night. The rush of anxiety, grief, jealousy, and infuriating injustice of not being able to get pregnant when everyone else seems to be popping out baby announcements right and left is overwhelming. And you know what? It’s OK not to be OK with this. Your feelings are real and valid. Please be gentle and kind to yourself. Coping with fertility problems is super hard. But you are not alone. All of us here at Pulling Down the Moon understand where you are right now, and we are here to help. So, today, we will be talking about how to cope with infertility when everyone is pregnant. As lonely as this journey feels, remember this: you are not alone.
Although the subject of infertility is more out in the open than it has been in decades past, the struggle many endure to conceive is still one of those things that society still doesn’t like to discuss. Furthermore, levels of awareness and stigma can vary between people of different cultural, religious, and social backgrounds.¹ People struggling with infertility can feel excruciatingly isolated and alone, even though, nearly 15 percent of couples who want to get pregnant struggle to do so.² Women often bear the brunt of the social stigma, even though male infertility and totally unknown causes can account for nearly two-thirds of cases of infertility.³ There are just so many different conditions and factors that impact fertility! Also, research shows that anywhere between 21 and 52 percent of women coping with fertility problems battle depression and anxiety linked to their struggles.⁴ To add to the heartbreak, research indicates that couples with infertility struggles are three times more likely to split up than other couples.⁵
What does this all mean? It means there is a huge urgency for helping people learn how to cope with infertility when everyone is pregnant—or when it seems like everyone else around you is pregnant.
But there’s more wisdom to unearth from all this research:
First of all, these numbers are not just numbers. They represent real people with real stories. Second, the mental health toll of infertility is widespread—it affects many people. Third, women bear the brunt of the depression and anxiety surrounding infertility. Fourth, there is currently a research black hole about how it affects men's mental health.⁶
So, even though you may feel like you’re coping with fertility problems all by yourself, you objectively aren’t alone. There are a lot of people struggling along the same rocky path. So, during those times when your depression and anxiety threaten to overtake you, reach out for help. Find your people and connect. Cry together, laugh together, and learn together. And don’t forget to apply significant levels of self-care and self-love as you deal with these emotions:
There are few cultural guideposts for how to grieve infertility, pregnancy loss, or miscarriage. Whether you’re grieving yet another month without that coveted plus sign on the pregnancy test, you're grieving the heartbreak of a miscarriage, it’s important to recognize that you have every right to experience your grief, and nobody can tell you otherwise. Give yourself permission to cry as much as you need to. And remember, everybody grieves in their own way—there's no “correct” way to do it, so don’t judge yourself if you’re not grieving the way others do. Give yourself space for those unexpected moments when grief might pop up in your day-to-day activities, as it will. Be kind and gentle to yourself whenever that happens. Therapy and counseling to deal with grief can also help you come up with strategies to manage grief as you move through it. Also, join a community with people who have been there, so you won’t feel so alone. Here at Pulling Down the Moon we have built a community ready to listen and feel with you.
Whether it’s the stress surrounding an upcoming IVF cycle, the anxiety of dealing with someone’s well-meant, but insensitive comments, or questions at the family holiday gathering, anxiety seems to be lurking around every corner. This is especially true when it feels like everyone else is pregnant but you. We also know that stress and anxiety, for whatever reason, can negatively impact fertility efforts⁷, so doing whatever you can to lower stress levels is critical to overcoming infertility. Some things you can do to manage anxiety include:
Many of the
holistic fertility services we offer at Pulling Down the Moon, such as massage therapy, acupuncture,
yoga, nutrition, etc. are designed especially to help you relax deeply and let stress melt away. And that goes
for men too!
Speaking of triggers, this is one of the worst. Those cute announcements on Instagram. Gender reveal parties. Baby showers. They can just be overwhelming. The first step to coping with infertility when everyone else is pregnant is to not judge yourself for feeling jealous. Of course, you feel jealous! It’s natural under the circumstances. Acknowledge and accept your feelings and let go of the “should” feelings that often make you feel guilty underneath the jealousy: “I should be happy for my friend, but...” Your feelings are your feelings, and there is no right or wrong way to feel about something, so there is no reason to feel guilty when a feeling like jealousy erupts in this situation. To move past that potent jealousy/guilt combo, however, you can also try the “yes, and…” strategy.⁸ You can be happy for your friend, but that doesn’t need to negate your frustration and sadness over your own struggles. “Yes, I feel jealous and upset that I’m not pregnant, and I am happy that my friend is.” Both feelings are valid, even at the same time.
Social settings can be a minefield of potential anxiety, jealousy, and grief if you’re coping with fertility problems. Odds are, you’ll run into a pregnant friend or someone who, out of impolite curiosity, asks the wrong question. If you know ahead of time that you will be in a situation where something like this might happen, make a strategy for yourself to manage the situation.
If you feel like a social situation will be too much to handle, that’s valid too. You can gracefully decline invitations anytime you feel it’s necessary to protect your mental health, and that’s the truth. You’re worth it, and you deserve peace and quiet whenever you need it.
One of the first things to help you learn how to cope with infertility when everyone is pregnant is to be kind to yourself and recognize that coping with fertility problems is legitimately hard. Reach out for help to a community who understands what you’re going through and honor yourself and your feelings.
We’ve all been there: baby showers, holidays, family reunions, Mother’s Day, Father’s Day… these are all difficult days that come with difficult social situations for anyone struggling with infertility. Give yourself permission (and a strategy) to exit early and take breaks in a safe space. Permit yourself not to go at all if you’re not up to it. If you must be in a social situation you can’t get out of, like work or a holiday function, have a strategy for answering unwelcome questions. The quick, non-specific answer with a turnaround back to the other person is a classic way to go. Here’s one example:
Depending on the person you might encounter, shutting down that line of conversation may be as simple as saying, “When it happens, it happens.” Then change the subject or head over to the cheese board.
Social media can be helpful or hurtful, depending on how you use it. As they say, “comparison is the thief of joy,” especially when it seems like so many friends and family members are posting pregnancy announcements. Remember, you can’t possibly compare your unique situation with someone else’s unique situation. Everybody is different. Still, social media is also one situation that you have a little more control over. Without “unfriending” or “blocking” people, you can tweak the algorithm of your favorite social media outlet by “muting” people so you don’t see as much from them during difficult times. You can also look for sympathetic support groups on social media, or use our new Pulling Down the Moon Fully Fertile App to connect with our local Chicago and Highland Park community going through the same things you’re going through.
Self-care when you’re coping with fertility problems is absolutely essential. It's not a luxury, it's a necessity for your physical and mental health, no matter where you are on your fertility journey. When you’re struggling, do not forget these self-care basics:
You absolutely deserve and need good self-care when you’re going through your fertility journey. It can reduce your stress and help you cope with all the twists and turns. Look for joy. It’s there, even in the dark times.
Mindfulness and meditation techniques are great for anyone, anytime, going through any struggle, and infertility is no different. Yoga, for example, has often been called “moving meditation” because of its ability to relax and align mind and body through gentle stretching. Many different meditation techniques exist, from tapping meditations to visualization meditations. Deep breathing itself is a scientifically proven way to improve your mood and calm anxiety, and best of all, it can be done just about anywhere at any time.⁹ If you can manage to go on a walk when things are stressful, one mindfulness technique is to just focus on the sights, sounds and smells all around you. Look at a tree and examine its texture and the leaves. This helps ground you in the present while reducing stress.
It is never weak to ask for help through counseling or therapy. In fact, it’s one of the strongest moves you can make toward taking control of your life situation, whatever it is. A counselor can listen to you, let you cry, and talk about your fertility struggle without judgment while helping you ask questions and explore your feelings to resolve them and come up with healthy coping mechanisms and strategies for dealing with triggering situations.
Here at Pulling Down the Moon, we work a lot with nutrition and fertility. In fact, we have an entire 12-week program called Fully Fertile Nutrition that aims to help couples improve their overall health, and thereby, their chances of conceiving. But nutrition is literally for every aspect of your health, including your mental health and ability to ward off anxiety in difficult situations. There’s a lot of research indicating that getting sufficient levels of protein, fiber, omega-3 fatty acids, magnesium, vitamin B-12 and probiotics can help us cope with anxiety.¹⁰
We’ve mentioned it several times already, but seeking out a support network to help you as you navigate your fertility journey is essential. So many people feel lost, alone, and isolated on this journey, sometimes by their own friends and family. If that’s part of your struggle, we can help. Pulling Down the Moon has just launched an app that will connect you with support groups going through this fertility journey. Everyone in these support groups knows what it’s like to field awkward questions, to escape a holiday party, to cry uncontrollably when they see a pregnancy announcement on social media, or to have to “try again” after taking another negative pregnancy test. We’ve all been there. And we’re here to help!
If you’re struggling with how to cope with infertility when everyone else is pregnant, you are not alone. Be gentle with yourself. Reach out for help! Look into our Fully Fertile App to connect with a support system that understands. We are here to help you work on the fertility factors you can control and to comfort you when you feel like things are out of control. Schedule a holistic fertility consultation today by booking an appointment at our Chicago or Highland Park locations. We are here for holistic fertility services ranging from getting pregnant in the first place and grappling with pregnancy loss or miscarriage to supporting you with a wide range of prenatal services and so much more. Reach out today.
¹Xie, Y., Ren, Y., Niu, C., Zheng, Y., Yu, P., & Li, L. (2023). The impact of stigma on mental health and quality of life of infertile women: A systematic review. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.1093459
²NIH. (2018, February 8). How Common Is infertility? Http://Www.nichd.nih.gov/ https://www.nichd.nih.gov/health/topics/infertility/conditioninfo/common
³Lin, J., & Susser, L. (2022, July 27). Recognizing the Psychological Toll of Infertility in Women. Adaa.org. https://adaa.org/learn-from-us/from-the-experts/blog-posts/professional/recognizing-psychological-toll-infertility
⁴Kiani, Z., Simbar, M., Hajian, S., & Zayeri, F. (2021). The prevalence of depression symptoms among infertile women: a systematic review and meta-analysis. Fertility Research and Practice, 7(1). https://doi.org/10.1186/s40738-021-00098-3
⁵Firth, S. (2014). Study: Infertile Couples 3 Times More Likely to Divorce. US News & World Report; U.S. News & World Report. https://www.usnews.com/news/articles/2014/01/31/study-infertile-couples-3-times-more-likely-to-divorce
⁶Fisher, J. R., & Hammarberg, K. (2011). Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research. Asian Journal of Andrology, 14(1), 121–129. https://doi.org/10.1038/aja.2011.72
⁷Rooney, K. L., & Domar, A. D. (2018). The relationship between stress and infertility. Dialogues in Clinical Neuroscience, 20(1), 41–47. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6016043/
⁸Yes, And... | Psychology Today. (n.d.). Www.psychologytoday.com. https://www.psychologytoday.com/us/blog/the-edge-peak-performance-psychology/201801/yes-and
⁹Bentley, T. G. K., D’Andrea-Penna, G., Rakic, M., Arce, N., LaFaille, M., Berman, R., Cooley, K., & Sprimont, P. (2023). Breathing Practices for Stress and Anxiety Reduction: Conceptual Framework of Implementation Guidelines Based on a Systematic Review of the Published Literature. Brain Sciences, 13(12), 1612. https://doi.org/10.3390/brainsci13121612
¹⁰Eat These Foods to Reduce Stress and Anxiety. (2021, June 15). Cleveland Clinic. https://health.clevelandclinic.org/eat-these-foods-to-reduce-stress-and-anxiety
Beth Heller is a co-founder and co-director of Pulling Down the Moon, Inc., where she specializes in Integrative Care for Fertility (ICF). With a Master's Degree in Human Nutrition and Dietetics, she previously worked as a Nutrition Researcher on an NIH-funded study before discovering the powerful connection between mind and body through yoga. Beth's journey into yoga began in 1998, helping her regain her reproductive health, and she later delved into deeper practices, including meditation and breathwork. Despite experiencing the loss of a stillborn daughter, Beth found solace in yoga's ability to provide inner stability and hope. She co-founded Pulling Down the Moon and continued her personal fertility journey, eventually welcoming two sons. Beth's mission is to share the tools of yoga and traditional healing therapies with others facing fertility challenges, and she is an active member of relevant professional organizations while teaching yoga in the Chicago area.
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