Emotional Support for Infertility Patients: Integrating Mental Health Professionals in the Fertility Care Team
Open accessAbstract
Patients seeking fertility treatment are at risk of experiencing psychological distress, with both women and men reporting higher levels of depression and anxiety during infertility treatment than patients in the general population. Multiple professional societies, fertility care providers, and patients have advocated for integrating mental health providers in the treatment of infertile patients in order to provide comprehensive patient-centered care. Research with other patient populations shows that embedding mental health professionals into clinics provides the greatest benefit to patients. Despite acknowledging the importance of mental health in infertility care, professional societies, such as ASRM and ESHRE, have not universally standardized recommendations or methods for imbedding mental health providers in the fertility team. This review article aims to serve as a resource for providers and patients to appraise the available literature on the importance of embedding mental health providers into the fertility treatment team and discusses feasible methods to develop this comprehensive care team.
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Counselling, psychodynamic therapy, CBT, MBSR, humanistic therapy education, behavioural change techniques, yoga, and others are widely recognized as effective for various psychosocial problems.
“The interventions grouped according to mode of delivery and inherent psychometric properties, such as counselling, psychodynamic therapy, cognitive behavioural therapy (CBT), mindfulness-based stress reduction (MBSR), humanistic therapy education, behavioural change techniques, yoga, and others, are widely recognized as effective for various psychosocial problems [37–40].”
From Psychosocial interventions for improving marital intimacy, sexual satisfaction, and quality of life of women and couples with infertility problems in low and middle-income countries: Systematic review protocol (2025) · cites this paper as [39]
The Background reports that mental health treatment is associated with reduced anxiety and depressive symptoms in patients undergoing fertility treatment, which supports the general point that psychosocial interventions can help. It does not establish that every listed approach—including CBT, MBSR, psychodynamic and humanistic therapies, and yoga—is effective, or extend the finding to psychosocial problems broadly. (LLM, conf=0.85)
Experimental — accuracy not yet measuredCounselling allows couples to process feelings of depression, anxiety and grief while receiving emotional support, creating a safe environment to express infertility-related psychosocial problems.
“For example, counselling allows couples to process feelings of depression, anxiety and grief whilst being provided with access to emotional support from health professionals and experienced peers. Together, this creates a safe environment that allows individuals to express their concerns about problems they are going through, in this case infertility-related psychosocial problems [39].”
From Psychosocial interventions for improving marital intimacy, sexual satisfaction, and quality of life of women and couples with infertility problems in low and middle-income countries: Systematic review protocol (2025) · cites this paper as [39]
The Background reports that psychotherapy for infertility patients is associated with reduced anxiety and depressive symptoms, and Section 3 describes a need for emotional support in fertility care. The paper does not establish the claimed benefits for grief or describe counselling as creating a safe environment for expression with support from experienced peers. (LLM, conf=0.86)
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- Authors
- Sax, M. R., & Lawson, A. K.
- Affiliations
- University of Cincinnati (US)
- Northwestern University (US)
- Corresponding author
- Sax, Megan R.
- Venue
- Women
- Publisher
- MDPI AG
- Published
- 2022-03-04
- Volume
- 2
- Issue
- 1
- Pages
- 68-75
- ISSN
- 2673-4184 (ISSN-L)
- OpenAlex
- W4220826747
- Semantic Scholar
- 507bccf2040a839a4dc2597b5d7959c778ce30ea
- Cited by
- 44
- References
- 47
- Citations by year
- 2026: 15 · 2025: 13 · 2024: 10 · 2023: 2 · 2022: 4
- FWCI
- 4.74
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Women (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Reproductive Health and Technologies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Assisted Reproductive Technology and Twin Pregnancy
- Keywords
- infertility, emotional support, mental health professionals, integrated care, infertility treatment, depression, anxiety, psychological distress, patient-centered care, clinical guidelines
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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