National Infertility Awareness Week: Facts, Myths, And Support Resources
Infertility affects millions worldwide. However, despite significant advances in medical treatments for infertility, many individuals and couples face significant barriers to care. National Infertility Awareness Week is an annual campaign that seeks to expand access to fertility treatments. Below, explore the realities of infertility, find helpful resources for accessing treatment, and encounter some ways you can support people who are experiencing infertility.
What is National Infertility Awareness Week?
National Infertility Awareness Week (NIAW) is a federally recognized health observance that aims to raise awareness about the necessity of equitable fertility care access. Founded in 1989 by RESOLVE: The National Infertility Association, NIAW has been officially recognized by the Department of Health and Human Services since 2010.
The World Health Organization estimates that one in six people is affected by infertility globally, and in the United States, reproductive medicine is inaccessible for many families. Treatments are costly and often excluded from any insurance coverage. In many states, reproductive health care remains geographically limited, with disparities in the availability of fertility clinics and specialists. Furthermore, infertility treatments often require taking significant time off work, which can create financial and logistical barriers to care. As such, millions of families are unable to pursue treatment to have children.
During National Infertility Awareness Week, individuals and organizations work together to address these problems and advocate for those building families with assisted reproductive medical treatments.
Understanding infertility
Infertility is a medical condition that affects the ability to conceive or carry a pregnancy to term. This condition is typically diagnosed after a year of unprotected intercourse without achieving pregnancy or six months for women over 35. Infertility can affect males, females, and intersex individuals, and overcoming infertility often requires extensive diagnostic testing, treatments, and medical procedures.
What causes infertility?
In females, infertility can be linked to medical conditions, such as polycystic ovarian syndrome (PCOS) or endometriosis, blocked fallopian tubes, or age-related decline in egg quality or quantity. Male infertility is also common and can be caused by issues like low sperm count, poor sperm quality, or blockages in the reproductive tract. In some cases, doctors may not be able to identify a specific cause.
Available treatments for infertility
Advances in reproductive medicine have made various treatments available to help families overcome infertility, including but not limited to the following:
- Medications: Hormonal treatments may stimulate ovulation in women or improve sperm production in men.
- Intrauterine insemination (IUI): IUI is a procedure where sperm is placed directly into the uterus to improve the chances of fertilization.
- In vitro fertilization (IVF): IVF is a process in which eggs are retrieved from the ovaries, fertilized in a laboratory, and then transferred to the uterus.
- Surgical options: Surgical options include procedures to address physical issues like blocked fallopian tubes, uterine fibroids, or varicoceles in males.
- Third-party assistance: Options like egg donation, sperm donation, and surrogacy can provide additional pathways to building a family.
The BetterHelp platform is not intended to provide any information regarding which medication or medical treatment may be appropriate for you. The content provides generalized information that is not specific to one individual. Do not take any action without consulting a qualified medical professional.
Infertility: Myths vs. Facts
Misconceptions about infertility can create unnecessary stigma and confusion for those experiencing it. Below are common myths to be aware of and the facts that dispel them.
Myth: Infertility occurs due to the woman’s reproductive health
Fact: Infertility can be caused by a wide variety of factors in either the person with the sperm or the egg. Research shows that, in one-third of infertile couples, the issue lies with the male partner; in another third, the problem can’t be identified or is with both the male and female. Additionally, while the age of the female partner is widely recognized as a critical factor, paternal age can also impact fertility, including reduced sperm quality and an increased risk of genetic problems in children. In addition, people who are intersex can experience infertility due to their intersex identity or challenges in their reproductive system.
Myth: Stress causes infertility
Fact: While stress can influence overall health, it is rarely the sole cause of infertility. Rather, hormonal imbalances, structural issues, genetic factors, and other medical issues are typically the primary causes of infertility. While some studies have found that stress can impact the success of fertility treatments, a 2011 meta-analysis of 14 studies involving nearly 3,600 women concluded that “emotional distress caused by fertility problems or other life events co-occurring with treatment will not compromise the chance of becoming pregnant.”
Myth: Adoption is a readily available option for those experiencing infertility
Fact: Adoption can be a worthwhile option for those seeking to grow their family, but it brings its own set of challenges. The process can be lengthy, costly, emotionally challenging, and involves important ethical considerations. Furthermore, for many parents, having biological children remains a deeply personal and important goal, and approaching adoption as a “last resort” may not be an appropriate resolution to their fertility journey. Existing children are not items to fill a gap or to be used to fulfill a dream. Children in foster care often have extensive trauma and family challenges, and you may want to go through training for trauma-informed childcare first. Studies show that adoption is inherently a form of trauma, so the ethics behind adopting to solve a fertility issue are shaky.
Myth: Young people don’t need to worry about infertility
Fact: While older people may be more likely to experience fertility issues, many parents conceive later in adulthood without issue, while many younger parents struggle to conceive. A person’s medical history can impact fertility even during peak reproductive years, and in some cases, young couples may struggle to conceive even with no known medical issues. Furthermore, young adults may feel pressured to delay parenthood due to financial constraints, relationship issues, or career goals, making infertility a concern even for younger people.
Myth: Lifestyle changes can resolve infertility
Fact: While fertility doctors often recommend that prospective parents adopt healthy lifestyle habits to increase the chances of treatment success, these changes alone may not resolve fertility problems caused by medical conditions. Certainly, healthy eating, sleep, and exercise habits can play a role in conceiving and carrying a healthy pregnancy, as well as in managing stress and managing mental health throughout the fertility journey. However, these changes alone may not be enough to overcome fertility issues.
Overcoming infertility: Support & resources
Infertility can be a challenging journey, but there are numerous resources and support systems available to help. If you or someone close to you is struggling with infertility, the following resources may be valuable:
Medical professionals
Experts generally recommend that couples consult a medical professional after one year of trying to conceive without success or after six months if the intended gestational parent is over 35. The process typically begins with diagnostic testing for both partners to identify potential causes, followed by a tailored treatment plan that may include medications or medical procedures.
Financial support options
The cost of infertility treatments can be overwhelming, but financial support options are available. Many fertility programs offer financing plans or payment options. Additionally, grants and scholarships can offer access to reproductive health services for couples who may not have the means to cover fertility treatments themselves.
Infertility support groups
Infertility support groups can be a source of emotional support and inspiration for individuals and couples facing fertility challenges. These groups, often available locally and online, offer a safe space to share one’s experiences with people who understand. You can find an infertility support group through non-profits, internet forums, and faith organizations.
Mental health professionals
Infertility can be mentally and emotionally challenging. Failed treatments, miscarriages, and financial strain can be overwhelming, potentially leading to deeper mental health issues. With therapy, however, many find relief from the psychological impacts of infertility. A mental health professional can offer a space to process emotions and develop coping strategies for navigating the fertility journey with resilience and clarity.
Support and advocacy: How to help those trying to conceive
National Infertility Awareness Week can serve as a time to consider how you can support people trying to conceive. Your compassion and advocacy can make a difference for those seeking to build their family:
Educate yourself about infertility
Understanding infertility is the first step in offering meaningful support. Learn about the medical, emotional, and financial challenges it poses and the available treatments. Reproductive health organizations can be a source of valuable information. You might also consider reading or listening to personal stories of those affected by infertility. Your knowledge and empathy can be a foundation for providing thoughtful and compassionate support to those navigating this challenging journey.
Offer your support
Offering emotional and practical support is another effective way to ease the burden of infertility. Doing so might involve creating a safe space where your friend or loved one can open up or helping out with daily chores or errands. If you are able, you might also consider offering financial support to help offset the costs of expensive infertility treatments.
Encourage infertility-friendly policies in your workplace
Advocate for a fertility policy at your place of work. The policy could include paid time off (PTO) for medical appointments and treatments, bereavement leave for miscarriages, and comprehensive benefits for infertility treatments, including IVF. Flexible work arrangements and mental health support can also help create a more compassionate and family-friendly work environment.
Join advocacy efforts
Lawmakers often play a vital role in expanding access to reproductive medical treatments. Lend your advocacy by supporting infertility bills, such as the HOPE with Fertility Services Act, which seeks to make reproductive medical treatments more accessible and affordable. Participate in campaigns and engage with organizations advocating for better policies to ensure equitable fertility care for all.
Mental health support for those affected by infertility
Infertility can accompany significant mental and emotional challenges. Prolonged or invasive medical treatments can be stressful and physically exhausting and are often accompanied by long periods of uncertainty. Treatment failure — including miscarriage — is common, which can be both traumatic and discouraging. With therapy, however, many individuals and couples are able to successfully cope with the challenges of infertility. Research indicates that cognitive-behavioral therapy may reduce depression, anxiety, and stress related to infertility while improving overall well-being and quality of life for women going through this journey.
If you face barriers to in-person care, you might try an online platform. With an online therapy platform like BetterHelp, you can connect with a licensed mental health professional and attend convenient sessions. Online therapy has been proven to be as effective as in-person sessions and is particularly beneficial for those managing the emotional demands of infertility alongside busy schedules or limited local resources. Start prioritizing your mental health by matching with a therapist.
Takeaway
National Infertility Awareness Week highlights the importance of understanding infertility and supporting those affected. This April, you can make a difference by advocating for equitable access to fertility care, driving change in the workplace, and offering meaningful support to friends or loved ones who may be affected. If you need support throughout your fertility journey, consider seeking guidance from a therapist online or in your area.
Frequently asked questions
Below are some of the most frequently asked questions about National Infertility Awareness Week.
When is National Infertility Awareness Week?
National Infertility Awareness Week is observed annually during the last full week of April.
How do I check my fertility?
To check your fertility, consult a healthcare provider. They can recommend tests such as hormone level assessments, ovarian reserve testing, or semen analysis. These tests help identify potential issues and guide the next steps for treatment or planning.
How do I improve my fertility?
Improving fertility often involves adopting healthy lifestyle habits, such as maintaining nutritious daily meals, exercising regularly, and avoiding smoking or excessive alcohol. In some cases, however, you may want to consult a medical professional as underlying medical conditions or factors that could benefit from targeted treatments or interventions.
What signifies infertility?
Officially, infertility is defined by an inability to become pregnant after a year or more of unprotected sexual intercourse or attempts to become pregnant, such as at-home insemination. Patients with fertility issues facing an inability to become pregnant during their family-building journeys may face many emotions and symptoms throughout this time. If you believe you may be infertile, reach out to a doctor. They can help you discover whether you may be facing a disease, fertility-related condition, or other cause of infertility. Note that infertility can occur in people of any gender. Education on the causes of infertility can be helpful to ensure you understand the possible causes as you face family-building challenges.
What is the symbol for infertility?
Some people use the pineapple as a symbol they are experiencing infertility issues. The pineapple symbol is a stand for positivity that can show one’s community they’re not alone if they are also experiencing infertility, a common issue that is often stigmatized. You can join this movement and conversation by wearing a pineapple or the color orange to support the mission of those fighting for infertility awareness. The color orange intends to be empowering for those using their voice for this cause.
Why is infertility so common today?
One in six people is impacted by infertility globally, showing a significant increase in this disease over the years. Infertility may be more common because humans are living longer, more people are choosing not to have children, and unhealthy habits can contribute to infertility outcomes. Those living in a low-income country are less likely to be impacted by infertility. Because fertility management treatments can be highly costly, people may lack the resources to treat their challenges and visit a doctor.
Fertility centers can provide testing for each individual's causes of fertility. Still, if someone cannot afford the testing or their insurance doesn’t cover services, they may be unable to discover ways to treat the cause or even know what is happening. The National Infertility Association recognizes this barrier as a significant challenge, with the popular committee opinion that more people should be aware of infertility and the challenges it causes for families nationwide and internationally.
What is the number one cause of infertility?
The most common cause of infertility is ovulation challenges in women. A lack of ovulation can be caused by many factors, including but not limited to the following:
- Age
- Hormonal imbalances
- Polycystic ovarian syndrome (PCOS)
- Thyroid problems
- Smoking
- Drinking
- Anorexia nervosa
- Premature ovarian failure
- Being intersex
- Endometriosis
- Ovarian cysts
- A burst ovary
- Cancer of the ovaries or surrounding organs
- Stress
- Pelvic inflammatory disease
Can abortion cause infertility?
Abortions, when performed by a licensed doctor in a safe and sterile clinic, are safe procedures that do not typically cause infertility. Studies show that first-time gestational parents are more likely to have infertility problems than pregnant individuals who have previously had an abortion, showing that abortion is not associated with secondary infertility. However, there may still be some health risks when getting an abortion. Never attempt to do an abortion on your own. Self-induced abortions can lead to infection, failure, infertility, and death of the pregnant individual. Discuss all procedures with your doctor and read the laws regarding abortion in your state.
Who is most likely to get infertility?
People with a gynecological reproductive system are more likely to be infertile than those with an adrogynal reproductive system (with testicles). Ovarian issues are the most common cause of infertility. However, people with a penis can also be infertile. The most common cause of infertility in people with testicles is a varicocele, which is an enlarged vein in the testicle. These veins can cause reduced sperm production.
How do you test if a woman is infertile?
If you go to a doctor for a fertility test as a female, they may perform tests on the function of your ovaries, fallopian tubes, and uterus. A few tests to ask your doctor about include the following:
- Blood tests to check progesterone and other hormones
- Urine tests to check if you’re currently ovulating
- An ultrasound to look at your reproductive organs from inside
- An X-ray, CT scan, or MRI to look in greater detail at abnormalities on an ultrasound or to look for issues that may be more difficult to catch with other types of scans
- STI testing
- A laparoscopy surgery to look at the structures of your reproductive system to look for abnormalities
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