+91 89399 94244WhatsApp us

AFTER TREATMENT

Infertility is wearing us down. It is allowed to find this hard.

Every month is hope, then a period. Every function brings the same question. This page will not tell you to relax. It says what is normal, what helps, and where to get help.

byline

Written by the Jananam editorial team. Reviewed by Dr Vani Sundarapandian, MD, DGO, FRCOG (UK). Last reviewed 29 September 2026.

  • Home
  • Journal
  • After treatment
  • Coping with infertility

Key takeaways

  • Grief, anger, guilt and envy are normal responses to infertility, not a weakness.
  • Ordinary stress does not cause infertility, and it does not make IVF fail.
  • In about half of couples, a male factor is part of the reason, so the blame that falls on women is wrong as well as unkind.
  • If low mood lasts for weeks, or you think of harming yourself, get help now: Tele-MANAS 14416 is free and open all day and night.

The short answer

Grief, anger, guilt and envy are common when a baby does not come, and they are not a sign of weakness. Ordinary stress does not cause infertility or make IVF fail. At Jananam Fertility Centre, Chennai, both partners can talk to our counsellor, and if things feel unbearable, Tele-MANAS on 14416 is free, day and night.

01

Is it normal to feel this bad?

Yes. Infertility brings real grief, and most couples feel some mix of sadness, anger, guilt and envy along the way.

Each period can feel like a small loss. A friend's pregnancy news can bring joy and pain in the same minute. You may feel angry with your body, your partner, or God. The WHO lists emotional stress, depression, anxiety and low self-esteem among the effects of infertility, especially for women. Feeling this way does not mean you are coping badly. It means you want a child very much.

02

Why does the pressure feel heavier here?

Because in many Indian families, childbearing is everyone's business, and the blame lands on the woman first.

'Any good news?' at every wedding. Advice from aunts, temple vows, a mother-in-law's silence. The WHO notes that women are often seen as the cause even when they are not. The facts say otherwise: a male factor is part of the reason in about half of couples who struggle to conceive. Testing both of you in the first round is not only good medicine. It takes the blame off one person.

Why we test him firstMale infertility
03

Did stress cause this? Will it make IVF fail?

No. Everyday stress does not cause infertility, and worry during treatment does not lower your chance of pregnancy.

'Just relax and it will happen' is one of the most hurtful things couples hear. It is also wrong. Infertility causes stress far more often than stress causes infertility. Very severe stress, or eating too little, can stop ovulation in some women, and that is a medical problem to check, not a character flaw. Being told to relax can delay tests for something treatable.

Honest note

A review that pooled studies of women having fertility treatment found that emotional distress, from fertility problems or other life events, did not lower the chance of becoming pregnant. (What the evidence says (BMJ, 2011))

04

How do we get through the waiting, and a failed cycle?

Plan the wait before it starts, and after a failed cycle, grieve first and decide on purpose.

The two-week wait is often the hardest part. Keep your normal routine; bed rest is not needed. Decide together who will be told the result, and when. Avoid early home tests, which often mislead. When a cycle fails, take the time you need. Then ask for a review of where the cycle stopped, because understanding what happened often helps more than reassurance. Time also matters in fertility, so do not let the decision drift.

Honest note

Couples wait too long to resume treatment after a failed cycle. (Dr Vani Sundarapandian, on the most common mistake she sees)

IVF didn't work: what to look at nextChemical pregnancy: bleeding, hCG and grief
05

How can we support each other as a couple?

Accept that you will cope differently, and share the load so it does not fall on one person.

One partner may want to talk; the other may go quiet or busy. That is a difference in coping, not in caring. Men are often told to 'be strong', which leaves them with nobody to talk to. Come to appointments together when you can. Share the injections, the scan timings and the family phone calls. Keep one evening a week that is not about fertility. Agree between you what to tell family, so neither of you is caught out.

Telling family about IVF
06

When is it more than hard, and where do we get help?

When low mood, worry or sleeplessness last for weeks and get in the way of daily life, it is time to talk to someone trained.

Signs to watch for: no interest in things you used to enjoy, poor sleep or appetite for weeks, constant thoughts about infertility, pulling away from everyone, or feeling worthless. Talking to a counsellor is not a sign of weakness, and it is not a last resort. At Jananam, both of you can see our counsellor, at any stage, even before treatment starts. [CONFIRM: counsellor name, languages, how to book, fee policy] Outside the clinic, Tele-MANAS on 14416 is the Government of India's free mental health helpline, open 24 hours.

Meet our team

Small things that help.

  • Decide together, in advance, what you will tell family and friends.
  • Keep one short answer ready for 'Any good news?' and use it without guilt.
  • It is fine to skip a valaikaappu or a baby naming if it hurts too much this month.
  • Mute pregnancy news on social media for a while if you need to.
  • Keep one evening a week free of fertility talk.
  • Write your questions down before appointments, so the worry has somewhere to go.
  • Tell your doctor if sleep, mood or appetite have changed for weeks.
Send this list to my partner

When to call us

When to call us

  • You want to talk to our counsellor, alone or together.
  • You have had a failed cycle and want to understand what happened before deciding anything.
  • You and your partner cannot agree on whether to go on.
  • You were told stress is the reason you are not pregnant, and no one has tested you both.
  • If you are thinking of harming yourself: call Tele-MANAS on 14416 (free, 24 hours), or call 108 or go to the nearest emergency department, then call us on +91 89399 94244.

Questions couples ask

Still unsure? Ask us on WhatsApp — a real person replies.

Does stress cause infertility?

No, everyday stress does not cause infertility. Infertility causes stress far more often than the other way round, and worry during IVF has not been shown to lower the chance of pregnancy.

Is it normal to feel jealous when others get pregnant?

Yes, it is one of the most common feelings in infertility. Feeling it does not make you a bad person, and stepping back from baby events for a while is allowed.

How do I answer family who keep asking about a baby?

A short, calm answer works better than an explanation, such as 'When there is news, we'll tell you.' Agree it with your partner first, so you both say the same thing.

Is counselling only for people who are not coping?

No. Fertility counselling is for anyone facing treatment decisions or strain, at any stage, and many couples find it more useful than they expected.

Can I keep taking antidepressants during IVF?

Do not stop any medicine prescribed for your mental health on your own. Tell your fertility doctor what you take, and ask the doctor who prescribed it; the two can plan together.

We keep failing. Should we stop?

That depends on what your cycles showed, not on how many there were or how tired you feel today. A doctor should read your whole file and tell you plainly.

Dr Vani Sundarapandian

Reviewed by

Dr Vani Sundarapandian

MD, DGO, FRCOG (UK) · Founder, Jananam Fertility Centre

Written by the Jananam editorial team and reviewed by Dr Vani Sundarapandian, MD, DGO, FRCOG (UK), 20 years exclusively in reproductive medicine. Her words on resuming after a failed cycle are quoted exactly.

Sources (4)
  1. World Health Organization: Infertility (fact sheet)
  2. ESHRE: Routine psychosocial care in infertility and medically assisted reproduction: a guide for fertility staff
  3. Boivin, Griffiths and Venetis, via Cardiff University (ORCA): Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies (BMJ, 2011)
  4. HFEA (UK fertility regulator): Coping if treatment doesn't work

Where to next.

You don't have to carry this on your own.

Tell us what is hardest right now. A real person from Dr Vani's team replies on WhatsApp during clinic hours (Mon to Sat, 9am to 5pm. Sunday closed.). For a crisis at any hour, call Tele-MANAS on 14416.

Edit this page