What should you know about infertility depression?

Trying to conceive, receiving a diagnosis, or going through fertility treatment can bring grief, uncertainty, relationship strain and repeated disappointment. Depression may involve low mood, loss of interest, hopelessness, guilt, changes in appetite, fatigue, difficulty concentrating or disrupted sleep. These symptoms are more than a passing difficult day when they persist or interfere with work, relationships, self-care or treatment decisions. Feeling anxious or irritable can occur alongside depression, but neither response is a personal failure.

Tell your GP, fertility clinician or mental health professional exactly what has changed and how long it has lasted. Psychological therapy can help with grief, coping and communication; medication may also be considered after discussing pregnancy plans, side effects and the wider treatment plan. Protect regular meals, gentle movement, sleep routines and contact with trusted people. Agree on boundaries around questions, appointments and social situations, and consider counselling for either partner or for you together.

Arrange a clinical assessment if low mood, fatigue, sleep problems or loss of interest continue, or if you are struggling to function. Seek urgent help now if you are thinking about suicide, self-harm, harming someone else, or cannot keep yourself safe; contact local emergency services or go to an emergency department. Severe anxiety, no sleep for several nights, or inability to eat or drink also needs prompt support.

Ask whether your symptoms fit Depression, which treatments are compatible with your fertility plans, and what support is available during pauses, procedures or difficult results.