

Infertility Counseling
Mental health care for infertility patients in Maryland and West Virginia

Infertility isn’t just a medical experience, it’s an emotional and relational one. Beyond the medical aspects, infertility and related conditions often carry a deep emotional toll. The journey can bring feelings of grief, anxiety, isolation, and uncertainty. Each step, whether waiting for results, undergoing treatment, or coping with losses, can take a toll on mental well-being.
Counseling provides a safe, compassionate space to process these emotions, reduce stress, and strengthen resilience. Support for mental health during infertility care has been shown to improve quality of life, strengthen relationships, and even increase commitment to treatment. You don’t have to navigate this journey alone, caring for your emotional health is just as essential as caring for your physical health.
Counseling
1 in 6 couples worldwide experience infertility during their reproductive years.
~30% of cases attributed to male infertility factors
~30% of cases attributed to female infertility factors
~30% attributed to combined male/female factors or remaining unexplained
~For same-sex couples, family building often involves the use of donor gametes or a gestational carrier, depending on which reproductive elements are missing.
Emotional Support
Infertility can be emotionally and mentally exhausting. Counseling provides a safe space to feel seen in your experience, process feelings and cope with stress.
Decision-Making Support
Counseling can help you explore your options, gain clarity, and make informed, autonomous decisions that feel right for you, even when facing complex or challenging choices.
Relationships & Communication
Struggles with fertility can place stress on even the strongest relationships. Counseling can help you navigate these challenges, clarify your needs, and strengthen communication and connection with those around you.
Grief & Loss
Pregnancy loss and infertility can bring profound, often unseen grief. Grief for the timeline you imagined, the family story you hoped for, or the experiences that didn’t unfold. Compassionate support provides space to grieve and honor these losses.
Support Through Assisted Reproductive Technology (ART) Care
Whether undergoing hormone therapies, IVF, RIVF, IUI, or other assisted reproductive treatments, counseling can help you navigate the emotional intensity of the process.
Underlying Causes
Infertility can have many different causes, and often it involves a combination of factors rather than just one. For some, the cause can be clearly identified, while for others the diagnosis may remain unexplained even after thorough evaluation.
Common underlying factors include:
Ovulatory disorders – such as polycystic ovary syndrome (PCOS) or irregular ovulation.
Ovarian issues – including diminished ovarian reserve or primary ovarian insufficiency.
Fallopian tube blockages – which can prevent the egg and sperm from meeting.
Uterine conditions – such as fibroids, polyps, or congenital malformations.
Endometriosis – tissue similar to the uterine lining growing outside the uterus, which can affect fertility.
Pelvic adhesions – scar tissue from prior infections, surgeries, or conditions like endometriosis.
Male factor infertility – including low sperm count, poor sperm motility, or structural issues.
Recurrent pregnancy loss – repeated miscarriages, which can have genetic, hormonal, or anatomical causes.
Secondary infertility – difficulty conceiving after previously having a child.
