Infertility
Realising there is a problem with fertility
When young men and women are in their teens and early twenties they are usually keen (and often encouraged by parents, teachers and peer groups) to make sure they do not get pregnant. Those who had been very careful to use contraception told us that when they stopped they often expected to conceive pretty quickly.
Like most women of her generation, Christine had spent so many years being fearful of getting pregnant, she expected to get pregnant immediately after she stopped taking contraception.
Like most women of her generation, Christine had spent so many years being fearful of getting pregnant, she expected to get pregnant immediately after she stopped taking contraception.
So I guess like most ladies of our age, for most of my teenage life my biggest fear was getting pregnant, so obviously, you know, contraception was really important. So when, I got married in 1998 and immediately stopped contraception and expected the inevitable to happen, as I expect lots of people do. And it didn’t.
Reaching or approaching the age of 30, getting married and settling in a home often prompted the decision to have a family. Many assumed that starting a family would be an easy next step in life, the ‘natural’ thing to do. Some, such as Oliver, were initially worried about trying as they were fearful about whether they were ready for life to change, as it inevitably would with children.
Catherine had always wanted children, but was busy with her career for many years. As she turned...
Catherine had always wanted children, but was busy with her career for many years. As she turned...
I started having, trying to have a child when I was 30. And I knew, I’d always known that I wanted children, but until then I’d been kind of, you know, busy doing all those kind of career things and feeling settled. And I really felt when I was 30 that I was actually ready to have a family and that was what I wanted to do. And a lot of my friends had started having children. And when it didn’t happen within just a few months I actually started to get slightly worried. I think even then I was quite aware of my age. Although 30 is relatively young, I knew that, you know, my fertility would soon start diminishing. And also I knew that there were long waiting lists for treatment and for tests and for all those kind of things. So I actually went to see the GP probably after only about five months. And I was really lucky because my GP was actually incredibly sympathetic, and I know a lot of people get told to go away and keep trying. But he said, “Oh, no, I’ll do some tests straight away. We might as well rule out any problems immediately.” Which he did. And then he referred me to a clinic fairly quickly as well.
Catherine knew that her fertility was likely to start declining after the age of thirty.
Catherine knew that her fertility was likely to start declining after the age of thirty.
Probably exactly the same as most people’s. I think we kind of, you know, we’re very obsessed with the fact that, we all know about how to prevent pregnancy, we know that really well. And I think we kind of assume that the moment we stop preventing it we’re going to get pregnant. And I think that’s a general assumption on most women’s behalf actually. And I was aware that my fertility declined as I got older. I think the things I wasn’t aware of, you know, I used to smoke when I was younger and I had no idea that that had any effect on my fertility at all. So those kind of lifestyle choices, I think we’re not necessarily aware of quite what a big impact they can have. I think the really difficult thing for me was the whole thing about stress, and whether stress affects your fertility. Because some people say, “Yes, it does. It’s proven that it does” and other people say, “No, that’s nonsense.” And, and I used to get really worried about it. And the thing is the more worried you get about it, the more you are stressed about it. And I used to think, “Was it my job? Was it my lifestyle? Was it…?” Especially with un-, unexplained infertility, you do start to think that the choices you’ve made in your life have somehow made it worse
The people we talked to said that it took anything from a few weeks to several years for them to realise that there might be a problem with their fertility. Many couples gave it at least a year before they went to their GP; often they waited this long because they expected that the GP would not take their concerns seriously if they had only been trying for a few months. (See ‘Going to the GP’).
Newly married Clare assumed, like most people, she would get pregnant very quickly. After nine or...
Newly married Clare assumed, like most people, she would get pregnant very quickly. After nine or...
We started trying for a family in April/March 2003, and like most people we assumed it would happen very quickly. We first suspected there might be a problem after about nine or ten months. I’d been using ovulation kits to test whether I was ovulating, and for the first few months it came up that I was ovulating fine and then suddenly it stopped. And that’s when we first began to realise that perhaps things weren’t as normal as they should be. We carried on trying, but I did go to my GP. And the first time I went to my GP I was met with quite a lot of resistance. He didn’t take it very seriously. So went away, sort of thought about it, tried again for another couple of months. Went back to see a different GP at the same surgery, a female GP, and she was a lot more sympathetic. And that’s when I got referred to the fertility clinic at the hospital.
Martin and his wife started trying for a baby soon after getting married. As the year progressed...
Martin and his wife started trying for a baby soon after getting married. As the year progressed...
While some women said that they had talked to their pregnant friends and relations about how long it had taken them to conceive, others said that this was a very difficult topic to raise. But whether they discussed it openly or not, it was hard not to make comparisons and to get concerned if they felt they were being overtaken by their peers.
Maggie assumed that she could get pregnant quickly. It was not easy to ask contemporaries about...
Maggie assumed that she could get pregnant quickly. It was not easy to ask contemporaries about...
Michelle heard her sister-in-law only took 3 months to conceive, and she described how anxious...
Michelle heard her sister-in-law only took 3 months to conceive, and she described how anxious...
The realisation that there was a fertility problem often emerged slowly over months or years. The inability to conceive sometimes came as a real shock to people and challenged expectations that they had held since childhood about marriage and parenthood.
George described how their concerns slowly built over about 6 years. Initially he was easy-going...
George described how their concerns slowly built over about 6 years. Initially he was easy-going...
Gradually, over a year of trying, Naomi and her husband realised that they had fertility problems.
Gradually, over a year of trying, Naomi and her husband realised that they had fertility problems.
While for some having problems conceiving came as a complete shock, for others, pre-existing conditions had forewarned them they might have difficulty conceiving. Some had had miscarriages in earlier life, which caused them concern. Others had conditions such as polycystic ovarian syndrome or endometriosis that could affect their fertility. Although Carol had not been told that her fertility could be compromised by her polycystic ovaries, she said that she had a ‘niggling doubt’ more or less straight away when she did not get pregnant. Janine was treated for skin cancer in her late 20s, prompting her to re-evaluate what she was doing with her life. As soon as she was well she decided that she wanted children.
Some knew that their partners were infertile before they got married. Others were on their second marriage and had had a vasectomy or sterilisation before getting re-married, and so needed to seek treatment to have a baby with their new partners.
Last reviewed July 2017.
Last updated July 2017.
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