1. Patricia Gilbert Fertility Counselling Service ni 3 rd October 2015

3. All those considering Fertility Treatment… It is likely to be stressful Emotional needs can be different at different stages of investigations and treatment Within relationships you may have different needs to your partner.

4. Waiting for… appointments tests test results phone call treatment period (maybe not need treatment) pregnancy test review appointment. Waiting

5. It takes two weeks from the time a fertilised embryo implants in the uterine wall to start emitting enough of the hormone hCG (human chorionic gonadotropin) to be detected accurately. hCG may still be in the body’s system as it is also used as a “trigger” hormone to mature eggs prior to egg collection Why Two Weeks?

6. Once embryo transfer takes place, all hospital visits likely to stop…can feel like being “cut loose”

7. Why is Waiting Stressful? Lazarus & Folkman (1984) Uncontrollable Meaning

8. In tune with what is going on in body Bargaining Day 10 Bracing Under the Magnifying Glass

9. Its not that I’m anxious when I think about it – it’s deeper than that. Its there in my very core, with every waking moment Quotations I took time off work. By the third day I was climbing the walls. There’s only so much day time TV you can watch Life goes on during TWW. I couldn’t control the treatment so I tried to control everything else. I have the cleanest house in the street I’ll definitely stay away from the chat rooms. They made me believe their pregnancy symptoms were mine too. They weren’t. It was too much like living off someone else’s experience, rather than my own. Time off work definitely. Stay away completely. Don’t want the guilt of “if only I’d looked after myself better” Two weeks is too soon. I want to enjoy the possibility we are pregnant I got a really good embryo, they said it was the best. I thought, if they can be positive, I can be too…it didn’t work. They made me believe it would work

10. Men Wait too

12. “The roles are reversed, and it can be hard to sit back and watch; to care rather than control, to pamper rather than provide” Swimming Upstream 2006

13. To document the course of anxiety, depression and positive effect and coping during the active treatment time and the waiting period before a pregnancy test result in fertility treatment Boivin & Lancastle 2010 Research

14.  Anxiety- tense, nervous, worried  Depression- angry, frustrated, sad  Positive affect- happy, content, tolerant Emotional Reactions

16. Mean Emotional Reactions IVF Day Active Stage Waiting Stage Outcome Stage

17. FEAR HOPE

18. May wish to limit the number of people you tell about your current treatment? Decide in advance how you will handle questions from those who don’t know Create menu of things that give you delight (music, waltz) Daily structure (get up to something pre-arranged) Relaxation techniques (progressive muscle relaxation, deep breathing, meditation, imagery) Resist “Consultant” named “Google” To work or not to work Journal Protect yourself emotionally (family gatherings, parties) Be energy efficient Plan for the pregnancy test Talk to each other about what you may need (mind reading is not an option) Some Survival Strategies

20. “paying attention in a particular way, on purpose, in the present moment and non- judgementally” Jon Kabat-Zinn, Univ of Massachusetts

21. What does this mean? Paying attention – focussing on one thing In present moment – what is happening NOW Non-judgementally - accepting thoughts as they are

22. Walt Whitman

25. Paying Attention to what is happening Now is likely to be a Challenge

26. “Conception is so uncertain: make sure to continue to live and move on in your day, day by day”

27. THANK YOU for LISTENING

28. Boivin,J & Lancastle,D. (2010) Medical waiting Periods: imminence, emotions and coping. Women’s Health 6(1) Jensen,J. (2013) The Incredible power of Self Talk Lazarus,R,S,& Folkman,S. (1984). Stress, appraisal and coping. New York: Springer Rawlings,D & Looi,K. Swimming Upstream. Peacock.2006 Wenzel,A. (2014) Coping With Infertility References