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The Psychology of IVF

Behind the politics of in vitro fertilization.

Key points

  • The recent Alabama Supreme Court ruling has made IVF a political issue.
  • Couples who experience failed IVF treatments often feel tremendous grief and sadness as a result.
  • Reproduction is simultaneously a deeply biological, sociological, and cultural milestone for most families.

A few days ago, the Supreme Court of Alabama said that “fertilized frozen embryos are babies.” This kicked up another tempest that was already brewing on the campaign trail around the issue of abortion and the Dobbs decision, which last year took away the rights of American women to seek an abortion freely.

Scientific American/ Creative Commons
In-Vitro Fertilization
Source: Scientific American/ Creative Commons

Nikki Haley, a Republican female presidential candidate, immediately said, “Embryos, to me, are babies.” Since she conceived her children through artificial insemination, she seemed to pull back on her earlier statement and suggested that it is a private decision for parents to make.

Vice President Kamala Harris called the Alabama Supreme Court decision "outrageous and unacceptable" and an overreach by the Republicans to take away the rights of women, who have been treated as second-class citizens from the founding of the republic.

The psychology of parenting suggests it is a complicated decision for adults to have a baby today. Reproduction is simultaneously a deeply biological, sociological, and cultural milestone for most families. But of course, it varies radically from society to society depending on the level of medicalization or technological advancement, local legal strictures, and the women’s rights movement in different communities.

No one knows this better than parents who cannot naturally conceive a baby. Today, IVF makes it possible for parents who struggle with infertility to have a baby. Many parents will go to the ends of the earth to have a child, but it comes with a roller coaster ride of emotions.

Couples who undergo the IVF procedure may feel a range of emotions: frustration, anger, despair, guilt, jealousy, excitement, hope, sadness, or happiness, as per a Canadian fertility clinic.

According to a recent review in Social Science and Medicine, "Common reactions during IVF are anxiety and depression, while after an unsuccessful IVF, feelings of sadness, depression, and anger prevail. After a successful IVF treatment, IVF parents experience more stress during pregnancy than 'normal fertile' parents."

Pew Research / Pew Trust
Fertility Decline in the US
Source: Pew Research / Pew Trust

Being prepared is the most important coping mechanism. It is critical to understand how an IVF treatment can physically and emotionally affect both parties involved.

The failure of IVF treatment can be devastating. Grief is real for every couple who has experienced a failed IVF treatment. The psychological impact cannot fully be comprehended; 95 percent of women and 64 percent of men experience depression after the first round of IVF failure.

"Rates of stress, anxiety, and depression among IVF patients are higher than in the general population. If the level of infertility-related stress is higher, IVF success rate is lower," according to a recent study in Plos One.

In the Alabama case, it was an accidental destruction of embryos at a fertility clinic by a patient who walked into the cryogenic nursery, freeze-burned their hands, and dropped the fertilized embryos. This led to legal action by the parents against the clinic; even though the embryos were "a few days old," the couples felt they were wronged by the destruction of the embryos of their future reproductive careers.

Since overall fertility has been declining in the U.S., it has become a highly charged political issue for groups that promote family values and anti-immigration laws.

With the Alabama Supreme Court ruling, the politics of IVF has thrust the right to defend women’s bodies as a central issue, notwithstanding that almost 80 percent of Americans surveyed have said that IVF is "not a moral issue" and "morally acceptable."

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