What does having a fertility problem mean to couples?

Abstract

The meaning of fertility problems for couples and how partners differed in their appraisals of their fertility problems were the main areas of interest in this research. Ten couples recruited via an infertility clinic took part in semi‐structured interviews, which were analysed using inductive thematic analysis. Two super‐ordinate themes emerged: ‘Expectations of life – “What's it all about?”’ highlighted the lifecycle expectations people have and the reflections infertile couples undertake about parenthood and their relationship. ‘Dealing with ongoing fertility problems – “When it doesn't happen how we expect”’ presented perceptions of fertility treatment alongside differing responses to ongoing infertility, with feelings of resentment and acceptance emerging. Communication was revealed to play an important yet complex role in the experience of continued fertility problems. Gender differences were highlighted in the meaning of infertility and the importance of biological parenthood and also in the amount, nature and purpose of communication. The implications for research and counselling which is focused on ‘couples’ are discussed.