Mother Talkers

Talk therapy for infertility

Wed Sep 05, 2007 at 10:13:43 AM PDT

The New York Times interviews Dr. Sarah L. Berga this week.  Berga investigates the relationship between a woman's chronic stress level and difficulty getting pregnant. For example, Berga showed that some women with excessive levels of cortisol, a stress hormone, were able to restore ovulation after undergoing cognitive behavioral therapy (CBT).

I get Berga's concept, but there is something about this that just irks me.  A doctor assuming that a woman who is having difficulty getting pregnant might need talk therapy strikes me as the old "It's all in your head," school of medicine, which women have been victims of far too long.  

The author of the NY Times interview, Randi Hutter Epstein M.D. asks about this issue:

Q. (Epstein): In the 1940s, Freudian analysts told infertile women that lurking antimaternal thoughts made them sterile. Feminists later attacked this theory. Do you think of yourself as a continuum of this practice, or do you feel your ideas are completely different?

A. (Berga): Back then they did not know the mechanisms and they intuited relationships, but they were not all wrong. They were closer to the truth than we’d like to believe. The truth is that if you are not in harmony with yourself and your culture, you are stressed. That is not totally different from Freud.

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I've seen so many women get blown off by their physicians when complaining of things that can't be measured with a test, like pain and fatigue. I've seen so many women receive the answer that it must be in their head.

Unfortunately, sometimes it turned out that the symptoms were very serious, sometimes even symptoms of cancer.  I don't doubt that there is a connection between stress and our bodies, but there is something about this that strikes me as troublesome.

What do you think Mothertalkers?  Do you think women who are having difficulty getting pregnant should be referred to a round of talk therapy first?

Tags: infertility (all tags)

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