INFERTILITY: How To Keep Your Marriage Strong

Infertility - Graphic stock couple-looking-at-negative-home-pregnancy-test_rFvJwn0Sj copyInfertility delivers a massive dose of stress in many marriages. If infertility has strengthened your marriage and moved you to a higher level of marital understanding and loving relationship with your spouse, you can skip reading this. You don’t need it. Praise God! But if trials and tribulations of infertility are threatening to put distance between yourself and the one you love read on.

Infertility: The Blame Game

When a marriage experiences infertility, there’s a tendency, subtly or not, to focus on “who’s to blame.” As a result, one partner may feel superior and the other inferior. One may feel disappointment over the other’s “inadequacies.” The other feels guilt for the same. One partner may be relieved that he or she is not “the problem.” The other spouse becomes depressed because she or he is. But fertility is a couple’s problem. It’s one of the few known medical conditions that involve two people! The trouble isn’t an infertile wife or an infertile husband, but an infertile couple. Until you understand that fact, you may experience a great deal of solitary and unnecessary pain.

God said, “A man will leave his father and mother and be united to his wife, and they will become one flesh.(Genesis 2:24) Becoming “one flesh” refers to much more than the sex act. It means that a husband and wife work at being one. They share their hopes, dreams, and joys. They also share the burdens, sad times, and challenges.

Communication Collapse

Communication between husband and wife is crucial if the stresses that accompany infertility are to be dealt with effectively. But there’s no question about it —most men and women handle communication differently. Yet in the case of the infertile couples, is it only a matter of style? Or is it substance?

In other words, do husbands and wives simply have different ways of expressing their feelings about infertility? Or do they have different reactions to infertility itself? Do wives, for example, tend to feel a greater sense of pain and loss over their inability to be mothers than husbands do over their failure to be fathers?

This is a controversial question. Each time we speak to infertility groups on this issue, it raises a flood of disagreements. Still, the majority response is usually something like, “Of course most husbands hurt as much as their wives do. They just show it differently.”

It’s Not That Simple

We’re convinced, however, that it’s not so simple. In talking to countless infertile couples, we’ve found significant differences in the ways husbands and wives view infertility and pregnancy loss.

In our own case, not recognizing those differences caused serious misunderstanding and anger. Sylvia describes how she was feeling:

“In the beginning I assumed that John felt the same as I did about the fact that we could not have a baby. I was sure that he must be hurting inside as much as I was. I thought that it bothered him when our friends had a new baby. Also, I thought that he deeply sympathized with me in my weary pregnancy testing and visits to the doctor. I believed that he understood when I burst into tears for no apparent reason.

In time, however, it became obvious that my assumptions were wrong. John wanted children badly and was disappointed I did not become pregnant. But I realized that he was not hurting at the depth or with the same intensity that I was. With that realization came anger. Why didn’t he put his arms around me the first time I started crying? Instead he stood there with open mouth, wondering what on earth was wrong with me. Why did he show only lukewarm interest whenever I brought up the subject of our infertility for discussion?

The net result was increased isolation. I not only felt isolated from the people of the fertile world around me, but also increasing detachment from my own husband.”

Couples Struggle

Those feelings of frustration, guilt, anger, and isolation are not unusual. When couples struggle with infertility, it’s usually the woman who feels the greater emotional involvement. She tends to suffer more. The woman is typically the one who seeks treatment first. She initiates conversations about “our problem.” It’s the woman who sees the pregnant lady on every street corner. It’s the woman who tends to read the books and magazine articles on infertility. Also women, for the most part, writes them.

There are several possible reasons for this. For many women motherhood may remain the number one vocational goal, regardless of a career or job. Many women see motherhood as an essential part of their identity. A man on the other hand may identity in being a father. But he is more apt to find it elsewhere as well. He usually finds it in a career or avid pursuit of a hobby.

Men DO Feel the Impact

…We don’t mean to suggest that husbands can’t be devastated by infertility. Countless husbands are. One physician, for example, sent us a letter in which he shared the profound impact infertility had made on his life.

“For me it was grief and loss reaction as severe as any other. It had a very psychological effect on my whole life. I will always be a member of the group for whom one of life’s greatest joys and deepest emotions is but an empty void, a far-off hope.”

Another man expressed his great sorrow that he, as an only son, would not be able to pass on his family name. He felt he was failing his parents.

Men Experience Infertility in Different Ways

Some infertile husbands suffer ridicule from friends or coworkers. One man, a high school teacher on a weekend retreat with his colleagues, disclosed the purpose of the medicine he was taking. He thought his fellow teachers would react maturely. But for the rest of the weekend he was the butt of jokes. One colleague laughingly accused him of “shooting blanks.” And others made remarks that were less printable. He wrote, “I had no choice but to grin and bear it. But it brought pain.”

We don’t wish to minimize that. Nevertheless, many wives feel infertility’s pain and loss more intensely than their husbands do. Speaking from his many years of treating infertility patients, Dr. Joe McIlhaney states:

“The intense pain many infertile women feel about their inability to conceive has led me to conclude that for them having children is as basic a function as eating, breathing, and sleeping. Bearing a child seems to fulfill an essential need of a woman’s body. It relieves an inner craving. It has helped me as a man, and as a physician, to be aware of the vicious torment infertility inflicts on a woman…”

When husbands and wives refuse to recognize that there may be significant differences in the way they view infertility, they’re setting themselves up for marital strife. Wives shouldn’t assume that their husbands understand the depth of their pain. Husbands need to remember that their wives may view motherhood as essential to their fulfillment.

A Marriage Survival Kit

Many couples who experience infertility discover that their marriage is on a survival mission. And it’s not just a training exercise! How can you and your spouse preserve your relationship —and even improve it —during this difficult time?

We recommend marriage survival kit. Make sure it contains the following items:

1.  A Band-Aid

Why? Because it will remind you of an important characteristic of husbands: They like to make things feel better.

Husbands hate to see anything broken —especially their wives. They hate to see wiveswho are hurt by the dashed hopes and crushed dreams that mark infertility. As one husband put it, “The most difficult part is knowing that Linda (my wife) is in so much pain.”

In our case, John hated it when Sylvia grieved over our infertility. He hated it so much that he was quick with “Band-aid” words and a quick kiss to make it better.

It will happen,” he reassured. “Don’t worry, we’re still young. We can always try again next month. Why don’t you and I go out for dinner this evening? This way you can get your mind off infertility. Talking about it all the time only makes you depressed. You need to start looking on the bright side of things. After all, you’ve got me. And we’re happy together! Be thankful for what you’ve got.”

Want to Make Wife Feel Better

Behold: Mr. Fix-it to the rescue! Like John, most husbands think it’s their God-given duty to make their wives feel better.

Unfortunately, these husbands tend to downplay the pain. Their motives may be great, but their strategy isn’t. Women suffering from infertility don’t need someone to minimize the pain. They need someone who understands it.

Husbands need to learn that they don’t have to fix the pain. They can’t! More helpful than “fixing” is simply going to your wife, putting your arms around her, and saying, “You’re really hurting today, aren’t you? I can’t make it better. But I want you to know that I love you. And when you hurt, I hurt too.”

2.  A Stopwatch 

Wives like to talk more than their husbands do. Marriage and family therapist Philip Nienhuis says,

“Studies have indicated that in a typical day a woman will use significantly more words than her husband will use. He will be very matter of fact in stating the experiences of the day, or relating interactions with people he has met. She, on the other hand, will tend to go into much greater detail in reporting experiences or describing relationships…

Many women find it therapeutic to talk. It is a way of relieving stress. Men, on the other hand, often find that talking about an issue produces stress.”

Picture this: A husband comes home. He is exhausted after a challenging day. The only thing he wants to do is hibernate in front of the Monday night football game. The last thing he wants is to talk about infertility —again!

Meanwhile, his wife had a difficult day too. A woman at the office has announced an unexpected, unwanted pregnancy. Devastated by the unfairness of it all, the wife comes home. She wants to talk with her husband about how this makes her feel.

What’s going to happen when these two come together for the evening? Tension, not tenderness!

Don’t Let It Dominate

Here’s where the stopwatch comes in. It can remind a couple of what has often been called the “Twenty-Minute Rule.”

As far as we can determine, Merle Bombardieri first came up with the idea in the National RESOLVE Newsletter. It’s a simple technique designed to let couples talk about infertility without allowing it to dominate the relationship. Having discussed their infertility often and in depth in the past, the couple agrees that if one of them brings up the topic, they’ll discuss it for 20 minutes and no longer. After 20 minutes they’ll move to another subject.

This is a good rule! When it’s practiced, several things happen. The wife knows she has to focus her comments clearly or she’ll miss her chance. The husband, instead of listening with one ear while the other is trying to catch the football score, concentrates on what his wife is saying because he knows it’s not going to be an all-night conversation. Best of all, they have the rest of the evening to talk about and do other things.

3.  Bubble Bath and Candles

For many couples undergoing infertility treatment, romance is an early casualty. Though some report that the experience draws them closer, many find it takes a toll on intimacy and spontaneity.

How can you keep your romance alive? Try little things —a love note in lipstick on the bathroom mirror. Put a love poem tucked into a briefcase. Or plan a night at a cozy bed-and-breakfast, or a long evening walk together. Sometimes all it takes is a bit of creativity. We like the way Colleen Botsios describes a romantic evening with her husband (originally written in the book, When Empty Arms Become a Heavy Burden):

“Two years ago on Valentine’s Day, I was feeling about as low as I’d ever been. All the basic infertility workup had been completed. And nothing stood out as an obvious impediment to pregnancy. But then, as always, I regrouped. It was Valentine’s Day. This is a time to be festive and romantic.

My husband arrived home from work about 6 P.M. And I met him in a sexy nightgown, explaining that I had a romantic evening planned. I showed him to the bathroom, which was dark except for the votive candles scattered around. The whirlpool was gurgling away in the corner. It came complete with coconut bubble bath and really hot water…

Somewhere in the special aura of the evening, infertility, though still close, was somehow far away from us and not so overwhelming. There was temporarily some room to cuddle and smile and laugh heartily.”

4. A Cell Phone

Sometimes even the closest of couples run out of patience, hope, or energy. When the challenges of infertility tax your resources to the limit, help can be just a phone call away. Don’t hesitate to consult a counselor or pastor, even if it’s just a few sessions to get your relationship back on track.

Peaches and Plums 

Thankfully, many of us have spouses who understand and care. In such marriages there’s a wonderful sense of making the journey of infertility together. Partners hurt together. They pray together, and support one another as they face the challenges of infertility or miscarriage.

In these marriages, husbands accompany their wives to doctors’ appointments. And they are present for every procedure. They bring their wives a bouquet or arrange for dinner out on those dark days when gloom is running high and hope is running low. Husbands like that are “peaches.”

And in these marriages, wives understand their responsibility to support their husbands. This is especially true when the husband appears to have the main medical problem. These wives know that being told by a physician, “You’re not in the major leagues in terms of sperm production or motility,” or, “I’m afraid you’re sterile,” is difficult for any man to take.

Needs of Wives and Husbands

These wives know the last thing their husbands need are comments like, “I told you a long time ago you should be checked.” They don’t need, “You knew you should have been wearing boxer shorts, but you’re too stubborn.”

A husband needs a wife who, using her God-given charm and grace helps him to know that he’s still sexy, strong, and valued. Such a wife is a “plum!”

Whether your spouse has told you or not, he or she is counting on you. Your marriage can thrive —if you renew your commitment to be the wife or husband your partner needs.

This article comes from the book, When the Cradle is Empty: Coping with Infertility (Focus on the Family Presents) written by John and Sylvia Van Regenmorter, and published by Focus on the Family.

— ALSO —

We came upon the following advice that you may find helpful:


What advice would you give couples facing infertility?


(from Mark Gersmehl, a husband who has walked this journey with his wife Brynn): “I learned how fragile your life and emotions and your mate’s life and emotions are. You’re so vulnerable at that time. And it’s easy to indict, blame, or question your spouse. But that’s the time to learn to listen. Ask God for bigger ears than you’ve ever had. Ask him for a durability of your heart because your spouse may say things out of frustration that she doesn’t mean.” (From a 2002 Marriage Partnership Magazine interview)

Additional articles you may find insightful to read can be found by clicking onto the links below. We believe you will find them to be helpful to your marriage relationship. They can help you to better understand and to relate to each other in healthier ways. Please glean from them. And then use what will help you through this difficult time in your marriage:

LONGING FOR CHILDREN: Facing Infertility in Marriage

• INFERTILITY: Can My Marriage Survive?

Big IF: Facing Infertility With Faith

• From Focus on the Family (Read this and the additional articles they post):

From (not a Christian web site, but a good article):

• Here’s another helpful article:


If you have additional tips you can share to help others, please “Join the Discussion” by adding your comments below.

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11 responses to “INFERTILITY: How To Keep Your Marriage Strong

  1. (USA)  My husband and I have been trying for about 18 months now and we still have no baby. I don’t want to do IVF or anything like that. I’d like to stay natural if I can.

    Does anyone one know how you can increase your fertility or chances of conceiving?

  2. (USA) We have faced infertility and now I know I’m sterile. Been married for 2 years and I feel so bad for my husband who was an orphan growing up without any family and now he knows we will never have a family. I tell him he should leave everyday and that although I know he loves me he should find somebody who he can have children with. I think that we can love many people and that he shouldn’t stay with me. He’s such a great person and should have so much more then I can give him. I told him I would walk away giving him everything and will never try to contact him again. He should have the right to have a family. It would hurt me but I think it’s the right thing to do. I love him so much that I don’t ever want him to give up on his dreams for me.

  3. (UNITED KINGDOM) After 10 years of trying – people can say what they want, life is rubbish when you want a child and you can’t have one and lots of people have unwanted pregnancies. Children are around you as a constant reminder and no one knows what to say to ease the pain. This is a disease.

  4. Well we have been trying to have a child; my wife has a child from previous relationship, but now that we are married it has become difficult. We found out that she might have a brain tumor that is stopping her brain to communicate with her ovaries, hormones called prolactin. At first, me as a husband was angry, but I have come to understand that if we force it and some thing happens to her what would I do? So all I am saying to myself is to pray and hope that this tumor could stop. We are opting for Chinese medicine. According to the doctors it is treatable.

  5. My wife and I are both born again Christians. My wife and I have been unable to biologically/sexually have children due to a fallopian tube issue for 5 years. She has been told it’s possible she may be able to use IVF. This is usually around $10,000 or more. I don’t have it right now, and my family doesn’t want to give it even if they might have it. I’m the only one working right now, not making enough, and my wife is threatening to leave me if she can find someone who has the money and desire to get her pregnant with IVF.

    We’ve discussed her working, but she backs out or says she’s too busy with school. I don’t know what to do. Everyday I’m wondering if she’s going to be home when I get home from working 12 hour shifts, or if she’ll say she found someone else.

  6. Be of Good Faith: Faith is the assurance (the confirmation, the title deed) of the things [we] hope for, being the proof of things [we] do not see and the conviction of their reality [faith perceiving as real fact what is not revealed to the senses]. ~ Hebrews 11:1 (Amp).

    So trust in the Lord (commit yourself to Him, lean on Him, hope confidently in Him) forever; for the Lord God is an everlasting Rock [the Rock of Ages]. ~ Isaiah 26:4 (Amp).

  7. How do you live life when your husband cheated and made you sterile by infecting you with chlymidia. For years I would go to the gyno and complain of this pain and being married for years they never questioned to test me for this STD. When we found out I had blockages in my fallopian tubes they tested me. I found out I was sterile caused by this STD. The doctor then put me on antibiotics and I had to have a 5 hr surgery to take out the adhesions on my colon to my pelvic area. He kept denying. After we got divorced he than said he took advantage of me.

    Christian marriage? It was on an altar and married for 23 years and he still couldn’t tell me the truth. So I am infertile with a broken heart.

  8. “Another man expressed his great sorrow that he, as an only son, would not be able to pass on his family name. He felt he was failing his parents.” This describes me. I join my faith with the rest of baby hopefuls across the globe. Our Isaac and Samuel will come.

    1. My faith joins yours. As you join God in following His will for your life, and work with God in His Kingdom work I pray that He gives you the delights of your heart.

    2. I am at this difficult point in my life right now that I feel utterly useless at times. You see, I married my wife when she had a little boy from her previous relationship. I am an only son of my parents and they look up to me to preserve the family name. I’m from Zambia, Africa and our culture is a bit different here and sometimes more difficult.

      My wife and I have been trying to conceive for the last four years of our marriage. We have been married for six years since 2018. We started trying to conceive in 2020 after I got back from graduate school. The medical tests we did indicated that she has blocked fallopian tubes. We have tried treating them but nothing has worked yet. Doctor’s have suggested IVF which is very expensive! I love my wife very much and I don’t want to have a future without her. Sometimes when she gets upset with me over something else, she ends up telling me to find someone else to marry and says hurtful things to me. These words hurt me deeply, especially that they come from her. I don’t know what to do at the moment.

      My co-workers and family members have asked me a number of times when we will be expecting and the answer has become too painful to utter each time.