INFERTILITY AND THE CONTRACEPTIVE CONSULTATION

During the contraceptive consultation it is difficult to remember that some of the women or couples will be consulting their doctor at a later date because of an infertility problem. Society is geared to the assumption that Marie Stopes made all those years ago, that every couple will bring forth a child when they want one; in other words, our society is constructed for the fertile.

Money is channelled into family planning and abortion services, and the maternity and child health services, but little is spent on the infertile. Such an arrangement adds to the suspicions of subfertile couples that their needs are not being listened to.

It is actually not an insignificant problem when it is remembered that for one in six couples, at some time in their lives, the wanted baby will not materialize without some medical intervention. These couples include those trying for their first baby as well as those who are having trouble conceiving their second or subsequent baby. Such couples suffer constant emotional pain, and can feel very isolated in society for, like all of us, their expectations of becoming normal adults and parents had been taken for granted, and it is only when a pregnancy does not ensue that they begin to realize that they may not be ‘normal’.

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