Desire for Chil­dren as a Chal­leng­ing Time for Many Cou­ples

An unful­filled desire for chil­dren affects not only the body but the entire life. Many cou­ples expe­ri­ence this phase as emo­tion­al­ly chal­leng­ing, some­times even as a cri­sis. Hope, wait­ing, and dis­ap­point­ment alter­nate, while every­day life seem­ing­ly con­tin­ues unchanged.

How­ev­er, invol­un­tary child­less­ness is not uncom­mon – and not a per­son­al fail­ure. Nei­ther for the woman nor for the man. Phys­i­cal caus­es, hor­mon­al fac­tors, or med­ical cor­re­la­tions often elude direct influ­ence. Nev­er­the­less, feel­ings of guilt, pres­sure, and the sense of los­ing con­trol over an impor­tant area of life often arise.

As fer­til­i­ty spe­cial­ists with many years of expe­ri­ence in fer­til­i­ty treat­ment, it is impor­tant for us to start pre­cise­ly here: with under­stand­ing, clar­i­ty, and sup­port that focus­es on you as a cou­ple – not just indi­vid­ual val­ues or find­ings.

In our fer­til­i­ty cen­ter, you will be accom­pa­nied by a ded­i­cat­ed doc­tor through­out the entire treat­ment. We take the time to under­stand your indi­vid­ual sit­u­a­tion, explain med­ical cor­re­la­tions clear­ly, and devel­op a clear, real­is­tic treat­ment plan togeth­er with you.

Typ­i­cal Chal­lenges & Ques­tions from Cou­ples

Cou­ples with an unful­filled desire for chil­dren often come to us with sim­i­lar thoughts and con­cerns. Many of these ques­tions remain unan­swered in their pri­vate envi­ron­ment – or are over­shad­owed by well-inten­tioned but unhelp­ful advice.

Fre­quent ques­tions include, for exam­ple:

  • Why is preg­nan­cy not hap­pen­ing despite reg­u­lar attempts?
  • Are there phys­i­cal caus­es in the woman, the man, or both part­ners?
  • How long does it nor­mal­ly take to get preg­nant?
  • How com­mon is unful­filled desire for chil­dren among cou­ples?
  • When should one seek med­ical help for an unful­filled desire for chil­dren?
  • Which exam­i­na­tions are use­ful for an unful­filled desire for chil­dren?
  • How do we, as a cou­ple, deal with the emo­tion­al bur­den?

Tak­ing these ques­tions seri­ous­ly is the first step. In a pro­tect­ed set­ting, our doc­tors cre­ate space for your con­cerns, cat­e­go­rize infor­ma­tion, and help you regain clar­i­ty – med­ical­ly sound and human­ly empa­thet­ic.

A couple sits in the practice of Die Kinderwunschärztin for consultation; embryo/cell images are visible on the tablet.
A couple looking at an ultrasound image together—full of hope and anticipation.

Com­mon caus­es of an unful­filled wish to have a child

In many cas­es, sev­er­al fac­tors come togeth­er – in the woman, in the man, or in both part­ners. Com­mon rea­sons for invol­un­tary child­less­ness are:

  • Hor­mon­al caus­es, such as cycle dis­or­ders or reduced ovar­i­an reserve
  • Organ­ic changes in the woman, e.g., in fal­lop­i­an tubes or uterus
  • Reduced fer­til­i­ty in men, e.g., due to reduced sperm count or motil­i­ty
  • Age of the woman and age of the man
  • Pre-exist­ing con­di­tions such as endometrio­sis or PCOS / PMOS
  • Pre­vi­ous inter­ven­tions that can affect fer­til­i­ty
  • Lifestyle fac­tors, such as severe over­weight or under­weight, smok­ing, or chron­ic stress
  • Unclear caus­es, where no clear med­ical rea­son is found despite diag­nos­tics

Impor­tant: Invol­un­tary child­less­ness is not a mat­ter of guilt or wrong behav­ior. In most cas­es, if the desire for chil­dren is not imme­di­ate­ly ful­filled, it is not because cou­ples are “doing some­thing wrong.”

16:43A couple embraces consolingly – an intimate, emotional snapshot in the fertility journey.

Rec­om­mend­ed Steps – A Struc­tured Path for Unful­filled Desire for Chil­dren

A clear process can help reduce uncer­tain­ty and regain clar­i­ty. There­fore, in the clar­i­fi­ca­tion and treat­ment of an unful­filled desire for chil­dren, we fol­low a struc­tured but indi­vid­u­al­ly adapt­ed approach.

Not every exam­i­na­tion and not every treat­ment is suit­able for every cou­ple. Our goal is not to car­ry out as many mea­sures as pos­si­ble, but to rec­om­mend pre­cise­ly the diag­nos­tics and ther­a­py that med­ical­ly tru­ly fit your sit­u­a­tion.

  1. Con­sul­ta­tion

    In a per­son­al con­ver­sa­tion, we take time for your sto­ry, your ques­tions, and your expec­ta­tions. A detailed med­ical his­to­ry and an ini­tial ultra­sound form the basis for under­stand­ing your indi­vid­ual sit­u­a­tion and plan­ning the next steps togeth­er.

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  2. Exam­i­na­tion

    Build­ing on this, tar­get­ed diag­nos­tics are car­ried out, for exam­ple, through hor­mone analy­ses, ultra­sound exam­i­na­tions, or a spermiogram. Depend­ing on the sit­u­a­tion, fur­ther exam­i­na­tions may be use­ful, such as check­ing fal­lop­i­an tube paten­cy.

  3. Indi­vid­ual Treat­ment Plan

    Togeth­er, we dis­cuss all results clear­ly and trans­par­ent­ly. From this, we devel­op a treat­ment plan that is med­ical­ly sound and suits your per­son­al life sit­u­a­tion and your wish­es.

  4. Accom­pa­ny­ing Sup­port

    Through­out the entire process, you will be accom­pa­nied by a ded­i­cat­ed doc­tor. You will have a per­son­al con­tact per­son who knows your sit­u­a­tion, answers ques­tions, and guides you step by step through the treat­ment.

Spe­cial Sit­u­a­tions and Chal­lenges in the Desire for Chil­dren

An unful­filled desire for chil­dren man­i­fests very dif­fer­ent­ly in cou­ples. Often there are expe­ri­ences or life sit­u­a­tions that addi­tion­al­ly bur­den this time emo­tion­al­ly and raise new ques­tions. Espe­cial­ly in such sit­u­a­tions, indi­vid­ual and empa­thet­ic sup­port is par­tic­u­lar­ly impor­tant.

Unful­filled Desire for Chil­dren After Mis­car­riage

After mis­car­riages, the desire for anoth­er preg­nan­cy is often accom­pa­nied by mixed feel­ings. Hope and fear are close togeth­er, as is the wor­ry that what has been expe­ri­enced could repeat itself. In this sit­u­a­tion, it takes time to calm­ly process one’s own feel­ings and hopes.

Unful­filled Desire for a Sec­ond Child

When the desire for anoth­er child remains unful­filled, many cou­ples find this par­tic­u­lar­ly dif­fi­cult to com­pre­hend. After an already expe­ri­enced preg­nan­cy, addi­tion­al ques­tions often arise: Why isn’t it work­ing this time? Have phys­i­cal con­di­tions changed? This sit­u­a­tion should also be med­ical­ly clas­si­fied and care­ful­ly clar­i­fied.

Repeat­ed Unsuc­cess­ful Attempts

Sev­er­al unsuc­cess­ful fer­til­i­ty treat­ments can lead to exhaus­tion, doubt, and increas­ing uncer­tain­ty. Many cou­ples won­der if and how to pro­ceed. Here it is impor­tant to care­ful­ly clas­si­fy pre­vi­ous treat­ments and joint­ly explore new per­spec­tives.

Dif­fer­ing Bur­dens in the Part­ner­ship

An unful­filled desire for chil­dren affects both part­ners – phys­i­cal, emo­tion­al, and every­day bur­dens can be expe­ri­enced dif­fer­ent­ly. Rec­og­niz­ing these dif­fer­ences and address­ing them open­ly can be reliev­ing and strength­en the part­ner­ship.

Each of these sit­u­a­tions requires an indi­vid­ual per­spec­tive. Our goal is to under­stand your per­son­al sto­ry and, based on that, dis­cuss the next mean­ing­ful steps togeth­er.

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Union

Treat­ment Options for Unful­filled Desire for Chil­dren

Which treat­ment is appro­pri­ate always depends on the indi­vid­ual sit­u­a­tion of the cou­ple. Fac­tors such as age, med­ical and hor­mon­al con­di­tions, pre­vi­ous exam­i­na­tions, and per­son­al wish­es play an impor­tant role.

There­fore, we explain all options to you clear­ly and trans­par­ent­ly. Togeth­er, we weigh the ben­e­fits, suc­cess rates, and bur­dens of the indi­vid­ual steps. This allows you to make a deci­sion that is med­ical­ly sound and feels right for you at the same time.

The key is to find a path togeth­er that is med­ical­ly sound and also fits your life.

Hor­mon­al Stim­u­la­tion

For some cou­ples, tar­get­ed hor­mon­al sup­port can already help. Mild stim­u­la­tion reg­u­lates the cycle or sup­ports ovu­la­tion, espe­cial­ly if it is irreg­u­lar or absent. The goal is to improve the chances of a nat­ur­al preg­nan­cy with­out unnec­es­sar­i­ly bur­den­ing the body.

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Insem­i­na­tion (IUI)

Insem­i­na­tion can be an option if the con­di­tions for a nat­ur­al preg­nan­cy are gen­er­al­ly met, but it is still not pos­si­ble to con­ceive. Pre­pared sperm are intro­duced direct­ly into the uterus at the opti­mal time. The treat­ment is gen­tle and is often com­bined with mild hor­mon­al stim­u­la­tion.

Make an appoint­ment More on Insem­i­na­tion
In Vit­ro Fer­til­iza­tion (IVF/ICSI)

In in vit­ro fer­til­iza­tion (IVF) and intra­cy­to­plas­mic sperm injec­tion (ICSI), eggs are fer­til­ized in the lab­o­ra­to­ry after hor­mon­al stim­u­la­tion and then trans­ferred to the uterus. These pro­ce­dures are par­tic­u­lar­ly suit­able if oth­er mea­sures have not been suc­cess­ful or if spe­cif­ic med­ical con­di­tions exist. Which method is appro­pri­ate is decid­ed indi­vid­u­al­ly and dis­cussed with you in detail.

Make an appoint­ment More about IVF/ICSI
Holis­tic Sup­port

In addi­tion to med­ical treat­ments, oth­er aspects play an impor­tant role. These include care­ful diag­nos­tics, a real­is­tic assess­ment of suc­cess rates, and – if appro­pri­ate – addi­tion­al sup­port, for exam­ple, through dis­cus­sions in stress­ful sit­u­a­tions.

This cre­ates sup­port that con­sid­ers not only the med­ical side but also what per­son­al­ly con­cerns you.

We clar­i­fy step by step which fer­til­i­ty treat­ment is suit­able for you as a cou­ple. It is impor­tant to us that you are well informed and can make deci­sions that feel right for you.

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Pro­fes­sion­al Help for Unful­filled Desire for Chil­dren

An unful­filled desire for chil­dren rais­es many ques­tions – med­ical as well as per­son­al. With­out pro­fes­sion­al guid­ance, much remains unclear, uncer­tain­ty increas­es, and deci­sions are dif­fi­cult. Pro­fes­sion­al sup­port can help pro­vide guid­ance and broad­en per­spec­tives again.

In our fer­til­i­ty cen­ter, we sup­port cou­ples with an unful­filled desire for chil­dren, with med­ical expe­ri­ence, clear struc­ture, and a holis­tic under­stand­ing of their sit­u­a­tion. We con­sid­er not only indi­vid­ual find­ings but the inter­play of phys­i­cal con­di­tions, life cir­cum­stances, and per­son­al expec­ta­tions.

An impor­tant com­po­nent of our work is con­ti­nu­ity: you will be accom­pa­nied by a ded­i­cat­ed med­ical con­tact per­son through­out the entire process. This builds trust, reli­a­bil­i­ty, and a frame­work in which ques­tions can be asked open­ly and deci­sions can be made at your own pace.

Our goal is to pro­vide you with expert sup­port while also giv­ing you space for guid­ance – regard­less of where you are on your fer­til­i­ty jour­ney.

Happy woman holds the ultrasound image of her child after fertility treatment
Close-up of a flower vase in the bright practice atmosphere at the fertility center in Munich for a relaxed consultation.

Why Our Fer­til­i­ty Cen­ter in Munich?

Med­ical clar­i­ty, per­son­al sup­port, and a struc­tured path.

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  • Hon­est Advice Instead of False Promis­es

    We pro­vide you with an hon­est med­ical assess­ment and trans­par­ent­ly show which options are appro­pri­ate.

  • A Ded­i­cat­ed Doc­tor by Your Side

    You will be con­tin­u­ous­ly accom­pa­nied by the same doc­tor – with a treat­ment plan tai­lored to your sit­u­a­tion.

  • Time, Calm, and Pri­va­cy

    We cre­ate a frame­work in which you can ask ques­tions, make deci­sions, and find your own way – with­out time pres­sure.

  • Sup­port Beyond Treat­ment

    If nec­es­sary, we involve addi­tion­al sup­port ser­vices and accom­pa­ny you beyond the med­ical steps.

Psy­cho­log­i­cal Bur­den of Unful­filled Desire for Chil­dren

An unful­filled desire for chil­dren is often asso­ci­at­ed with psy­cho­log­i­cal bur­dens. Feel­ings such as sad­ness, fear, anger, or help­less­ness are com­plete­ly nor­mal in this sit­u­a­tion. Many cou­ples expe­ri­ence phas­es of increased ten­sion or with­draw from their social envi­ron­ment.

In addi­tion to the phys­i­cal aspects, the emo­tion­al bur­den also plays an impor­tant role. Open con­ver­sa­tions, relief, and the knowl­edge that you are not alone with your feel­ings can help regain more sta­bil­i­ty.

In our prac­tice, we con­scious­ly address these top­ics and help you find suit­able con­tact points or ther­a­peu­tic sup­port if you desire addi­tion­al assis­tance. This cre­ates space to bet­ter clas­si­fy the sit­u­a­tion and make clear­er deci­sions – regard­less of what your fur­ther path looks like. 

 
  
 
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 166 reviews

What Our Patients Say

 
 
 
 
 
 
 
 
 
 
 
 Posted on Google Google 
 
 
 Sandra B 
 
105 days ago
 
 
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Had a very good experience, I felt very well taken care of, everyone very professional, standardized routines, can definitely recommend
  
 
 
 
 
 
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 Lauren W 
 
141 days ago
 
 
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We flew from overseas to work with Dr Mann and her team. Everyone was so kind, empathetic and extremely helpful. Everyone spoke English and made us feel very welcome. We could not have asked for better care than what we received from Dr Mann and her team. Bonus, the offices are beautiful.
  
 
 
 
 
 
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 Andrea C 
 
185 days ago
 
 
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After visiting two other fertility clinics (one of which I left in tears), I had almost lost hope of finding a place where I would truly feel heard. Then I met Dr. Sarah Comploj, and everything changed.

From the very first consultation, I felt genuinely listened to and treated as an individual. Unlike my previous experiences, where I was quickly told I needed IVF without anyone really taking the time to understand my situation or carefully review my test results, here I felt that my case truly mattered. Every step was explained thoughtfully, and my concerns were taken seriously.

What stood out the most was that I never felt like just another patient or that the focus was on money. Instead, I felt that the entire team was committed to helping me achieve my dream in the most appropriate and personal way possible.

Today, I am holding my one-month-old baby in my arms, and I will forever be grateful for the care, compassion, and expertise I received here. I can only highly recommend this clinic and Dr. Comploj 🩷
  
 
 
 
 
 
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 Viktoria O 
 
323 days ago
 
 
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Every appointment I’ve had over the last few months has been consistently informative, professional, and conducted in a personal manner. The treatment plan was explained in detail and any concerns or questions always answered. She also speaks perfect English if required. I’m impressed with how well organised the clinic is and how quickly results are processed, and last-minute appointments made available. For anyone who is going through the struggle of infertility it’s a difficult and vulnerable time, but I always felt so reassured and in good hands with Dr Mann.
  
 
 
 
 
 
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 Local R 
 
331 days ago
 
 
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A heartfelt thank you to Dr. Gerber for the exceptional support and warmth during a very sensitive journey. I always felt respected and in good hands. Truly grateful.
  
 
 
 
 
 
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 V D 
 
452 days ago
 
 
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I'm very grateful for my experience, the staff from reception to the doctors were very kind. You can feel  accompanied during the treatment. Also, overall I had a successful treatment, especially considering my age, it's a costly treatment but it's worth it. So I'm very happy for the result, my doctor was Sara Comploj.
  
 
 
 
 
 
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 Marina 
 
489 days ago
 
 
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I had a wonderful experience with the Kinderwunsch practice, and especially with dr. Corina Mann. From the very beginning, dr Mann was attentive, knowledgeable, and truly invested in helping me achieve the best possible outcome. She took the time to understand my goals and tailored my treatment plan to make sure I had the best chance of success.

Thanks to her care and expertise, I was able to maximise my results and reach my goals. I always felt supported, informed, and in the best hands. Dr Mann always answered my countless questions with a smile :) I’m incredibly grateful for her dedication and would wholeheartedly recommend her to anyone starting their fertility journey.
  
 
 
 
 
 
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 Carmencita 
 
491 days ago
 
 
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I just want to say a big thank you to the whole team of Dr. Mann and Dr. Albrecht. I felt really taking care off  in this Praxis and really can recommend everyone to go to this clinic, as here you can get at least the most possible personalization and time dedicated to you! Thanks again for your support!
  
 
 
 
 
 
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 Maria K 
 
587 days ago
 
 
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Since my doctor was busy and couldn't do the procedure herself, I had an appointment with Sarah to have my fallopian tubes checked. I was very nervous before the procedure, but it turned out to be for nothing! Sarah described and explained every step of the procedure and was extremely friendly.
  
 
 
 
 
 
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 Jay B 
 
1149 days ago
 
 
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Our multiple years-long Kinderwunsch journey was spent under the care of Dr. Mann and her Kinderwunsch practice team. Dr. Mann is not only a highly competent expert in her field, she's also empathetic and kind. She treated each appointment with a sense of being genuinely invested — listening to concerns or questions, planning for my unique treatment needs, and explaining processes or procedures without rushing (because she knows it's likely your first time going through something ... even though it might be her 40000th time). Her practice is busy and it's because she's the best. The practice team is cheerful and helpful. The waiting area is comfortable with pleasant music, flowers, and they even laid out gingerbread during Christmas time. They have a lab on-site so results are often same-day. I particularly found the technology they use to share results via email quickly so helpful. And I always felt at ease speaking in my native language and not pressured to try to keep up with unfamiliar German terminology. I'm forever grateful to have found Dr. Mann. We plan to visit soon with our new plus-one :)

- RB & JB
  
 
 
 
 
 
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 Aparna P 
 
1649 days ago
 
 
 Trustindex verifies that the original source of the review is Google. 
Dr.Albrecht is really good and friendly. She is best at her own way. But reception staff is very very very worst and disappointing. They themselves book an appointment and say it’s not booked. Luckily in Doctorlib my appointment was visible. Staff is very very rude. And they respond very rudely. I can give 0 rating for Staff at reception.
  
 
 
 
 
 
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 Cindy L 
 
1670 days ago
 
 
 Trustindex verifies that the original source of the review is Google. 
We had an absolutely wonderful experience with Dr. Mann. Her positive energy and competence was so reassuring and much appreciated during the potentially stressful time of trying to have a baby. I really loved how we could communicate in either English or German over complicated and sensitive reproductive matters. She took the time to answer all of our questions and offered us a wealth of information regarding the treatments. And her staff brought the same good vibes and Expertise to the practice. Some of the best and painless blood draws I’ve ever had, and they were always very responsive through emails as well as telephone communication. Online appointment system was also great. Video consults super convenient. The setting of the practice itself is an oasis of peace and calmness. As soon as I stepped through the doors I felt relaxed with the music, green plant wall, and well designed and decorated space. Technology and quality of equipment is very good. Yes, sometimes the waiting time had been 30+ minutes, but because the patient care is so excellent, I’ll be back for future treatments as needed, and would highly recommend this practice and team to anyone.
  
 
 
 
 
 
 Posted on Google Google 
 
 
 Raluca O 
 
1854 days ago
 
 
 Trustindex verifies that the original source of the review is Google. 
I have only the best words to describe my experience at the clinic. I personally worked with Dr. Albrecht and she was amazing. Every appointment was done on time, informative and clear on what the next steps are. She offered details and support with my every question. Where I wasn’t sure of my German we swapped to English to make sure I understood everything.

The clinic is run in a very efficient way, organized, planned and as a process oriented person I loved it!

Fre­quent­ly Asked Ques­tions About Unful­filled Desire for Chil­dren

When should one see a doc­tor for an unful­filled desire for chil­dren?

If preg­nan­cy does not occur after about twelve months despite reg­u­lar unpro­tect­ed inter­course, we rec­om­mend a med­ical eval­u­a­tion. For women over 35, it is advis­able to seek med­ical advice after six months, as fer­til­i­ty decreas­es with age. Cycle dis­or­ders, known pre-exist­ing con­di­tions, endometrio­sis, or repeat­ed mis­car­riages can also be rea­sons to sched­ule an appoint­ment at a fer­til­i­ty cen­ter ear­li­er.

How com­mon is unful­filled desire for chil­dren among cou­ples?

An unful­filled desire for chil­dren is more com­mon than many cou­ples sus­pect. Depend­ing on the study, about one in six to eight cou­ples is tem­porar­i­ly affect­ed by invol­un­tary child­less­ness. So you are by no means alone in this sit­u­a­tion – even if it is often per­ceived dif­fer­ent­ly in your per­son­al envi­ron­ment.

What can cause invol­un­tary child­less­ness?

The rea­sons are diverse and can lie with the woman, the man, or both part­ners. Hor­mon­al dis­or­ders, organ­ic changes, or lim­i­ta­tions in sperm qual­i­ty can play a role. Age also sig­nif­i­cant­ly influ­ences fer­til­i­ty. In many cas­es, pos­si­ble caus­es can be clar­i­fied through tar­get­ed diag­nos­tics.

What role does the psy­che play in the desire for chil­dren?

Stress, pres­sure, or emo­tion­al bur­den are gen­er­al­ly not the cause of an unful­filled desire for chil­dren. How­ev­er, they can influ­ence gen­er­al well-being, the cycle, and hor­mon­al process­es, and addi­tion­al­ly com­pli­cate the fer­til­i­ty jour­ney. At the same time, an unful­filled desire for chil­dren itself is a sig­nif­i­cant psy­cho­log­i­cal bur­den for many cou­ples. There­fore, we con­sid­er both the med­ical and emo­tion­al aspects of your sit­u­a­tion and include both in our con­sul­ta­tion.

What can cou­ples do them­selves to improve their chances?

A healthy lifestyle can sup­port fer­til­i­ty. This includes a bal­anced body weight, absti­nence from smok­ing, reg­u­lar exer­cise, a bal­anced diet, and con­scious stress man­age­ment. At the same time: many caus­es of an unful­filled desire for chil­dren can­not be reme­died by this. A med­ical eval­u­a­tion helps to real­is­ti­cal­ly assess the indi­vid­ual sit­u­a­tion and, if nec­es­sary, treat it specif­i­cal­ly.

At the same time, it is help­ful to be well informed, to talk open­ly with each oth­er, and to make deci­sions with­out unnec­es­sary pres­sure.

Which fac­tors influ­ence fer­til­i­ty?

Cru­cial fac­tors are pri­mar­i­ly age, hor­mon­al con­di­tions, and egg and sperm qual­i­ty. Organ­ic changes, such as in the fal­lop­i­an tubes or uterus, can also play a role.

Addi­tion­al­ly, lifestyle fac­tors such as smok­ing, severe over­weight or under­weight, or per­sis­tent stress can have an influ­ence.

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Herzogspitalstraße 5
80331 Munich
Germany

T: +49 89 123 595 65
F: +49 89 123 595 56
hallo@kinderwunschaerztin.de

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