Therapy for Fertility, Pregnancy Loss & Reproductive Health Treatment
Your grief is real. Your pain is valid. Your body deserves compassion, not dismissal.
What You Might Be Experiencing:
Understanding Fertility, Pregnancy Loss & Reproductive Health Challenges
Fertility struggles, pregnancy loss, and reproductive health conditions create profound emotional impacts that are often invisible to others.
Infertility & Pregnancy Loss:
Grief that feels unrelenting but has "no funeral"
Relentless uncertainty with each cycle, scan, or test
Anger, guilt, or shame after failed treatments or pregnancy loss
Navigating pregnancy announcements and baby showers while your heart is breaking
Relationship strain and communication gaps with your partner
Identity questions: "Am I still a parent?" "Is Mother's Day for me?"
Traumatic medical memories or procedures
Fear of "trying again" vs. fear of stopping treatment
Feeling pressure to "keep it together" at work and in social settings
Well-meaning comments like "at least you can try again" that deepen your isolation
PCOS & Endometriosis:
Hormonal imbalances, irregular or painful cycles, chronic pelvic pain
Fertility struggles and mixed feelings around trying to conceive
Changes in weight, body image, and self-esteem
Mood swings, anxiety, or depression linked to your condition
Fatigue, brain fog, and frustration with inadequate medical care
Dismissive providers offering vague advice to "just exercise more" or "lose weight"
Blame and shame that leave you feeling like it's all your fault
Anxiety and grief over loss of "normalcy" or energy
Medical trauma from being ignored or gaslit
PMDD & Perimenopause:
Severe monthly mood swings or depressive episodes
Emotional dysregulation, irritability, anger, or "rage" responses
Intrusive thoughts or feelings of being "out of control"
Sleep disruption, brain fog, and mood instability
Changes in body, libido, and energy that affect your identity
The exhaustion of not being taken seriously by medical providers
Anxiety about transitions in roles, aging, and fertility
Our Approach to Fertility, Pregnancy Loss & Reproductive Health Treatment
Whether you're navigating infertility, IVF, pregnancy loss, PCOS, endometriosis, PMDD, or perimenopause, you deserve more than platitudes, diet talk, or being told "you're just stressed." At MWC, we offer compassionate, evidence-based therapy that honors your experience without minimizing it.
Infertility and pregnancy loss create a grief that is profound yet often invisible. There's no funeral for a miscarriage, no casserole train for failed IVF cycles. Society expects you to "keep it together," but your heart is breaking. This grief includes loss of imagined futures, loss of control over your body, and sometimes loss of hope itself.
Infertility is generally defined as not being able to conceive after 12 months of trying (or 6 months if over 35). It affects 1 in 8 couples and can lead to feelings of grief, shame, anxiety, loss of control, and isolation. The "two-week wait," repeated treatments, and constant uncertainty take an enormous emotional toll.
Pregnancy loss, whether miscarriage, stillbirth, or termination for medical reasons, brings perinatal grief, which is unique because it includes grief for what didn't happen: the child you expected, the future you imagined, and often a lack of societal acknowledgment of your loss.
PCOS (Polycystic Ovarian Syndrome) affects 1 in 10 women, yet 70% remain undiagnosed worldwide. Despite its prevalence, PCOS is under-researched, under-treated, and understood primarily through a narrow medical lens that emphasizes medication and weight loss while ignoring mental health. Research shows strong connections between PCOS and anxiety disorders, depression, OCD symptoms, body image distress, and disordered eating.
Endometriosis causes chronic pelvic pain and fatigue, often leading to medical trauma, anxiety, grief, and identity issues around sexuality, fertility, and energy.
PMDD (Premenstrual Dysphoric Disorder) involves severe monthly mood swings, emotional dysregulation, and sometimes intrusive thoughts. It's far more than "bad PMS"- it's a debilitating condition that significantly impacts quality of life.
Perimenopause and menopause bring emotional shifts, sleep disruption, brain fog, mood instability, and identity transitions that are frequently dismissed as "just hormones" rather than treated with the seriousness they deserve.
We provide affirming, trauma-informed therapy that acknowledges:
Your grief has no timeline. We won't rush you to "move on"
Hormonal changes affect mental health. This isn't "all in your head"
Medical gaslighting is real. We’ve seen it, we’ve experienced it. We'll help you advocate for care that fits your needs
Your body deserves compassion, not control. We practice through a HAES and body-neutral lens
All feelings are valid. Grief, anger, guilt, relief, hope, despair- there's room for it all
Therapy is collaborative. We'll walk this journey together at your pace, with compassion and without pressure. You'll leave sessions feeling heard, understood, and equipped with real tools to navigate this incredibly difficult terrain.
Frequently Asked Questions:
What counts as infertility, and when should I seek help?
1
Infertility is generally defined as not being able to conceive after 12 months of trying (or 6 months if over 35). If you're concerned or have risk factors, a medical evaluation can help identify issues early. It's never too early to see a therapist who specializes in infertility. Therapy can help you cope with fertility stress and maintain emotional wellbeing through the process.
How long does grief last after pregnancy loss?
2
There is no fixed timeline for grief. Some people feel better in a few months; for others, significant grief continues longer, especially around anniversaries or due dates. There is no right or wrong way to grieve. What's important is support and self-compassion. Therapy can help at any stage, especially if you're experiencing overwhelming sadness, avoiding things you once enjoyed, or losing hope for the future.
What is PCOS and how does it affect mental health?
3
PCOS (Polycystic Ovarian Syndrome) is a hormonal condition affecting 1 in 10 women, causing irregular cycles, fertility challenges, and metabolic changes. Research shows strong connections between PCOS and anxiety disorders, depression, OCD symptoms, body image distress, and disordered eating. PCOS isn't just a reproductive issue—it profoundly impacts mental health, identity, and daily functioning.
What is PMDD and how is it different from PMS?
4
PMDD (Premenstrual Dysphoric Disorder) is far more severe than PMS. It involves intense mood swings, depression, anxiety, irritability, and sometimes intrusive thoughts during the luteal phase of your cycle. PMDD significantly disrupts daily functioning and relationships. It's a legitimate psychiatric condition that responds well to treatment, including therapy and sometimes medication.
How can therapy help during infertility treatment or IVF?
5
Therapy doesn't change medical outcomes directly, but it helps reduce stress, improve coping, process grief and anxiety, support your relationship, clarify decisions, and maintain emotional wellbeing through the ups and downs of treatment. Many people find that therapy provides a safe space to process feelings they can't share elsewhere, develop tools for managing the "two-week wait," and navigate the complex emotions that come with each cycle- hope, fear, disappointment, and resilience.
The world doesn't need another woman minimizing her needs for the comfort of her provider.
If you're tired of vague answers, medical jargon, dismissal, or feeling like a number on a chart—you're in the right place.
Online Therapy for Fertility, Pregnancy Loss & Reproductive Health in Maryland and Pennsylvania
We offer secure, HIPAA-compliant virtual therapy sessions throughout Maryland, Pennsylvania, South Carolina and Vermont. Whether you're in Baltimore, Bethesda, Annapolis, Rockville, Philadelphia, or anywhere else in these states, you can access compassionate, specialized care from the comfort of your home.
Grief has no timeline. We'll walk it together, one compassionate step at a time.