IVF & Fertility Treatment
IVF, fertility treatment, and pregnancy loss
Specialized therapy for grief, trauma, anxiety, and emotional overwhelm related to infertility and pregnancy loss after fertility treatment.
- Care Modes
- In-person & Telehealth
- Licensed
- MD · PA · PSYPACT
- Focus
- Fertility & Reproductive Grief
Experiencing pregnancy loss after fertility treatment can feel uniquely devastating. After months or years of infertility, medical appointments, procedures, uncertainty, and hope, the loss of a pregnancy may bring overwhelming grief, trauma, anger, numbness, or despair. Many people describe feeling as though they lost not only a pregnancy, but also a future they fought incredibly hard to reach.
Pregnancy loss after IVF or fertility treatment often carries layers of emotional pain that others may not fully understand. You may feel isolated in your grief, exhausted by the emotional and physical demands of treatment, or terrified about what comes next. Some individuals struggle with intense anxiety, shame, self-blame, jealousy toward others, or fear that their body has failed them. Others feel disconnected from their partners, overwhelmed by medical trauma, or emotionally unable to continue treatment.
The experience of fertility treatment itself can already be emotionally taxing. Repeated cycles of hope and disappointment, invasive medical procedures, uncertainty, financial strain, and the loss of a sense of control can create chronic stress long before a pregnancy loss occurs. When a loss happens after IVF or fertility treatment, it can intensify feelings of grief and trauma in ways that are difficult to explain to others.
Therapy can provide a space to process these experiences with someone who understands the emotional complexity of reproductive loss. Many individuals also struggle with conflicting emotions — longing for hope while simultaneously fearing further heartbreak.
In therapy we may work with
Specialized therapy for IVF and fertility-related loss
- Pregnancy loss after IVF or fertility treatment
- Miscarriage during infertility treatment
- Recurrent pregnancy loss
- Pregnancy after infertility or loss anxiety
- Reproductive trauma
- Grief, anxiety, and emotional overwhelm related to infertility
My approach
A warm, evidence-based approach
My approach is warm, compassionate, and grounded in evidence-based psychotherapy. I strive to create a space where the full emotional reality of infertility and pregnancy loss can be acknowledged without minimizing the depth of your experience.
Area of focus
Therapy for reproductive grief and trauma
If you are struggling after pregnancy loss related to infertility or fertility treatment, you do not have to navigate this alone. I provide specialized psychotherapy for individuals coping with the layered grief and trauma that fertility-related loss often brings.
FAQ
Frequently asked questions
Do you work with clients experiencing infertility or IVF-related loss?
Yes. I provide therapy for individuals coping with infertility-related grief, pregnancy loss after IVF or fertility treatment, recurrent pregnancy loss, and the emotional impact of infertility and reproductive trauma.
Why am I so anxious during pregnancy after miscarriage?
Pregnancy after loss often brings intense anxiety, fear, and emotional uncertainty. Many individuals feel unable to fully trust the pregnancy or their bodies after a previous loss. It is common to experience constant worry, hypervigilance, difficulty bonding with the pregnancy, fear before appointments, or emotional conflict between hope and fear.
Is it normal to feel guilt or shame after miscarriage?
Yes. Many individuals experience guilt, shame, self-blame, anger at their bodies, or feelings of failure after pregnancy loss, even when the loss was outside of their control. These emotional responses are common and can be explored compassionately in therapy.

Written by
Rayna D. Markin, PhD
Licensed psychologist · Associate Professor in Counseling · President-Elect, Society for the Advancement of Psychotherapy (Division 29, APA) · Associate editor, APA journal Psychotherapy: Theory, Research, Practice, and Training · Author of Psychotherapy for Pregnancy Loss
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Learn moreServing clients in Maryland and Pennsylvania and via PSYPACT in Washington DC metro area, Virginia, and other PSYPACT participating states.
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