Can Stress Lower a Woman’s Fertility?
Greatest impact is around ovulation time, research suggests
From the WebMD Archives
Over the study period, 139 women became pregnant. There was a 46 percent reduction in conception for each one-unit rise in stress during the ovulation window, the researchers found. Day 14 of the cycle was estimated as the time of ovulation.The impact on conceiving held even after the investigators took into account other factors, such as age, body mass index (a measurement based on weight and height), alcohol use and how often sex occurred.The researchers looked at other times in the cycle as well, but “we did not find an effect of stress on implantation,” Taylor said. “Implantation generally occurs six to 10 days after ovulation, if you have conceived.”While the study found a connection between stress and conception, it didn’t prove cause and effect.In another finding, “women who did get pregnant had much higher levels [of stress] around the end of their cycle.” Taylor said that may be due to hormone levels, with increasing levels of estrogen and progesterone causing mood swings at that time.
Dr. Tomer Singer, director of reproductive endocrinology and infertility at Lenox Hill Hospital in New York City, said the new research pinpoints the time period most affected by stress.”They were able to focus a light on the important time of being stress-free, and this is the first half of the [cycle],” he said.Taylor’s team did not look at why stress affected conception at the time of ovulation. But, she speculated that “stress disrupts the signaling between the brain and the ovaries, and reduces the chances of ovulation.”Singer agreed. He said when a woman has a high stress level, hormones responsible for ovulation can be disrupted.This hormonal disruption can hamper the process, Taylor said, so “it could be nature’s way of saying ‘Don’t have a baby right now.’ “Singer suggested that women can reduce their stress levels by practicing yoga or mindfulness meditation, among other ways.Moderate exercise, five times a week for 30 minutes, can also reduce stress, Taylor said. But exercising to extremes can reduce the likelihood of conceiving, she said.
She also suggested that using talk therapy and time-management skills could lower stress levels.The study was published online recently in the Annals of Epidemiology.