Fertility & Family Planning Therapy in New York

Decisions about fertility and family planning are rarely just medical. They touch timing, partnership, identity, money, work, family expectations, and the brutal reality that you can do “everything right” and still not get certainty. Therapy can’t control outcomes, but it can help you think and function more steadily while you’re making high-stakes decisions under pressure.

If you’d like support through fertility and family-planning decisions, request a consultation.

Patterns we work with in fertility & family planning

Feeling pulled between urgency and avoidance (researching, tracking, spiraling — then shutting down)
Losing yourself to protocols: life narrowing around cycles, appointments, and “next steps”
Relationship strain: mismatched coping styles, resentment, blame, or emotional distance
Pregnancy loss or unsuccessful treatment leaving you numb, hypervigilant, or destabilized
Shame, isolation, or comparing yourself to people who seem to get pregnant effortlessly
Feeling unable to enjoy anyone else’s pregnancy announcements without guilt
Ambivalence about parenthood that’s hard to say out loud (even to yourself)
LGBTQIA2S+ family-building stressors: medical, legal, social, and relational pressure stacking up

How therapy helps

Fertility counseling isn’t reassurance or promises. It’s a structured space to speak honestly, tolerate uncertainty, and make decisions that are grounded in your values and limits — not driven by depletion, fear, or other people’s expectations.

What we focus on here

Decision-making under pressure

When choices feel time-sensitive, therapy helps you slow the process down just enough to regain agency — clarifying priorities, limits, and what you’re actually choosing between (not what you wish you were choosing between).

Making room for grief without getting swallowed by it

Loss can be loud (a pregnancy) or quiet (a timeline, a version of parenthood, a sense of ease). The goal isn’t to “move on.” It’s to integrate what happened so it doesn’t hijack every next step.

Relationship steadiness during fertility stress

Fertility challenges often strain relationships in predictable ways: one partner pushes for action, the other shuts down; sex becomes scheduled; decisions start feeling like landmines. Therapy helps reduce the pressure-cooker dynamic so you can stay on the same team, even when you’re coping differently.

Common questions

How is therapy going to help me have a baby?

Therapy doesn’t determine medical outcomes. What it can do is strengthen your ability to cope, communicate, and make decisions without collapsing into panic, shutdown, or relationship rupture.

Do you work with people doing IVF, egg freezing, or third-party reproduction?

Yes. We work with people navigating IVF cycles and transfers, egg or embryo freezing, surrogacy, donor conception, and other third-party paths — including the emotional and relational impact that accumulates over time.

What if I’m not sure I even want kids?

That’s a legitimate clinical focus, not something to “resolve” quickly. Therapy can help you separate your own desire from pressure, fear, partner expectations, age-related urgency, and family narratives — and make a decision you can live with.

I’m worried therapy will turn into digging into my childhood.

We stay oriented to what’s happening now. If earlier patterns matter, it’s only because they help clarify what you’re dealing with in the present: your reactions, your relationship dynamics, and how you make decisions under stress.

Do you work with LGBTQIA2S+ individuals and families?

Yes. We work with LGBTQIA2S+ individuals and families (including queer, trans and gender-expansive, and non-monogamous partnerships) navigating the medical, legal, social, and relational complexities of family-building.

Should we do therapy individually or as a couple?

Either can work. If fertility stress is driving conflict or emotional distance, couples work can be especially useful. If you need a space that’s only yours — for grief, ambivalence, or decision clarity — individual work may fit better. Some people do a mix.

Is this only for “infertility”?

No. People come in for family planning decisions, timing and partnership questions, egg freezing, pregnancy loss, treatment fatigue, and the emotional weight of uncertainty — even when no formal diagnosis exists.