Fedup You've hit the nail on the head. The funding isn't there.
Lychees couldn't agree more. Why are the subfertile judged so much more than the fertile?
I do also think there is a lack of understanding of the HFEA guidelines by healthcare professionals. Looking through them treatment should NOT be refused because of a risk of depression.
Treatment can be refused if you are likely to pose a significant risk to a child. Now, in some respects I do buy this. I don't think it would be wise to provide assisted conception to a heroin addict who is a current user. If in this example, they are unable to look after themselves, homeless, undernourished etc and through the fact that the drug would cross the placenta, then they WOULD pose significant risk.
With mental health issues, however, I think they are putting 2 + 2 together and getting 5. They are equating a bout of depression or mild to moderate recurrent depression to saying this may make you incapable of looking after a child OR you may commit suicide.
In contrast, research actually shows that depression increases your ability to cope with bad situations in the future. Did you know that a woman who has never suffered from depression is far more likely to develop depression if she is widowed than a woman who has had depression?
There is also thought to be an evolutionary advantage from suffering from depression too. It forces us to make changes in our lifestyle and is thought to cause us to withdraw from a situation that is potentially harmful.
When I developed depression 4 years ago I was single and worked rediculous hours. I had no work life balance. I had no sicoial life (I was always working) and I was very lonely. I also knew that I really wanted children (even then) but could see no way of achieving this because my lack of life outside of work made it difficult to meet anybody. Fast forward a bit and I became quite ill and was signed off work for a month. During this time I focused on my friendships and life outside of work. I made radical changes and knew that to achieve what I really wanted in life I had to focus on me. One year after the first diagnosis and quite a lot of couselling that forced me to look at changes I cold make to my life I met my DH. 3 years on we've been married almost a year and HOPE to have a family. Depression was a positive thing form me. Yes, we might have to look at fertility treatment to achieve this aim, BUT if it hadn't been for my bout of depression I'd be lonely, miserable and with absolutely no prospect of having a family.
I've been diagnosed as depressed again. Again related to the risk that I may not be able to have children.
There is such a stigma around depression. I know I would never ever be a risk to a child, but in the cash strapped NHS, will they ever look at the fundamental reasons for my depression and the positives it brought in forcing me to change my life? I suspect not.
Choccie It seems this is what you have experienced too. Nobody has bothered to look at the reasons for you depression and admit that it is circumstantial and there is no evidence to sugges endogenous.
Sorry to go on so much. Like Fedup feeling really passionate about this subject. To be perfectly honest, I don't think the cash-strapped NHS has any real motivation to work to remove the stigma surrounding depression. In the case of infertility it simply saves them money.