What happens when everything “fails”? - psychosocial counselling on unsuccessful trajectories

Precongress Course 8

 SIG Psychology and Counselling Special Interest Groups Psychology Counselling

Course coordinators

Juliana Pedro (Portugal), Giuliana Baccino (Spain), Mariana Moura Ramos (Portugal)


Course type


Course description

The experience of unsuccessful treatments is a challenging experience both for patients and fertility staff. In fact, discussing new plans, sharing bad news, and dealing with the psychological impact of such trajectories are usually “difficult” talks. This course aims to address patients' and fertility staff's needs in these contexts and discuss tools, training, and interventions available to promote healthy adjustment and development of new life trajectories and goals.


Target audience

Psychologists, counsellors, nurses and midwifes, physicians and other health professionals involved in assisted reproduction

Educational needs and expected outcomes

This course will address the following educational needs:

  • Review the needs of patients going through unsuccessful outcomes in ART
  • Review the interventions and tools available to help patients deal with these unsuccessful trajectories
  • Discuss the challenges from healthcare professionals working in daily care with patients with unsuccessful trajectories


After the course, participants are expected to:

  • be aware of the interventions aiming to deal with unsuccessful trajectories
  • be knowledgeable about strategies to deal with and counsel in case of unsuccessful trajectories


Innovative aspects of the course

The psychosocial intervention on unsuccessful trajectories had considerable challenges. Not all health professionals working in the fertility field received specific education on this theme. We hope this course will fill this gap, contributing also to a shared discussion with experts in the field.



Sunday 07 July 2024

Juliana Pedro, Portugal
Mariana Martins, Portugal
09:00 - 09:30
Sharing unexpected results with patients: challenges for healthcare professionals – the embryologist perspective
Gemma Arroyo Cardona, Spain
09:30 - 09:45
09:45 - 10:15
Sharing unexpected results with patients: how to overcome the challenges for healthcare professionals – the psychologist perspective
Sofia Gameiro, United Kingdom
10:15 - 10:30
10:30 - 11:00
Coffee break
Mariana Moura-Ramos, Portugal
Giuliana Baccino, Spain
11:00 - 11:30
Routine psychosocial care for unsuccessful fertility treatment
Mariana Sousa Leite, United Kingdom
11:30 - 11:45
11:45 - 12:15
Psychosocial interventions in Pregnancy loss and miscarriage
Emily Koert, Denmark
12:15 - 12:30
12:30 - 13:30
Lunch Break
Mariana Sousa Leite, United Kingdom
Chair to be announced
13:30 - 14:00
When to end? Ethical point of view
Heidi Mertes, Belgium
14:00 - 14:15
14:15 - 14:45
Should we talk about a plan B or C? Psychosocial counselling introducing third party reproduction or alternative pathways to parenthood
Mariana Martins, Portugal
14:45 - 15:00
15:00 - 15:30
Coffee break
Sofia Gameiro, United Kingdom
Chair to be announced
15:30 - 16:00
Counselling challenges regarding surrogacy
Marilyn Crawshaw, United Kingdom
16:00 - 16:15
16:15 - 16:45
"What happens when it’s over?" How to promote healthy adjustment to unsuccessful treatments
Jacky Boivin, United Kingdom
16:45 - 17:00