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How to Process the Grief of Not Having A Genetic Child

Dr. Saira Jhutty
Dr. Saira Jhutty, PhD
Last updated: December 22, 2025
Close up of an adult sitting on a bench hugging a child sitting on their lap

Being told you can’t have a genetic child can be heartbreaking. At the same time, knowing that there is still a possibility of being a parent and caring for a child and growing your family with the help of a donor, can bring relief. Still, that grief needs to be honored and given space and time to heal before moving forward. 

Stages of grief

Elisabeth Kubler Ross came up with five stages of grief that a person moves through when they suffer a loss. Researchers have found that these stages can be generalized to losses across the board – such as the grief of infertility. The stages aren’t linear and people may find themselves moving in and out of the different phases at different times. Some stages last longer  than others and some stages can be skipped over. 

Denial

It makes sense that after the initial diagnosis of infertility, a person might not believe it. Especially if they feel healthy, are ‘young’ by conventional standards or have never been sick. They can be quick to assume it is a mistake or can be quick to jump into another cycle of treatments because denial is at play. Denial is a method of self-protection as it can be painful to admit that your life plan may go in a completely different direction than you had ever imagined. One way to move on from this stage is to give yourself permission to feel the pain and sorrow and to dig deep to understand what this diagnosis means to you and what you think it means about you. Many times we have distorted beliefs about what something like this means about us. 

Anger

Once you get that second, third, or fourth opinion… or once you can no longer endure the treatments, anger may erupt. Anger can come in many forms; anger at self, anger at partner, doctor, or even random pregnant strangers. Sometimes this anger drives away those who can actually help and provide that very important emotional support. 

Bargaining

Anger is typically replaced by bargaining or what is sometimes called “magical thinking.” Meaning, a person in this stage might think that perhaps by dramatically changing their lifestyle, their doctor, their medical protocol, anything – with the hope that the changes will somehow have an impact and change the result of their diagnosis. 

Depression

Hiding from the world, lethargy, hopelessness, and intense sorrow describe this stage. It is important to note if this mood lasts most of the day, nearly every day for two or more weeks with a diminished interest in activities along with:

  • Significant weight loss, weight gain, or decrease or increase in appetite 
  • Fatigue or loss of energy 
  • Feelings of worthlessness or excessive or inappropriate guilt 
  • Diminished ability to think or concentrate, or indecisiveness, 
  • Recurrent thoughts of death

Then it is time to speak to your doctor. 

Acceptance

There comes a point during this time that your heart beat slows down, that pit in your stomach goes away and you feel as though you can breathe again. Whether you decide to adopt, use a donor or be child free, something inside finally says, “I am okay.” When this acceptance occurs, doors open, and options become available.

Acknowledge and accept your feelings

It is okay to not be okay. It’s important to acknowledge and accept your feelings of loss, sadness, anger, or any other emotions you may be experiencing. Allow yourself to feel your emotions and understand that it’s okay to grieve.

Seek support

You don’t have to go through this alone. Seek support from family, friends, a therapist, or a support group. There are many online communities and support groups for people who are facing similar challenges.

Focus on self-care

Take care of yourself physically, emotionally, and mentally. Give your mind and body its best chance to heal by engaging in activities that bring you joy, practicing mindfulness, exercise, and eating healthy.

Find meaning and purpose

Focus on finding meaning and purpose in your life beyond having a genetic child. This can include volunteering, pursuing a career, or cultivating relationships with friends and family.

Explore other options

Although you may not be able to have a genetic child, there are other options available such as donor eggs. Sometimes processing means moving forward with Plan B. 

Does it matter if my child is not genetically related to me?

We live in a world where adoption, step and foster families and blended families are the norm. 

Research shows that in general, there are no differences in the bonds created between parents and children born naturally, through surrogacy or donation. 

Does the pain of infertility ever go away?

It doesn’t ever completely go away but you learn how to manage it and not let it impact your daily life. You learn that grief is part of the human experience. Everyone at some point or another will go through some type of grief. But you will be okay. 

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Dr. Saira Jhutty
Dr. Saira Jhutty, PhD
Dr. Saira Jhutty is a licensed clinical and industrial-organizational psychologist and a Medical Advisor at Cofertility. She specializes in fertility and third-party reproduction, with over a decade of experience supporting intended parents, egg donors, and surrogates. Dr. Jhutty is an active member of ASRM’s Mental Health Professionals group and has contributed to revising national surrogacy guidelines.
Read more from Dr. Saira Jhutty, PhD

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How to Process the Grief of Not Having A Genetic Child

About

Being told you can’t have a genetic child can be heartbreaking. At the same time, knowing that there is still a possibility of being a parent and caring for a child and growing your family with the help of a donor, can bring relief. Still, that grief needs to be honored and given space and time to heal before moving forward. 

Stages of grief

Elisabeth Kubler Ross came up with five stages of grief that a person moves through when they suffer a loss. Researchers have found that these stages can be generalized to losses across the board – such as the grief of infertility. The stages aren’t linear and people may find themselves moving in and out of the different phases at different times. Some stages last longer  than others and some stages can be skipped over. 

Denial

It makes sense that after the initial diagnosis of infertility, a person might not believe it. Especially if they feel healthy, are ‘young’ by conventional standards or have never been sick. They can be quick to assume it is a mistake or can be quick to jump into another cycle of treatments because denial is at play. Denial is a method of self-protection as it can be painful to admit that your life plan may go in a completely different direction than you had ever imagined. One way to move on from this stage is to give yourself permission to feel the pain and sorrow and to dig deep to understand what this diagnosis means to you and what you think it means about you. Many times we have distorted beliefs about what something like this means about us. 

Anger

Once you get that second, third, or fourth opinion… or once you can no longer endure the treatments, anger may erupt. Anger can come in many forms; anger at self, anger at partner, doctor, or even random pregnant strangers. Sometimes this anger drives away those who can actually help and provide that very important emotional support. 

Bargaining

Anger is typically replaced by bargaining or what is sometimes called “magical thinking.” Meaning, a person in this stage might think that perhaps by dramatically changing their lifestyle, their doctor, their medical protocol, anything – with the hope that the changes will somehow have an impact and change the result of their diagnosis. 

Depression

Hiding from the world, lethargy, hopelessness, and intense sorrow describe this stage. It is important to note if this mood lasts most of the day, nearly every day for two or more weeks with a diminished interest in activities along with:

  • Significant weight loss, weight gain, or decrease or increase in appetite 
  • Fatigue or loss of energy 
  • Feelings of worthlessness or excessive or inappropriate guilt 
  • Diminished ability to think or concentrate, or indecisiveness, 
  • Recurrent thoughts of death

Then it is time to speak to your doctor. 

Acceptance

There comes a point during this time that your heart beat slows down, that pit in your stomach goes away and you feel as though you can breathe again. Whether you decide to adopt, use a donor or be child free, something inside finally says, “I am okay.” When this acceptance occurs, doors open, and options become available.

Acknowledge and accept your feelings

It is okay to not be okay. It’s important to acknowledge and accept your feelings of loss, sadness, anger, or any other emotions you may be experiencing. Allow yourself to feel your emotions and understand that it’s okay to grieve.

Seek support

You don’t have to go through this alone. Seek support from family, friends, a therapist, or a support group. There are many online communities and support groups for people who are facing similar challenges.

Focus on self-care

Take care of yourself physically, emotionally, and mentally. Give your mind and body its best chance to heal by engaging in activities that bring you joy, practicing mindfulness, exercise, and eating healthy.

Find meaning and purpose

Focus on finding meaning and purpose in your life beyond having a genetic child. This can include volunteering, pursuing a career, or cultivating relationships with friends and family.

Explore other options

Although you may not be able to have a genetic child, there are other options available such as donor eggs. Sometimes processing means moving forward with Plan B. 

Does it matter if my child is not genetically related to me?

We live in a world where adoption, step and foster families and blended families are the norm. 

Research shows that in general, there are no differences in the bonds created between parents and children born naturally, through surrogacy or donation. 

Does the pain of infertility ever go away?

It doesn’t ever completely go away but you learn how to manage it and not let it impact your daily life. You learn that grief is part of the human experience. Everyone at some point or another will go through some type of grief. But you will be okay.