My partner and I are about to embark on fertility treatment which is going to involve In vitro fertilization (IVF). This could include the use of drugs that could clash with our existing medication and hormone treatment. We are quite worried about this as well as the impact of the fertility treatment on our mental health. Can you advise?

You are right to get advice at an early stage so that you are both as prepared as possible for your fertility treatment. It can be an emotional journey for couples at the best of times, but even more so if it could impact on existing treatment. The first thing to say is that fertility services are a highly researched and evaluated area of science. They will have experience and knowledge about contraindications and the potential impact of key medications. So they need to know what you are prescribed and may wish to liaise with your prescribing doctor. The fertility service will then, with you both, decide on the best course of treatment going forward. Your medical team will also need to be aware that you are on additional treatment or stopping some medication, to be able to monitor you from their perspective too. It is a delicate balance but they will want to fully support and keep you well throughout. Fertility services often have counsellors attached to support couples psychologically with the ups and downs of the treatment. If you need additional support, you can also contact your local Talking Therapies service. We wish you every success as you take this exciting first step.