Women's experiences of a medically supervised fasting intervention for infertility: a qualitative study.

In 30 seconds

Nested within a randomized controlled trial of medically supervised prolonged fluid-only fasting (< 500 kcal/day) for infertility, this qualitative study explored women’s experiences of the intervention. Semi-structured interviews with eight women were analysed using inductive thematic analysis. Participants generally found fasting acceptable, while describing fatigue, dissatisfaction with taste, cravings, low mood and social withdrawal. They also reported physical well-being, improved mood and inner balance, and valued having an active role in fertility treatment. Experiences after fasting varied: some women felt renewed hope, while others became less focused on conception.

Key findings

• Eight women were interviewed; fasting was generally perceived as acceptable.
• Reported challenges included fatigue, taste dissatisfaction, cravings, low mood and social withdrawal.
• Participants described physical well-being, improved mood and inner balance as perceived benefits.
• After fasting, some women reported renewed hope for fertility treatment, while others described less intense focus on conception.

Why it matters

The findings show how women experiencing infertility may perceive a medically supervised fasting intervention, including both its burdens and potential psychological or physical benefits. Understanding acceptability and the support participants found helpful can inform discussion of this approach and the design of further research, while the qualitative accounts do not establish effects on fertility outcomes.

What to keep in mind

The qualitative findings are based on interviews with eight women who were available and willing to participate, limiting the range of experiences represented.