Therapy for IVF, Fertility Issues, Miscarriage & Infertility. Specialist Support for Women. Online, UK Wide.

Saff Mitten

Counselling & Psychotherapy

Specialist Counselling for Fertility Challenges, IVF, Miscarriage & Loss - Online

Hi, and welcome. If you’re navigating fertility challenges, IVF, miscarriage, or childlessness, you’re not alone - and you’re in the right place.

I am a counsellor and psychotherapist who specialises in supporting women who are dealing with these issues. In my work, I draw upon my own personal experience of this journey, alongside many years of experience as a therapist.

I support women through every stage of fertility and loss - from struggling to conceive, natural conception, and miscarriage, to IVF, IUI, ICSI, and donor conception. I also work with women navigating pregnancy after loss, secondary infertility, surrogacy, deciding whether to stop treatment, and coming to terms with a life without children.

I know that reaching out for therapy can feel overwhelming when you’re navigating miscarriage, fertility struggles, or infertility. My aim is to give you a clear sense of who I am and how I work, so you can decide whether I’m the right therapist for you.

I offer online counselling across London - including Walthamstow, Woodford, Highams Park and Buckhurst Hill - as well as supporting clients UK‑wide.

If you have any questions ahead of booking an appointment, I’m always happy to answer them. I also offer a free initial 15 minute phone consultation if you'd like to speak before booking a first session.

Saff Mitten, specialist psychotherapist for miscarriage and infertility in London.

My Personal Experience of Fertility Issues - Why I Specialise in This Work

My decision to specialise in supporting women navigating fertility issues, IVF, miscarriage and infertility is deeply personal.

After a few years of trying to conceive naturally, I was diagnosed with unexplained infertility. What followed was a long and complex IVF journey, including transitioning to donor eggs, treatment overseas, and several rounds of donor‑egg IVF. Along the way, I experienced multiple miscarriages - including two missed miscarriages discovered at a scan, where I heard those devastating words: “I’m sorry, there’s no heartbeat.”

My experience of infertility, IVF, miscarriage and loss was the most challenging and emotionally painful period of my life. It affected me profoundly - my sense of self, my relationships, and the way I moved through the world - in ways I could never have imagined.

It also made me acutely aware that unless someone has been through it, it’s very hard to truly understand. Fertility struggles can be incredibly lonely and isolating, and many women feel they have little support at the very moment they need it most.

Because of this, I chose to refocus my work as a therapist to specialise in supporting women through these experiences. I know how important it is to be supported by someone who genuinely understands the emotional, physical and relational impact of fertility challenges, and I feel uniquely placed to offer that.

This community - women navigating fertility, loss and the possibility of childlessness - feels like home to me. It’s a privilege to support women through their own painful and complex journeys.

You can learn more about my background and my decision to specialise as a counsellor for miscarriage, fertility and IVF here.

Or read on to explore how I can support you.

Miscarriage (baby loss) can be an incredibly painful and lonely experience. Having had multiple miscarriages myself, I know this first hand.

The emotional impact can be multi-layered, including deep ongoing grief, shock, guilt, anger, and a sense that your world has shifted in ways you didn’t expect. Many women also describe feeling dismissed or unsupported, especially when others may (inadvertently) minimise their loss, or struggle to find the right words - particularly if the loss was in the first 12 weeks.

I explore this further in my article on the often silent grief of miscarriage, which many women say helped them feel less alone in what they were carrying.

If you have experienced miscarriage, you might be navigating physical recovery, emotional overwhelm and trauma, alongside the deeply painful grief of the baby you have lost and the life you had imagined with them in it.

For some women, miscarriage also brings questions about identity, fears about the future, and strain on relationships or intimacy. It can feel as though your life has paused while the world continues around you, leaving you unsure how to move forward or how to make sense of what you’re feeling.

I explore aspects of this in my article on why miscarriage can trigger fear and anxiety, which looks at how loss can affect your sense of safety and emotional wellbeing.

Therapy offers a gentle, supportive space to process what has happened, explore the emotional impact, and find your footing again. It’s not necessarily about moving on, but it’s about honouring and acknowledging your loss and the impact it has had on you, so you can gradually learn to integrate it into your life.

Whether your miscarriage was recent or many years ago, what you have experienced is valid and significant. Having been through the pain and loss of miscarriage myself, and experiencing the wide ranging effects it can have, I understand what it's like on a deep level, and I would be honoured to support you with your experience. Therapy can’t magic the pain away, but it can help you feel supported and seen, as you grieve and process what has happened.

Learn more about my work counselling women dealing with miscarriage and baby loss here, or contact me now to arrange a free 15 minute telephone consultation to help you decide if you would like to work with me.

Please note, I am also listed as an approved therapist on the Miscarriage Association Counsellors Directory.

The infertility and fertility journey is often described as a rollercoaster - and for good reason. It's one of the most emotionally difficult and gruelling experiences a woman can face. It can affect every part of life - your sense of identity, your relationships, your confidence, your mental health, and your hopes for the future.

I explore this further in my article on the hidden emotional weight of IVF, which many women say captures the emotional intensity of treatment in a way they haven’t seen elsewhere.

It’s common to feel overwhelmed, stressed, isolated and exhausted when you’re navigating medical appointments, tests and treatment decisions, alongside grappling with the pain and uncertainty of not knowing if you will definitely get to be a mother or not - all while trying to deal with everyday life.

I write more about this emotional toll in my article When infertility starts to feel like a curse, which explores how repeated cycles and uncertainty can leave you feeling worn down and alone.

As a counsellor, I support women through all stages of the fertility journey, including:

  • Difficulties conceiving naturally
  • Secondary infertility (struggling to conceive again after having a child)
  • IVF, IUI, ICSI and other fertility treatments
  • Repeated IVF cycles and the emotional toll of “trying again”
  • Processing failed IVF and other fertility treatment
  • Pregnancy after loss or treatment
  • Using donor eggs or sperm. I explore this further in my article on the emotional impact of donor conception.
  • Donor embryo conception
  • Considering treatment abroad
  • Navigating uncertainty and waiting
  • Coping with the simultaneous pain of hope and loss
  • The quiet pain of feeling left behind as others around you announce pregnancies or grow their families. Explored further in my article on pregnancy envy.
  • Exploring the idea of surrogacy or adoption
  • Coming to terms with the devastating reality of a journey ending without becoming a mother (childless not by choice).

Undertaking therapy with someone who truly understands what infertility is like can help you feel seen, understood and supported. This alone can feel like a huge relief when so few people in your life “get it”.

Beyond this, counselling and psychotherapy can help you explore your thoughts and feelings, reduce emotional overwhelm, and find steadiness and support during a time that can feel unpredictable and all‑consuming.

You can learn more about my work offering specialist miscarriage and fertility support here. Or if you feel ready to take the next step, you're welcome to get in touch.

Latest Blog Posts on Miscarriage, Fertility Issues, IVF & Infertility

When The Fertility Journey Shrinks Your Life
This article explores how the fertility journey can cause your world to shrink until the process feels like all you have left. It looks at the emotional toll from this, and how therapy can help you gently reclaim a sense of self.
When Fertility Struggles Can Build Resentment Towards Your Partner
One of the things that is rarely discussed is the resentment that can build toward your partner during fertility struggles. This piece explores why these feelings arise, why they don’t make you a bad partner, and how individual therapy can offer a safe place to process them and protect your relationship.

You may also find these recent articles helpful. If you want to see the full list of articles I have written, please visit my blog. I update it regularly. Additionally, I write articles for the Counselling Directory website on similar issues, and I have written guest blog posts for the Miscarriage Association.


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