
San Diego, CA | Online across California
Couples Fertility Counseling
Couples fertility counseling provides specialized support for partners navigating infertility, fertility treatment, pregnancy loss, donor conception, surrogacy, and other family-building challenges. Together, you'll strengthen communication, work through difficult decisions, and build practical tools for navigating the emotional impact of infertility as a team.
What Is Couples Fertility Counseling?
Couples fertility counseling is therapy focused on the strain that infertility and family building place on a relationship. Partners often cope differently, struggle to communicate, or feel isolated and disconnected during an already emotional time.
I am Dr. Karen Hall, a clinical psychologist with advanced training in reproductive psychology, fertility counseling, and evidence-based couples therapy. I help both partners feel heard and equipped to face these challenges as a team.


How I Work
My work with you draws on advanced training in reproductive psychology and evidence-based couples therapy. My goal is to help you reconnect, communicate, and move forward as a team.
What to Expect
A supportive, balanced space.
Both partners are heard, and neither voice gets lost in the harder conversations.
Evidence-based couples therapy.
We build practical communication and decision-making skills grounded in proven approaches.
Reproductive psychology expertise.
The specific pressures of fertility treatment, loss, and family building shape the work.

Does This Sound Like You?
You and your partner are coping in different ways
One of you wants to talk it through, the other needs space, and the gap between you keeps widening.
Communication has gotten harder
Conversations about treatment or next steps turn tense, or stop happening at all.
You feel isolated even from each other
Misunderstood, disconnected, carrying the weight side by side but somehow alone.
The decisions feel impossible
Treatment, donor conception, surrogacy, adoption, or stopping. Each choice carries so much.
Intimacy has faded
Closeness has taken a back seat to appointments, timing, and grief.
How to Get Started
Reach Out
Contact me by phone (voicemails accepted!), email, or book a 10-minute consultation to briefly share what you are looking for.
Begin Counseling
We meet as-needed, building tools to cope with stress, uncertainty, and loss on your fertility journey.

What Changes with Couples Counseling
-
You communicate with more understanding and compassion
-
Your connection holds steady even through the stressful stretches
-
You navigate fertility treatments and family-building decisions as a team
-
You process grief, loss, and uncertainty together instead of alone
-
You adjust together to pregnancy, postpartum, and becoming parents
-
You find hope, resilience, and a shared path forward
Frequently Asked Questions

About Dr. Karen Hall
Dr. Karen Hall is a clinical psychologist and founder of The Center for Infertility Counseling and Support in San Diego, CA. She has supported people through fertility and family building challenges for more than 20 years, specializing in reproductive psychology. She offers individual fertility counseling in San Diego and online across California.

“Hi Dr. Hall! I meant to message you sooner after the birth of our baby boy, but was just thinking about you and some of the key points we talked about in therapy. I’ve taken much of that into my first months of parenthood and returned to it time and time again… just wanted you to know our time together has been invaluable to ushering me into parenthood after infertility.” Fertility Client 2023
