Complex fertility journeys & the workplace
How workers navigate fertility challenges, including fertility treatment, alongside work and employment, and what employers can do to help.
Published : 01/05/2022
Home » Supporting employees through fertility journeys
Executive Summary
“This research report derives from a two-year project funded by The Leverhulme Trust on the topic of ‘complex fertility journeys and employment’. The full study has a broader remit, but this summary sets out the findings most relevant to employers and HR professionals interested in making their organisations more ‘fertility friendly’.

For further information about the full project please visit:
https://www.mmu.ac.uk/research/research-centres/dwp/projects/complex-fertility-journeys
“In this report we focus on the key themes which emerged from interviews with 67 women and 13 men on complex fertility journeys (which often included fertility tests and fertility treatment, and for some included pregnancy loss and involuntary childlessness), as well as supplementary interviews with 20 line managers and fertility counsellors.
“Our findings centre on two issues. The first is the difficulty of navigating a highly individualised and unpredictable complex fertility journey. Experience differed hugely in our sample in terms of the origins of fertility issues, the experiences/challenges faced, the duration of the journey, and the outcome. The commonality in our dataset centred around the additional ‘work’ required to navigate this journey alongside paid employment, and the general lack of knowledge about this individual complexity in an employment context. Whilst not the whole story, the extent to which someone feels able to disclose (tell people about) their experience at work, and the way their manager and colleagues respond, often makes a significant (negative or positive) difference to their experience.
“The second finding concerns organisational context. While many organisations recognise the need to take active steps to accommodate employee pregnancy, maternity and parenting needs, there is evidence that traditional inequalities are being perpetuated in terms of wider fertility concerns. Moreover, where organisations have started to engage with fertility treatment, organisational policy and HR responses are often not sufficiently nuanced to be helpful. Particular gaps appear in terms of support for line managers and for those who are unsuccessful in their fertility journeys.
“We conclude this report with recommendations for employers, which include awareness raising; peer support; manager training and core principles for policy.”
Wilkinson, K., Mumford, C., Carroll, M. Complex Fertility Journeys and Employment: How workers navigate fertility challenges, including fertility treatment, alongside work and employment, and what employers can do to help.. Manchester Metropolitan University.
Man Up: an ethnodrama
Man Up is an audio-only monologue from the male/partner perspective – a fictionalised vignette derived from research data, and may be of interest to those on complex fertility journeys, people managers, and those with a general interest in learning more about the possible issues.
Link to transcript
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