Feelings of frustration, anger, powerlessness, isolation and guilt are common. Loss of privacy, disruption of spontaneous sexual habits and feeling of reproductive failure or inadequacy are frequent causes of depression, anxiety and grief in patients. The couple may want referral for counseling. Conclusion Infertile couples want a pregnancy that can be produced in a timely fashion at the least cost possible. Selection of effective treatment is the first priority.
Precise diagnosis is less important.
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