According to the report findings most people grow up believing that having children is a normal and natural part of life. We take for granted that, when the time is right, we'll be able to create the family we want. We don't expect it will be difficult. We don't expect we'll need anyone else's help. For some people, though, creating a family turns out to be a bit more complicated.As the study stresses probably the most common experience for couples when they initially discover they have a fertility problem is shock and disbelief. They might even think the test results are wrong or have been mixed up with someone else's. Most of us grow up with the expectation that, when the time and circumstances are right, we will find the right partner and have children. During adolescence we are constantly taught to be wary of our fertility, to abstain from sex, or to make sure we use contraception. Many of us spend our younger years desperately trying not to get pregnant; worrying that one forgotten pill, one act of unprotected sex, will result in an immediate pregnancy. We grow up believing conception is natural and easy and rarely do we question the fact that it will happen. It is not surprising, therefore, that we are shocked when it doesn't. Men and women both define themselves through their genetic contribution to making a baby, but it is men's only biological contribution, and when they are unable to do this it is not unusual for them to feel an enormous sense of loss, disappointment, frustration or anger. (Nachtigall, Becker, & Wozny, 1992). Many men won't want to talk about it either, which may further reinforce their sense of isolation. Society still equates the capacity to father a child with masculinity, and in some cultures this belief is held very strongly. It is not uncommon for men who have problems with their sperm to struggle with issues of identity, masculinity and self-esteem. Many men experience strong feelings of guilt and some even feel that, in a way, they are failing to fulfil their marriage contract.
In short, failure to conceive may result in ”depression, anxiety, sexual/relationship difficulties, loss of self-esteem, guilt, frustration, feelings akin to mourning and health problems” (Glover et al., 1996).
Infertility or sub-fertility equally affects both men and women. For men it is most commonly due to poor sperm quality or quantity. For women it can be due to a number of factors. The causes of female infertility divide into 42 per cent which is unexplained, 33 per cent which is due to tubal disease, 17 per cent which is due to other medical factors and 8 per cent which is due to endometriosis
Because there are many possible causes of infertility or sub-fertility in both men and women there are also many possible treatments. Few of such treatments have been discussed