There has been discussion about the connection between stress and infertility for many years. It is evident that infertility generates stress since women who are infertile report higher-than-average levels of anxiety and sadness. But the connection between stress and infertility is less clear. Many times, infertility is a silent battle. Patients who are having trouble getting pregnant describe feeling depressed, anxious, lonely, and out of control. Patients with infertility have depression levels that have been compared to those of cancer patients. Despite the fact that infertility is common, most infertile women do not discuss their situation with family or friends, which makes them more vulnerable psychologically. Lack of natural reproduction can result in feelings of guilt, humiliation, and low self-esteem. These unfavourable emotions can result in varied degrees of worry, despair, distress, and a poor quality of life. It is critical to identify, acknowledge, and support patients who get Assisted Reproductive Treatment (ART) as they deal with their infertility diagnosis and care because these patients are at a high risk of developing psychiatric illnesses. What can we do to reduce stress? Let’s check ahead in this article… The possibility that psychological variables may have an impact on pregnancy rates is one of the most contentious topics in the field of reproductive medicine. The idea that stress impairs reproduction function is supported by many urban legends, although it has been difficult to corroborate. Numerous research has looked into the connection between psychological symptoms before and during ART cycles and future conception rates, with varying degrees of success. Some researchers have demonstrated that the lower the pregnancy rates, the more upset the women were prior to and during therapy, although other studies have not. IVF and ICSI are examples of Assisted Reproductive Technology (ART) in which sperm and eggs are fertilised outside. ICSI is utilised when there is a male cause of infertility, while IVF is used for female infertility and infertility that cannot be explained. When there is no male reason for infertility, ICSI is occasionally administered, although data indicate that this does not raise the likelihood of becoming pregnant. Causes of Infertility Male Infertility: • Abnormal sperm production or function • Problems with the delivery of sperm • Overexposure to certain environmental factors • Damage related to cancer and its treatment Female Infertility: • Ovulation disorders • Uterine or cervical abnormalities • Fallopian tube damage or blockage • Endometriosis • Primary ovarian insufficiency (early menopause) • Pelvic adhesions • Cancer and its treatment A little over 1 in 4 cases of infertility are undiagnosed. At this point, neither partner's behaviour has a clear cause. Consult your doctor about the next steps if the root of your fertility issues has not yet been identified. The National Institute for Health and Care Excellence (NICE) advises that IVF therapy be made available to women with unexplained infertility who haven't conceived after two years of engaging in frequent unprotected intercourse. Treatment • Hormone stimulation: A course of injectable fertility medications is used to stimulate the woman's ovaries. • Retrieval of mature eggs: When the eggs are ready, they are removed from the mother while she is lightly sedated. • Embryo development: During IVF, the male partner's or a donor's sperm is introduced to the eggs to facilitate fertilisation. When using ICSI, the researcher selects a single sperm and inserts it into each egg with a tiny needle. The embryos are then allowed to mature in the laboratory for 2 to 5 days (depending on clinic procedures). • Embryo transfer: If the eggs are fertilised and develop into embryos, one (or occasionally two) is transferred into the woman's uterus. (When several embryos develop, it is possible to save them and use them in subsequent embryo transfers.) • Test for clinical pregnancy two weeks after the embryo transfer: To determine whether the treatment was successful, the lady receives a blood test: In the event that the test is positive, an ultrasound is planned for two weeks later to ensure that the pregnancy is progressing normally. (Note: Because miscarriages can happen, a clinical pregnancy does not ensure the birth of a child.) The woman will experience her menstruation and then have to decide whether to try again if the test is negative. Without having to stimulate the ovaries, if she has frozen embryos, these can be replaced one at a time. • A live baby refers to a newborn who is still alive (multiple births are classed as a single live birth). Quality training in infertility management It is really disturbing to see the proliferation of infertility clinics and misconduct in India. Politicians and legislators are thus under pressure to examine, comprehend, and regulate these behaviours. It is, therefore, necessary that quality training in infertility management is provided in order to reduce the misdemeanours in this field. Medline Academics is one such institute which offers a fellowship in Infertility and IUI. Besides, it also offers multiple certificate courses in infertility. Fellowship in infertility is one of the most demanded courses by practitioners. Our training programs are developed based on the priorities of the learner's needs. The primary goal of Medline Academics is to meet the varied and evolving health requirements of the community. These organisations' training initiatives are centred on the requirements of various target populations from various social, economic, cultural, and psychological backgrounds. It can significantly enhance the health of the population. In Medline, understanding the training requirements of the target audience is the first step in developing educational interventions. The final step in the training process involves carrying out the needs analysis properly before creating the training programme. What makes us different from other training institutes is the provision of online infertility courses, which the students can avail at any time at their convenience. These online certification courses are self as well as instructor-paced. For more information about these courses, visit our website www.medlineacademics.com