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Everyone has feelings and emotional ups and downs as they pursue infertility treatment. Feeling overwhelmed at times is a perfectly normal response. However, if you experience any of the following symptoms over a prolonged period of time, you may benefit a great deal from working with a mental health professional: loss of interest in usual activities; depression that doesn't lift; strained interpersonal relationships (with partner, family, friends and/or colleagues); difficulty thinking of anything other than your infertility; high levels of anxiety; diminished ability to accomplish tasks; difficulty with concentration; change in your sleep patterns (difficulty falling asleep or staying asleep, early morning awakening, sleeping more than usual for you); change in your appetite or weight (increase or decrease); increased use of drugs or alcohol; thoughts about death or suicide; social isolation; persistent feelings of pessimism, guilt, or worthlessness; persistent feelings of bitterness or anger. 

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Menopausal Medicine May 2009, Volume 17, Number 2

Child-rearing ability and the provision of fertility services

Informing offspring of their conception by gamete donation

Using family members as gamete donors and surrogates

Human immunodeficiency virus and infertility treatment

Informed consent and the use of gametes and embryos for research

Posthumous collection and use of reproductive tissue

Infertility Counseling and Support: When and Where To Find It

August 2008, Volume 16, Number 3 (PDF, 715K file)

Defining embryo donation

Age and Fertility (booklet)

Recommendations for gamete and embryo donation

Mature oocyte cryopreservation: a guideline

Disfunción sexual e infertilidad

Counseling Issues for Gay Men and Lesbians Seeking Assisted Reproductive Technologies (ART)

Recommendations for practices utilitzing gestational carriers

Temas de asesoramiento para personas homosexuales que buscan tecnologías de reproducción asistida (TRA)

Donación de embriones

The clinical irrelevance of luteal phase deficiency

Embarazo y Nacimientos Múltiples: Mellizos, Trillizos, o Mayor Número de Bebés (Multiple pregnancy and birth)

Cross-border reproductive care

Consideration of the gestational carrier

Use of preimplantation genetic diagnosis for serious adult onset conditions

Misconduct in third-party assisted reproduction

Ovarian tissue cryopreservation

Fertility Rights And Responsibilities

Talking to children about their gay and lesbian parents

Does my age affect my fertility?

Apoyo y asesoramiento para la infertilidad: cuándo y dónde encontrarlos

¿La edad afecta mi fertilidad?

Age and fertility-Chinese

Multiple pregnancy and birth-Chinese

Third-party reproduction-Chinese

Male cancer, cryopreservation, and fertility

Provision of fertility services for women at increased risk of complications