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=== Adverse impact of infertility ===
 
=== Adverse impact of infertility ===
 
   
 
   
Infertility is one of the major stress factor [ ] similar to the intensity of a life-threatening illness. [ ] [ ] This distress and its treatment can affect various aspects of personal and family life.  [ ] It also adversely affects the relationship in terms of support, satisfaction and communication [ ], increases anxiety, guilt, somatization and depression. [ ] It challenges one’s own beliefs and about the world. [ ]  The social network is affected as well.[ ] As purpose of life is terribly shattered person goes in depression and considers himself as useless.  
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Infertility is one of the major stress factor <ref>Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol. 2007;21(2):293–308.</ref> similar to the intensity of a life-threatening illness. <ref>Cook E: Characteristics of the biopsychosocial crisis of infertility. J Counsel Dev 1987;65:465-471</ref> <ref>Leiblum SR, Aviv A and Hamer R (1998) Life after infertility treatment: a long-term investigation of marital and sexual function. Hum Reprod 13, 3569–3574</ref> This distress and its treatment can affect various aspects of personal and family life.  <ref>Burns LH and Covington SH (1999) Psychology of Infertility. In Burns LH and Covington SH (eds) Infertility Counselling.A Comprehensive Handbook for Clinicians. Parthenon Publishing, New York, pp. 3–25.</ref> It also adversely affects the relationship in terms of support, satisfaction and communication <ref>Lee T-Y, Sun G-H and Chao S-C (2001) The effect of an infertility diagnosis on the distress, marital and sexual satisfaction between husbands and wives in Taiwan. Hum Reprod 16, 1762–1767.</ref>, increases anxiety, guilt, somatization and depression. <ref>Fassino S, Pièro A, Boggio S, Piccioni V and Garzano L (2002) Anxiety, depression and anger suppression in infertile couples: a controlled study. Hum Reprod 17, 2986–2994.</ref> It challenges one’s own beliefs and about the world. <ref>Domar A, Zuttermeister PC, Seibel M and Benson H (1992b) Psychological improvement in infertile women after behavioural treatment: a replication. Fertil Steril 58, 144–147.</ref>The social network is affected as well.<ref>Fekkes M, Buitendijk SE, Verrips GHW, Braat DDM, Brewaeys AMA, Dolfing JG, Kortman M, Leerentveld RA and Macklon NS (2003) Health-related quality of life in relation to gender to gender and age in couples planning IVF treatment. Hum Reprod 18, 1536–1543</ref> As purpose of life is terribly shattered person goes in depression and considers himself as useless.
    
=== Selected vajikarana herbs and formulations currently in use ===
 
=== Selected vajikarana herbs and formulations currently in use ===