Van Balen and Inhorn

Van Balen and Inhorn (1997) cite the difficulty in conducting researches on infertility have mainly been due to the these four points,
1.It was considered to be a medical problem and one that did not need further discourses of action
2.A taboo subject, difficult to engage persons to speak about it.
3.Seen predominantly as a woman’s issue , had taken a gender based perspective always, changing social beliefs about parenthood and womanhood.
4.Researches were focused more on assisted reproductive techniques than on psycho-social impacts on individuals.
WHO (World Health Organization) has acknowledged that one of the main hindrances in treating and identification is the lack of uniform access to quality of healthcare world-over to this condition. There are no uniform standards about who needs what-type of care. There has always been a lack of clarity regarding the population who is in need of psycho-social aid. Of all the treatment seekers, about twenty to twenty five percent of individuals seek counselling aid. This was commonly seen in the Western countries than in Asian cultures. On the basis of this, a few pointers to who might benefit from a psycho-social aid has been identified.
1.Individuals and couples with marital distress and issues.
2.Past psychiatric history or those vulnerable for a developing one
3.Those who are unable to decide about treatment continuation
4.Those with a family history of genetic comorbidities
5.Women who are pregnant with multiples
6.Loss of pregnancy experienced by them more than once
7. Recipients of donor gametes, either from male or female.