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Psycho-therapeutic interventions for addressing concerns and requirements related to infertility related distress has been studied and have been found to be the need of the hour. There has been an increasing understanding about the needs and requirements for specific terms and skill sets for infertility specific distress and psycho-education for infertility and childlessness.
Psycho-social interventions need to be addressed from both a medical and psychological aspect rather than taking an individualistic route. A medical approach assumes that only when the individual or the couple suffers severe distress should they be referred for psychological attention. But it has been seen from a psychological perspective that it is more beneficial and helpful if counseling is provided, research evidence suggests that men and women experiencing infertility and involuntary childless have a favorable attitude towards psycho-social interventions.
Infertility needs to be approached as a couples issue than as for an individual’s alone. Counseling is highly recommended for both partners together, there are gender based differences between men and women and women are more likely to see a counselor. For the couple, it is helpful to explain that infertility is a couple’s issue and therefore it is highly recommended that both the partners attend atleast the initial counselling together and provide information about the psycho-social aspects of infertility. Addressing the counseling and psycho-therapeutic needs of a couple requires an in-depth knowledge regarding the possible difficulties and areas that needs that cause distress to the couple. Certain organizations and ethical bodies have developed a codes of practice and practitioner’s both medical and psycho-social are expected to adhere to the guidelines given . the codes of practice to be followed by infertility specific counselors are :
1.Knowledge about the psychology of infertility (typical and atypical responses to infertility and medical treatment bereavement, and crisis intervention)
2.impact on the individual on self-esteem, effects on marital quality (such as gender differences and the impact on a couple’s sexual relationship) and societal issues (such as the stigma and taboo associated with infertility)
3.Assistance and assessment to help the family in building alternatives (adoption, third party reproduction, living without children)
4.Individual and couple counseling
5.Medical treatment possibilities
6.Pregnancy and birth following ART
7.Alternative medicine relevant for infertility
8.Legal and ethical issues related to ART. Furthermore, they must have a minimum of clinical experience in infertility counseling and under-go regular supervision and continuing education.

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