"...A number of studies have examined stress and mood state, as predictors of outcome in assisted reproduction techniques. Most of these researches support the theory that stress and depression is directly linked with lower success rates among women pursuing infertility treatment.
I have personally found this true in my clinical practice. Generally I have observed that happy to go lucky and relaxed patients, who do not have much pressure on them seems to get pregnant easily with IVF / ICSI or even with IUI. The success rates of patients who are under stress, social pressure or negative in their thinking seems to be low and they often have to undergo multiple attempts, before getting a positive result.
On the other hand psychiatric diseases like depression can cause infertility. Depression could directly affect infertility due to the physiology of the depressed state which is characterized by elevated prolactin levels, disruption of the hypothalamic-pituitary-adrenal axis and thyroid dysfunction. The result is these women or men do not produce eggs or sperms as required..."
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