“…It is considered a complex 40 problem: in addition to the causative somatic or sexual disorders, infer-41 tility has a significant negative psychological and mental impact on both 42 men and women, including those undergoing assisted reproductive 43 technology (ART) [2,3]. 44 Individuals affected by infertility can report loss of self-esteem, sex-45 ual distress or stress, depression, guilt, anxiety, frustration, emotional 46 distress, and marital problems, all of which are affected by outcomes of infertility treatment.…”