“…Individuals with infertility in Ghana often experience intense pressure, stigma, and social exclusion due to cultural beliefs (Anokye et al, 2017; Donkor & Sandall, 2007, 2009; Fledderjohann, 2012; Naab et al, 2013; Ofosu-Budu & Hanninen, 2020; Tabong & Adongo, 2013a) as well as marital strain and instability (Anokye et al, 2017; Donkor et al, 2017; Fledderjohann, 2012; Nachinab et al, 2019; Nyarko & Amu, 2015; Tabong & Adongo, 2013a). Consequences are often more severe for women who are disproportionately blamed for infertility (Fledderjohann, 2012; Nachinab et al, 2019; Ofosu-Budu & Hanninen, 2020; Tabong & Adongo, 2013a), and, as a result, men are often reluctant to seek care for infertility and women often go alone (Fledderjohann, 2012; Hiadzi & Woodward, 2019; Tabong & Adongo, 2013b). Due to the social and health consequences, a high proportion of those with infertility in Ghana report emotional difficulties including feelings of worry, distress, low self-esteem, loneliness, anxiety, sadness, and depression (Alhassan et al, 2014; Anokye et al, 2017; Donkor et al, 2017; Fledderjohann, 2012; Naab et al, 2013; Nyarko & Amu, 2015; Ofosu-Budu & Hanninen, 2020).…”