infertility leads to a great social and psychological impact on the couple, in addition to the financial burdon. I am a gynaecologist working in an infertility treatment centre. In my experience,i''ve seen that most of the couples concentrate on diagnosis and treatment of the underlying desease. It may be a good approach if all the cases of infertility are due to desease.There is a good number of cases where infertility is due to unexplained causes, ie, both the parteners are healthy. and no desease is found on investigations. In such cases i would recommend only one treatment, tender loving care and hope. Make positive changes in your life style, stop smoking, keep hope alive.Most people are very depressed by the time they consult a gynaecologist,resulting in a loss of interest in each other,and thus frequency of intercourse.Anxiety and depression also add to the problem , it decreases the frequency of ovulation and also the quality of germ cells that are being produced inthe body. But antidepressent drugs do not improve fertility.So the solution lies in keeping a positive approach and keeping hope alive.
In some cases active or passive smoking is also a contributory factor,it decreases the motility of sperms and decrease number of sperms.I n cases where there is decrease quality of sperms frequent inercourse helps, by consuming low quality sperms and then activating the testes to produce good quality sperms.
I''ve seen that those couples who adopt a child soon concieve, the reason is that there desperation is gone and they start living a happy life with the adopted child which improves ovulation in female partener.