Select a condition Absence seizures Acne ADHD Age-related macular degeneration AIDS Alzheimer's disease AMD Amebic dysentery Anal tears Angina, stable Angina, unstable Ankle sprain Anorexia Anxiety Appendicitis Arthritis Asthma in adults Asthma in children Athlete's foot Atrial fibrillation Attention deficit hyperactivity disorder (ADHD) Autism Back pain Bacterial vaginosis Bad breath Bedsores Bedwetting Bell's palsy Benign prostatic hyperplasia Bipolar disorder Bladder infection in women Blood pressure Breast cancer Breast pain Bronchiectasis Bronchiolitis Bronchitis Bulimia Bunions Burning mouth syndrome Burns and scalds Canker sores Cardiac arrest Carpal tunnel syndrome Cataracts Cellulitis and erysipelas Chickenpox Childbirth, heavy bleeding Childbirth, tear or cut Chlamydia Chronic bronchitis Chronic fatigue syndrome Chronic obstructive pulmonary disease Chronic prostatitis Chronic tension type headache Cold sores Colic in babies Colon and rectal cancer Colon and rectal cancer screening Colonic diverticular disease Common cold Conjunctivitis Constipation in adults Constipation in children COPD Crib death Deep vein thrombosis Dementia Depression in adults Depression in children Diabetes, type 1 Diabetes, type 2 Diarrhea in adults Diarrhea in children Diverticular disease Ear infection, middle ear Ear infection, outer ear Ear infection with discharge Ear infection with fluid Ear pain during air travel Ear wax Eczema Emphysema Endometriosis Enlarged prostate Epilepsy Episiotomy Erection problems Essential tremor Febrile seizures Fertility problems Fibroids Flu Gallstones Genital herpes Genital warts GERD GERD in children Glaucoma Gonorrhea Gout Group B streptococcus H. pylori infection Halitosis Hay fever Headache, chronic tension type Head lice Heart and circulation problems in diabetes Heart attack Heartburn Heart failure Heavy periods Heel pain Hemorrhoids Hepatitis B Hepatitis C Hernia Herpes, genital Herpes simplex eye infection High blood pressure High blood pressure in pregnancy High cholesterol HIV infection Hyperactivity IBS Incontinence in women Infection in newborn babies Infertility Influenza Insomnia in adults Irritable bowel syndrome Jaundice in newborn babies Jet lag Kidney infection Kidney stones Leg cramps Leg ulcers Lewy body dementia Lung cancer Lyme disease Macular degeneration Malaria prevention Manic depression Mastalgia Measles, mumps and rubella: prevention Melanoma Meniere's disease Meningococcal disease Menopause Migraine in adults Migraine in children MMR prevention Morning sickness Multiple sclerosis Nail infection, fungal Neck pain Nicotine addiction Non-Hodgkin's lymphoma Nosebleeds in children Obesity Obsessive-compulsive disorder OCD Oral thrush Osteoarthritis Osteoporosis Ovarian cancer Painful periods Pancreas cancer Panic attacks Parkinson's disease PCOS Pelvic inflammatory disease Perineal care Peripheral arterial disease Peripheral vascular disease Pneumonia Polycystic ovary syndrome Postpartum depression Postpartum hemorrhage Post-traumatic stress disorder Preeclampsia Pregnancy, nausea Premature birth Pressure sores Prostate cancer Prostatitis, chronic Psoriasis PTSD Raynaud's disease Rectal cancer screening Recurrent cystitis Reflux in children Rheumatoid arthritis Scabies Schizophrenia Seasonal allergy Shoulder pain Sickle cell anemia Sickle cell disease SIDS Sinusitis Skin cancer (melanoma) Skin cancer (squamous cell) Sleep apnea Sleep problems in children Slipped disk Smoking Sore throat Stomach ulcers Stress headache Stress incontinence Stroke, emergency care Stroke prevention Sudden infant death syndrome Swimmer's ear Tennis elbow Tension headache Testicular cancer Thrush (oral) Tic douloureux Tinnitus Tonsillitis Toxoplasmosis in pregnancy Trigeminal neuralgia Underactive thyroid Urinary tract infections in children Varicocele Varicose veins Vascular dementia Warts Whiplash Wisdom teeth, impacted Wrinkles Yeast infection, vagina

Select treatment area Bladder & Kidneys Blood Brain & nervous system Cancer Children's health Diabetes Digestive system Ear, nose & throat Eating & weight Eyes Fertility Heart and circulation Hormones Infections Lungs & breathing Men's health Mental health Mouth Muscles & bones Pregnancy & childbirth Sexual health Skin Sleep Staying healthy Travel health Women's health

You might benefit from counseling if you:¹

• Lose interest in your usual activities
• Feel down for long periods
• Have strained relationships with your partner, family, friends or colleagues
• Have difficulty thinking of anything apart from your infertility
• Feel anxious a lot of the time
• Feel less able to accomplish things
• Have difficulty concentrating
• Notice a change in your sleep pattern (such as difficulty falling asleep, difficulty staying asleep, waking early, sleeping more than usual)
• Notice a change in your appetite or weight
• Think about using drugs or alcohol
• Think about suicide
• Feel lonely or distant from friends
• Have feelings of guilt or worthlessness that won't go away
• Have feelings of anger or bitterness that won't go away.

There are also certain times during your treatment when it may help to talk to a counselor. You should think about seeing a counselor if you are:

• Deciding whether to carry on with treatment
• Deciding between different treatments
• Thinking about stopping treatment or thinking about other ways of having a family, such as adoption
• Considering using donor eggs or donor sperm or finding a surrogate mother to have your child for you
• Having problems agreeing on treatment with your partner.

A counselor can:

• Help you learn to cope with infertility
• Teach you how to work through your grief, fear and other feelings
• Strengthen your coping skills.

A counselor will usually advise that you and your partner seek help together.

This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment. ©BMJ Publishing Group Limited 2008. All rights reserved.