
I'm going into quite a lot of detail about MBM because in the UK people usually don't know very much about MBM.
The distress of infertility is huge but of course you knew that. Many people who have not been there themselves would be shocked to know that infertility causes similar levels of distress to being diagnosed with a major life-threatening illness or of having someone you love die.
Infertility treatment is also distressing. The commonest reason for giving up IVF before you have conceived is not the expense (if you are paying for it) but the distress it causes, although only about 25% of people starting IVF think it is going to be that stressful.
This level of distress is a bad enough experience in emotional terms, but unfortunately stress has physical effects too. Emotional distress, for example, disturbs the GnRH pulse which controls the LH/FSH cycle and may interfere with immune responses, to name but two consequences.