Stress and mediators: patients' perceptions of infertility treatment

In-depth joint interviews of 25 infertile couples covering the full range of infertility etiologies and treatments were conducted in this qualitative study. Professional competency, sensitivity, and environmental comfort acted as mediators by increasing or decreasing treatment stress. In addition, couples individually or collectively developed action or mental strategies to mitigate stress. High stress, lack of hope, and frustration led to contemplation of terminating treatment.