Infertility is a medical diagnosis impacting 48.5 million couples globally. Infertility impacts physical and emotional health as well as social and romantic relationships. People with infertility report feelings of distress, grief, anxiety and depression. Couples notice changes in their relationships; some report becoming emotionally closer while others report relationship difficulties. People may feel more isolated due to lack of social support. People that use third party reproduction, such as donor egg, sperm, embryo or gestational carriers, have additional emotional impacts during pregnancy and parenting. Continuing changes to laws complicate international fertility care, particularly given the ongoing COVID‐19 pandemic.

中文翻译：

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不孕症的心理成分

不孕症是一种医学诊断，影响了全球4850万对夫妇。不育会影响身体和情绪健康以及社交和恋爱关系。不育症患者报告有困扰，悲伤，焦虑和沮丧的感觉。夫妻注意到他们的关系发生了变化。有些人在情感上变得越来越亲密，而另一些人则报告了人际关系困难。由于缺乏社会支持，人们可能会感到更加孤立。使用第三方生殖的人，例如捐赠者的卵子，精子，胚胎或妊娠携带者，在怀孕和育儿期间会产生额外的情感影响。法律的不断变化使国际生育保健变得更加复杂，特别是考虑到持续发生的COVID-19大流行。