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Infertility is experienced by 15-25% of couples throughout the world. The negative effects of infertility on individuals, couples, and families is extensive, influencing mental health, perceptions of self, marital satisfaction, and family relationships. Within couples experiencing infertility, the sexual relationship can also be adversely affected, resulting in an increase in sexual dysfunction and a decrease in sexual satisfaction. Many therapists are unaware of infertility-specific assessment and intervention procedures when working with couple clients experiencing infertility. We provide details for assessment of couples experiencing infertility and suggest the use of an intersystem approach during intervention, focusing on individual biological factors, individual psychological factors, dyadic relationship factors, intergenerational factors, and societal and cultural factors. A case study is presented detailing the use of an intersystem approach in the treatment of one couple experiencing infertility.

Sex therapy with couples experiencing infertility: an intersystem approach