Resumen:
Psychological functioning was examined for a cross section of 104 couples in different stages of medical investigation for infertility. Couples were sepa- rated into three stages based upon the length of time they had been pursuing medical treatmentfor infertility: year 1, year 2, and year 3 and beyond. Emo- tional strain was moderately elevated during the first year, returned to more normal levels during the second year, and showed marked increases beyond year 3. Indices o f marital adjustment and sexual satisfaction were stable across the first two stages but deteriorated after the third year. These data suggest that the stage of treatment may exert a major influence upon psychological functioning for infertile couples pursuing medical assistance. The results are consistent with a model of psychological strain that reflects an acute stress reaction to the initial diagnosis and treatment