The problem or issue with male infertility looks very peripheral and most people don't perceive it as a social context as in case of females. Infertility imposes a noticeable psychological burden even on male patients. A huge portion of these men is suffering from azospermia and infertility related to the abnormalities in sperm parameters. Paradoxically the assisted reproductive technology like intra cytoplasmic sperm injection (ICSI) has demanded a great priority for identifying and understanding the basis of sperm abnormalities of unknown origin.

The Indian picture says that 6% of men who are between aged 15-44 years are infertile. Many Medical reports in recent years proved that the incidence of male infertility in India has significantly increased as a result of multiple factors like environmental factors, pollution, stress, food, lifestyle. There are many specific factors like alcohol, testicular heat, chemical ingestion, smoking that really puts double stress on the incidence and disease progress of men infertility in India.

Recent days males have witnessed a huge margin of loss and burden due to unexplained infertility where specific cause is still remains unclear.Men generally undergo stress and various phases of stress related issues like business related, general health problems, financial burden, etc. has led the problem into a severe form. Emotional stress could be one of these factors that are consistently overlooked.The stress itself can be a cause or stress is a result of infertility in men.

There is a pool of data that supports impact of emotional stress on the female's reproductive health, but issues with men doesn't have large data to conclude. There is, still a lack of clear consensus on the concept of psychological stress measurement.Though some reports explain the association between increased levels of psychological stress and disturbed reproductive performance but no scales looks standardized.

Stress due to any cause is a dangerous sign, especially due to infertility the streets find a different face in terms of social, psychological, physiological, emotional and spiritual destruction of human beings are necessarily being damaged leading to permanent sterility or azospemia where a man can no more be able to generate androgens, sperms.

On a general preposition or hypothesis, it is believed that the impact of stress related to infertility in men might goes beyond affecting the couple's ability to have children and also to affect their actual marital relationship leading to divorce or separation. The majority of the couple complains the issue as not just the lack of children, but also with a feeling of wanting to be separate or divorced or wanted to be married with someone.

The majority of counselorslors and mental health specialists in India reports that men with azoospermia would lose the urge of getting indulged in sexual intimacy that again leading to an extreme form of childless state and making them to feel inferior. They also complain that they are not feeling completely on comparison with social platforms.

Couple or men who already had a child and trying for second child would feel a different form of stress by not giving interest and attention to the present child or showing an aggressive reaction to the young child or quarrelling with women and other family members etc.

In India, it is a recent observation that both husband and wife lives a corporate and busy life who do not get time to relax enough, working too uptight, working for extended many hours etc will make them add their stress in addition to the stress related to infertility. They fail to manage their time that again adversely affects their health. Stress might be felt in 2 different forms like Internal and External.

How men`s infertility stress is connected with life?

Infertility would aggravate the constant demand for cortisol secretion that will eventually put pressure on adrenal glands leading to the disruption of the production of testosterone and e in men progesterone, estrogen in women can both combine together and make it a problem of both husband and wife instead of just a man`s issue.
Common reactions of men related to infertility stress are poor productivity, lack of interest in the job, sexual dysfunction, lack of ability to communicate, absenteeism, depression, hostility, guilt, anger and deprived memory status etc.
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