In order to illustrate the inextricable intertwining of psychological, medical, social and other factors influencing infertility, I will give examples from my practice.1. A young woman whose doctors discovered an abnormal uterine structure during pregnancy planning cannot become pregnant naturally without surgical intervention and subsequent rehabilitation. Of course, such infertility cannot be called psychogenic. But such a woman is in dire need of psychological help on the path of treatment and further pregnancy planning, since she needs to cope with a situation, the subjective perception of which has dealt a blow to her self-esteem and image of the future as a whole, which can negatively affect her readiness for motherhood. In this case We conclude that the cause of infertility was the pathology of the development of internal organs, and psychological factors were involved at the stages of treatment. A psychologist helps a woman cope with frustration, respond to the loss of the image of her “omnipotent” body, build a new image of it, and reduce the level of anxiety.2. A woman is diagnosed with infertility after several years of unsuccessful attempts to become pregnant in the absence of any physiological barriers. During the counseling process, we find out that during the phase of the cycle when a woman can become pregnant, sexual behavior is not carried out in any way due to the physical absence of the partner, who usually spends these days with his children from a previous marriage. Can such infertility be called psychogenic? And is this infertility? In this case, our field of interest includes relationships with a partner and the motivational readiness of future parents. 3. A well-educated, successful woman of 40 years old, married for more than 10 years, during which the couple used contraceptive methods, comes to see a fertility doctor and learns from him, as she says, for the first time in her life, some details regarding female fertility, which, unfortunately, as it turns out, has already been lost. I assume that such avoidance of information about one’s reproductive status and general knowledge on this topic and obtaining such information after the possibility of getting pregnant has ceased to be a reality is not accidental. Due to the need to make a further choice (the possibility of using IVF with a donor egg, adopting a child or abandoning the idea of ​​becoming a mother is being considered), the woman seeks advice from a psychologist. In this case, the diagnosis of “infertility” is made after the patient has passed the fertile age, its psychogenicity is difficult deny, and we evaluate this fact retrospectively and take it into account in further work. During subsequent counseling, it turns out that the birth of a child was not included in the client’s life scenario; she was focused on building a career and ensuring her financial independence. In this case, we are working on a woman’s motivational readiness, exploring the possibility of “integrating” the value of a child into her meaning-life hierarchy and paying special attention to the method of “receiving” a child, taking into account the specifics of physiology.4. A 38-year-old woman has been making repeated attempts to get pregnant using IVF for a long period of time, which end in losses in the early stages. Medical treatment is carried out at a high level, but there is no result. During the counseling process, we come to the conclusion that the successful course of pregnancy is hampered by an unreacted, repressed feeling of guilt after the abortion she had 15 years ago. The woman perceives the next loss as a punishment for this long-standing act, thereby, as it were, she atones for the guilt (as she explains). This case is psychogenic infertility, undoubtedly, and at the physiological level certain disorders accumulate, associated with multiple IVF procedures and depletion of reserves. eggs in.