1. Physiological
   1. Risk Factors
      1. Stress
      2. Maternal Age
      3. Uterine Fibroids
      4. Over/under weight
      5. Over training
      6. Pelvic Inflammatory Disease
      7. Sexually Transmitted Infections
      8. Alcohol use
      9. Cigarette use
      10. Caffine
   2. Causes
      1. Hormonal dysfunction
      2. Fallopian tube dysfunction
      3. Cervial dysfunction
      4. Endometriosis
      5. Abnormal uterus
      6. Uterine fibroids
      7. Polycystic Ovary Syndrome
      8. Pelvic Inflammatory Disease
      9. Sexually Transmitted Infections
      10. Physical trauma
      11. Unexplained
      12. Environmental
      13. Behavioural
      14. Unknown
2. Psychological
   1. Internal
      1. Anxiety
      2. Depression
      3. Adjustment disorders
      4. Suicidal ideation post failed treatment
      5. Loss or decrease in intimacy
      6. loss of control
      7. distruption of adult life stages
      8. Decreased self esteem
   2. External
      1. Cultural stigmatization
      2. Inter- relationship conflict
      3. Family dynamic shift
      4. Societal gender role
      5. Marital distress
3. Treatments
   1. Medical
      1. Medications
         1. Clomiphene Citrate
         2. Human Menopausal Gonadotropin
         3. Follical Stimulating Hormone
         4. Gonadotropin Releasing Hormone
         5. Metformin
         6. Bromocriptine
      2. Intrauterine Insemination
      3. Assisted Reproductive Technology
         1. In Vitro
         2. Zygote Intrafallopian Transfer
         3. Gamete Intrafallopian Transfer
         4. Intracytoplasmic Sperm Injection
   2. Alternative
      1. Surrogacy
      2. Gestational Carrier
      3. Lifestyle Modification
         1. Diet
         2. Substance use
         3. Caffine/Alcohol intake
         4. Exercise/weight managment
         5. Stress management
      4. Accupuncture
      5. Massage Therapy
      6. Homeopathy
      7. Reflexology
      8. Cranial Osteopathy
      9. Physical Therapy
      10. Mind-Body Therapy
      11. Vitamins/Minerals/Herbs
4. Outcomes
   1. Physiological
      1. Sucessful Pregnancy
      2. Miscarriage
      3. Birth Defects
      4. Multiple babies
   2. Psychological
      1. Self-identified roles met/unmet
      2. Relationship alterations
      3. Grieving process
      4. Exclusion
      5. Stigmatization