Emotional stress and reproduction: what do fertility patients believe?

Negris, Olivia; Lawson, Angela K.; Brown, Dannielle; Warren, Christopher; Galic, Isabel; Bozen, Alexandria; Swanson, Amelia; Jain, Tarun

doi:10.1007/s10815-021-02079-3

Cited by 16 publications

(8 citation statements)

References 29 publications

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“…Multiple gestation rates were higher in lesbian women undergoing ovulation induction compared to lesbian women undergoing natural cycles. Negris et al, 2021 [ 68 ] Cross-sectional analysis Single institution n = 1460 2018–2019 Emotional stress Race/ethnicity, income, education Black and Latinx women were most likely to believe that emotional distress can reduce fertility treatment success, or cause a miscarriage. Lower household incomes and lower educational levels were found to be associated with similar beliefs.…”

Section: Resultsmentioning

confidence: 99%

“…Of the included studies, 14 found that higher levels of education were positively associated with receiving MAR treatment [ 27 , 34 , 38 – 40 , 45 , 54 , 64 , 69 , 72 , 73 , 78 , 81 , 84 ]. Five studies showed inconsistent associations between higher levels of education and various MAR outcomes [ 32 , 42 , 47 , 68 , 91 ]. Three studies found no correlation between the level of education and MAR outcomes [ 46 , 52 , 86 ].…”

Section: Resultsmentioning

confidence: 99%

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Inequities in Medically Assisted Reproduction: a Scoping Review

et al. 2023

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Infertility has a high prevalence in the USA and health inequities play a large role in access to medically assisted reproduction (MAR). The aim of this study was to identify gaps in research pertaining to inequities in MAR and propose suggestions for future research directions. Searches were performed using MEDLINE and Ovid Embase. Articles that reported on MAR inequities, published between 2016 and 2021 in the USA, and written in English were included. The inequities investigated were adapted from the NIH-designated health disparities populations. Each article’s inequity findings were extracted and reported, along with frequencies of inequities. Our sample included 66 studies. The majority of the studies investigated MAR outcomes by race/ethnicity and found that historically marginalized populations had poorer outcomes. LGBTQ + populations were less likely to use MAR or seek infertility care. Most studies found positive correlations with MAR use with income and education. The least commonly studied inequities in our sample were sex and/or gender and rural/under-resourced populations; findings showed that men and people from rural/under-resourced populations were less likely to access MAR. Studies that examined occupational status had varying findings. We suggest that future research be targeted toward: (1) standardizing and diversifying race/ethnicity reporting regarding MAR, (2) the use of community-based participatory research to increase data for LGBTQ + patients, and (3) increasing access to infertility care for men. Supplementary Information The online version contains supplementary material available at 10.1007/s43032-023-01236-6.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Inequities in Medically Assisted Reproduction: a Scoping Review

et al. 2023

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“…Furthermore, negative pressure in lifestyle changes may generate ROS in the ovaries, in which accumulation leads to oxidative stress and, in turn, apoptosis in germ cells and in ovulated oocytes [153]. Among the few investigations on the relationship between stress and female reproduction, it has been disclosed that worse psychological conditions are mainly based on personal perception [154] and mostly attributed to infertile women struggling with their infertility [155,156]. However, the impact of occupational pressure-related psychological stress has been associated with a decline in female fertility potential and conceiving difficulties [157].…”

Section: Diet and Behavior Impact On Female Reproductive Healthmentioning

confidence: 99%

Reprotoxic Impact of Environment, Diet, and Behavior

Gallo

2022

IJERPH

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Reproductive health is progressively declining due to multiples endogenous and exogenous factors, such as environmental contaminants, diet and behavior. Accumulated evidences confirm that fertility and reproductive function have been adversely affected by exposure to chemical contaminants released in the environment. Today, the impact of diet and behavior on reproductive processes is also receiving special attention from the scientific community. Indeed, a close relationship between diet and fertility has been proven. Furthermore, a combination of unhealthy behavior, such as exposure to hazardous compounds and stress factors, poses living organisms at higher risk of reprotoxic effects. In particular, it has been described that poor life behaviors are associated with reduced male and female fertility due to decreased gamete quality and function. Most of the erroneous behaviors are, furthermore, a source of oxidative stress that, leading to epigenetic alterations, results in an impaired reproductive fitness. This review reports the detrimental impact of the most common environmental chemical stressors, diet, and behavior on reproductive functionality and success. Although clear evidences are still scarce, reassuring data are provided that a healthy diet and reverting unhealthy lifestyles may be of help to recover physiological reproductive conditions.

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“…Compared to White patients, Hispanic patients were twice as likely to report being very/extremely worried about using science and technology to conceive and were more likely to report worry about violating religious beliefs [ 10 ]. Additionally, 81% of Hispanic women reported a belief that emotional stress can reduce success of fertility treatment compared to 67% of White women, a statistically significant difference [ 11 ]. Hispanic women were also significantly more likely to report that emotional stress can cause a miscarriage than White women [ 11 ].…”

Section: Main Textmentioning

confidence: 99%

“…Additionally, 81% of Hispanic women reported a belief that emotional stress can reduce success of fertility treatment compared to 67% of White women, a statistically significant difference [ 11 ]. Hispanic women were also significantly more likely to report that emotional stress can cause a miscarriage than White women [ 11 ]. Regarding genetic carrier screening, Hispanic women were significantly less likely to have had this testing compared to White women [ 12 ].…”

Section: Main Textmentioning

confidence: 99%

A review of disparities in access to infertility care and treatment outcomes among Hispanic women

Komorowski

Jain

2022

Reprod Biol Endocrinol

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Hispanic women have lower rates of use of infertility services than non-Hispanic White women. There are many barriers that impede access to infertility care including economic, geographic, cultural, and societal factors and there are disparities in treatment outcomes. Hispanic women are less likely to seek infertility care than non-Hispanic White women and even after infertility evaluation, Hispanic women are less likely to receive treatment for their infertility. Lower use of infertility treatments among Hispanic women is unlikely to be driven solely by economic factors. There is disappointingly little data on in-vitro fertilization treatment outcomes including the population of Hispanic women, and existing data has yielded conflicting results. Incomplete and variable reporting of race data across clinics raises the potential for misclassification bias and invalid study conclusions. Addressing disparities in access to reproductive medicine in the Hispanic population will required a multifaceted approach including expanded insurance coverage, improved education for both patients and providers, and additional research on barriers to care.

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Emotional stress and reproduction: what do fertility patients believe?

Cited by 16 publications

References 29 publications

Inequities in Medically Assisted Reproduction: a Scoping Review

Inequities in Medically Assisted Reproduction: a Scoping Review

Reprotoxic Impact of Environment, Diet, and Behavior

A review of disparities in access to infertility care and treatment outcomes among Hispanic women

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