Investigating quality of life and health-related quality of life in infertility: a systematic review

Chachamovich, Juliana Rigol; Chachamovich, Eduardo; Ezer, Hélène; Fleck, Marcelo P.; Knauth, Daniela Riva; Passos, Eduardo Pandolfi

doi:10.3109/0167482x.2010.481337

Cited by 305 publications

(227 citation statements)

References 48 publications

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“…Amanelahifard et al reported that quality of life of infertile women was lower than that in fertile women (20). In some studies, lower quality of life in infertile women has been reported (5,12,16,(21)(22)(23), which does not conform to the current study. The difference between the quality of life of women in this study with other studies may be due to cultural, social, and economic differences in other societies, which can affect quality of life of people.…”

Section: Discussioncontrasting

confidence: 99%

“…The mean scores for the mental health of the infertile women were lower than that in fertile women. Some other studies have reported lower mental health scores in infertile women, which is consistent with a recent study (5,12,16,(20)(21)(22)(23). Given the cultural context, having no child can bring about a negative attitude toward infertile women and this can lead to role limitation, which can cause mental problems in a long run.…”

Section: Discussionsupporting

confidence: 87%

“…Many studies that have assessed quality of life among infertile couples have found more defects in the quality of life in women than in men (11)(12)(13)(14)(15)(16). Other studies indicated lower quality of life among infertile couples than the fertile (6,10,12,17,18). Most women with infertility problems experience stress and tension and are less satisfied with their lives than the fertile women (6).…”

Section: Introductionmentioning

confidence: 99%

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Quality of Life Among Fertile and Infertile Women

Amiri

Chaman

Sadeghi

et al. 2017

Iran J Psychiatry Behav Sci

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Background: Quality of life is an important indicator for the assessment of individual health, decision-making, and passing judgment on the overall health of the community. Objectives: This study aimed at comparing the quality of life among fertile and infertile women and the factors affecting it. Materials and Methods: In this cross-sectional study, the quality of life of 511 infertile women and 1017 fertile women was assessed using the Persian Version of SF36 quality of life questionnaire in 2013. To examine the relationship between demographic variables and quality of life, chi-square test and analysis of variance were used. The relationship between the factors affecting the quality of life was evaluated using multiple regressions. Results: Almost 10.1% of the participants reported low and very low quality of life, 38.6% reported average, and 51.3% reported good or very good quality of life. No significant difference was observed in the level of quality of life in fertile and infertile women (P = 0.8). The subscale mean scores of physical functioning and physical role limitation were significantly lower, and the mean scores of mental health and general health were higher in the fertile women than in the infertile. Conclusions:The results of the present study revealed that infertile women had significantly lower mean scores in the subscales of mental health and general health than the fertile women.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

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Quality of Life Among Fertile and Infertile Women

Amiri

Chaman

Sadeghi

et al. 2017

Iran J Psychiatry Behav Sci

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“…While this group of studies included people affected by fertility difficulties, none reported the psychological outcomes of infertility. Chachamovich et al 21 conducted a systematic review of 14 studies investigating the quality of life 'in infertility', of which nine compared both men and women in infertile couples. They described these patients as 'infertile men' but did not provide supporting evidence for this assertion.…”

Section: Psychological Reactions To Infertility Diagnosesmentioning

confidence: 99%

Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research

Fisher¹,

Hammarberg²

2011

Asian J Androl

192

162

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Research concerning the psychosocial aspects of infertility and infertility treatment focuses more often on women than men. The aim of this review was to synthesize the English-language evidence related to the psychological and social aspects of infertility in men and discuss the implications of these reports for clinical care and future research. A structured search identified 73 studies that reported data concerning the desire for fatherhood and the psychological and social aspects of diagnosis, assisted reproductive technology (ART) treatment and unsuccessful treatment among men with fertility difficulties. The studies are diverse in conceptualisation, design, setting and data collection, but the findings were reasonably consistent. These studies indicated that fertile and infertile childless men of reproductive age have desires to experience parenthood that are similar to those of their female counterparts; in addition, diagnosis and initiation of treatment are associated with elevated infertility-specific anxiety, and unsuccessful treatment can lead to a state of lasting sadness. However, rates of clinically significant mental health problems among this patient population are no higher than in the general population. Infertile men who are socially isolated, have an avoidant coping style and appraise stressful events as overwhelming, are more vulnerable to severe anxiety than men without these characteristics. Men prefer oral to written treatment information and prefer to receive emotional support from infertility clinicians rather than from mental health professionals, self-help support groups or friends. Nevertheless, structured, facilitated psycho-educational groups that are didactic but permit informal sharing of experiences might be beneficial. There are gaps in knowledge about factors governing seeking, persisting with and deciding to cease treatment; experiences of invasive procedures; parenting after assisted conception; adoption and infertility-related grief and shame among men. Few resource-constrained countries have any data concerning male experiences of infertility.

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“…Estimates of infertility vary widely among Indian states from 3.7 per cent in Uttar Pradesh, Himachal Pradesh and Maharashtra (4), to 5 per cent in Andhra Pradesh (5) and 15 per cent in Kashmir (6). Infertility affects men and woman alike, as both genders report associated psychological distress, depression and low self-esteem (7,8). In many cultures, the social repercussions of infertility compound the individual impact.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Laparoscopy in the Evaluation of Female Factors in Infertility in Kashmir Valley

Ain¹,

Ara²,

Ahmad³

et al. 2014

IJWHR

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Objectives: To evaluate the female factors in infertility using laparoscopy in Kashmiri women. Materials and Methods: One hundred cases of infertility [primary and secondary] were included in this prospective study. Before the procedure, apart from complete history and detailed examination, baseline investigations (complete blood count, blood sugar, kidney and liver function tests, ECG, chest X-ray) were performed as per our institutional protocol for pre-anaesthesia check up. Laparoscopy was done in proliferative phase of menstrual cycle. To test the patency of tubes, chromotubation was done in all cases under laparoscopic vision by using 10-15 ml of autoclaved methylene blue dye. All the data was collected on pre-designed proforma and the results were tabulated and raw percentages calculated to describe the results. Results: In primary infertility group [n=82], most common laparoscopic finding was tubal occlusion in 15 (18.3%), followed by endometriotic deposits in 14 (17.1%) patients. Other findings were polycystic ovaries in 10 patients (12.2%), peritubal and periovarian adhesions in 6 patients (7.3%), fibroids in 6 patients (7.3%), genital tract tuberculosis in 5 patients (6.1%), ovarian cysts in 4 patients (4.8%), hypoplastic uterus in 2 patients (2.4%) and pelvic inflammatory diseases in 2 patients (2.4%), in this group. The commonest finding by laparoscopy in patients with secondary infertility [n=18] was tubal occlusion in 5 (27.7%), followed by peritubal and periovarian adhesions in 4 (22.2%) patients. Conclusion: laparoscopy is very effective and cheap method in evaluating infertile women and should be considered earlier in infertility workup for effective and early treatment decisions.

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Investigating quality of life and health-related quality of life in infertility: a systematic review

Abstract: Evidences indicate important QOL or HRQOL impairments in infertile women. Among men, it does not appear to be intense. There is scarce knowledge regarding the impact of infertility on couples.

Cited by 305 publications

References 48 publications

Quality of Life Among Fertile and Infertile Women

Quality of Life Among Fertile and Infertile Women

Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research

Diagnostic Laparoscopy in the Evaluation of Female Factors in Infertility in Kashmir Valley

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