Psychosoziale Aspekte bei Fertilit�tsst�rungen

Abstract

The number of couples experiencing unwanted childlessness will in all likelihood continue to grow. Thus, ever more couples are undergoing IVF treatment; in Germany, this is, however, successful in only 13.9% of attempts. An unfulfilled wish for a child can have both negative emotional effects on individual partner and consequences for the couple's relationship. Women in particular suffer from the psychological stress that can be caused by infertility; they are more anxious, depressed, and have a decreased self-esteem than their partners. The desire to counteract these emotional strains and to enhance the quality of life is increasing and accordingly requests for counseling services are on the rise. As is the case in so many other psychosocial counseling services offered, there are shortcomings in the information available and a threshold of fear and dread of stigmatization by others persist. Studies have shown that various psychological treatments can often contribute to reducing stress but they do rarely increase the possibility of pregnancy.

Patients’ Acceptance towards a Web-Based Personal Health Record System: An Empirical Study in Taiwan

“…PU was found herein to be the most significant factor, and to explain a significant fraction of the variance in behavioral intentions. However, Winkelman and colleagues [ 22 ] claimed that, for patients with chronic inflammatory bowel disease (IBD), simply providing access to EMRs was of little use. They determined that useful information technology for patients with IBD should provide the following four things; a sense of ownership of the illness, patient-driven communication, personalized support, and mutual trust.…”

“…The PHR system that was developed in this study has an important role in helping patients maintain routine self-completed health records that can be checked by medical professionals, who can then interact with their patients, resulting in, hopefully, timely and appropriate interventions. Thus, from the perspective of Winkelman and colleagues [ 22 ], the PHR is a useful technology. The results herein suggest that PHR design should primarily seek to develop functions that satisfy the patients’ requirements with the intention of motivating them to use the system.…”

“…However, the up-to-date data cannot be obtained completely during outpatient visits. Besides, many studies have indicated that before or during infertility treatment, patients experience high mental stress, negative thoughts, and low self-esteem, as well as emotional disturbances, such as anxiety and depression [ 19 , 20 , 21 , 22 ]; thus relaxation training for patients can be helpful during the infertility treatment as well. Again, this relaxation training cannot be obtained completely during infertility outpatient visits.…”

What Do You Know about Reproductive Medicine? – Results of a German Representative Survey

“…Since the first successful use of IVF in 1978 [1], assisted reproductive medicine has made great progress, has become routine in the health care system [2], and is constantly developing [3], [4], [5].…”

“…In many cases, couples associate modern reproductive methods with a reliable possibility of achieving parenthood for almost an unlimited period of time [8], [9], [10]. In contrast, previous studies have reported success rates of IVF treatment of lower than 20% [3], [11], [12]. Many studies demonstrate a relationship between the age of the woman treated and treatment success of assisted reproductive medicine: the older the women at treatment time, the lower the chance of success [12], [13], [14].…”