Understanding the perceptions of and emotional barriers to infertility treatment: a survey in four European countries

Domar, Alice D.; Gordon, Keith; Garcia-Velasco, Juan A.; Marca, Antonio La; Barrière, P.; Beligotti, F.

doi:10.1093/humrep/des016

Cited by 85 publications

(69 citation statements)

References 25 publications

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“…If a poor responder could be informed about the bad reproductive prognosis beforehand, they could perhaps deal with the IVF treatment with less expectation thereby reducing their physical and psychological stress [29]. According to the results of our study, the adoption of the Bologna criteria allows the identification of women with a reproductive chance lower than 8 % following IVF.…”

Section: Discussionmentioning

confidence: 73%

Live birth rates in the different combinations of the Bologna criteria poor ovarian responders: a validation study

Marca

Grisendi

Giulini

et al. 2015

J Assist Reprod Genet

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Purpose to compare the baseline characteristics and chance of live birth in the different categories of poor responders identified by the combinations of the Bologna criteria and establish whether these groups comprise a homogenous population. Methods database containing clinical and laboratory information on IVF treatment cycles carried out at the Mother-Infant Department of the University Hospital of Modena between year 2007 and 2011 was analysed. This data was collected prospectively and recorded in the registered database of the fertility centre. Eight hundred and thirty women fulfilled the inclusion/ exclusion criteria of the study and 210 women fulfilled the Bologna criteria definition for poor ovarian response (POR). Five categories of poor responders were identified by different combinations of the Bologna criteria. Results There were no significant differences in female age, AFC, AMH, cycle cancellation rate and number of retrieved oocytes between the five groups. The live birth rate ranged between 5.5 and 7.4 % and was not statistically different in the five different categories of women defined as poor responders according to the Bologna criteria. Conclusion The study demonstrates that the different groups of poor responders based on the Bologna criteria have similar IVF outcomes. This information validates the Bologna criteria definition as women having a uniform poor prognosis and also demonstrates that the Bologna criteria poor responders in the various subgroups represent a homogenous population with similar pre-clinical and clinical outcomes.

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Section: Discussionmentioning

confidence: 73%

Live birth rates in the different combinations of the Bologna criteria poor ovarian responders: a validation study

Marca

Grisendi

Giulini

et al. 2015

J Assist Reprod Genet

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“…While many stressors are external, a growing body of literature suggests that modifiable factors such as cognitive attributes may be related to treatment outcomes (32–34). Since income <$50,000/yr.…”

Section: Discussionmentioning

confidence: 99%

Predictors of pregnancy and live-birth in couples with unexplained infertility after ovarian stimulation–intrauterine insemination

Hansen

Styer

et al. 2016

Fertility and Sterility

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Objective To identify baseline characteristics of couples likely to predict conception, clinical pregnancy, and live-birth following up to four cycles of ovarian stimulation with intrauterine insemination in couples with unexplained infertility. Design Secondary analyses of data from a prospective, randomized, multicenter clinical trial investigating pregnancy, live-birth, and multiple pregnancy rates following ovarian stimulation-intrauterine insemination with clomiphene citrate, letrozole, or gonadotropins. Setting Outpatient clinical units associated with the Reproductive Medicine Network clinical sites Patients Nine-hundred couples with unexplained infertility who participated in the Assessment of Multiple Intrauterine Gestations from Ovarian Stimulation (AMIGOS) clinical trial. Intervention As part of the clinical trial, treatment was randomized equally to one of three arms and continued for up to four cycles or until pregnancy was achieved. Main outcomes measures Conception, clinical pregnancy and live-birth rates. Results In a multivariable logistic regression analysis, after adjustment for other covariates, age, waist circumference, income level, duration of infertility, and a history of prior pregnancy loss were significantly associated with at least one pregnancy outcome. Other baseline demographic and lifestyle characteristics including smoking, alcohol use, and serum levels of AMH, were not significantly associated with pregnancy outcomes. Conclusions While age and duration of infertility were significant predictors of all pregnancy outcomes, many other baseline characteristics were not. The identification of level of income as a significant predictor of outcomes independent of race and education may reflect differences in the underlying etiologies of unexplained infertility or could reveal disparities in access to fertility and/or obstetrical care.

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“…Each stage of treatment may become a source of more trouble. Women deciding to have infertility treatment are exposed to many negative feelings concerning different aspects of their life (Domar, Seibel, & Benson, 1990;Boivin & Takefman, 1995;Verhaak et al, 2001;Greil, Shreffer, Schmist, & McQuillan, 2011;Cousineau & Domar, 2007;Bielawska-Batorowicz, 2006;Bidzan, 2010;Donarelli et al, 2012;Domar et al, 2012).…”

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confidence: 99%

Psychological determinants of life satisfaction in women undergoing infertility treatment

Dembińska¹

2016

Health Psychology Report

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Background Infertility treatment is a long-term process, spread out over months, or even years, and carries no guarantee of success. It generates an incessant state of uncertainty which becomes a chronic state of psychological discomfort. Each stage of treatment may become a source of more trouble. Women deciding to undergo infertility treatment are exposed to many negative feelings concerning different aspects of their life. Participants and procedure The present study was an attempt to understand psychological determinants of life satisfaction in women undergoing infertility treatment. The study group included 470 women treated for infertility. Results Patients perceiving more social support in general, as well as more of the support types used in the study, i.e. emotional, instrumental, informational and institutional support, and support from family and friends, have better self-esteem, higher acceptance of their infertility, higher satisfaction with life, higher hope as an emotional state, and lower levels of anxiety and depression. Three negative emotional states, i.e. anxiety, depression and irritation, are predictors influencing (lowering) life satisfaction of women struggling with infertility. The strongest of these predictors is depression, which is also a factor lowering the acceptance of one’s own infertility. The conducted analyses revealed that predictors influencing the life satisfaction of patients treated for infertility are self-esteem and acceptance of one’s own infertility (apart from the aforementioned emotional state – anxiety, depression, irritation). It was found that the higher the self-esteem and acceptance of one’s own infertility, the higher was the satisfaction with life. Conclusions Knowledge of these determinants is extremely valuable for medical personnel conducting treatments, because, according to many studies, the psychological state of women suffering from procreation problems is connected not only with effectiveness of the used procedures, but mostly with psychological support provided for such women.

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Understanding the perceptions of and emotional barriers to infertility treatment: a survey in four European countries

Cited by 85 publications

References 25 publications

Live birth rates in the different combinations of the Bologna criteria poor ovarian responders: a validation study

Live birth rates in the different combinations of the Bologna criteria poor ovarian responders: a validation study

Predictors of pregnancy and live-birth in couples with unexplained infertility after ovarian stimulation–intrauterine insemination

Psychological determinants of life satisfaction in women undergoing infertility treatment

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