Prevalence of psychiatric disorders in infertile women and men undergoing in vitro fertilization treatment

Volgsten, Helena; Svanberg, Agneta Skoog; Ekselius, Lisa; Lundkvist, Örjan; Sundström‐Poromaa, Inger

doi:10.1093/humrep/den154

Cited by 247 publications

(211 citation statements)

References 37 publications

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“…The psychological reactions of infertile women have received much attention in the literature, since women endure the majority of IVF procedures [5][6][7][8]. A systematic review of 27 studies focusing on the emotional adjustment of women to different stages of IVF treatment was conducted in 2007.…”

Section: Introductionmentioning

confidence: 99%

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Ying

Loke

2015

J Assist Reprod Genet

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Purpose The purposes of this paper are to provide a comprehensive picture of men and women's emotional reactions to infertility treatment, specifically In Vitro Fertilization (IVF) pursued by heterosexual couples, and to identify any differences between the genders. Methods Nonexperimental studies exploring the psychological effects of IVF treatment on infertile couples were included. Six electronic databases were used to conduct a systematic search from the years 2000 to 2014. The references of the articles selected for review and other related systematic reviews were also screened to retrieve additional relevant articles. The quality of the included studies was assessed using the Joanna Briggs Institute Critical Appraisal Checklist. Descriptive analysis was adopted to synthesize the results.Results A total of 22 quantitative and 4 qualitative studies were identified and included in this review. Although both men and women experienced psychological distress during the treatment, gender differences existed. Women had elevated anxiety and depression levels prior to the treatment, which became even higher on the day of the oocyte retrieval, pre-and post embryo transfer, and during the waiting period before the pregnancy test. Men of the infertile couples reported elevated depression scores before treatment, which usually increased during the time spent waiting for the outcome of the IVF treatment. Both men and women had lower scores on positive affect before the pregnancy test. A failed IVF cycle had long-term negative psychological consequences for both spouses. Conclusions The results of this review pointed to the need for a couple-based support program, aimed at improving the psychological well-being of couples.

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Section: Introductionmentioning

confidence: 99%

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Ying

Loke

2015

J Assist Reprod Genet

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“…In addition, 12% to 23% of them have been reported to suffer anxiety disorders. [16] Assisted reproductive technology (ART) or reproductive aiding technologies like in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) are complex & considered the most stressful techniques used to treat infertility. The waiting period between embryo transfer & pregnancy test as well as the failure of such pregnancy attempts is described as presenting great strains for infertile women.…”

Section: Introductionmentioning

confidence: 99%

Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Hassan

2015

JNEP

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Background and objective: Reproductive tract infections (RTI) can have serious consequences, such as miscarriage and infertility. Infertility is a growing universal phenomenon, "crossed nearly all cultures and societies almost all over the World", that has a tremendous impact on women's quality of life and their psychological well-being. This is due to various stress and anxiety factors experienced by them at each stage of their life. To decrease and prevent developing psychological distress the psychological aspects of infertility should be receive more attention. The objectives of this study were to assess the prevalence rate of reproductive tract infections and the psychological consequences amongst those women who were infertile in relation to their sociodemographic characteristics, fertility history, assisted reproductive technology (ART) and RTI. Methods: Interview questionnaire with a convenience sample of 399 infertile women who were admitted to inpatient wards and/or attending to outpatient gynecological and infertility clinics at University Hospital, Health insurance Hospital and general Hospital in Beni-Suef City. Results: About 27.6% of study subjects had reproductive tract infections. Socio-cultural factors, gynecological issues, reproductive tract infections aggravated psychological distress amongst those women who were infertile in Northern Upper Egypt. A highly statistically significant deviation was observed (p = .000). Conclusions: Negative psychological consequences of childlessness are common and morbid in Northern, Upper Egyptian infertile women. Furthermore, infertility and psychological distress are associated in a complex way, which has to be taken care by the nurses and the clinicians to promote the quality of life of the women undergoing infertility treatment.

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“…However, only few studies have explored this area [8,9], so there is great need to analyze the risk factors associated with psychiatric disorders in infertile male patients.…”

Section: Introductionmentioning

confidence: 99%

Depression in Chinese men undergoing different assisted reproductive technique treatments: prevalence and risk factors

Zhang

Zeng

et al. 2013

J Assist Reprod Genet

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Purpose To explore the prevalence and risk factors for depression in men undergoing different assisted reproductive technique (ART) treatments in Chinese population. Method This was a prospective study of 844 men undergoing ART treatments. All men were distributed to four groups, according to they received treatments. The treatments included IUI (intrauterine insemination), IVF(in vitro fertilization), ICSI(intra cytoplasmatic sperm injection) and TESA/PESA (percutaneous epididymal sperm aspiration/testicular sperm aspiration). Their symptoms of depression were measured with use of the Center for Epidemiologic Studies of Depression scale(CES-D). Data were collected about age, BMI, education, duration of marriage, duration of infertility, smoking, type of infertility, infertility causes, history of ejaculation failure, and financial burden of the treatment. We estimated the prevalence of depressive symptom in men undergoing different ART and used logistic regression models to identify risk factors for depression in different groups.Results The overall prevalence of depression was 13.3 % for men undergoing ART treatments: 14.5 % of IUI group, 12.4 % of IVF group, 19.2 % of ICSI group and 6.2 % of TESA/PESA group. Prevalence of depression among IUI group, IVF group and ICSI group were not significantly different. For IUI group, the factors were found to increase depression risk were treatment financial burden and duration of marriage, to decrease depression risk was age. For IVF group, the risk factors independently associated with depression were both male and female infertility, unexplained infertility, and history of ejaculation failure. Conclusion In a sample of Chinese men undergoing ART treatments, the prevalence of depression was higher than other country. The risk factors for depression varied in different ART treatments groups. when routine screening to identify the sub-group of vulnerable men which need counselling before ART treatments, we should also consider which pattern of ART treatments the man underwent.

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Prevalence of psychiatric disorders in infertile women and men undergoing in vitro fertilization treatment

Cited by 247 publications

References 37 publications

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Gender differences in emotional reactions to in vitro fertilization treatment: a systematic review

Infertility profile, psychological ramifications and reproductive tract infection among infertile women, in northern upper Egypt

Depression in Chinese men undergoing different assisted reproductive technique treatments: prevalence and risk factors

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