Psychosocial Consequences of Female Infertility in Iran: A Meta-Analysis

Yazdi, Haniye Zarif Golbar; Sharbaf, Hamidreza Aghamohammadian; Kareshki, Hossein; Amirian, Malihe

doi:10.3389/fpsyt.2020.518961

Cited by 17 publications

(14 citation statements)

References 72 publications

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“…This was contradictory to findings from researches done in developing countries in previous decades but similar to latest research on infertility associated behaviors. 34 A study from Karachi reported a lower mean for all subscales of FertiQoL as compared to our findings. 33 Our study's total FertiQoL score mean 66 was higher than this.…”

Section: Discussioncontrasting

confidence: 67%

“…[10][11][12][13] Infertile couples have to face a wide range of psychological influences so there arises the need for psychological support and counseling of infertile couples. 34 This was a cross-sectional study focusing on females due to convenience of their presence in infertility clinics as compared to men. A couple based approach may be better for future studies so both can give an insight into quality of life and its subscales.…”

Section: Discussionmentioning

confidence: 99%

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Fertility-Related Quality of Life Amongst Married Infertile Females of Lahore

Ashfaq¹

2021

Proceedings S.Z.M.C

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Introduction: In today’s world of science and medicine, assessing ones’ quality of life has become a norm. It provides baseline information for future planning in order to elevate quality of life of individuals and communities. Aims & Objectives: To assess the quality of life of infertile women and identify factors influencing it. Place and duration of study: Data was collected from Lahore General Hospital and Services Institute of Medical Sciences, Lahore during 2019. Material & Methods: A cross-sectional study was conducted on 260 married, infertile females attending infertility clinics of two tertiary care hospitals of Lahore. 36-items FertiQoL, an Urdu validated version was used to assess the quality of life of females with infertility. It had six subscales and three total scores. Data was analyzed through SPSS version 22. Results: Mean age of females was found to be 30+5.23 years and 85.8% were not working women. Average duration of infertility was 6.7 years. 61.5% of females presented with primary infertility. 70.4% reported positive attitude of their husband towards this infertility while 56.2% of the participants reported positive attitude of their in-laws as well. 30.8% of the females rated their health as poor. 31.2% reported to be dissatisfied with their overall quality of life. In FertiQoL, ‘Emotional’ subscale showed mean 67±14 SD, ‘Mind-body’ subscale mean 69±14 SD, ‘Relational’ subscale mean 55±14.7 SD, ‘Social’ subscale mean 66.2±14.5 SD, ‘Treatment Environment’ mean 70±17.5 SD and ‘treatment tolerability’ showed mean of 73±17.2 SD. ‘Total scaled core score’ showed mean of 64.5±12 SD, ‘total scaled treatment score’ mean of 69.3±14 SD and ‘total scored FertiQoL score’ showed mean of 66±12 SD. Significant association between family income and mind body subscale; duration of marriage and treatment tolerability; time till infertility diagnosis and treatment environment was found. While overall FertiQoL score and Family Income was found to be significantly associated. Conclusion: Overall quality of life of infertile females is not compromised as was thought of except for its association with family income. Sub scales of mind-body, treatment tolerability and treatment environment were found to be associated with family income, duration of marriage and time till infertility diagnosis respectively. Recognition of factors associated with poor quality of life will help in planning strategies to overcome them during infertility treatment.

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Section: Discussioncontrasting

confidence: 67%

Section: Discussionmentioning

confidence: 99%

Fertility-Related Quality of Life Amongst Married Infertile Females of Lahore

Ashfaq¹

2021

Proceedings S.Z.M.C

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“…In addition, the environmental toxin exposure, and also prenatal exposure to commonly used chemicals, e.g. phthalates, may increase the risk of both infertility and neoplasm in men ( 29 ).…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, it has been reported that the fear of infertility and its consequences may influence help-seeking behaviors in men, which may trigger diseases in later life ( 30 ). The experience of infertility may negatively impact on personal health behaviors ( 31 ) and in some contexts, it may hinder taking further actions to prevent health-related problems or seek appropriate treatments ( 29 ). It has been hypothesized that unhealthy behaviors may predispose infertile patients to cancer.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of Male Infertility and the Subsequent Risk of Cancer

2021

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ObjectivesThe primary objective of this systemic review and meta-analysis was to investigate the risk of developing composite outcome of all cancers, regardless of the type of cancer among men with infertility diagnosis compared to fertile counterparts. The secondary objective was to compare the pooled risk of developing individual specific cancers between two groups.MethodsA systematic literature search was performed on the databases of PubMed (including Medline), Scopus, and Web of Science to retrieve observational studies published in English language from 01.01.1990 to 28. 02. 2021. They assessed cancer events in males with an infertility diagnosis compared to controls without infertility. The outcomes of interest were a composite outcome of cancers including all known cancer types, and also specific individual cancers. The fixed/random effects model was used to analyze heterogeneous and non-heterogeneous results. Publication bias was assessed using the Harbord test, Egger test, Begg test, and funnel plot. The pooled odds ratio of cancers was calculated using the DerSimonian and Laird, and inverse variance methods. Studies’ quality and risk of bias were assessed using structured standard tools.ResultsWe included eight cohort studies involving 168,327 men with the diagnosis of infertility and 2,252,806 men without it. The total number of composite outcome of cancers as well as individual cancers including prostate, testicular and melanoma were 1551, 324, 183 and 121 in the infertile men and 12164, 3875, 849, and 450 in the fertile men, respectively. The pooled OR of the composite outcome of cancers, regardless of the type of cancer, in men with infertility was 1.4 folds higher than those without infertility (pooled OR = 1.43, 95% confidence interval [CI]: 1.25-1.64). Meta-analysis of individual cancers including prostate, testicular and melanoma between two groups was carried out. The pooled ORs of testicular and prostate cancers in men with the diagnosis of infertility were significantly higher than controls without infertility (pooled OR = 1.91, 95% CI: 1.52-2.42 and pooled OR = 1.48, 95% CI: 1.05-2.08, respectively). Additionally, the pooled OR of melanoma in men with infertility was 1.3 folds higher than those without infertility (pooled OR = 1.31, 95% CI: 1.06-1.62).ConclusionA greater risk of cancers in men with male infertility was found suggesting that the history of male infertility might be an important risk factor for developing cancers in later life. Further well-designed long-term population-based prospective studies, considering all known cancers and their accompanying risk factors should be conducted to support our findings.

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“…Literature is replete with evidence that infertility is associated with a wide-range of psychosocial consequences in women, including poor quality of life and marital relationships, depression, anxiety, decreased self-esteem, victims of violence, irrational thoughts, feelings of apprehensions and rejection, social stigma, somatization disorders, sexual dysfunction, and many more [6][7][8][9][10][11][12]. Significant association of psychosocial wellbeing has been found with age, occupation, education, and lack of social support [13,14].…”

Section: Introductionmentioning

confidence: 99%

Characteristics, experiences and actions taken by women to address delayed conception: A mixed-methods cross-sectional study protocol

et al. 2022

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Background The impact of infertility on mental, emotional, physical and sexual health is grave, particularly in a pronatalist society. Literature is replete with evidence of wide ranging psychosocial consequences of infertility in women, indicating the need for identifying the gaps and designing appropriate context specific interventions to improve access and utilization of services. Data that are accessible, primarily from infertility clinics and women visiting hospitals for infertility treatment; information from community settings is rare. This is a protocol paper for a study to understand women’s experiences and actions taken by them to cope with delayed conception. Methods Mixed-methods cross-sectional design is used to obtain deep insights into the experiences of delayed conception, coping mechanisms, medical assistance and other help sought. Information is also being obtained on socio-demographic profile, fertility intentions, fertility quality of life, general medical history, obstetric, gynecological and sexual history, substance use and mental health status. A sample of 1530 women will be administered 4 modules of a quantitative survey. Focus group discussions, about four or till saturation point, will be conducted using purposive sampling. The study is recruiting from a population of women who previously participated in the ‘Women and Infants Integrated Interventions for Growth Study (WINGS) and failed to conceive during 18 months follow up period. Data collected through questionnaire will be assembled, cleaned, analyzed and reported. The findings will be disseminated through reports with the ethics review committee, government entities, academic and research publications. Discussion This study will provide insights on the experiences and coping strategies of women with delayed conception in the study community. Results will assist in designing appropriate interventions to meet the holistic health and psychosocial needs of women with delayed conception and promote sexual and reproductive health within the broader framework of Sustainable Development Goals and Universal health coverage. Trial registration Trial registration number: CTRI/2020/03/023955.

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Psychosocial Consequences of Female Infertility in Iran: A Meta-Analysis

Abstract: Background: Although not a life-threatening condition, infertility does influence various aspects of life. Based on a meta-analysis of the relevant literature, the aim of this study is to identify the psychosocial consequences of infertility in Iranian women.

Cited by 17 publications

References 72 publications

Fertility-Related Quality of Life Amongst Married Infertile Females of Lahore

Fertility-Related Quality of Life Amongst Married Infertile Females of Lahore

A Systematic Review and Meta-Analysis of Male Infertility and the Subsequent Risk of Cancer

Characteristics, experiences and actions taken by women to address delayed conception: A mixed-methods cross-sectional study protocol

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