Stress increases the risk of pregnancy failure in couples undergoing IVF

Zhou, Fei-Jing; Cai, Yamei; Yan, Dong

doi:10.1080/10253890.2019.1584181

Cited by 37 publications

(25 citation statements)

References 26 publications

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“…Moreover, information about partner's psychological well-being could be connected with the outcome of the medical treatment. Indeed, some studies underlined the impact of emotional reactions in achieving pregnancy after ART treatments, reporting an association between stress and the failure of treatment (Zhou et al, 2019;Gabnay-Nagy et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Individual and Relational Well-Being at the Start of an ART Treatment: A Focus on Partners’ Gender Differences

et al. 2020

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Infertility and ART treatments represent stressful experiences for the couples, impacting on the overall psychological well-being of partners as well as on their couple adjustment. Several variables were analyzed as risk factors for infertility-related distress. The impact of these experiences has been well-documented in both women and men, reporting important gender differences. The aim of this study was to assess gender differences in individual and relational well-being in infertile couples. Gender differences for psychological and medical variables predicting psychological distress were investigated. Two hundred and thirty couples who entered an ART program at a public hospital in Milan were recruited. Each partner completed the following scales: ScreenIVF, Dyadic Adjustment Scale, and Experience in Close Relationship Questionnaire. Findings revealed several gender differences with women reporting higher levels of both anxiety and depressive symptoms, anxiety and avoidance attachment, and helplessness, but lower levels of acceptance than men. Differences emerged also in factors predicting well-being: poor support predicted anxiety in men and depression in women. Furthermore, individual well-being was predicted only for men by attachment anxiety and previous treatment. Finally, in the women subsample, couple's adjustment was predicted by anxiety attachment, while in men predictors were helplessness and type of diagnosis. These results suggest the importance of implementing support interventions for couples which take into consideration the specific needs and fragility of each partner as well as focusing on enhancing a sense of partnership.

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Section: Discussionmentioning

confidence: 99%

Individual and Relational Well-Being at the Start of an ART Treatment: A Focus on Partners’ Gender Differences

et al. 2020

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“…Psychological stress plays an important role in reproductive health and can even affect artificial reproductive technology success [ 15 ]. The prevalence of psychological disorders is high in Chinese males of infertile couples, and several studies have reported the negative impact of psychological factors on infertile couples.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Psychological Status, Infertility‐Associated Factors, and Erectile Function in Patients with Timely Ovulatory Intercourse Failure in China: Evidence from a Cross‐Sectional Study

Xiong

Cai

et al. 2020

BioMed Research International

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Background and Objective. Knowledge on the clinical features of timely ovulatory intercourse failure (TOIF) is limited. The current study is aimed at investigating the psychological status, infertility-associated factors, and erectile function in males with TOIF. Material and Methods. Between June 2018 and December 2018, all qualified patients of infertile couples were continuously enrolled from the andrologic clinic of Peking Union Medical College Hospital. Semen analyses and demographic data were collected, and the International Index of Erectile Function 15 (IIEF-15) questionnaire was used to evaluate the erectile function in the participants with or without TOIF. In addition, the Mental Health Inventory-5 and State-Trait Anxiety Inventory-Short Form questionnaires were used to evaluate the psychological status. Results. A total of 1128 patients were enrolled, and 264 of them (23.40%) suffered from TOIF. TOIF was positively associated with smoking, drinking, hypertension, diabetes, anxiety, unknown cause of infertility, lower semen concentration, lower frequency of intercourse, and decreased erectile function. The total IIEF-15 scores, erectile function, orgasmic function, sexual desire, intercourse satisfaction, and overall satisfaction were significantly decreased in patients with TOIF. Conclusion. TOIF is associated with lower semen concentration, anxiety, and other comorbidities such as hypertension and diabetes. Clinicians are required to focus on these associated factors in addition to improve the erectile function.

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“…Therefore, during the treatment for infertility, mental health is an essential factor that cannot be ignored. Infertility is a shared condition; therefore, both the partners should be assessed [13]. Effective interventions should be provided to female patients undergoing IVF or IVF-ET and their partners to reduce negative emotions and relieve them from their stress.…”

Section: Discussionmentioning

confidence: 99%

Qualitative research on the psychological experience of female patients undergoing in vitro fertilization and embryo transfer

Zhou¹,

Du²,

Dong³

2020

Preprint

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Background: Infertility and fertility treatment exacerbate the intensity of stress that couples experience and negatively affects the patients’ quality of life. Stress is a crucial factor in reproductive health and is likely to be one of the psychological factors affecting ART success. The qualitative research method permitted an understanding of the patients’ experience during the diagnosis of and treatment for IVF and identified the sources of psychological stress. This understanding could urge medical workers, families, and society at large to provide targeted help to these patients.Methods: A qualitative research was conducted in the reproductive medicine center of our hospital. Women who received IVF treatment were randomly selected.Results: In total, 16 interviews were conducted with female patients undergoing IVF-ET between May and October 2019. The psychological experience of female patients undergoing IVF–ET can be summarized into four themes: (1) negative emotions due to infertility; (2) suffering under stress; (3) eager to obtain family and social support; (4) desire for medical knowledge related to infertility.Conclusion: Medical staff should fully understand the emotional state of the patient during the process of infertility treatment and careful attention should be paid to the patients’ psychological needs. According to the individual differences between the patients, we should provide positive factors of social support. Furthermore, corresponding health guidance and psychological support to reduce the psychological stress of patients and thus improve their chances of getting pregnant should be provided.

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Stress increases the risk of pregnancy failure in couples undergoing IVF

Cited by 37 publications

References 26 publications

Individual and Relational Well-Being at the Start of an ART Treatment: A Focus on Partners’ Gender Differences

Individual and Relational Well-Being at the Start of an ART Treatment: A Focus on Partners’ Gender Differences

Evaluation of the Psychological Status, Infertility‐Associated Factors, and Erectile Function in Patients with Timely Ovulatory Intercourse Failure in China: Evidence from a Cross‐Sectional Study

Qualitative research on the psychological experience of female patients undergoing in vitro fertilization and embryo transfer

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