The analysis of fertility quality of life and the influencing factors of patients with repeated implantation failure

Abstract

Background The objective of this study was to investigate the current status of fertility quality of life (QoL) and explore the influencing factors for infertile women with repeated implantation failure (RIF). Methods The sample consisted of 137 infertile women with RIF who were under treatment from January 2019 to December 2019 in the Reproductive Medical Center of Ruijin Hospital, affiliated with Shanghai Jiaotong University School of Medicine in China. A general information questionnaire, FertiQoL scale, perceived social support scale (PSSS), self-rating anxiety scale (SAS), and self-rating depression scale (SDS) were used to analyse the fertility QoL and related factors of RIF patients. Results The total fertility QoL score of RIF patients was 60.44 ± 11.60. The results of multivariate regression analysis showed that residence, financial difficulties, male infertility, BMI index, depression, and family social support were the main factors that influenced the fertility QoL of RIF patients (adjusted R2 = 0.762). Conclusion Based on the results of this study, RIF patients’ psychological status must be addressed. Corresponding interventions such as building a sound family and social support system, creating a good medical environment and offering diverse health education should be provided to improve the fertility QoL of RIF patients.

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“…The QoL of women with infertility is lower than that of other women of childbearing age (8). Factors that influence the QoL of women with infertility include gender, age, duration of infertility, educational level, marital relationship, fertility expectation, psychological status, and history of assisted pregnancy (8). The quality of life is also one of the main indexes to assess the effects of women and challenges to human fertility arise so health systems have an important role in promoting, maintaining, and rehabilitating people's health and make it possible to achieve optimal health status through good performance and optimal use of available resources (9).…”

“…The QoL of women with infertility is lower than that of other women of childbearing age (8). Factors that influence the QoL of women with infertility include gender, age, duration of infertility, educational level, marital relationship, fertility expectation, psychological status, and history of assisted pregnancy (8).…”