The Need of Personalized Medicine in Coping with Stress during Infertility Treatment

Nagórska, Małgorzata; Obrzut, Bogdan; Ulman, Dariusz; Darmochwał-Kolarz, Dorota

doi:10.3390/jpm11010056

Cited by 12 publications

(12 citation statements)

References 35 publications

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“…Although the clinical implications of abnormal sperm morphology remain controversial, it is important to acknowledge that an abnormal label of SAs may cause additional anxiety to patients. A diagnosis of infertility may be a large burden to patients and may contribute to additional psychological problems, such as an increased level of stress and depression (26,27). Given the higher cutoff of normal sperm morphology, additional patients may be considered abnormal than otherwise in the WHO4 edition.…”

Section: Resultsmentioning

confidence: 99%

Assessing the clinical value of the Kruger strict morphology criteria over the World Health Organization fourth edition criteria

et al. 2021

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Objective: To assess if the newer Kruger strict morphology (WHO5; normal R4%) adds any clinical value beyond the criteria of the World Health Organization fourth edition (WHO4; normal R14%). Design: Retrospective study. Setting: Tertiary hospital. Patient(s): Men without known azoospermia who had semen analysis (SA) collected over a 10-year period of time. Intervention(s): Morphology classification under Kruger WHO5 strict criteria and WHO4 criteria. Main Outcome Measure(s): Correlation between the WHO5 and WHO4 morphological classifications. Result(s): A total of 4,510 SAs were identified during the study period. Of these, both Kruger WHO5 and WHO4 morphologies were included in 932 SAs (20.7%) from a total of 691 men. The median age of the men was 37 years (interquartile range, 32.0-43.8 years). The mean (AESD) semen volume, sperm concentration, and motility were 2.6 AE 1.4 mL, 50.0 AE 35.6 Â 10 6 /mL, and 53.1% AE 18.6%, respectively. The correlation between the WHO4 and WHO5 morphology assessments was high (Spearman correlation coefficient ¼ 0.94). Only 545 (58.5%) of 932 SAs had abnormal Kruger WHO5 morphology, of which 543 (99.6%) of 545 also had abnormal morphology by the WHO4 criteria. Conclusion(s):The Kruger WHO5 and WHO4 morphologic criteria correlate closely. Only two men (0.4%) with an abnormal Kruger morphology had normal WHO4 morphology. Given the limited predictive value of sperm morphology, the additional cost and effort of Kruger criteria may not be warranted in lieu of, or in addition to, the WHO4 classification.

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Section: Resultsmentioning

confidence: 99%

Assessing the clinical value of the Kruger strict morphology criteria over the World Health Organization fourth edition criteria

et al. 2021

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“…Religious feelings enable some bereaved women to cope better with the devastating effects of the loss of a baby through miscarriage [ 122 ], reducing the feeling of the irreversibility of death, explaining its meaning, and proposing rituals to help process the loss [ 123 ]. Similarly, reframing helps partners to redefine their traumatic experiences to make them more acceptable [ 124 ], both in the case of pregnancy loss [ 8 , 96 ] and infertility [ 117 , 125 ].…”

Section: Discussionmentioning

confidence: 99%

Perceived Partner’s Self-Control and Social Support Effects on Relationship Satisfaction in Couples Experiencing Infertility or Miscarriage: Dyadic Analyses

Wendołowska

Kiełek-Rataj

Kalus

et al. 2022

IJERPH

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The process that infertile couples and those after a miscarriage go through is unpredictable and difficult to control; therefore, it is associated with a lowered sense of control for both partners. Uncontrolled stress creates a higher level of anxiety, which is associated not only with a lower quality of life but also with worse results from infertility treatment and higher risks of miscarriage. The aim of this study was to analyze the relationship between the partner’s perceived self-control and marital satisfaction in the context of the partners’ coping strategies. The actor–partner interdependence model was applied to 90 heterosexual married couples. Our results show that men who perceive their wives as being more self-controlled and women who are perceived by their husbands as being more self-controlled feel more satisfied in their relationships. The effect of a partner’s perceived self-control on satisfaction with the relationship was weaker when controlled for the length of marriage. It also appeared to be moderated through the spouses’ use of social support. We conclude that the effects of the partner’s perceived self-control and social support are strong for marital satisfaction in the context of infertility and miscarriage.

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“…The results of many studies confirmed that the diagnosis and treatment of infertility are fraught with considerable stress; therefore, the psychological aspects in the treatment of infertile couples should not be ignored [ 27 , 37 , 38 ]. A positive attitude has a key role in therapy, and pessimism is treated as a risk factor for IVF treatment failure [ 39 , 40 ].…”

Section: Discussionmentioning

confidence: 99%

Health Related Behaviors and Life Satisfaction in Patients Undergoing Infertility Treatment

Nagórska

Lesińska–Sawicka

Obrzut

et al. 2022

IJERPH

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The aim of the study was to evaluate the level of life satisfaction and health behaviors presented by patients with diagnosed infertility. This cross-sectional study included 456 patients (235 women and 221 men) from infertile couples in southeastern Poland from June 2019 to February 2020. Participants completed a questionnaire on sociodemographic characteristics, the Health Behaviors Inventory (HBI), and the Satisfaction with Life Scale (SWLS). The average score of severity of health behaviors for the study group was 82.96 points. Satisfaction with life at a higher level was declared by 57.6% of respondents, at an average level was declared by 31.4%, and at a lower level was declared by 11%. The SWLS score for the entire study group was 24.11 points (6.82 points on the sten scale). Respondents who achieved a higher rate of life satisfaction also had a higher level of severity of health behaviors (p < 0.0001). There were no significant differences between male and female SWLS scores, although the women had significantly higher rates of severity of health behaviors than men. The level of health behavior is positively related to life satisfaction in infertile patients. Medical personnel should conduct health education on a healthy lifestyle that promotes the improvement of reproductive health.

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The Need of Personalized Medicine in Coping with Stress during Infertility Treatment

Cited by 12 publications

References 35 publications

Assessing the clinical value of the Kruger strict morphology criteria over the World Health Organization fourth edition criteria

Assessing the clinical value of the Kruger strict morphology criteria over the World Health Organization fourth edition criteria

Perceived Partner’s Self-Control and Social Support Effects on Relationship Satisfaction in Couples Experiencing Infertility or Miscarriage: Dyadic Analyses

Health Related Behaviors and Life Satisfaction in Patients Undergoing Infertility Treatment

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