Fertile Period Awareness Knowledge, Attitudes and Practice in Infertile Couples Seeking Fertility Assistance: A Cross-sectional Study

Author(s):  
Shilpa P. Kshrisagar ◽  
Arti S. Shirsath
2020 ◽  
Vol 56 (1) ◽  
pp. 1
Author(s):  
Nur Hafiz Ramadhona ◽  
Aucky Ginting ◽  
Hamdani Lunardhi

Infertility is the inability of a partner to get pregnant after regular sexual intercourse without contraception for 12 months. Based on the cause, male infertility is caused by genetic, hormonal, infectious, sexual, and unexplained infertility. However, many infertile couples are classified into unexplained infertility without an antisperm antibody (ASA) immunological examination. This study aimed to prove that couples classified as unexplained infertility can be caused by ASA wives. This was an observational study with a cross sectional study design. The sample consisted of 2 groups, in which the first group consisted of 36 fertile couples and the second group consisted of 35 unexplained infertility couples. All samples were carried out indirect MAR test to obtain the ASA value of the wife. If the wife's ASA value was >40%, the ASA results were positive. Conversely, if the ASA value was <40%, the ASA results were negative. From these 2 groups, there was a statistically significant difference (p<0.0001) that the wife's ASA value in the unexplained infertility group was significantly higher than that in the fertile group. This study concluded that the positive ASA results from the indirect MAR test were significantly found in the unexplained infertility sample.


2020 ◽  
pp. 1-3
Author(s):  
Jisha M. ◽  
Dr Assuma Beevi.T. M.

Introduction: Psychological and social effects of infertility may cause decline in the quality of life of infertile couples. A cross sectional study was conducted among 100 infertile couples, to find out the association between level of stress, anxiety and depression with their quality of life. Materials and methods: Data was collected using demographic and fertility information questionnaire, depression anxiety and stress scale (DASS-42) and fertility quality of life (fertiQol-malayalam). Results: Infertile couples experiences higher levels of depression, anxiety and stress and it is more among women,(depression-(15.36 +_ 9.23), stress(16.3+-7.52) anxiety (9.36+_6.33) than men (depression(12.52+_10.30 )(P=0.030), stress(12.84+_ 7.94 )(P=0-002 ) anxiety(7.50+_5-55). Levels of depression, anxiety and stress have significant negative relation with their quality of life. Infertile women has significantly lower quality of life (P= 0.002) than men. Conclusion: Interventions, to reduce depression, anxiety and stress among infertile couples may be helpful to improve their quality of life.


Author(s):  
Shilpa Pankaj Kshrisagar ◽  
Arti Sidharth Shirsath

Background: Infertility is one of the most distressful condition for a couple. Medical interventions may exacerbate anxiety, depression, stress, loss of self-esteem, guilt and grief in these couples. But many studies indicate that most cases of infertility can be attributed to a physiological cause in the man or woman. Previous research has suggested that poor fertility period awareness may be a contributing cause of infertility among couples seeking assistance at infertility clinics. The actual practices and attitudes towards fertility-awareness in this particular group of patients are unknown and need to be explored. The aim of the present study was to report the study of fertile period awareness and their knowledge, attitude and practice in the infertile couples seeking fertility assistanceMethods: This is a cross-sectional questionnaire-based study. The study was conducted over a period of 6 months from June to December 2017 in the couples attending the infertility clinic at Smt Kashibai Navale Medical College and General Hospital, Pune.Results: Total 246 of 280 distributed questionnaires were completed (response rate =87.8%). Out of these 60% (n=147) believed they had timed intercourse within the fertile window of the menstrual cycle in their attempts at conception, but surprisingly only 36%(n=52) could accurately identify this window. In this study 23% (n=56) participants had already taken prior treatment but still 50% were ignorant about fertile window. It was shocking that among 246 only 15% (n=38) couples were actually practising fertile period due to some reasons and most of them did not know or rely upon the concept of fertile period. Almost 94% of them believed that they should receive fertility-awareness education when they first report trouble in conceiving to their doctor.Conclusions: Most couples seeking assistance at infertility clinics were unaware of the fertile window of the menstrual cycle and only few could accurately identify this window, suggesting that poor fertility awareness may be a contributing cause of infertility.


Author(s):  
Nasrin Saadati ◽  
Roshan Nikbakht ◽  
Alireza Sattari ◽  
Fatemeh Sadat Amininezhad

Background: The phenomenon of infertility may be derived from different factors - either in males or females or both genders, including few unexplained factors. It is generally managed by medical and surgical treatments. Objective: To find a relation of occurrence of spontaneous pregnancy (SP) with effective factors in infertility. Materials and Methods: This cross-sectional study was conducted at two referral infertility centers (university and privacy center) in the southwest of Iran from March 2015 and March 2016 on 655 infertile couples, who were divided in two groups of with (n = 31) and without (n = 624) SP. The variables included female and male age, male smoking, male job, the place of living, the causes of infertility, the type and duration of infertility, and the subgroups of infertility causes. Results: Infertility may be caused due to both male- and female- related factors (47.5%). While female-related infertility was found in 31.5%, male-related infertility in 14.5%, and infertility due to unexplained factors in 6.6% of our patients. The rate of SP was 4.7%, which had a significant relation with the duration of infertility (p = 0.01), with women’s age (p = 0.048), unexplained infertility (p = 0.001), and husband’s job (p = 0.004). Conclusion: The occurrence of SP in infertile couples was related to age of the female partner, the duration of unexplained infertility, and the male partner’s job. Key words: Male infertility, Female infertility, Spontaneous pregnancy, Epidemiology, Etiology.


2020 ◽  
Author(s):  
Ju-Young Ha ◽  
Seonhwa Ban

Abstract Background Infertility is an emerging socioeconomic issue affecting an individual’s life and the nation. However, only few studies have examined the influence of resilience on the quality of life (QoL) of spouses as actors and partners. Hence, this study aimed to analyze the influence of resilience, a positive factor that infertile couples may have, on QoL using the actor–partner interdependence model (APIM).Methods By the analyses of couples’ data, we analyzed the effect of resilience on the QoL of infertile couples as actors and partners. This cross-sectional study included 150 infertile couples. The Fertility Quality of Life and Resilience Scale was used to measure couples’ QoL and resilience. APIM was applied to analyze QoL.Results In terms of actor effects, the resilience of both wives (β = 0.201, p < 0.001) and husbands (β = 0.713, p < 0.001) had a significant effect on individual QoL. With regard to partner effects, husbands’ resilience (β = 0.351, p < 0.001) had a significant impact on wives’ QoL and the wives’ resilience (β = 0.219, p = 0.009) had a significant impact on husbands’ QoL.Conclusions The resilience of an infertile actor was found to affect both his/her own QoL and his/her partner’s QoL. In the future, if a program is to be developed to improve couples’ QoL, both spouses should work together to improve their resilience, thereby improving their QoL.


2021 ◽  
Vol Volume 13 ◽  
pp. 793-801
Author(s):  
Nguyen Sa Viet Le ◽  
Minh Tam Le ◽  
Nguyen Dac Nguyen ◽  
Nhu Quynh Thi Tran ◽  
Quoc Huy Vu Nguyen ◽  
...  

2020 ◽  
Author(s):  
Ju-Young Ha ◽  
Seonhwa Ban

Abstract Background Infertility is an emerging socioeconomic issue affecting an individual’s life and the nation. However, only few studies have examined the influence of resilience on the quality of life (QoL) of spouses as actors and partners. Hence, this study aimed to analyze the influence of resilience, a positive factor that infertile couples may have, on QoL using the actor–partner interdependence model (APIM).Methods Using the method of couples’ data analysis, we analyzed the effect of resilience on the QoL of infertile couples as actors and partners. This cross-sectional study included 150 infertile couples. The Fertility Quality of Life and Resilience Scale was used to measure couples’ QoL and resilience. APIM was applied to analyze QoL.Results In terms of actor effects, the resilience of both wives (β = 0.201, p < 0.001) and husbands (β = 0.713, p < 0.001) had a significant effect on individual QoL. With regard to partner effects, husbands’ resilience (β = 0.351, p < 0.001) had a significant impact on wives’ QoL and the wives’ resilience (β = 0.219, p = 0.009) had a significant impact on husbands’ QoL.Conclusions The resilience of an infertile actor was found to affect both his/her own QoL and his/her partner’s QoL. In the future, if a program is to be developed to improve couples’ QoL, both spouses should work together to improve their resilience, thereby improving their QoL.


2020 ◽  
Author(s):  
Ju-Young Ha ◽  
Seonhwa Ban

Abstract BackgroundInfertility is an emerging socioeconomic issue affecting an individual’s life and the nation. However, only few studies have examined the influence of resilience on the quality of life (QoL) of spouses as actors and partners. Hence, this study aimed to analyze the influence of resilience, a positive factor that infertile couples may have, on QoL using the actor–partner interdependence model (APIM).MethodsBy the analyses of couples’ data, we analyzed the effect of resilience on the QoL of infertile couples as actors and partners. This cross-sectional study included 150 infertile couples. The Fertility Quality of Life and Resilience Scale was used to measure couples’ QoL and resilience. APIM was applied to analyze QoL.ResultsIn terms of actor effects, the resilience of both wives (β = 0.201, p < 0.001) and husbands (β = 0.713, p < 0.001) had a significant effect on individual QoL. With regard to partner effects, husbands’ resilience (β = 0.351, p < 0.001) had a significant impact on wives’ QoL and the wives’ resilience (β = 0.219, p = 0.009) had a significant impact on husbands’ QoL.ConclusionsThe resilience of an infertile actor was found to affect both his/her own QoL and his/her partner’s QoL. In the future, if a program is to be developed to improve couples’ QoL, both spouses should work together to improve their resilience, thereby improving their QoL.


2004 ◽  
Vol 94 (1) ◽  
pp. 55-65
Author(s):  
Maria Paz Loayza Hidalgo ◽  
Lorena Caleffi ◽  
Ana Baron ◽  
Eunice Mattana ◽  
Márcia Lorena F. Chaves

The objective of this study was to evaluate cohesion and adaptability as relationship patterns of individuals in the presence or absence of infertility. Infertile subjects (20 men and 26 women, age 29.9 yr., SD = 3.8), and 100 fertile individuals (52 men and 48 women, age 29.5 yr., SD = 3.6) were included in this cross-sectional study conducted in Brazil. Subjects were married for the first time and had no children. The pattern of relationship (cohesion and adaptability) was assessed on the Family Adaptability and Cohesion Evaluation Scale (FACES III). Subjects were also interviewed and the interviews tape-recorded and analyzed by independent and blinded senior psychiatrists. The concepts of cohesion and adaptability did not differentiate infertile couples from fertile ones. Further, the recorded interviews also resulted in heterogeneous, nonconcordant judgments. These results lead to two conclusions: that awareness of infertility is not present in the population studied or that it is present but the magnitude of its effect is quite small and that FACES III and the interview focus on adaptability and cohesion are not sensitive enough to measure the difficulties in these couples' relationships. This leads us to reflect on the type of psychiatric support available to infertile couples.


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