Basirat Zahra, Faramarzi Mahbobeh, Esmaelzadeh Seddigheh, Abedi Firoozjai S Harareh, Mahouti Theresa, Geraili Zahra
Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Infertility and Health Reproductive Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.Electronic Address:
Int J Fertil Steril. 2019 Oct;13(3):203-208. doi: 10.22074/ijfs.2019.5703. Epub 2019 Jul 14.
Infertile females experience some types of distress such as social stress, depression, and sexual dysfunction that may be exacerbated by polycystic ovary syndrome (PCOS). The current study aimed at comparing psychological profile of infertile females with PCOS with that of women without PCOS with respect to four domains: infertility stress, depression, sexual dysfunction, and alexithymia.
The current case-control study was conducted on 240 infertile females (120 with PCOS and 120 without PCOS) in Fatemeh Azahra Infertility and Reproductive Health Research Center (Babol, Iran) from 2016 to 2017. The following questionnaires were used to collect data: the fertility problem inventory (FPI), the female sexual function index (FSFI), the Beck depression inventory-II (BDI-II), and the Toronto alexithymia scale (TAS-20).
Females with PCOS had higher FPI total scores than the ones without PCOS (120.68 ± 29.42 vs. 112.83 ± 30.94). Of the subscales of infertility stress, the mean scores of social stress and rejection of a future life without a child were higher in females with PCOS than the ones without PCOS (P<0.05). Also, the mean total scores of alexithymia symptoms (TAS-20) in females with PCOS were significantly higher than those of the ones without PCOS (59.83 ± 11.36 vs. 55.69 ± 11.52). There was no significant difference between the two groups regarding the mean scores of depression symptoms and sexual function.
Infertile females with PCOS experienced higher levels of infertility stress and inability to distinguish and describe their feelings compared with the ones without PCOS. It is suggested that infertility care providers should provide more psychosocial support for infertile females with PCOS.
不孕女性会经历一些类型的困扰，如社会压力、抑郁和性功能障碍，而多囊卵巢综合征（PCOS）可能会使这些困扰加剧。本研究旨在比较患有PCOS的不孕女性与未患PCOS的女性在四个方面的心理状况：不孕压力、抑郁、性功能障碍和述情障碍。
本病例对照研究于2016年至2017年在伊朗巴博勒的法特梅·阿扎赫拉不孕与生殖健康研究中心对240名不孕女性（120名患有PCOS，120名未患PCOS）进行。使用以下问卷收集数据：生育问题量表（FPI）、女性性功能指数（FSFI）、贝克抑郁量表第二版（BDI-II）和多伦多述情障碍量表（TAS-20）。
患有PCOS的女性FPI总分高于未患PCOS的女性（120.68±29.42对112.83±30.94）。在不孕压力的子量表中，患有PCOS的女性社会压力和对没有孩子的未来生活的排斥的平均得分高于未患PCOS的女性（P<0.05）。此外，患有PCOS的女性述情障碍症状（TAS-20）的平均总分显著高于未患PCOS的女性（59.83±11.36对55.69±11.52）。两组在抑郁症状和性功能的平均得分方面没有显著差异。
与未患PCOS的不孕女性相比，患有PCOS的不孕女性经历了更高水平的不孕压力，并且无法区分和描述自己的感受。建议不孕护理提供者应为患有PCOS的不孕女性提供更多的心理社会支持。
