Bagheri Maryam, Jafarabadi Mina, Vasegh Rahimparvar Seyedeh Fatemeh, Nourbala Ahmad Ali, Behboodi Moghadam Zahra
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Vali-e-Asr Reproductive Health Research Center, Tehran University of Medical Sciences, Tehran, Iran.
J Family Reprod Health. 2020 Mar;14(1):21-31.
Women with premature ovarian insufficiency, menopause, gonadal dysgenesis, and genetic disorders as well as those with a history of recurrent in vitro fertilization failure may benefit from the assisted fertility techniques. These women experience concerns that directly affect their married life especially in egg donation treatment. This study was conducted to investigate the reproductive health concerns of infertile women who were candidates for egg donation. This qualitative content analysis was conducted in 17 infertile women who were referred to Imam Khomeini Hospital Infertility Clinic from July 2018 to March 2019. The participants were selected through purposeful sampling. Data were collected through individual in-depth semi-structured interviews. A conventional qualitative content analysis approach was adopted for data analysis using the MAXQDA12 software. The results of data analysis showed five themes, including threatened married life, lack of supportive situation, religious beliefs, psychosocial damage, and damaged feminine identity. Infertility is usually accompanied by a great psychological sadness referred to as "stress of infertility". Assisted reproductive techniques (ART) are also a source of stress for patients; therefore, it has a significant impact on the marital relationship and mental health of infertile women. Hence, there is a need for psychological support from the treatment team to reduce woman reproductive health concerns.
患有卵巢早衰、更年期、性腺发育不全和遗传疾病的女性,以及有反复体外受精失败史的女性,可能会从辅助生育技术中受益。这些女性所面临的问题直接影响到她们的婚姻生活,尤其是在卵子捐赠治疗过程中。本研究旨在调查卵子捐赠候选不孕女性的生殖健康问题。这项定性内容分析针对2018年7月至2019年3月期间转诊至伊玛目霍梅尼医院不孕不育诊所的17名不孕女性进行。参与者通过目的抽样选取。数据通过个人深度半结构化访谈收集。采用传统的定性内容分析方法,使用MAXQDA12软件进行数据分析。数据分析结果显示了五个主题,包括受到威胁的婚姻生活、缺乏支持的环境、宗教信仰、心理社会损害和受损的女性身份认同。不孕通常伴随着巨大的心理悲伤,即所谓的“不孕压力”。辅助生殖技术(ART)也是患者压力的一个来源;因此,它对不孕女性的婚姻关系和心理健康有重大影响。因此,治疗团队需要提供心理支持,以减少女性对生殖健康的担忧。