Moutzouroulia Aggeliki, Asimakopoulou Zoi, Tzavara Chara, Asimakopoulos Konstantinos, Adonakis Georgios, Kaponis Apostolos
Department of Obstetrics & Gynecology, Patras University School of Medicine, Greece.
Department of Hygiene and Epidemiology, Patras University School of Medicine, Greece.
Sex Reprod Healthc. 2025 Mar;43:101072. doi: 10.1016/j.srhc.2025.101072. Epub 2025 Jan 27.
BACKGROUND & PROBLEM: Infertility affects a substantial number of couples, posing physical, emotional, and psychological challenges. Infertile women experienced a sense of loss of control and planning of life with high stress and anxiety and they must deal with the uncertainty of treatment. The evolution of assisted reproductive techniques has provided hope for couples that struggle with infertility. The implementation of questionnaires assessing the mental health of women with infertility before, during, and after the IVF procedure proved to be useful tool to evaluate women who needs psychological support.
This study aims to explore the impact of infertility on the mental health of women undergoing IVF treatment.
For the assessment of infertility on women's mental health, the CES-D Scale, the State-Trait Anxiety Inventory for Adults, and the Fertility Problem Inventory scale were given before or during the diagnostic evaluation of the infertility and before the initiation of infertility treatment (ovulation induction). To assess the effect of ART on the mental health of the participants, the fertility quality of life tool was applied at the end of the procedure.
The current study found that the greater age, the greater educational level and not having experienced a miscarriage were significantly associated with better quality of life and decreased stress during the IVF procedure.
The application of psychological interventions can assist all women undergoing infertility treatment as a way to cope with the challenges associated with infertility treatment. IVF couples may need additional support during the procedure.
不孕症影响着大量夫妻，带来身体、情感和心理上的挑战。不孕女性会经历一种失去生活掌控感和规划感的状态，伴有高度的压力和焦虑，并且她们必须应对治疗的不确定性。辅助生殖技术的发展为受不孕症困扰的夫妻带来了希望。实施问卷调查来评估不孕女性在体外受精（IVF）程序之前、期间和之后的心理健康状况，已被证明是评估需要心理支持的女性的有用工具。
本研究旨在探讨不孕症对接受IVF治疗的女性心理健康的影响。
为评估不孕症对女性心理健康的影响，在不孕症诊断评估期间或之前以及不孕症治疗（排卵诱导）开始之前，使用流调中心用抑郁量表（CES-D量表）、成人状态-特质焦虑量表和生育问题量表进行评估。为评估辅助生殖技术（ART）对参与者心理健康的影响，在程序结束时应用生育生活质量工具。
当前研究发现，年龄越大、教育水平越高以及未经历过流产与IVF程序期间更好的生活质量和减轻的压力显著相关。
应用心理干预可以帮助所有接受不孕症治疗的女性应对与不孕症治疗相关的挑战。IVF夫妻在治疗过程中可能需要额外的支持。
