Tola Esra Nur, Turgut Umran Kilıncdemir
Esra Nur Tola Department of Obstetrics and Gynecology, Istanbul Medipol University Faculty of Medicine, Medipol Pendik Hospital, Istanbul, Turkey.
Umran Kilıncdemir Turgut Department of Obstetrics and Gynaecology-Perinatology, University of Health Sciences, Adana City Training, Research Center, Adana, Turkey.
Pak J Med Sci. 2025 Mar;41(3):730-735. doi: 10.12669/pjms.41.3.9966.
To evalute the association between Type-D personality and in vitro fertilization (IVF) success in unexplained infertile women.
This was a cross-sectional study conducted at the IVF unit of a tertiary center between September 2017 - December 2019. The 21 items Beck Depression Inventory (BDI-21) and 14 items Type-D Scale (DS14) were noted from 256 unexplained infertile women undergoing an IVF cycle.
Paternal educational level and clinical pregnancy were lower and depression was more prevalent in Type-Ds than non-Type-Ds. There was a positive correlation between BDI-21 scores and duration of infertility and cycle count. Age, paternal educational level, anti-mullerian hormone and metaphaseII number were lower and Type-D personality was more prevalent in women who failed to become pregnant than women who achieved pregnancy. After adjustment of factors affect the IVF success, clinical pregnancy was negatively associated with Type-D personality, age and low paternal educational level, whereas it was positively associated with infertility duration and single embryo transfer.
It seems that having a Type-D personality may negatively affect clinical pregnancy after IVF treatment in couples with unexplained infertility.
评估D型人格与不明原因不孕女性体外受精(IVF)成功率之间的关联。
这是一项于2017年9月至2019年12月在一家三级中心的体外受精科室开展的横断面研究。记录了256名接受体外受精周期治疗的不明原因不孕女性的21项贝克抑郁量表(BDI-21)和14项D型量表(DS14)得分。
与非D型人格者相比,D型人格者的父亲教育水平和临床妊娠率较低,且抑郁更为普遍。BDI-21得分与不孕持续时间和周期数呈正相关。未怀孕女性的年龄、父亲教育水平、抗苗勒管激素和中期II期卵母细胞数量较低,且D型人格更为普遍。在调整影响体外受精成功率的因素后,临床妊娠与D型人格、年龄和父亲教育水平低呈负相关,而与不孕持续时间和单胚胎移植呈正相关。
在不明原因不孕的夫妇中,D型人格似乎可能对体外受精治疗后的临床妊娠产生负面影响。