Clinical trial NCT03365830: Impact of Reproductive Problems on Couples
Official title: Impact of Reproductive Problems on Physical, Emotional, Social Life Areas in Couples Receiving Infertility Treatment
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Infertility
Lead sponsor: Acibadem University
Sponsor class: OTHER
First posted: 2017-12-07
Enrollment: 1000
Sex: ALL
Minimum age (years): 20
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Couples who takes IVF treatment

Brief summary: Reproduction is in fact the most basic instinct of all living things. The fertility of a woman is both a biological fact and a determinant of gender role in society. Motherhood is still seen as the primary role for women in society. Infertility, which manifests itself as a sudden and unexpected life crisis, is an unexpected, perhaps unexplained, condition that spreads over a long period of time, creates extreme stress and forces adjustment mechanisms. Infertility can affect the quality of life by adversely affecting the physical, emotional, social and relational living spaces of people.

The present study examines the effects of reproductive problems on the quality of life in women who receive infertility treatment, and in the direction of the results obtained, the treatment recipients of the health workers are planned to help develop a holistic perspective that takes into account not only reproductive problems but also other affected living areas.

Detailed description: Infertility is a psychological threat, emotional stress, economically expensive, painful and complex life crisis for the treatment for couples. Infertility has negative effects on social and psychological well-being rather than physical health. Infertile people accept this situation as a serious apology, and as a result of their emotional feeling, they are isolated from their surroundings over time. Therefore, infertility is not a simple gynecologic syndrome, and it is a condition that especially affects the woman very biologically, psychologically and socially, resulting in a decrease in health and quality of life. While infertility is not a life threatening health problem, the couple threatens healthy life with negative effects on mental health and quality of life and is defined as a life crisis by some authors. Studies in infertile couples have shown that women experience more anxiety, depression, stress and hostility in their lives than men, and that sexual life is negatively affected.

Today, unforeseen infertility, often unexplained and unpredictable, is considered to have created a stressful situation that pushes the coping mechanisms for a couple and destroys the sense of health and integrity.

The more a woman's identity is defined by her being a mother, the greater the amount of her psychological distress and disability. The longer the duration of infertility, the more dominance and hopelessness dominate and this can result in a greater depression. Generally, psychosocial effects of infertility also affect the components of quality of life in a negative way. The most affected areas are mental health, emotional behavior, environmental psychology, physical and social functions.

In many studies, it was determined that stress, anxiety and depression scores of infertile couples were higher than the fertile population. Anger, nervousness, decreased self-esteem, poor interpersonal relationships, reduced life satisfaction, anxiety and depression are frequently seen psychological disorders associated with infertility.

As a result, infertility is a stressful event for couples with children, and it is also a condition that affects the relationship of couples. The infertile couples have profoundly affected their marriages and social lives because of the long treatment duration, the destructive effect on the continuing mental health, the complexity of the treatment procedures, the unusual and long steps required and the consequences of the IVF treatment.

Eligibility criteria: Inclusion Criteria:

1. Diagnosis of infertility,
2. IVF therapy
3. At least elementary school graduate,
4. Married,
5. Communication is not obstacle,
6. Couples who agree to participate in the work

Exclusion Criteria:

* Other than inclusion criteria

Primary outcomes:
measure: Cronbach alpha value of emotions, general health, cognitive skills and performance of activities of daily living, partnership, and social and family relationships
timeFrame: 12 months
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Acibadem Fulya Hospital
state: Besiktas
Study officials:
References:
citation: Dural O, Yasa C, Keyif B, Celiksoy H, Demiral I, Yuksel Ozgor B, Gungor Ugurlucan F, Bastu E. Effect of infertility on quality of life of women: a validation study of the Turkish FertiQoL. Hum Fertil (Camb). 2016 Sep;19(3):186-91. doi: 10.1080/14647273.2016.1214754. Epub 2016 Aug 2.