Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-12-2017 | Research

Quality of life and general health of infertile women

Authors: Azam Namdar, Mohammad Mehdi Naghizadeh, Marziyeh Zamani, Farideh Yaghmaei, Mohammad Hadi Sameni

Published in: Health and Quality of Life Outcomes | Issue 1/2017

Login to get access

Abstract

Background

Measuring the quality of life (QOL) is a benchmark in today’s world of medicine. The aim of the present study was to determine the general health and QOL of infertile women and certain affecting conditions.

Methods

In a cross-sectional study, 161 infertile women referring to Dr. Rostami’s Infertility Center of Shiraz, Southern Iran, in 2013 were enrolled by the convenience sampling method. Data were collected via a socio-demographic, general health (GHQ28), and the QOL Questionnaire of Infertile Couples and analyzed using descriptive and analytical statistics.

Results

According to 146 completely filled-out questionnaires, the mean age of the participants and their spouses were 29.4 ± 5.4 and 33.8 ± 5.8 years, respectively. Moreover, the general health of 57 (39%) patients was normal and that of 89 (61%) patients showed a degree of impairment. The scores for depression and physical symptoms were the highest and lowest, respectively. In addition, quite positive, positive, neutral, and negative specific QOL of infertile women were detected in 4 (2.8%), 72 (49.3%), 70 (47.9%), and 0 (0%) individuals, respectively. The total QOL scores had maximum correlation with GHQ anxiety (r = −0.596, P < 0.001) and general health scores had the highest correlation with physical QOL (r = −0.637, P < 0.001). The QOL was economically (P = 0.027), emotionally (P = 0.004), sexually (P = 0.017), physically (P = 0.037), and psychologically (P = 0.001) less for the women living in rural areas than other infertile women. However, university education (P = 0.015) and higher income per month (P = 0.008) had positive associations with QOL.

Conclusion

General health of more than half of the infertile women indicated a degree of disorder. These women face the risk of anxiety, social dysfunction, and depression. Educational status, monthly income, and rural/urban residency are the major factors influencing the QOL.
Literature
1.
go back to reference Direkvand-Moghadam A, Delpisheh A, Montazeri A, Sayehmiri K. Quality of life among Iranian infertile women in postmenopausal period: a cross-sectional study. J Menopausal Med. 2016;22(2):108–13.CrossRefPubMedPubMedCentral Direkvand-Moghadam A, Delpisheh A, Montazeri A, Sayehmiri K. Quality of life among Iranian infertile women in postmenopausal period: a cross-sectional study. J Menopausal Med. 2016;22(2):108–13.CrossRefPubMedPubMedCentral
2.
go back to reference Sezgin H, Hocaoglu C, Guvendag-Guven ES. Disability, psychiatric symptoms, and quality of life in infertile women: a cross-sectional study in Turkey. Shanghai arc psychiatry. 2016;28(2):86–94. Sezgin H, Hocaoglu C, Guvendag-Guven ES. Disability, psychiatric symptoms, and quality of life in infertile women: a cross-sectional study in Turkey. Shanghai arc psychiatry. 2016;28(2):86–94.
3.
go back to reference Baghiani Moghadam MH, Aminian AH, Abdoli AM, Seighal N, Falahzadeh H, Ghasemi N. Evaluation of the general health of the infertile couples. Iran J Reprod Med. 2011;9(4):309–14.PubMedPubMedCentral Baghiani Moghadam MH, Aminian AH, Abdoli AM, Seighal N, Falahzadeh H, Ghasemi N. Evaluation of the general health of the infertile couples. Iran J Reprod Med. 2011;9(4):309–14.PubMedPubMedCentral
4.
go back to reference Rashidi B, Montazeri A, Ramezanzadeh F, Shariat M, Abedinia N, Ashrafi M. Health-related quality of life in infertile couples receiving IVF or ICSI treatment. BMC Health Serv Res. 2008;8(1):1.CrossRef Rashidi B, Montazeri A, Ramezanzadeh F, Shariat M, Abedinia N, Ashrafi M. Health-related quality of life in infertile couples receiving IVF or ICSI treatment. BMC Health Serv Res. 2008;8(1):1.CrossRef
5.
go back to reference Lo SS, Kok WM. Sexual functioning and quality of life of Hong Kong Chinese women with infertility problem. Hum Fertil (Camb). 2016;19(4):268–74.CrossRef Lo SS, Kok WM. Sexual functioning and quality of life of Hong Kong Chinese women with infertility problem. Hum Fertil (Camb). 2016;19(4):268–74.CrossRef
6.
go back to reference Mosher WD, Pratt WF. Fecundity and infertility in the United States: incidence and trends. Fertil Steril. 1991;56(2):192–3.CrossRefPubMed Mosher WD, Pratt WF. Fecundity and infertility in the United States: incidence and trends. Fertil Steril. 1991;56(2):192–3.CrossRefPubMed
7.
go back to reference 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. 2016;19(3):186–91.CrossRef 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. 2016;19(3):186–91.CrossRef
8.
go back to reference Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology. 2004;63(1):126–30.CrossRefPubMed Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment, and sexual function. Urology. 2004;63(1):126–30.CrossRefPubMed
9.
go back to reference Kedem P, Mikulincer M, Nathanson YE, Bartoov B. Psychological aspects of male infertility. Br J Med Psychol. 1990;63(1):73–80.CrossRefPubMed Kedem P, Mikulincer M, Nathanson YE, Bartoov B. Psychological aspects of male infertility. Br J Med Psychol. 1990;63(1):73–80.CrossRefPubMed
10.
go back to reference Klemetti R, Raitanen J, Sihvo S, Saarni S, Koponen P. Infertility, mental disorders and well-being--a nationwide survey. Acta Obstet Gynecol Scand. 2010;89(5):677–82.CrossRefPubMed Klemetti R, Raitanen J, Sihvo S, Saarni S, Koponen P. Infertility, mental disorders and well-being--a nationwide survey. Acta Obstet Gynecol Scand. 2010;89(5):677–82.CrossRefPubMed
11.
go back to reference Yaghmaei F, Mohammadi S, Alavimajd H. Developing “Quality of Life in Infertile Couples Questionnaire” and Measuring its Psychometric Properties. J Reprod Infertil. 2009;10(2):137–43. [Persian] Yaghmaei F, Mohammadi S, Alavimajd H. Developing “Quality of Life in Infertile Couples Questionnaire” and Measuring its Psychometric Properties. J Reprod Infertil. 2009;10(2):137–43. [Persian]
12.
go back to reference Goldberg DP, Hillier VF. A scaled version of the general health questionnaire. Psychol Med. 1979;9(1):139–45.CrossRefPubMed Goldberg DP, Hillier VF. A scaled version of the general health questionnaire. Psychol Med. 1979;9(1):139–45.CrossRefPubMed
13.
go back to reference Noorbala AA, Mohammad K. The validation of general health questionnaire- 28 as a psychiatric screening tool. Hakim Health Sys Res. 2009;11(4):47–53. [Persian] Noorbala AA, Mohammad K. The validation of general health questionnaire- 28 as a psychiatric screening tool. Hakim Health Sys Res. 2009;11(4):47–53. [Persian]
14.
go back to reference Shakeri J, Hossieni M, Golshani S, Sadeghi K, Fizollahy V. Assessment of general health, stress coping and marital satisfaction in infertile women undergoing IVF treatment. J Reprod Infertile. 2006;7(3):269–75. Shakeri J, Hossieni M, Golshani S, Sadeghi K, Fizollahy V. Assessment of general health, stress coping and marital satisfaction in infertile women undergoing IVF treatment. J Reprod Infertile. 2006;7(3):269–75.
15.
go back to reference Goldberg D. Screening psychiatric disorders. In: Williams p, Wilkinson G, editors. The Scape of epidemiological psychiatry. London: Routledge; 1989. Goldberg D. Screening psychiatric disorders. In: Williams p, Wilkinson G, editors. The Scape of epidemiological psychiatry. London: Routledge; 1989.
16.
go back to reference Palahang H. Prevalence of mental disorders in the internal ward of Kashani hospital, Shahrekord, 1999. J Shahrekord Univ Med Sci. 1999;1(2):44–51. Palahang H. Prevalence of mental disorders in the internal ward of Kashani hospital, Shahrekord, 1999. J Shahrekord Univ Med Sci. 1999;1(2):44–51.
17.
18.
go back to reference Crawford NM, Hoff HS, Mersereau JE. Infertile women who screen positive for depression are less likely to initiate fertility treatments. Hum Reprod. 2017;32(3):582–7.PubMed Crawford NM, Hoff HS, Mersereau JE. Infertile women who screen positive for depression are less likely to initiate fertility treatments. Hum Reprod. 2017;32(3):582–7.PubMed
19.
go back to reference Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynaecol. 2010;31(2):101–10.CrossRefPubMed Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynaecol. 2010;31(2):101–10.CrossRefPubMed
20.
go back to reference Chachamovich J, Chachamovich E, Fleck MP, Cordova FP, Knauth D, Passos E. Congruence of quality of life among infertile men and women: findings from a couple-based study. Hum Reprod. 2009;24(9):2151–7.CrossRefPubMed Chachamovich J, Chachamovich E, Fleck MP, Cordova FP, Knauth D, Passos E. Congruence of quality of life among infertile men and women: findings from a couple-based study. Hum Reprod. 2009;24(9):2151–7.CrossRefPubMed
21.
go back to reference van Balen F, Bos HM. The social and cultural consequences of being childless in poor-resource areas. Facts views vision ObGyn. 2009;1(2):106–21. van Balen F, Bos HM. The social and cultural consequences of being childless in poor-resource areas. Facts views vision ObGyn. 2009;1(2):106–21.
22.
go back to reference Maroufizadeh S, Karimi E, Vesali S, Omani Samani R. Anxiety and depression after failure of assisted reproductive treatment among patients experiencing infertility. Int J Gynaecol Obstet. 2015;130(3):253–6.CrossRefPubMed Maroufizadeh S, Karimi E, Vesali S, Omani Samani R. Anxiety and depression after failure of assisted reproductive treatment among patients experiencing infertility. Int J Gynaecol Obstet. 2015;130(3):253–6.CrossRefPubMed
23.
go back to reference Maroufizadeh S, Ghaheri A, Amini P, Samani RO. Psychometric properties of the fertility quality of life instrument in infertile iranian women. Int J Fertil Steril. 2017;10(4):371–9.PubMed Maroufizadeh S, Ghaheri A, Amini P, Samani RO. Psychometric properties of the fertility quality of life instrument in infertile iranian women. Int J Fertil Steril. 2017;10(4):371–9.PubMed
24.
go back to reference Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol. 2007;21(2):293–308.CrossRefPubMed Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol. 2007;21(2):293–308.CrossRefPubMed
25.
go back to reference Chen TH, Chang SP, Tsai CF, Juang KD. Prevalence of depressive and anxiety disorders in an assisted reproductive technique clinic. Hum Reprod. 2004;19(10):2313–8.CrossRefPubMed Chen TH, Chang SP, Tsai CF, Juang KD. Prevalence of depressive and anxiety disorders in an assisted reproductive technique clinic. Hum Reprod. 2004;19(10):2313–8.CrossRefPubMed
26.
go back to reference Chi HJ, Park IH, Sun HG, Kim JW, Lee KH. Psychological distress and fertility quality of life (FertiQoL) in infertile Korean women: the first validation study of Korean FertiQoL. Clin Exp Reprod Med. 2016;43(3):174–80.CrossRefPubMedPubMedCentral Chi HJ, Park IH, Sun HG, Kim JW, Lee KH. Psychological distress and fertility quality of life (FertiQoL) in infertile Korean women: the first validation study of Korean FertiQoL. Clin Exp Reprod Med. 2016;43(3):174–80.CrossRefPubMedPubMedCentral
27.
go back to reference Xiaoli S, Mei L, Junjun B, Shu D, Zhaolian W, Jin W, Ju Q, Wanli S, Huali Z, Li J, et al. Assessing the quality of life of infertile Chinese women: a cross-sectional study. Taiwan J Obstet Gynecol. 2016;55(2):244–50.CrossRefPubMed Xiaoli S, Mei L, Junjun B, Shu D, Zhaolian W, Jin W, Ju Q, Wanli S, Huali Z, Li J, et al. Assessing the quality of life of infertile Chinese women: a cross-sectional study. Taiwan J Obstet Gynecol. 2016;55(2):244–50.CrossRefPubMed
28.
go back to reference King RB. Subfecundity and anxiety in a nationally representative sample. Soc Sci Med. 2003;56(4):739–51.CrossRefPubMed King RB. Subfecundity and anxiety in a nationally representative sample. Soc Sci Med. 2003;56(4):739–51.CrossRefPubMed
29.
go back to reference Lok IH, Lee DTS, Cheung LP, Chung WS, Lo WK, Haines CJ. Psychiatric morbidity amongst infertile Chinese women undergoing treatment with assisted reproductive technology and the impact of treatment failure. Gynecol Obstet Investig. 2002;53(4):195–9.CrossRef Lok IH, Lee DTS, Cheung LP, Chung WS, Lo WK, Haines CJ. Psychiatric morbidity amongst infertile Chinese women undergoing treatment with assisted reproductive technology and the impact of treatment failure. Gynecol Obstet Investig. 2002;53(4):195–9.CrossRef
30.
go back to reference Lu Y, Yang L. Lu G: [mental status and personality of infertile women]. Zhonghua Fu Chan Ke Za Zhi. 1995;30(1):34–7.PubMed Lu Y, Yang L. Lu G: [mental status and personality of infertile women]. Zhonghua Fu Chan Ke Za Zhi. 1995;30(1):34–7.PubMed
31.
go back to reference Ramezanzadeh F, Aghssa MM, Abedinia N, Zayeri F, Khanafshar N, Shariat M, Jafarabadi M. A survey of relationship between anxiety, depression and duration of infertility. BMC Womens Health. 2004;4(1):1.CrossRef Ramezanzadeh F, Aghssa MM, Abedinia N, Zayeri F, Khanafshar N, Shariat M, Jafarabadi M. A survey of relationship between anxiety, depression and duration of infertility. BMC Womens Health. 2004;4(1):1.CrossRef
32.
go back to reference Guerra D, Llobera A, Veiga A, Barri PN. Psychiatric morbidity in couples attending a fertility service. Hum Reprod. 1998;13(6):1733–6.CrossRefPubMed Guerra D, Llobera A, Veiga A, Barri PN. Psychiatric morbidity in couples attending a fertility service. Hum Reprod. 1998;13(6):1733–6.CrossRefPubMed
33.
go back to reference Oddens BJ, den Tonkelaar I, Nieuwenhuyse H. Psychosocial experiences in women facing fertility problems-a comparative survey. Hum Reprod. 1999;14(1):255–61.CrossRefPubMed Oddens BJ, den Tonkelaar I, Nieuwenhuyse H. Psychosocial experiences in women facing fertility problems-a comparative survey. Hum Reprod. 1999;14(1):255–61.CrossRefPubMed
34.
go back to reference El Kissi Y, Amamou B, Hidar S, Ayoubi Idrissi K, Khairi H, Ali BBH. Quality of life of infertile Tunisian couples and differences according to gender. Int J Gynecol Obstet. 2016;125(2):134–7.CrossRef El Kissi Y, Amamou B, Hidar S, Ayoubi Idrissi K, Khairi H, Ali BBH. Quality of life of infertile Tunisian couples and differences according to gender. Int J Gynecol Obstet. 2016;125(2):134–7.CrossRef
35.
go back to reference Porat-Katz A, Paltiel O, Kahane A, Eldar-Geva T. The effect of using complementary medicine on the infertility-specific quality of life of women undergoing in vitro fertilization. Int J Gynaecol Obstet. 2016;135(2):163–7.CrossRefPubMed Porat-Katz A, Paltiel O, Kahane A, Eldar-Geva T. The effect of using complementary medicine on the infertility-specific quality of life of women undergoing in vitro fertilization. Int J Gynaecol Obstet. 2016;135(2):163–7.CrossRefPubMed
Metadata
Title
Quality of life and general health of infertile women
Authors
Azam Namdar
Mohammad Mehdi Naghizadeh
Marziyeh Zamani
Farideh Yaghmaei
Mohammad Hadi Sameni
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0712-y

Other articles of this Issue 1/2017

Health and Quality of Life Outcomes 1/2017 Go to the issue