1. Assisted reproductive technology treatments and quality of life: a longitudinal study among subfertile women and men
- Author
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Francesca Agostini, Giovanni Battista La Sala, Fiorella Monti, Stefano Palomba, Federica Andrei, Marcella Paterlini, Agostini, Francesca, Monti, Fiorella, Andrei, Federica, Paterlini, Marcella, Palomba, Stefano, and La Sala, Giovanni Battista
- Subjects
Adult ,Male ,Infertility ,medicine.medical_specialty ,Longitudinal study ,Reproductive Techniques, Assisted ,medicine.medical_treatment ,Reproductive medicine ,03 medical and health sciences ,0302 clinical medicine ,Work status ,Genetic ,Quality of life ,Genetics ,medicine ,Humans ,Women ,Longitudinal Studies ,Treatment Failure ,030212 general & internal medicine ,Assisted Reproduction Technologies ,Infertility, Male ,Genetics (clinical) ,Gynecology ,030219 obstetrics & reproductive medicine ,Assisted reproductive technology ,business.industry ,Obstetrics ,Clinical study design ,Obstetrics and Gynecology ,Men ,General Medicine ,Embryo Transfer ,medicine.disease ,humanities ,Embryo transfer ,Reproductive Medicine ,Quality of Life ,Female ,business ,Infertility, Female ,assisted reproductive technology ,infertility ,longitudinal study ,men ,quality of life ,women ,Developmental Biology - Abstract
Purpose: Quality of life (QoL) may represent a comprehensive indicator for the assessment of the psychological impact of complex clinical conditions, such as infertility. Infertile women have a worse QoL compared to both infertile men and non-infertile controls. However, the initial phases of infertility treatments have been frequently investigated using cross-sectional study designs. This prospective longitudinal study aimed at assessing the health-related QoL change across different phases of assisted reproductive technology (ART) treatments in subfertile women and men. Methods: Eighty-five subfertile women and men undergoing ART cycles were assessed at the beginning of the ovarian stimulation, during oocyte retrieval before discharging, and around 14Â days after the embryo transfer. QoL was assessed through the Short Form 36. Results: Irrespective of the cause of infertility, work status, and age, QoL levels decreased from the first to the third assessment, and women scored significantly lower than men to each QoL indicator. Additionally, a higher number of previous ART failures had a negative impact on QoL, irrespective of gender and the phase of treatment. ART outcome marginally affected womenâs QoL across time. Conclusion: Infertile women have a worse QoL throughout all phases of ARTs compared to men, and this difference increases in infertile patients with more than one previous ART failure.
- Published
- 2017