Nambi, K (2008) A Study of Psychosocial Aspects in Infertile Population. Masters thesis, Madras Medial College, Chennai.
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Abstract
INTRODUCTION: Infertility is the inability to conceive after one year of regular unprotected sexual intercourse. It affects one in six couples (17%) of child - bearing age group. The rate of infertility has increased 10 % over the last 30 years. This has been attributed to several factors including advanced age at marriage, delayed child bearing, the use of birth control and increased prevalence( McDaniel, 1992). Infertility is most commonly perceived to be linked to a woman’s inability to conceive. However, medical studies have shown that 40 % infertility is primarily attributable to female factors, 40 % infertility is primarily attributable to male factors, and the remaining 20 % to an interaction between the two partners (Robinson & Steward, 1996; Wright, Allard, Lecours and Sabourin, 1989). Approximately 75% of couples diagnosed with infertility will seek some type of treatment (Sadler & Syrop, 1998). Of those who seek treatment it is estimated that 50 to 60 % will conceive compared to only 5 % who would conceive if they did not seek medical care (Andrews, abbey and Halman, 1991; Shapiro, 1982). AIM OF THE STUDY: 1. To determine the prevalence of anxiety and depression in the infertile population. 2. To assess the psychosocial factors associated with these disturbances. 3. To stress the importance of incorporating assessment of mental health status as a part of infertility work up. MATERIALS AND METHODS: This study was conducted at the “Fertility Research Center” of the Institute of Obstetrics and Gynaecology attached to Madras Medical College during the period of August 2006 to August 2007. Study design : Cross sectional study. Inclusion criteria: 1. Age 20 to 55 (male partner); Age 20 to 45 (female partner), 2. Cases of primary infertility (duration of infertility minimum of 1 year), 3. Patients willing to participate in the study. Exclusion criteria: 1. Age <20 and >55 for male partner; Age < 20 and > 45 for female partner. 2. Cases of secondary infertility. 3. Cases of recurrent pregnancy loss. 116 male patients and 377 female patients were chosen on the basis of inclusion and exclusion criteria. CONCLUSION: It is found that from this study a considerable number of patients attending the Fertility Research Center OP were suffering from anxiety and depression. It is vital that this is identified early and support is given in the form of counseling and referral to a specialist if needed. Diagnosing and treating anxiety and depression early will improve the patients’ attitude, compliance and finally the outcome of treatment in infertility as well as long term mental health. HADS is a simple, easy and self- administered questionnaire that can be applied in the OP setting itself by gynaecologists themselves. Diagnosing and treating hypothyroidism will help in improving both the well being of the patient as well the fertility outcome. Special attention should be given to the PCOS patients who are again prone for these disorders. They must be encouraged to involve in support groups and help each other. Thereby they will acquire a positive outlook to the problem, which will help them adhere to life style modifications especially weight reduction, which is the mainstay of treatment in PCOS. Threat to divorce and suicide risk were problems faced by some infertile women, which is not seen in the men in the study. This issue demands prompt and timely support and counseling to these needy women. In untreatable infertility conditions counselling regarding other non- medical options like adoption may be offered. Regarding attitude and decisions regarding reproductive choices it was found that there was a need to impart more information, education and communication (IEC) to the subjects.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Psychosocial Aspects ; Infertile Population. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 28 Nov 2017 03:24 |
| Last Modified: | 09 Dec 2017 02:39 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/4129 |
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