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Marital Relationship and Quality of Life Among Couples with Infertility

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Abstract

The study was conducted due to the fact that there is not enough data on the topic in Turkey, where having a child brings status to women, and the related literature includes no qualitative studies about the effects of infertility on marital relationship (MR) and Quality of Life (QoL). Qualitative research in which 16 people who received successful infertility treatment received in-depth interviews, and data collected retrospectively. Infertility has negative effects on MR and QoL. In the marital relation category, four themes emerged from the answers given: (1) Separation-divorce; (2) Treatment phase and husband’s reaction, support after unsuccessful treatment; (3) MR after the delivery; (4) significance of child in marriage. It was identified that infertility, regardless of which gender experiences it, brought along many problems such as unhappiness, stress, sorrow, insomnia, increase/decrease in appetite, increase in the smoking habit, social stigmatization, being exposed to curious questions about having a child, avoiding being in places with children, losing privacy of sexual life, having sexual intercourse in a planned way solely for the purpose of reproduction not of pleasure, deterioration in family relations, interruption in work life, and high cost of treatment expenses. Infertility and its treatment have effects on MR and QoL. These effects varied depending on the stage of infertility process, gender, and the quality of the relationship.

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References

  1. Greil, A.L.: Infertility and psychological distress: a critical review of the literature. Soc. Sci. Med. 45(11), 1679–1704 (1997)

    Article  PubMed  Google Scholar 

  2. Chachamovich, J.R., Chachomovich, E., Zachia, S., Knauth, D., Passos, E.P.: What variables peredict generic and health-related quality of life in a sample of Brazilian women experiencing infertility? Hum. Reprod. 22(7), 1946–1952 (2007)

    Article  PubMed  Google Scholar 

  3. Fekkes, M., Buitendijk, S.E., Verrips, G.H.W., et al.: Health-related quality of life in relation to gender and age in couples planning IVF treatment. Hum. Reprod. 18(7), 1536–1543 (2003)

    Article  PubMed  Google Scholar 

  4. Drosdzol, A., Skrzypulec, V.: Quality of life and sexual functioning of Polish infertile couples. Eur. J. Contracept. Reprod. Health Care 13(3), 271–281 (2008)

    Article  PubMed  Google Scholar 

  5. Benazon, N., Wright, J., Sabourin, S.: Stress, sexual satisfaction, and marital adjustment in infertile couples. J. Sex Marital Ther. 18(4), 273–284 (1992)

    Article  PubMed  Google Scholar 

  6. Monga, M., Bogdan, A., Katz, S.E., Stein, M., Ganiats, T.: Impact of infertility on quality of life, marital adjustment and sexual function. Urology 63, 126–130 (2004)

    Article  PubMed  Google Scholar 

  7. Peterson, B.D., Newton, C.R., Rosen, K.H.: Examining congruence between partner’s perceived infertility-related stress and it’s relationship to marital adjustment and depression in infertile couples. Fam. Process. 42(1), 59–70 (2003)

    Article  PubMed  Google Scholar 

  8. Peterson, B.D., Newton, C.R., Rosen, K.H., Schulman, R.S.: Coping processes of couples experiencing infertility. Fam. Relat. 55, 227–239 (2006)

    Article  Google Scholar 

  9. Chachamovich, J., Chachomovich, E., Fleck, M.P., Cordova, F.P., Knauth, D., Passos, E.: Congruence of quality of life among infertile men and women: findings from a couple-based study. Hum. Reprod. Adv. 24(9), 2151–2157 (2009)

    Article  Google Scholar 

  10. Lee, T.Y., Chu, T.Y.: The Chinese experience of male infertility. West. J. Nurs. Res. 23(7), 714–725 (2001)

    Article  PubMed  Google Scholar 

  11. Ragni, G., Mosconi, P., Baldini, M.P., et al.: Health-related quality of life and need for IVF in 1,000 Italian infertile couples. Hum. Reprod. 20(5), 1286–1291 (2005)

    Article  PubMed  Google Scholar 

  12. Weaver, S.M., Clifford, E., Douglas, M.H., Robinson, J.: Psychosocial adjustment to unsuccessful IVF and GIFT treatment. Patient Educ. Couns. 31, 7–18 (1997)

    Article  PubMed  Google Scholar 

  13. Andrews, F.M., Abbey, A., Halman, L.J.: Stress from infertility, marriage factors, and subjective well-being of wives and husbands. J. Health Soc. Behav. 32(3), 238–253 (1991)

    Article  PubMed  Google Scholar 

  14. Terzioğlu, F., Yüce, L.Ç., Karatay, G.: Cigaratte and Infertility. Turkish Republic Health Ministry Publication Number: 731. Klasmat, Turkey (2008)

    Google Scholar 

  15. Albayrak, E., ve Günay, O.: State and trait anxiety levels of childless women in Kayseri, Turkey. Eur. J. Contracept. Reprod. Health Care 14, 1–6 (2007)

    Google Scholar 

  16. Özçelik, B., et al.: Psychological and psychiatric aspects of infertility. Anatol. J. Psychiatr. 8, 140–148 (2007)

    Google Scholar 

  17. Carpenter, D.N., Speziale, H.J.S.: Triangulation as a qualitative research strategy. In: Carpenter, D.N., Speziale, H.J.S. (eds.) Qualitative Research in Nursing: Advancing the Humanistic Imperative. Lippincott Williams & Wilkins, Philadelphia (2007)

    Google Scholar 

  18. Rannestad, T.: Hysterectomy: effects on quality of life and psychological aspects. Best Pract. Res. Clin. Obstet. Gynaecol. 19(3), 419–430 (2005)

    Article  PubMed  Google Scholar 

  19. Repokari, L., Punamäki, R.L., Unkila-Kallio, L., et al.: Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls. Hum. Reprod. 22(5), 1481–1491 (2007)

    Article  PubMed  Google Scholar 

  20. Dyer, S.J., Abrahams, N., Hoffman, M., van der Spuy, Z.M.: ‘Men leave me as I cannot have children’: women’s experiences with involuntary childlessness. Hum. Reprod. 17(6), 1663–1668 (2002)

    Article  PubMed  Google Scholar 

  21. Bhatti, L.I., Fikre, F.Y., Khan, A.: The quest of infertile women in squatter settlements of Karachi, Pakistan: a qualitative study. Soc. Sci. Med. 49, 637–649 (1999)

    Article  PubMed  Google Scholar 

  22. Holter, H., Anderheim, L.A., Bergh, C., Möller, A.: First IVF treatment-short-term impact on psychological weel-being and the marital relationship. Hum. Reprod. 21(12), 3295–3302 (2006)

    Article  PubMed  Google Scholar 

  23. Sydsyö, G., Ekholm, K., Wadsby, M., et al.: Relationship in couples after failed IVF treatment: a prospective follow-up study. Hum. Reprod. 20(7), 1952–1957 (2005)

    Article  Google Scholar 

  24. Leiblum, S.R., Aviv, A., Hamer, R.: Life after infertility treatment: a long-term investigation of marital and sexual function. Hum. Reprod. 13(12), 3569–3574 (1998)

    Article  PubMed  Google Scholar 

  25. Cowan, C.P., Cowan, P.A., Heming, G., et al.: Transitions to parenthood: his, hers, and theirs. J. Fam. Issues 6(4), 451–481 (1985)

    Article  PubMed  Google Scholar 

  26. Fidanoğlu, O.: Relationship Between Marital Adjustment, Style Humor and Anxiety Level. Turkish Republic Marmara University Institute of Education Sciences, Master thesis, Turkey (2006)

  27. Gürbüz, Ş.K.: The Relation Between Marital Adjustment, Depressive Status and In Vitro Fertilization Embryo Transfer Results Among Infertile Couples. Turkish Republic Marmara University Institute of Health Science, Obstetric and Gynecologic Nursing Department, Master thesis, Turkey (2007)

  28. Aktürk, F.S.: Reproductive Techniques Assistant Aspect of Turkish Society. Turkish Republic Marmara Afyon Kocatepe University Institute of Health Science, Obstetric and Gynecologic Nursing Department, Master thesis, Turkey (2006)

  29. Lau, J.T., Wang, Q., Cheng, Y., Kim, J.H., Yang, X., Tsui, H.Y.: Infertility-related perceptions and responses and their associations with quality of life among rural chinese infertile couples. J. Sex Marital Ther. 34(3), 248–267 (2008)

    Article  PubMed  Google Scholar 

  30. Newton, C.R., Sherrard, W., Glavac, I.: The Fertility Problem Inventory: measuring perceived infertility-related stress. Fertil. Steril. 72(1), 54–62 (1999)

    Article  PubMed  Google Scholar 

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Acknowledgments

The present work was supported by the Research Fund of Istanbul University. Project No: T-1826. We would like to thank to Mrs. Duygu İşpınar for revising sentence structures and wording and conforming appropriate English translation and meaning.

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Authors and Affiliations

  1. Midwifery Department, Health Sciences Faculty, Istanbul University, Istanbul, Turkey

    Güliz Onat

  2. Bakırköy Ruh ve Sinir Hastalıkları Hastanesi Bahçe İçi B Kapısı, İstanbul Üniversitesi Bakırköy Sağlık Yüksekokulolu, 34147, Bakirköy, Istanbul, Turkey

    Güliz Onat

  3. Gyneceologic and Obstetric Nursing, Florence Nightingale Nursing Faculty, Istanbul University, Istanbul, Turkey

    Nezihe Kizilkaya Beji

  4. Abide-i-Hürriyet Cad., 34381, Şişli, Istanbul, Turkey

    Nezihe Kizilkaya Beji

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  1. Güliz Onat
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Correspondence to Güliz Onat.

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Onat, G., Beji, N.K. Marital Relationship and Quality of Life Among Couples with Infertility. Sex Disabil 30, 39–52 (2012). https://doi.org/10.1007/s11195-011-9233-5

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