The emotional toll of infertility: a study of perceived stress, well-being and couple satisfaction in women undergoing fertility treatment
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20262120Keywords:
Infertility, IVF, IUI, Perceived stress, Psychological wellbeing, Couple satisfaction, InterventionAbstract
Background: Infertility is a life-altering condition that can place significant emotional and relational strain on individuals and couples. While the psychological consequences of infertility are well-documented, its specific impact on perceived stress (PSS), couple satisfaction (CS), and overall wellbeing remains underexplored. This study aimed to examine the impact of PSS on CS and psychological wellbeing (PWB) among individuals undergoing infertility treatment compared to naturally fertile individuals with at least one child.
Methods: Participants included individuals from two groups: those undergoing infertility treatments (e.g., IVF, IUI) and those with natural fertility. Standardized questionnaires were administered to assess PSS, CS, and PWB. Data was analyzed using correlation and group comparison techniques.
Results: A significant negative correlation was found between PSS and CS in both groups, indicating that increased stress levels were associated with lower relationship satisfaction regardless of fertility status. However, no significant differences emerged between the groups in terms of overall PWB.
Conclusions: Infertility may compromise CS but does not necessarily diminish broader PWB. These findings highlight the need for targeted psychological interventions and counseling to reduce stress and improve relationship quality in couples undergoing infertility treatment. Future research should explore specific dimensions of wellbeing that may be uniquely affected by infertility.
References
Centers for Disease Control and Prevention. Infertility FAQs. 2023. Available at: https://www.cdc.gov/reproductivehealth/infertility/index.htm. Accessed on 15 March 2026.
Greil AL. Infertility and psychological distress: A critical review of literature. Soc Sci Med. 1997;45(11):1679-704.
Abbey A, Andrews FM, Halman LJ. Gender's role in responses to infertility. Psychol Women Q. 1991;15(2):295-316.
Cousineau TM, Domar AD. Psychological impact of infertility. Best Pract Res Clin Obstet Gynaecol. 2007;21(2):293-308.
Peterson BD, Newton CR, Rosen KH. Examining congruence between partners’ perceived infertility-related stress and its relationship to marital adjustment and depression in infertile couples. Fam Process. 2003;42(1):59-70.
Ryff CD. Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol. 1989;57(6):1069-81.
Verhaak CM, Smeenk JMJ, Nahuis MJ, Kremer JAM, Braat DDM. Long-term psychological adjustment to IVF/ICSI treatment in women. Hum Reprod. 2007;22(1):305-8.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
Li H, Li J, Long L. Perceived stress and quality of life among women undergoing IVF treatment: A moderated mediation model. Psychol Health Med. 2019;24(5):595-606.
Maroufizadeh S, Karimi E, Vesali S. The prevalence of anxiety and depression among people with infertility: A systematic review and meta-analysis. Hum Fertil (Camb). 2018;21(3):183-95.
American Society for Reproductive Medicine. Evaluation of the infertile female: A committee opinion. 2021.
Crawford NM, Steiner AZ. Age-related infertility. Obstet Gynecol Clin North Am. 2015;42(1):15-25.
Chandra A, Copen CE, Stephen EH. Infertility and impaired fecundity in the United States, 1982-2010: Data from the National Survey of Family Growth. Natl Health Stat Report. 2014;(67):1-18.
Daniluk JC. Infertility: Intrapersonal and interpersonal impact. Fertil Steril. 1988;49(6):982-90.
Patel A, Sharma PVN, Kumar P. Psychiatric disorders in women seeking fertility treatments: A clinical investigation in India. Int J Fertil Steril. 2020;14(1):68-73.
Raguz N, McDonald SW, Metcalfe A, O’Quinn C, Tough SC. Mental health outcomes of mothers who conceived using fertility treatment. Reprod Health. 2014;11(1):14.
Awtani M, Mathur K, Shah S, Banker M. Infertility stress in couples undergoing intrauterine insemination and in vitro fertilization treatments. J Hum Reprod Sci. 2017;10(3):221-6.
Martins MV, Peterson BD, Almeida VM, Costa ME. Direct and indirect effects of perceived social support on women's infertility-related stress. Hum Reprod. 2014;29(8):1664-72.
Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci. 2022;10(5):229-37.
Gdańska P, Drozdowicz-Jastrzębska E, Grzechocińska B, Radziwon-Zaleska M, Węgrzyn P, Wielgoś M. Anxiety and depression in women undergoing infertility treatment. Ginekologia Polska. 2017;88(2):109-12.
Wdowiak A, Anusiewicz A, Bakalczuk G, Raczkiewicz D, Janczyk P, Makara-Studzińska M. Assessment of quality of life in infertility treated women in Poland. Int J Environ Res Public Health. 2021;18(8):4275.
Burns LH. Psychiatric aspects of infertility and infertility treatments. Psychiatr Clin North Am. 2007;30(4):689-716.
Baldoni F, Giannotti M, Casu G, Luperini V, Spelzini F. A dyadic study on perceived stress and couple adjustment during pregnancy: The mediating role of depressive symptoms. J Fam Issues. 2020;41(11):1935-55.
Kaleta K. Marital satisfaction, differentiation of self and stress perceived by women. Polskie Forum Psychologiczne. 2014;19(3):305-19.
Yalçınkaya AU. Differentiation of self: Examination of the concept in the interplay of stress, life satisfaction, and marital satisfaction [master’s thesis]. Ankara: Middle East Technical University. 2019.
Anand K, Nagle YK. Perceived stress as predictor of psychological well-being among Indian youth. Int J Indian Psychol. 2016;3(4):211-7.
Dhingra V, Dhingra M. Effect of perceived stress on psychological wellbeing of health care workers during COVID-19: Mediating role of subjective happiness. Eur J Mol Clin Med. 2020;7(2):2020-31.
Malinauskas R, Malinauskiene V. The relationship between emotional intelligence and psychological wellbeing among male university students: The mediating role of perceived social support and perceived stress. Int J Environ Res Public Health. 2020;17(5):1605.
Fernandes-Pires JA, Pedroso-Chaparro MS, Jiménez-Gonzalo L, González MM, Cabrera I, Losada-Baltar A. Marital satisfaction and mental health in adults over 40 years old: Association with self-perception of aging and stress related to the COVID-19 pandemic. Span J Psychol. 2023;26:e14.
Mohaddesi H, Khalkhali HR, Behrozi-Lak T, Rasouli J, Nemoon RE, Ghasemzadeh S. Correlation between marital satisfaction and mental health in infertility couples: A cross-sectional study. J Obstet Gynecol Cancer Res. 2022;7(4):341-7.
Boivin J, Takefman JE. Stress level across stages of in vitro fertilization in subsequently pregnant and nonpregnant women. Fertil Steril. 1995;64(4):809-15.
Coughlan C, Walters S, Ledger W, Li TC. A comparison of psychological stress among women with and without reproductive failure. Int J Gynaecol Obstet. 2014;124(2):143-7.
Masoumi SZ, Garousian M, Khani S, Oliaei SR, Shayan A. Comparison of quality of life, sexual satisfaction and marital satisfaction between fertile and infertile couples. Int J Fertil Steril. 2016;10(3):290-6.
Jebraeili H, Hashemi J, Nazemi A. A comparative study of resilience, meta-emotional beliefs, and psychological well-being in fertile and infertile women. J Fundam Ment Health. 2016;18(5):285-91.
Pirani Z, Abasi M, Dargahi S, Dargahi A, Kamran A. A comparative study of psychological well-being, meta-emotion, and resiliency in fertile and infertile women. Arch Hyg Sci. 2014;3(3):133-9.
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