Impact of infertility on marital relationships among infertile couples attending OPD of a tertiary health care centre


  • Chhaya Kushwaha Department of Obstetrics and Gynecology, ERA University, Lucknow, Uttar Pradesh, India
  • Parul Sinha Department of Obstetrics and Gynecology, ERA University, Lucknow, Uttar Pradesh, India
  • Uma Gupta Department of Obstetrics and Gynecology, Mayo Medical College, Lucknow, Uttar Pradesh, India
  • Kumkum Srivastava Department of Obstetrics and Gynecology, ERA University, Lucknow, Uttar Pradesh, India



Infertile couples, Infertility, Marital relationship


Background: There is little empirical literature on the effects of infertility on marital relationships in India. This study was sought to examine the impact of infertility on the marital relationships of the couple at Eras Lucknow Medical College and Hospital.

Methods: This is a descriptive cross-sectional design conducted on infertile women presenting in OPD (outpatient department) of Obstetrics and Gynecology Department of Era’s Lucknow Medical College and Hospital. A self-developed questionnaire was used for collecting data for the study. The questionnaire was divided into 5 sections: A to E. Data was presented in the form of descriptive statistics such as proportion and percentage.

Results: This study revealed that infertility affected the sexual life of participants as it was reported that even though they still had regular sexual intercourse with their partners after realising they were infertile (64.5%), sex was only for the purpose of reproduction and not for mutual sexual satisfaction (13%). Sexual intercourse was reported to be unfulfilling as well as unenjoyable (16.4%). The psychological well-being of participants (29.60%) and stability within marital unions were also negatively affected by infertility, resulting in quarrels (13 %).

Conclusions: Infertility has numerous negative implications for marital relationship. Thus, infertile persons should not be only physically examined and treated for infertility but should also be given counselling to lessen the psychological trauma attached to infertility.


Roupa Z, Polikandrioti M, Sotiropoulou P, Faros E, Koulouri A, Wozniak G, et al. Causes of infertility in women at reproductive age. Health Sci J. 2009;3(2):80-7.

World Health Organisations. Infertility definitions and terminology. 2014. Available at

Fledderjohann JJ. Zero is not good for me: implications of infertility in Ghana. Human Reprod. 2012;27(5):1383-90.

Cooper S. Sex, relationships and infertility: fact sheet 14. Resolve, Mclean; 2007. Available at Accessed 12 December 2017

Zegers-Hochschild F, Nygren KG, Adamson GD. The international committee monitoring assisted reproductive technologies (ICMART) glossary on ART terminology. Fertil Steril. 2006;86(1):16-9.

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.

Clementini E, Palka C, Lezzi I. Prevalence of chromosomal abnormalities in 2078 infertile couples referred for assisted reproduction technologies. Human Reprod. 2005;20(2):437-42.

Koenig MA, Stephenson R, Ahmed S. Individual and contextual determinants of domestic violence in North India. Am J Pub Health. 2006;96(1):132-8.

Tufts KA, Clements PT, Karlowicz KA. Integrating intimate partner violence content across curricula: developing a new generation of nurse educators. Nurse Educ Today. 2009;29(1):40-7.






Original Research Articles