Stress Of Men And Women Seeking Treatment For Infertility [estresse De Homens E Mulheres Que Buscam Tratamento Para Infertilidade]

PURPOSE: To evaluate the level of stress in men and women seeking treatment for infertility and to identify the associated variables. METHODS: A cross-sectional study with 101 men and 101 women consulting for the first time at the Human Reproduction Unit. Participants completed the Brazilian version of the Fertility Problem Inventory (FPI) based on four domains: "social relationships", "life without children"; "marital relationship/sexual" and "maternity/ paternity" and a structured questionnaire with socioeconomic and reproductive variables. Bivariate analysis was performed using the Chi-square and Fisher exact tests, considering p<0.05. Afterwards the multivariate correspondence analysis was done with variables with p≤0.20. RESULTS: Overall, the participants presented a high level of stress in all domains, except in the "life without children" domain. Multivariate analysis of correspondence showed that variables associated with a high level of stress in the "social relationships" domains were: to be a woman, to have the infertility problem, and to consider the quality of the marital relationship to be regular. In the "life without children" domain the variables that approached the high stress were: to be woman, age between 18 and 24 years, and to have the infertility problem. To be a man, to consider adoption, parents/in-laws and other people knowing about the difficulty to become pregnant, and to consider the quality of the marital relationship to be excellent were the variables associated with high level of stress in "marital/sexual relationship" domain. For "maternity/paternity" domain the variables associated were to be women, consider marital relationship quality regular, age between 25 and 35 years, be evangelical or protestant were the variables associated with a high level of stress. CONCLUSION: Men and women seeking treatment for infertility present a high level of stress and it can be suggested that psychosocial support is important and should be different for men and women.356255261Rouchou, B., Consequences of infertility in developing countries (2013) Perspect Public Health., 133 (3), pp. 174-179Ombelet, W., Reproductive healthcare systems should include accessible infertility diagnosis and treatment: An important challenge for resource-poor countries (2009) Int J Gynaecol Obstet., 106 (2), pp. 168-171Shindel, A.W., Nelson, C.J., Naughton, C.K., Ohebshalom, M., Mulhall, J.P., Sexual function and quality of life in the male partner of infertile couples: Prevalence and correlates of dysfunction (2008) J Urol., 179 (3), pp. 1056-1059Síntese de indicadores sociais (2006) Estudos e pesquisas informação demográfica e socioeconômica, , http://www.mulheres.gov.br/nucleo/dados/indic-sociais2006-mulher.pdf, Instituto Brasileiro de Geografia e Estatística-IBGE [Internet]. [citado 2013 Maio 16]. Disponível em: <(2010) Mother or nothing: The agony of infertility, 88 (12), pp. 877-953. , http://www.who.int/reproductivehealth/publications/infertility/bulletin_88_12/en/, World Health Organization. Bull World Health Organization [Internet]. [cited 2013 May 16]Available from: <Lee, S.H., Wang, S.C., Kuo, C.P., Kuo, P.C., Lee, M.S., Lee, M.C., Grief responses and coping strategies among infertile women after failed in vitro fertilization treatment (2010) Scand J Caring Sci., 24 (3), pp. 507-513Makuch, M.Y., Petta, C.A., Osis, M.J., Bahamondes, L., Low priority level for infertility services within the public health sector: A Brazilian case study (2010) Hum Reprod., 25 (2), pp. 430-435Baldur-Felskov, B., Kjaer, S.K., Albieri, V., Steding-Jessen, M., Kjaer, T., Johansen, C., Psychiatric disorders in women with fertility problems: Results from a large Danish register-based cohort study (2013) Hum Reprod., 28 (3), pp. 683-690Ried, K., Alfred, A., Quality of life, coping strategies and support needs of women seeking traditional Chinese medicine for infertility and viable pregnancy in Australia: A mixed methods approach (2013) BMC Womens Health., 13, p. 17Gollenberg, A.L., Liu, F., Brazil, C., Drobnis, E.Z., Guzick, D., Overstreet, J.W., Semen quality in fertile men in relation to psychosocial stress (2010) Fertil Steril., 93 (4), pp. 1104-1111Moreira, S.N.T., Melo, C.O.M., Tomaz, G., Azevedo, G.D., Stress and anxiety in infertile women (2006) Rev Bras Ginecol Obstet., 28 (6), pp. 358-364. , PortuguesePeterson, B.D., Newton, C.R., Rosen, K.H., Skaggs, G.E., Gender differences in how men and women who are referred for IVF cope with infertility stress (2006) Hum Reprod., 21 (9), pp. 2443-2449Newton, C.R., Sherrard, W., Glavac, I., The Fertility Problem Inventory: Measuring perceived infertility-related stress (2009) Fertil Steril., 72 (1), pp. 54-62Ribeiro, A.C., (2007) Adaptação do inventário de problemas de fertilidade para homens e mulheres inférteis [Internet], , http://www.teses.usp.br/teses/disponiveis/59/59137/tde-13072007-133824/pt-br.php, Ribeirão Preto: Universidade de São Paulo[citado 2013 Maio 16]. Disponível em: <Greenacre, M.J., (1993) Correspondence analysis in practice, , London: Academic Press, Harcourt BraceCserepes, R.E., Kollár, J., Sápy, T., Wischmann, T., Bugán, A., Effects of gender roles, child wish motives, subjective well-being, and marital adjustment on infertility-related stress: A preliminary study with a Hungarian sample of involuntary childless men and women (2013) Arch Gynecol Obstet., , Apr 5. [Epub ahead of print]Vassard, D., Lund, R., Pinborg, A., Boivin, J., Schmidt, L., The impact of social relations among men and women in fertility treatment on the decision to terminate treatment (2012) Hum Reprod., 27 (12), pp. 3502-3512Obeisat, S., Gharaibeh, M.K., Oweis, A., Gharaibeh, H., Adversities of being infertile: The experience of Jordanian women (2012) Fertil Steril., 98 (2), pp. 444-449Fisher, J.R., Hammarberg, K., Psychological and social aspects of infertility in men: An overview of the evidence and implications for psychologically informed clinical care and future research (2012) Asian J Androl., 14 (1), pp. 121-129Lund, R., Sejbaek, C.S., Christensen, U., Schmidt, L., The impact of social relations on the incidence of severe depressive symptoms among infertile women and men (2009) Hum Reprod., 24 (11), pp. 2810-2820Peterson, B.D., Pirritano, M., Tucker, L., Lampic, C., Fertility awareness and parenting attitudes among American male and female undergraduate university students (2012) Hum Reprod., 27 (5), pp. 1375-1382George, K., Kamath, M.S., Fertility and age (2010) J Hum Reprod Sci., 3 (3), pp. 121-123Schmidt, L., Holstein, B.E., Christensen, U., Boivin, J., Communication and coping as predictors of fertility problem stress: Cohort study of 816 participants who did not achieve a delivery after 12 months of fertility treatment (2005) Hum Reprod., 20 (11), pp. 3248-3256Donarelli, Z., Lo Coco, G., Gullo, S., Marino, A., Volpes, A., Allegra, A., Are attachment dimensions associated with infertility-related stress in couples undergoing their first IVF treatment? A study on the individual and cross-partner effect (2012) Hum Reprod., 27 (11), pp. 3215-322