Quality of life of infertile women in Iran: A systematic review

Document Type : Review

Authors

1 Department of Health Management, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran

2 Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran Email: farahmandzahra038@gmail.com

10.30476/jhmi.2024.103470.1230

Abstract

Introduction: Several studies have been conducted in Iran regarding the quality of life of infertile patients. The quality of life of infertile patients has been examined from different angles. Accordingly, we decided to evaluate the quality of life of infertile women by conducting a structured review of all available studies, considering the heterogeneity of studies.
Methods: This study is a systematic review. This study used the articles published in Noormags, Magiran, Sivilica, SID, Irandok, Proquest, Pubmed, Science Direct, and Web of Science databases between 2000 and August 2023. The search was done using the keywords "quality of life" and "infertile," "infertility," "sterility," "reproductive sterility," "subfertility," and Iran. The heterogeneity of the studies was examined using Cochrane's Q test and I2 statistics. The random effects model was used to synthesize studies that had heterogeneity (Cochrane's Q P < 0.10 and I2 > 50%), and Egger's test was used for publication bias.
Results: The results revealed that the quality of life of infertile women, fertile women, and infertile couples is different. Age, economic status, level of education, physical health, mental health, irrational thoughts, and the pressure of others to have children and the masculine factor affect the quality of life score of infertile people. The meta-analysis results indicate that the mean quality of life score in infertile women is 71.2 (with a confidence interval of 95%).
Conclusion: The results indicate a lower quality of life score for infertile women compared to fertile women and infertile men. Thus, it seems necessary to use appropriate counseling and training to improve these women's quality of life. the treatment staff should pay attention to psychological issues and the physiological aspects of treatment.

Keywords

Main Subjects

References

  1. Bahrami M. Prediction of Health-related Life Quality Based on Alexitmia, Attachment Styles, and Perceived Social Support in Infertile. Occupational Medicine Quarterly Journal. 2016;8(1):1-9.
  2. Alizadeh M, Rahbar T, Akbari B. Comparison of quality of life in infertile women undergoing IVF fertilization therapy (IVF) and fertile women. Journal of Fundamentals of Mental Health. 2018;20(6).
  3. Tang N, Pei M, Xie L, Liang X, Hu J, Gao Y. Relationship Between Dyadic Coping with Anxiety and Depression in Infertile Couples: Gender Differences and Dyadic Interaction. Psychol Res Behav Manag. 2023;16:4909-19. doi: 10.2147/PRBM.S437808.
  4. Kiani Z, Simbar M, Hajian S, Zayeri F, RashidiFakari F, Chimeh FJ. Investigating different dimensions of infertile women’s quality of life: a descriptive cross-sectional study. BMC Public Health. 2022;22(1):2436. doi: 10.1186/s12889-022-14924-w.
  5. Choborosubzade A, Kalantari M, Molavi H. The effectiveness of cognitive behavioral stress management therapy on quality of life in infertile women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2011;14(1):14-21.
  6. Moradi S, Mohammadpour S, Ahi Q. The Role of Psychological Distress and Resilience in Quality of Life in Infertility in Infertile Women. Research in Clinical Psychology and Counseling. 2021;11(1):81-100.
  7. Eghtedar S, Asghari E, Aparnak F-S, Asgarloo Z, Rasti P. Marital adjustment as a predictor of quality of life in infertile couples. Asian Journal of Social Health and Behavior. 2021;4(3):105-9. doi: 10.4103/shb.shb_10_21.
  8. Enayat H, Heidary S, Pajoohanfard S. A Study of Socio-Cultural Factors Affecting the Quality of Women’s Life in Infertile Families in Shiraz. Sociology of Social Institutions. 2021;7(16):41-59.
  9. Farrokh-Eslamlou H, Hajishafha M, Sadat Kazemi E, Oshnouei S. Impact of primary infertility on life quality in Urmia, Iran. Studies in Medical Sciences. 2014;25(7):598-604.
  10. Moazedi K, Porzoor P, Pirani Z, Adl H, Ahmadi H. The effectiveness of Islamic teaching based religious-spiritual psychotherapy on quality of life, in infertile women. Journal of Health. 2018;9(5):589-98. doi: 10.29252/j.health.9.5.589.
  11. Suleiman M, August F, Nanyaro MW, Wangwe P, Kikula A, Balandya B, et al. Quality of life and associated factors among infertile women attending infertility clinic at Mnazi Mmoja Hospital, Zanzibar. BMC Womens Health. 2023;23(1):400. doi: 10.1186/s12905-023-02536-4.
  12. Direkvand-Moghadam A, Delpisheh A, Direkvand-Moghadam A. Compare the quality of life in fertile and infertile women attending public and private centers in Ilam in 2013. Journal of Nursing and Midwifery, Shahid Beheshti University of Medical Science. 2014;24(85):39-44.
  13. Goli M, Firozeh F, Ahmadi S. Quality of life and its related factors in infertile women of Isfahan 2008. Sci J Ilam Uni Med Sci. 2012;20(3):63-70.
  14. Jahromi BN, Mansouri M, Forouhari S, Poordast T, Salehi A. Quality of life and its influencing factors of couples referred to an infertility center in Shiraz, Iran. International Journal of Fertility & Sterility. 2018;12(1):91.
  15. Masoumi SZ, Garousian M, Khani S, Olaei 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. doi: 10.22074/ijfs.2016.5045.
  16. Khayata GM, Rizk DE, Hasan MY, Ghazal-Aswad S, Asaad MA. Factors influencing the quality of life of infertile women in United Arab Emirates. Int J Gynaecol Obstet. 2003;80(2):183-8. doi: 10.1016/s0020-7292(02)00387-9.
  17. Xiaoli S, Mei L, Junjun B, Shu D, Zhaolian W, Jin W, et al. Assessing the quality of life of infertile Chinese women: a cross-sectional study. Taiwan J Obstet Gynecol. 2016;55(2):244-50. doi: 10.1016/j.tjog.2015.06.014.
  18. Haidich AB. Meta-analysis in medical research. Hippokratia. 2010;14(Suppl 1):29-37.
  19. Almasi M, Mahmoudiani S, Ghasemi T. Comparing spiritual health and quality of life among fertile and infertile women. Iran Journal of Nursing. 2015. doi: 10.29252/ijn.28.93.94.87.
  20. Amanelahifard A, Nikbakht R, Hoseini MA, Ahmadi Fakhr S, Hoseini Z. The comparison of marital satisfaction and quality of life between fertile and infertile women. Biannual Journal of Applied Counseling. 2012;2(1):75-88.
  21. Zamani N, Ghasemi M, Jokar E, Khazri Moghadam N. Comparison of depression and life quality of fertile and infertile women and those with frequent abortions. Journal of Babol University of Medical Sciences. 2013;15(6):78-83.
  22. Farnam A, Maghsoodlo F, Mohammadi R. Comparison the quality of life and social well-being in infertile women undergoing in vitro fertilization therapy and fertile women. Scientific Journal of Social Psychology. 2019;6(50):1-10.
  23. Nourani S, Joneddy E, Shakeri MT, Mokhber N. Comparison of quality of life in fertile and infertile women referred to the public clinics in Mashhad. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2012;15(7):24-31.
  24. Nilforoshan P, Latifi Z, Abedi M, Ahmadi A. Quality of life and its different domains in fertile and infertile women. Journal of Research in Behavioural Sciences. 2006;4(1):66-70. [Persian].
  25. Amiri M, Chaman R, Sadeghi Z, Khatibi MR, Ranjbar M, Khosravi A. Quality of life among fertile and infertile women. Iran J Psychiatry Behav Sci. 2017;11(1):e5641. doi: 10.5812/ijpbs.5641.
  26. Bakhtiyar K, Beiramvand R, Ardalan A, Changace F, Almasian M, Badrizadeh A, et al. An investigation of the effects of infertility on Women’s quality of life: a case-control study. BMC Womens Health. 2019;19(1):114. doi: 10.1186/s12905-019-0805-3.
  27. Sani MS, Tamannaeifar M. The comparison of quality of life, self-efficacy and resiliency in infertile and fertile women. World Family Medicine/Middle East Journal of Family Medicine. 2017;15(8). doi: 10.5742/MEWFM.2017.93064.
  28. Somayeh Momenyan SM, Kosar Alhashemi KA, Soriyeh Salimi SS. The relationship between religious coping and quality of life in infertile couples. Iranian Journal of Nursing Research. 2020;15(3):47-55.
  29. Dadkhahtehrani T, Momenyan S, Heidari S, Momenyan N. Association between the Religious Coping of Infertile People with their Own Quality of Life and Their Spouses? A Correlation Study in Iranian Infertile Couples. Iran J Nurs Midwifery Res. 2018;23(3):198-204. doi: 10.4103/jjnmr. IJNMR_32_17.
  30. Keramat A, Masoomi SZ, Mousavi SA, Poorolajal J, Shobeiri F, Hazavhei S. Quality of life and its related factors in infertile couples. J Res Health Sci. 2014;14(1):57-63.
  31. Maroufizadeh S, Hosseini M, Rahimi Foroushani A, Omani-Samani R, Amini P. The effect of depression on quality of life in infertile couples: an actor-partner interdependence model approach. Health Qual Life Outcomes. 2018;16(1):73. doi: 10.1186/s12955-018-0904-0.
  32. Maroufizadeh S, Omani-Samani R, Hosseini M. Infertility Related Quality of Life and Self-Efficacy among Infertile Couples: A Dyadic Approach. Iran J Public Health. 2021;50(5):1085-7. doi: 10.18502/ijph.v50i5.6132.
  33. Marzieh S, Nikvarz F, Zangiabadizadeh M. The quality of life and some effective factors on infertile couples. Annals of Tropical Medicine and Public Health. 2017;10(4):928-32. doi: 10.4103/ATMPH.ATMPH_255_17.
  34. Rashidi B, Montazeri A, Ramezanzadeh F, Shariat M, Abedinia N, Ashrafi M. Health-related quality of life in infertile couples receiving IVF or ICSI treatment. BMC Health Serv Res. 2008;8:186. doi: 10.1186/1472-6963-8-186.
  35. Amanati L, Allami M, Shokrabi S, Haghani H, Ramazanzade F. Quality of life and influencing factors among infertile women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2009;12(4):30-6.
  36. Rahimian Boogar I, Jarareh J. The predictive role of self-efficacy, optimism and demographical characteristics in infertility-related quality of life. Nursing And Midwifery Journal. 2015;13(4):268-76.
  37. Hosseini R, Alijampour Agamaleki M, Mehrabi T, Ziraki Dana A, Dadkhah A. The relationship between existential dimension of spiritual well-being and quality of life in women with infertility. Journal of Health And Care. 2014;16(3):53-60.
  38. Shahindokhte Navabi Rigi, Toktam Kianian, Fattheh Kermansaravi, Farideh Yaghmaei. Quality of life of infertile women referring to an infertility treatment center in Shiraz, Iran. Payesh (Health Monitor) Journal. 2016;15(5):559-66. [Persian].
  39. Ghaheri A, Zayeri F, Maroufizadeh S, Karimi M. Relationship among life satisfaction, anxiety and fertility quality of life in women. Koomesh. 2016;17(4):957-65. [Persian].
  40. Mehrabi T, Alijampoor Aghamaleki M, Hosseiny RS, Ziraki Dana A, Saface Z. A study on the relationship between spiritual well-being and quality of life in infertile women referred to infertility centers in Isfahan. J Urmia Nurs Midwifery Fac. 2014;12(7):562-7.
  41. BeygiZ, BahiaNJ, Nourimand F, Amoozandeh Z, Forouhari S. The relationship between spiritual well-being, mental health and quality of life in infertile women. Family Medicine & Primary Care Review. 2021;23(4):412-6. doi: 10.5114/frnprc.2021.110353.
  42. Fardiazar Z, Amanati L, Azami S. Irrational parenthood cognitions and health-related quality of life among infertile women. Int J Gen Med. 2012;5:591-6. doi: 10.2147/IJGM.S32225.
  43. Ghaberi A, Maroufizadeh S, Samani OR, Karimi M. Factors Associated with Poor Quality of Life among Infertile Women Undergoing IVF. International Journal of Fertility & Sterility. 2015;9:31.
  44. Namdar A, Naghizadeh MM, Zamani M, Yaghmaei F, Sameni MH. Quality of life and general health of infertile women. Health Qual Life Outcomes. 2017;15(1):139. doi: 10.1186/s12955-017-0712-y.
  45. Youseflu S, Sadatmahalleh SJ, Moini A. Influence of psycho-sexual factors on the quality of life of Iranian infertile women: a path analysis. International Journal of Sexual Health. 2020;32(3):216-24. doi: 10.1080/19317611.2020.1775748.
  46. Jahromi BN, Mansouri M, Forouhari S, Poordast T, Salehi A. Quality of life and its influencing factors of couples referred to an infertility center in Shiraz, Iran. International Journal of Fertility & Sterility. 2017;11(4):293.
  47. Ashrafi M, Sadatmahalleh JS, Jahangiri N. Evaluation of The Quality of Life in Iranian Women with Infertility: A Case-Control Study. International Journal of Fertility & Sterility. 2015;9:102.
  48. Xie Y, Ren Y, Niu C, Zheng Y, Yu P, Li L. The impact of stigma on mental health and quality of life of infertile women: A systematic review. Front Psychol. 2022;13:1093459. doi: 10.3389/fpsyg.2022.1093459.
  49. Almutawa YM, AlGhareeb M, Daraj LR, Karaidi N, Jahrami H, Karaidi NA. A systematic review and meta-analysis of the psychiatric morbidities and quality of life differences between men and women in infertile couples. Currus. 2023;15(4):e37327. doi: 10.7759/cureus.37327.
  50. Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. J Psychosom Obstet Gynaecol. 2010;31(2):101-10. doi: 10.3109/0167482X.2010.481337.
  51. Herrmann D, Scherg H, Verres R, von Hagens C, Strowitzki T, Wischmann T. Resilience in infertile couples acts as a protective factor against infertility-specific distress and impaired quality of life. J Assist Reprod Genet. 2011;28(11):1111-7. doi: 10.1007/s10815-011-9637-2.
  52. Liu K, Dou S, Qin W, Zhao D, Zheng W, Wang D, et al. Association between quality of life and resilience in infertile patients: a systematic review. Front Public Health. 2024;12:
Health Management & Information Science
Volume 11, Issue 3
July 2024
Pages 101-114

Files

Share

How to cite

Statistics