Vol. 2, Issue 1, / January-March 2001
(Original Article, pages 26-39)

Mitra Mollaiy nezhad
- Faculty of Nursing and Midwifery, Isfehan University of Medical Sciences, Isfahan, Iran
Mahshid Jaaferpour
- Faculty of Nursing and Midwifery, Isfehan University of Medical Sciences, Isfahan, Iran
Shayesteh Jahanfar Corresponding Author
- Faculty of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
Roohangiz Jamshidi
- Faculty of Health Management and Medical information, Isfahan University of Medical Sciences, Isfahan, Iran

Received: 10/17/2000 Accepted: 2/16/2001 - Publisher : Avicenna Research Institute

Related Articles


Other Format



The literature is full of anecdotal evidence about linkage between infertility and stress and deleterious impacts that infertility stress can have on the functioning of a marriage and the couple’s life quality. This study was designed to determine the corrilation between infertility related stress and marital adjusment in women who reffered to Isfahan and infertility treatment clinic A Corrolational-one group research design was used to measure infertility related stress and marital adjusment of infertile women using data from a questionnaire including [socio-demographic data, infertility related stress and Dyadic adjusment scale (DAS)] and investigation of relationship of these two variables from different aspects. All of the participants had experienced infertility stress (in different degrees) and about half of them (46%) were maritally distressed . for these women, infertility stress scores were significantly related to economical problems, family composition, duration of treatment and confidence one will have a child for marital adjusment, duration of infertility and a positive history of failed pregnancy were only variables that were significantly related to this variable. For these women infertility stress scores singnificantly related to deterioration of marital adjusment.(r=-0.39, P<0.001) As hypothesized, infertility related stress, had deleterious impact on the marital life of infertile women. Meaningful characteristics were identified that could guide clinicians to those women at risk for increasing stress and marital distress. These variables are as follows: a low socioeconomic status, and unsuccessful treatment outcome, failed treatment cycles, family composition and duration of infertility and it’s treatment.

Keywords: Stress, Infertility, Marital adjustment

To cite this article:


  1. Tschodin Verena. Conselling for loss and Beravement. Sage publication. First Edition. 1997; pp:64-6
  2. Berek J.S., Adashi E.Y., Hillard P.A. Novak’s Gynecology, 12th Edition. 1996; pp: 475-6
  3. Schmidt lone. Infertile couple’s assessment of infertility treatment. Acta Obs Gyn Scand. 1998; 77:649-53
  4. Greil A.L. Infertility and psychological Distress: a critical review of the literatures. Soc Sci Med. 1997; 45(11):1679-704
  5. Beutel M., Kupfer J., Kirchmayer P., et al. Treatement- related stresses and depression in Couples undergoing assisted reproductive treatment by IVF of ICSI. Andrologia. 1999; 1:27-35
  6. Conolly K., Edelmann R., Cook I. Distress and marital problems associated with infertility. Reprod Infant Psychol. 1987; 5:49-54
  7. Nachtigall R.D., Becher G., Wozney M. The effects of gender-specific diagnosis on men’s and women’s response to infertility. Fertil Steril. 1992; 57(1):113-21
  8. Daniluk J.C. Infertility: interpersonal and intrapersonal impact. Fertil Steril. 1988; 49:982-90.
  9. Thiering P., Beaurepaire J., Jones M., et al. Mood state as a predictor of treatment outcome after IVF/ET. J Psychosom Res. 1993; 37:481-91
  10. Beaurepaire J., Jones M., Thiring P., et al. Psychosocial adjusment to infertility and it’s treatment male and female responses at different stages of IVF/ET treatment. J Psychosom Res. 1994; 38:229-40
  11. Botvin J., Takefman J.E., Stress level across stages of IVF in subsequently pregnant and nonpregnant women. Fertil Steril. 1995; 68: 802-10
  12. Mahmoodi A. Comparative study of anxiety in infertile men and women from their own viewpoints referred to infertility treatment centers in Tehran. MSc thesis of Community health nursing, Faculty of Nursing and Midwifery, Iran University of Medical Sciences. 1993. 94 p.
  13. Benazon N., wright J., Sabourin S. Stress, sexual satisfaction and Marital adjusment in infertile couples. J Sex Marit Ther. 1992; 18:273-84
  14. Edelmenn R.J. Humphery M., Owens D.J. The meaning of parenthood and Couple’s reaction to male infertility. Br J Med Psychol. 1994; 67:291-9
  15. Sandelowski M.H., Davis D. Living the life explanation of infertility. Soc Health Hlness. 1990;12:195-215
  16. Mohajeri H, Saremi A. Stress and IVF. J Drug Therap. 1991;8(16):14-6.
  17. Chiba H. Stress of female infertility: Relations to length of treatment. Obs Gyn Invest. 1997;43: 171-7
  18. Andrews F.M., Abbey A., Halman L.J. Is fertility problem stress different? The dynamics of stress in fertile and infertile couples. Fertil Steril. 1992; 57:1247-53
  19. Kemman E., Cheron C., Bachman G. Good luck rites in cotemporary infertility. Reprod Med. 1998; 43 (3):196-8
  20. Seram M. Infertility, sterility, for families. Tehran: Amir kabir; 1990. p. 17.
  21. Bernstein Ph, Bernstein MT. Recognition and treatment of marital conflict (marital therapy). 1st ed. Sohrabi H, translator. Tehran: Rasa; p. 78-80.
  22. Coolins A., Freeman E.W., Boxer A.S. et al. Perceptions of infertility and treatment stress in females as compared with males entering IVF treatment. Fertil Steril. 1992; 54:350-6
  23. Becker G. Metaphors in disrupted lives: Infertility and cultural Constructions of Continunity. Med Anthropol Quarterly. 1994;8:383-410
  24. Downey J., Husami N., Yingling S., et al. Mood disorders, Psychiatric symptoms, and distress in women presenting for infertility evaluation. Fertil Steril. 1989, 52(3):425-423
  25. Davis D., Derman J. Coping strategies of infertile women. Obs Gyn Neonatal Nursing. 1991;20(3):221-8
  26. Craing S.A. Medical model for infertility Counseling. Aus Fam Physician. 1990; 19:491-501
  27. Koropatricks., Daniluk J., Pattinson H.A. Infertility: a transition. Fertil Steril. 1993; 59:163-71
  28. Wright J. Psychosocial distrcss and infertility. Men and women respond differently . Feritl Steril. 1991; 55:100-8
  29. Hirsch A.M., Hirsch S.M. The effect of infertility on marriage and self canept. Obs Gyn. Neonatal Nursing. 1988; 18:13-20
  30. Pepe M.V., Byrne J. Women’s perceptions of immediate and longterm effects of failed infertility treatment on marital and sexual satisfaction. Family Relations. 1991; 40:303-9
  31. Slade P. A 3 Year follow up of emotinal , marital and sexual functioning in couples who were infertile. Reprod. Infant Psychol. 1992; 10:233-43
  32. Abbey A., Halman L. J., Andrews F.M. Psychosocial treatment and demographic predictors of stress associated with infertility. Fertil Steril. 1992; 57:122-28.


Home | About Us | Current Issue | Past Issues | Submit a Manuscript | Instructions for Authors | Subscribe | Search | Contact Us

"Journal of Reproduction & Infertility" is owned, published, and managed by Avicenna Research Institute .
Creative Commons License

This work is licensed under a Creative Commons Attribution –NonCommercial 4.0 International License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

Journal of Reproductoin and Infertility (JRI) is a member of COMMITTEE ON PUBLICATION ETHICS . Verify here .

©2024 - eISSN : 2251-676X, ISSN : 2228-5482, For any comments and questions please contact us.