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Infertility and assisted reproduction technologies through a gender lens

  • Research Article
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Human Affairs

Abstract

We live in an era when increasing numbers of babies are conceived through assisted reproduction technologies (ART). Using a comprehensive approach, the present research seeks to contribute to the understanding of gender differences in experiencing and coping with infertility, and in dealing with ART treatment. Our sample consisted of 10 heterosexual couples aged 24 to 43 and the data were collected through semi-structured interviews. In the studied sample, gender differences existed not only in experiences of infertility, but also in understanding it, and in dealing with ART treatment. Responses to stress caused by infertility were stronger in women and they also perceived this stress more intensely than men. For women the central aspect of infertility was the desire for a child, while for men it was perceived more as a socially imposed obligation to fulfill the male role.

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References

  • Abbey, A., Andrews, F., & Halman, J. (1991). The importance of social relationships for infertile couples’ well-being. In A. L. Stanton & C. Dunkel-Schetter (Eds.), Infertility: perspectives from stress and coping research. London: Plenum Press.

    Google Scholar 

  • Becker, G. (2000). The elusive embryo: how women and men approach new reproductive technologies. Los Angeles: University of California Press.

    Google Scholar 

  • Becker, G., Castrillo, M., Jackson, R., & Nachtigall, R. D. (2005). Infertility among low-income Latinos. Fertility and Sterility, 85, 882–887.

    Article  Google Scholar 

  • Berg, B. J., Wilson, J. F., & Weingartner, P. J. (1991). Psychological sequelae of infertility treatment: The role of gender and sex-role identification. Social Science & Medicine, 33(9), 1071–1080.

    Article  Google Scholar 

  • Boivin, J., Griffiths, E., & Venetis, A. C. (2011). Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies. BMJ, 342, 1–9.

    Article  Google Scholar 

  • Covington, S. N., & Burns, L. H. (2006). Infertility counseling: a comprehensive handbook for clinicians (2nd ed.). Cambridge: Cambridge University Press.

    Google Scholar 

  • Culley, L., Hudson, N., Rapport, F. L., Katbamna, S., & Johnson, M. R. D. (2006). British South Asian communities and fertility services. Human Fertility, 9, 37–45.

    Article  Google Scholar 

  • CTK. (2013). Léčba neplodnosti v ČR udělala za 30 let obrovsky pokrok. Available at (Date last accessed October 13, 2013): http://zdravi.e15.cz/denni-zpravy/z-domova/lecba-neplodnosti-v-crudelala-za-30-let-obrovsky-pokrok-467418

    Google Scholar 

  • Diamond, M., Jaffe, J., & Diamond, D. (2005). Unsung lullabies: understanding and coping with infertility. New York: St. Martin’s Press.

    Google Scholar 

  • Eugster, A., & Vingerhoets, A. (1999). Psychological aspects of in-vitro fertilization: A review. Social Science & Medicine, 48(5), 575–589.

    Article  Google Scholar 

  • Fossey, E., Harvey, C., McDermott, F., & Davidson, L. (2002). Understanding and evaluating qualitative research. Australian and New Zealand Journal of Psychiatry, 36(6), 717–732.

    Article  Google Scholar 

  • Gibson, D. M., & Myers, J. (2000). Gender and infertility: A relational approach to counseling women. Journal of Counseling & Development, 78(4), 400–410.

    Article  Google Scholar 

  • Glasser, B. (1965). The constant comparative method of qualitative analysis. Social Problems, 12(4), 436–445.

    Article  Google Scholar 

  • Glover, L., McLellan, A., & Weaver, S. M. (2009). What does having a fertility problem mean to couples? Journal of Reproductive and Infant Psychology, 27(4), 401–418.

    Article  Google Scholar 

  • Hadley, R. A. & Hanley, T. S. (2011). Involuntarily childless men and the desire for fatherhood. Journal of Reproductive and Infant Psychology, 29(1), 56–68.

    Article  Google Scholar 

  • Harvard. (2009). The psychological impact of infertility and its treatment. Harvard Mental Health Letter, 25(11), 1–3.

    Google Scholar 

  • Hjelmstedt, A., Andersson, L., Skoog-Svanberg, A., Bergh, T., Boivin, J., & Collins, A. (1999). Gender differences in psychological reactions to infertility among couples seeking IVF- and ISCI-treatment. Acta Obstetricia et Gynecologica Scandinavica, 78(1), 42–49.

    Article  Google Scholar 

  • Holter, H., Anderheim, L., Bergh, C., & Moller, A. (2006). First IVF treatment — short-term impact on psychological well-being and the marital relationship. Human Reproduction, 21(12), 3295–3302.

    Article  Google Scholar 

  • Jacob, C. M., McQuillan, J., & Greil, A. L. (2007). Psychological distress by type of infertility barrier. Human Reproduction, 22, 885–894.

    Article  Google Scholar 

  • Johnson, K. M., & Johnson, D. R. (2009). Partnered decisions? U.S. couples and medical help-seeking for infertility. Family Relations, 58, 431–444.

    Article  Google Scholar 

  • Jordan, C., & Revenson, T. A. (1999). Gender differences in coping with infertility: A meta-analysis. Journal of Behavioral Medicine, Vol. 22 (4), 341–358.

    Article  Google Scholar 

  • Mascarenhas, M. N., Flaxman, S. R., Boerma, T., Vanderpoel, S., & Stevens, G. A. (2012). National, regional, and global trends in infertility prevalence since 1990: A systematic analysis of 277 health surveys. PLoS Medicine, 12, 1–12.

    Google Scholar 

  • National Register of Assisted Reproduction (2013). Available at (Date last accessed May 23, 2014): http://www.uzis.cz/registry/narodni-zdravotni-registry/nr-reprodukcniho-zdravi/nr-asistovanereprodukce

  • Pasch, L. A., Dunkel-Schetter, C., & Christensen, A. (2002). Differences between husbands’ and wives’ approach to infertility affect marital communication and adjustment. Fertility & Sterility, 77(6), 1241.

    Article  Google Scholar 

  • Peterson, B. D., Newton, C. R., Rosen, K. H., & Skaggs, G. E. (2006). Gender differences in how men and women who are referred for IVF cope with infertility stress. Human Reproduction, 21(9), 2443–2449.

    Article  Google Scholar 

  • Prasanta, K. D., & Swarnali, S. (2010). Psychological aspects of infertility. British Journal of Medical Practitioners, 3, 32–34.

    Google Scholar 

  • Redshaw, M., Hockley, C. & Davidson, L. L. (2007). A qualitative study of the experience of treatment for infertility among women who successfully became pregnant. Human Reproduction, 22, 295–304.

    Article  Google Scholar 

  • Schmidt, L. (2009). Social and psychological consequences of infertility and assisted reproduction — what are the research priorities? Human Fertility, 12(1), 14–20.

    Article  Google Scholar 

  • Shapiro, C. (2009). Therapy with infertile heterosexual couples: It’s not about gender — or is it? Clinical Social Work Journal, 37(2), 140–149.

    Article  Google Scholar 

  • Slepičková, L. (2009): Neplodnost jeho a neplodnost jeji: Genderove aspekty asistovane reprodukce. Sociologický c asopis/Czech Sociological Review, 45(1), 177–203.

    Google Scholar 

  • Stanton, A. L., & Dunkel-Schetter, C. (1991). Psychological adjustment to infertility: An overview of conceptual approaches. In A. L. Stanton & C. Dunkel-Schetter (Eds.), Infertility: Perspectives from stress and coping research. New York: Plenum Press.

    Chapter  Google Scholar 

  • Strauss, B. (2002). Involuntary childlessness: Psychological assessment, counseling, and psychotherapy. Seattle: Hogrefe & Huber.

    Google Scholar 

  • White, L., McQuillan, J., Greil, A. L., & Johnson, D. R. (2006). Infertility: Testing a helpseeking model. Social Science & Medicine, 62(4), 1031–1041.

    Article  Google Scholar 

  • WHO. (2013). Sexual and reproductive health. Available at (Date last accessed October 3, 2013): http://www.who.int/reproductivehealth/topics/infertility.html

    Google Scholar 

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Correspondence to Karolína Davidová.

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Davidová, K., Pechová, O. Infertility and assisted reproduction technologies through a gender lens. Humaff 24, 363–375 (2014). https://doi.org/10.2478/s13374-014-0234-9

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