Skip to main content
Log in

Psychological stress during in vitro fertilization and embryo transfer is influenced by the patients’ background and gender

  • Original Article
  • Published:
Reproductive Medicine and Biology

Abstract

Purpose

This study evaluated the changes in psychological stress during in vitro fertilization and embryo transfer (IVF–ET) and the relationship of such stress to the patients’ background and gender.

Methods

Sixty couples undergoing IVF–ET were administered the State–Trait Anxiety Inventory-JYZ (STAI) test at six different points during IVF–ET procedures. Anxiety scores at each time point were recorded and analyzed according to gender, fertility status, and duration of treatment.

Results

The median state anxiety score for women increased following induction until oocyte collection, after which it temporarily declined and then increased again until the pregnancy test. No such changes were noted in men. Scores for women who had undergone a shorter period of IVF treatments were higher while state and trait anxiety in men increased with a prolonged treatment period. Unsuccessful treatment increased the state and trait anxiety of women.

Conclusions

Psychological stress changed periodically depending on the duration of the patients’ treatment and fertility status also influenced anxiety levels. These findings will prove helpful in guiding psychological therapy and counseling for couples attempting to conceive by in vitro fertilization.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Boivin J, Griffiths E, Venetis CA. Emotional distress in infertile women and failure of assisted reproductive technologies: meta-analysis of prospective psychosocial studies. BMJ. 2011;342:d223.

    Article  PubMed  CAS  Google Scholar 

  2. Boivin J, Schmidt L. Infertility-related stress in men and women predicts treatment outcome 1 year later. Fertil Steril. 2005;83:1745–52.

    Article  PubMed  Google Scholar 

  3. Greil AL, Slauson-Blevins K, McQuillan J. The experience of infertility: a review of recent literature. Sociol Health Illn. 2010;32:140–62.

    Article  PubMed  Google Scholar 

  4. Henning K, Strauss B. Psychological and psychosomatic aspects of involuntary childlessness: state of research at the end of the 1990s. Ashland: Hogrefe and Huber; 2002.

    Google Scholar 

  5. Peterson BD, Pirritano M, Christensen U, Schmidt L. The impact of partner coping in couples experiencing infertility. Hum Reprod. 2008;23:1128–37.

    Article  PubMed  CAS  Google Scholar 

  6. White L, McQuillan J. No longer intending: the relationship between relinquished fertility intentions and distress. J Marriage Fam. 2006;68:478–90.

    Article  Google Scholar 

  7. Fechner AJ, McGovern PG. The state of the art of in vitro fertilization. Front Biosci (Elite Ed). 2011;3:264–78.

    Article  Google Scholar 

  8. Gnoth C, Maxrath B, Skonieczny T, Friol K, Godehardt E, Tigges J. Final art success rates: a 10 years survey. Hum Reprod. 2011;26:2239–46.

    Article  PubMed  CAS  Google Scholar 

  9. Beaurepaire J, Jones M, Thiering P, Saunders D, Tennant C. Psychosocial adjustment to infertility and its treatment: Male and female responses at different stages of IVF/ET treatment. J Psychosom Res. 1994;38:229–40.

    Article  PubMed  CAS  Google Scholar 

  10. Bloch M, Azem F, Aharonov I, Ben Avi I, Yagil Y, Schreiber S, Amit A, Weizman A. GnRH-agonist induced depressive and anxiety symptoms during in vitro fertilization–embryo transfer cycles. Fertil Steril. 2011;95:307–9.

    Article  PubMed  CAS  Google Scholar 

  11. Kee BS, Jung BJ, Lee SH. A study on psychological strain in IVF patients. J Assist Reprod Genet. 2000;17:445–8.

    Article  PubMed  CAS  Google Scholar 

  12. Olivius C, Friden B, Borg G, Bergh C. Why do couples discontinue in vitro fertilization treatment? A cohort study. Fertil Steril. 2004;81:258–61.

    Article  PubMed  Google Scholar 

  13. Domar AD, Rooney KL, Wiegand B, Orav EJ, Alper MM, Berger BM, Nikolovski J. Impact of a group mind/body intervention on pregnancy rates in IVF patients. Fertil Steril. 2011;95:2269–73.

    Article  PubMed  Google Scholar 

  14. Edelmann RJ, Connolly KJ. Psychological aspects of infertility. Br J Med Psychol. 1986;59(Pt 3):209–19.

    Article  PubMed  Google Scholar 

  15. Harlow CR, Fahy UM, Talbot WM, Wardle PG, Hull MG. Stress and stress-related hormones during in vitro fertilization treatment. Hum Reprod. 1996;11:274–9.

    Article  PubMed  CAS  Google Scholar 

  16. Hidano T, Fukuhara M, Iwawaki S, Soga S, Spielberger CD. Manual STAI-JYZ (Japanese version of STAI-Y). Tokyo: Jitsumu Kyoiku Shuppan; 2002.

    Google Scholar 

  17. Spielberger CD. The State–Trait Anxiety Inventory (STAI) In: Hersen M, Bellack AS, editors. Dictionary of behavioral assessment techniques. New York: Pergamon Press; 1988. p. 448–50.

  18. Iwase A, Ando H, Toda S, Ishimatsu S, Harata T, Kurotsuchi S, Shimomura Y, Goto M, Kikkawa F. Oral progestogen versus intramuscular progesterone for luteal support after assisted reproductive technology treatment: a prospective randomized study. Arch Gynecol Obstet. 2008;277:319–24.

    Article  PubMed  CAS  Google Scholar 

  19. Iwase A, Ando H, Kuno K, Mizutani S. Use of follicle-stimulating hormone test to predict poor response in in vitro fertilization. Obstet Gynecol. 2005;105:645–52.

    Article  PubMed  CAS  Google Scholar 

  20. Nakahara T, Iwase A, Goto M, Harata T, Suzuki M, Ienaga M, Kobayashi H, Takikawa S, Manabe S, Kikkawa F, Ando H. Evaluation of the safety of time-lapse observations for human embryos. J Assist Reprod Genet. 2010;27:93–6.

    Article  PubMed  Google Scholar 

  21. Takikawa S, Iwase A, Goto M, Harata T, Umezu T, Nakahara T, Kobayashi H, Suzuki K, Manabe S, Kikkawa F. Assessment of the predictive value of follicular fluid insulin, leptin and adiponectin in assisted reproductive cycles. Gynecol Endocrinol. 2010;26:494–9.

    Article  PubMed  CAS  Google Scholar 

  22. Knight RG, Waal-Manning HJ, Spears GF. Some norms and reliability data for the state–trait anxiety inventory and the zung self-rating depression scale. Br J Clin Psychol. 1983;22(Pt 4):245–9.

    Article  PubMed  Google Scholar 

  23. Schommer NC, Hellhammer DH, Kirschbaum C. Dissociation between reactivity of the hypothalamus–pituitary–adrenal axis and the sympathetic-adrenal–medullary system to repeated psychosocial stress. Psychosom Med. 2003;65:450–60.

    Article  PubMed  CAS  Google Scholar 

  24. Slade P, Emery J, Lieberman BA. A prospective, longitudinal study of emotions and relationships in in vitro fertilization treatment. Hum Reprod. 1997;12:183–90.

    Article  PubMed  CAS  Google Scholar 

  25. Eugster A, Vingerhoets AJ. Psychological aspects of in vitro fertilization: a review. Soc Sci Med. 1999;48:575–89.

    Article  PubMed  CAS  Google Scholar 

  26. Visser AP, Haan G, Zalmstra H, Wouters I. Psychosocial aspects of in vitro fertilization. J Psychosom Obstet Gynaecol. 1994;15:35–43.

    Article  PubMed  CAS  Google Scholar 

  27. Yong P, Martin C, Thong J. A comparison of psychological functioning in women at different stages of in vitro fertilization treatment using the mean affect adjective check list. J Assist Reprod Genet. 2000;17:553–6.

    Article  PubMed  CAS  Google Scholar 

  28. Ramazanzadeh F, Noorbala AA, Abedinia N, Mohammad Naghizadeh MM. Emotional adjustment in infertile couples. Iran J Reprod Med. 2009;7:97–103.

    Google Scholar 

  29. Martins MV, Peterson BD, Almeida VM, Costa ME. Direct and indirect effects of perceived social support on women’s infertility-related stress. Hum Reprod. 2011;26:2113–21.

    Article  PubMed  Google Scholar 

  30. Sexton MB, Byrd MR, O’Donohue WT, Jacobs NN. Web-based treatment for infertility-related psychological distress. Arch Womens Ment Health. 2010;13:347–58.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We are grateful to Ms. Ayano Yamamoto for her valuable technical assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maki Goto.

About this article

Cite this article

Harata, T., Goto, M., Iwase, A. et al. Psychological stress during in vitro fertilization and embryo transfer is influenced by the patients’ background and gender. Reprod Med Biol 11, 143–148 (2012). https://doi.org/10.1007/s12522-012-0124-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12522-012-0124-y

Keywords

Navigation