患有不孕症的女性和男性的生活质量:一个横截面研究
Luis Celda-Belinchón1, Carlos Saus-Ortega1, Josefa Palop-Muñoz1
1Nursing School La Fe, University of Valencia, Valencia, Valencia, Spain.
概括
不孕症对男性和女性的影响不同,女性经历的情感和身体负担更大. 解决心理因素和提供性别敏感的支持可以改善生育治疗期间的生活质量.
科学领域:
- 生殖医学 生殖医学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 不孕症影响了相当一部分人口,影响了个人的生活质量.
- 了解接受生育评估的男性和女性所面临的具体挑战对于有效的护理至关重要.
- 现有的研究往往忽视了不孕不育对社会心理影响的性别特异性.
研究的目的:
- 评估在西班牙接受不孕评估或治疗的男性和女性的生育相关生活质量 (QoL).
- 确定与生育相关的QOL相关的临床,心理和社会人口因素.
- 探索不孕症经验中的基于性别的差异及其对QOL的影响.
主要方法:
- 在西班牙东部的一家医院辅助生殖单位进行的横截面观察研究.
- 457名参与者 (279名女性,178名男性),年龄超过18岁,流利地说西班牙语.
- 生育特异性QOL问卷,焦虑和抑郁的心理查工具,以及临床/社会人口统计数据的收集. 进行了相关性和回归分析.
主要成果:
- 女性报告与生育相关的QOL明显低于男性,特别是在情绪,身体和社会领域.
- 焦虑对两性都有负面影响,对女性造成身体痛苦,对男性造成关系紧张. 抑郁症对女性的情感和社会福祉的影响更大.
- 更长的不育持续时间和更多的治疗周期与较差的QOL有关,特别是在女性中. 年龄较大和高等教育也与女性较低的QoL相关.
结论:
- 不孕症对男性和女性的影响不同,女性经历更多的情感和身体痛苦,而男性报告更多的关系问题.
- 心理社会因素,包括焦虑和抑郁症,在两种性别中显著影响与生育相关的QOL.
- 建议将性别敏感和心理社会支持纳入生育护理,以提高患者的福祉和治疗结果.
更多相关视频
08:06Author Spotlight: Evaluating the Impact of Immediate Partial Removal of Cumulus-Oocyte Complexes on Fertilization Efficiency and Embryo Quality
Published on: October 18, 2024
518
08:46Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives
Published on: September 16, 2021
6.1K
相关概念视频
01:23Infertility in Males
332
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
332
01:28Infertility in Females
402
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
Endometriosis, a condition characterized by abnormal growth of...
402
01:24In Vitro Fertilization
390
In vitro fertilization (IVF) is a form of assisted reproductive technology where an egg is fertilized with sperm in a controlled laboratory environment before transferring the resulting embryo into the uterus. This process is designed to help individuals and couples experiencing difficulties conceiving.
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
The IVF process begins with ovarian stimulation, during which reproductive endocrinologists prescribe hormonal medications to stimulate the ovaries to produce multiple eggs instead of the single...
390
01:41Spermatogenesis
103.4K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
103.4K
01:28Menopause
250
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
250
02:07Oogenesis
64.4K
In human women, oogenesis produces one mature egg cell or ovum for every precursor cell that enters meiosis. This process differs in two unique ways from the equivalent procedure of spermatogenesis in males. First, meiotic divisions during oogenesis are asymmetric, meaning that a large oocyte (containing most of the cytoplasm) and minor polar body are produced as a result of meiosis I, and again following meiosis II. Since only oocytes will go on to form embryos if fertilized, this unequal...
64.4K