Abstract
Background:Infertility is a hugeglobalproblem with a significant mental healthburden.Infertility couldbecome a source of continuous stress leading to psychosocial issues including stress, anxiety, depression, and low self-esteem in these women.Mental health issues in conjunction with the quality of life among infertile women have been less studied in third world countries. Further qualitative reflectors like the quality of life are less studied. Objective: To study the effect of infertility on mental health and quality of life.Methods: A cross-sectional, case-controlled study was conducted between January 2021 and November 2021 to study the effect of infertility on mental health and quality of life. A semi-structured questionnairewasusedfor sociodemographicandclinicalvariables.OsloSocialSupport Scale-3andferti-Qolwereusedto studysocial support andqualityofliferespectively.Psychiatricmorbiditywas assessedusing ICD10symptomchecklist. A total of 56 cases and 102 controls were studied. Results:The mean age of cases and controls was 30.4 ±3.5 years and 31.9 ±2.9 years respectively.Young infertile females, primary infertility and female factor for infertility were associated with higher psychiatric morbidity.Psychiatric morbidity was seen in 46.4% of infertile women.Ferti QoL score for the infertile group was 64.61 ±5 with the lowest score in the emotional domain (45.10) and mind-body domain (54.86)(p<0.0001).The scores in the relational domain and social domain were higher (85.2 and 73.3 respectively).The scores in the mind-body domain and emotional domain were poor among the infertile women regardless of the presence of psychiatric morbidity (48.27 vs 59.80 and 43.57 vs 46.57)(P<0.0001-0.04). Conclusions: Our study emphasizes the role of more qualitative instruments like Ferti-QoL in studying the well-being of infertile women.Even in absence of psychiatric morbidity,the QoL scorecouldstillpredictmentalwellbeinginfertility-relatedissues.
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