Assessment of Quality of Life in Infertility Treated Women in Poland

Int J Environ Res Public Health. 2021 Apr 17;18(8):4275. doi: 10.3390/ijerph18084275.

Abstract

The aim of this study was to assess the quality of life (QoL) of infertility treated women as it can affect the effectiveness of therapy. This cross-sectional study was conducted with Abbreviated World Health Organization Quality of Life questionnaire (WHOQOL-BREF), Fertility Quality of Life tool (FertiQoL) and an author's questionnaire. The study included 1200 women treated for infertility without the use of assisted reproductive technology (non-ART), intrauterine insemination (IUI), or in vitro fertilization (IVF). The control group was 100 healthy women who had children. The time to conceive did not significantly differ between study groups and was 3.1-3.6 years, on average. The quality of life in the WHOQOL-BREF questionnaire data significantly differed between study groups and the control (physical domain p < 0.001, psychological p = 0.009; social p = 0.004; environmental p < 0.001). A significant effect was found in 4 FertiQoL subscales: emotional, biological, partnership, and attitude towards treatment; depending on the method of treatment. Women who received non-ART treatment evaluated their QoL in significantly more negative terms in these 4 subscales, compared to those treated with IVF. The quality of life depends on reproductive problems, methods of infertility treatment, age, place of residence, and education level. Prolongation of the duration of treatment unfavourably affects the quality of life. The quality of life of women undergoing infertility treatment differs according to the mode of work and having children from a previous relationship.

Keywords: FertiQoL; WHOQOL-BREF; assisted reproductive technologies; in vitro fertilization; infertility; intrauterine insemination; quality of life.

MeSH terms

  • Child
  • Cross-Sectional Studies
  • Female
  • Fertilization in Vitro
  • Humans
  • Infertility, Female* / therapy
  • Poland
  • Quality of Life*