The Fertility Quality of Life (FertiQol) Questionnaire in Pakistani Infertile Women

Authors

  • Sughra Abbasi
  • Rehana Kousar

Keywords:

Females, FertiQol, Infertility, Pakistani, quality of life

Abstract

Objective: To characterize the fertility quality of life (QoL) in Pakistani infertile women using FertiQoL questionnaire tool
and establish a reference level of QoL for clinical applications and future studies.
Materials and Methods: The cross-sectional survey was conducted from May to October 2015 at the Department of Baqai
Institute of Reproductive Sciences (BIRDS) of Baqai Medical University. Hundred married women diagnosed with primary
or secondary infertility, aged 18 years or above, literate and those who could communicate were enrolled in this study. The
study participants also completed the Fertility Quality of Life Questionnaire (FertiQoL), a disease specific validated tool to
measure quality of Life. SPSS version 20.0 was used for statistical analyses.
Results: Seventy percent women were of 31-40 years, age at marriage less than 30 years (69%), educational qualification of
bachelors (38%), unemployed (82%) and duration of infertility less than five years (76%). Primary infertility was predominant
with78%. The women who completed the FertiQol had Mean (SD) for Core FertiQol and treatment FertiQol as 52.17 (13.13)
and 54.25 (11.23) respectively. Among the subscales of Core FertiQol the lowest mean scores for Emotional, Mind/ Body,
Relational and Social were Mean (SD) as 53.30 (15.23), 50.67 (19.28), 47.34 (12.62) and 57.38 (11.23). The Mean (SD) for
treatment FertiQol was 54.25 (11.23) with Mean (SD) for Environment and Tolerability were 49.13 (9.64) and 59.37 (16.87),
respectively.
Conclusion: The disease specific quality of life assessment tool Ferti Qol objectively measures the quality of life as well as
its various domains, thus providing a more detailed and useful information for treatment.

References

Zegers-Hochschild F, Adamson G D, de Mouzon J,

Ishihara O, Mansour R, Nygren K, et al.The international

committee for monitoring assisted reproductive technology

(ICMART) and the world health organization (WHO)

revised glossary on ART terminology, 2009. Human

Reproduction, dep 343.

Louis J F, Thoma M E, Sørensen DN, McLain A C,

King, R B, Sundaram R et al.The prevalence of couple

infertility in the United States from a male perspective:

evidence from a nationally representative sample.

Andrology2013;1(5), 741-8.

Boivin J, Bunting L, Collins J.A, Nygren K G. International

estimates of infertility prevalence and treatmentseeking:

potential need and demand for infertility medical

care. Human reproduction 2007; 22(6): 1506-12.

Soares S, Rodrigues T, Barros, H.Infertility prevalence

in the city of Porto. ActaMédica Portuguesa 2011;24(5):

-706.

Chachamovich J R, Chachamovich E, Ezer H, Fleck M

P, Knauth D, Passos E P. Investigating quality of life

and health-related quality of life in infertility: a systematic

review. Journal of Psychosomatic Obstetrics & Gynecology

;31(2), 101-10.

Schmidt L. Psychosocial burden of infertility and assisted

reproduction. The Lancet 2006;367(9508): 379-80.

Campagne D M. Should fertilization treatment start with

reducing stress? Human Reproduction 2006;21(7): 1651-8

TWHOQolAG-WHO QOL. Position paper from the

World Health Organisation of life Assessment. Soc Sci

Med 1995; 41: 1403-9.

Boivin J, Takefman, J, Braverman A. The fertility quality

of life (FertiQoL) tool: development and general psychometric

properties. Fertility and sterility2011; 96(2):

-15.

Aarts JW , van Empe IWl, Boivin J, Nelen W L, Kremer

J A, Verhaak C M. Relationship between quality of life

and distress in infertility: a validation study of the Dutch

FertiQoL. Hum Reprod 26 2011;26:1112-8.

Klemetti R, Raitanen J, Sihyo S, Saarni S, Koponen P.

Infertility, mental disorders and well-being-a nationwide

survey. Acta Obstet Gynecol Scand 2010;89:677-82.

Luckett T, King M, Butow P, Friedlander M, Paris T.

Assessing health-related quality of life in gynecologic

oncology. A systemic review of questionnaires and their

ability to detect clinically important differences and

change. Int J Gynecol Cancer2010;20:664-84.

vanEmpel IW, Hermens RP, Akkermans RP, Hollander

KW, Nelen WL, Kremer JA.Organizational determinants

for patient-centered fertility care: a multilevel analysis.

Fertil Steril 2010a;95:513-9.

vanEmpel IW, Aarts JW, Cohlen B, Laven J, Huppelschoten

D, Nelen WL, Kremer JA.Measuring patient

centredness, the neglected outcome in fertility care: a

random multicentre validation study. Hum Reprod 2010

b;25:2516-26.

Hsu P Y, Lin MW, Hwang J L, Lee M S, Wu M H. The

fertility quality of life (FertiQoL) questionnaire in Taiwanese

infertile couples.Taiwanese Journal of Obstetrics

and Gynecology2013; 52(2), 204-9.

Huppelschoten AG, van Dongen AJCM, Verhaak CM,

Smeenk JMJ, Kremer JAM, Nelen WLDM. Differences

in quality of life and emotional status between infertile

women and their partners. Hum Reprod 2013;28(8):2168-

doi:10.1093/humrep/det239.

Karabulut A, Ozkan S, Oguz N. Predictors of fertility

quality of life (FertiQoL) in infertile women: analysis

of confounding factors. Eur J Obstet Gynecol Reprod

Biol 2013;170(1):193-7.

Heredia M, Tenías J, Rocio R, Amparo F, Calleja M,

Valenzuela J. Quality of life and predictive factors in

patients undergoing assisted reproduction techniques.

Eur J Obstet Gynecol Reprod Biol 2013;167(2):176-80.

Cserepes R, Korösi T, Bugán A. Characteristics of

infertility specific quality of life in Hungarian couples.

Orv Hetil 2014;155(20):783-8.

Ashkani H, Akbari A, Heydari S T. Epidemiology of

depression among infertile and fertile couples in Shiraz,

Southern Iran. Indian Journal of Medical Sciences 2006;

(10): 399-403.

Chachamovich J R., Chachamovich E, Ezer H, Agreement

on perceptions of quality of life in couples dealing

with infertility. J. Obstet. Gynecol. Neonatal Nurs, 2010;

(5): 557-65.

Verhaak C M, Lintsen A M, Evers A W. Who is at risk

of emotional problems and how do you know? Screening

of women going for IVF treatment. Hum. Reprod 2010;

(5): 1234-40.

Fekkes M, Buitendijk S E, Verrips G H. Health related

quality of life in relation to gender and age in couples

planning IVF treatment. Hum. Reprod., 2003; 18(7):

-43.

Terzioglu F. Investigation into effectiveness of counseling

on assisted reproductive techniques in Turkey. Journal

of Psychosomatic Obstetrics & Gynecology 2001; 22(3):

-41.

Donarelli Z, Lo Coco G, Gullo S. Are attachment dimensions

associated with infertility-related stress in couples

undergoing their first IVF treatment? A study on the

individual and cross-partner effect. Hum. Reprod 2012;

(11): 3215-25.

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Published

2016-09-14

How to Cite

Abbasi, S. ., & Kousar, R. . (2016). The Fertility Quality of Life (FertiQol) Questionnaire in Pakistani Infertile Women. Journal of Bahria University Medical and Dental College, 6(3), 170–173. Retrieved from https://jbumdc.bahria.edu.pk/index.php/ojs/article/view/191

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