Document Detail


Depression: an emotional obstacle to seeking medical advice for infertility.
MedLine Citation:
PMID:  20047740     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the mental and general health of infertile women who had not sought medical advice for their recognized infertility and were therefore not represented in clinical populations. DESIGN: Longitudinal cohort study. SETTING: Population based. PATIENT(S): Participants in the Australian Longitudinal Study on Women's Health aged 28-33 years in 2006 who had ever tried to conceive or had been pregnant (n = 5,936). INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): Infertility, not seeking medical advice. RESULT(S): Compared with fertile women (n = 4,905), infertile women (n = 1,031) had higher odds of self-reported depression (odds ratio [OR] 1.20, 95% confidence interval [CI] 1.01-1.43), endometriosis (5.43, 4.01-7.36), polycystic ovary syndrome (9.52, 7.30-12.41), irregular periods (1.99, 1.68-2.36), type II diabetes (4.70, 1.79-12.37), or gestational diabetes (1.66, 1.12-2.46). Compared with infertile women who sought medical advice (n = 728), those who had not sought medical advice (n = 303) had higher odds of self-reported depression (1.67, 1.18-2.37), other mental health problems (3.14, 1.14-8.64), urinary tract infections (1.67, 1.12-2.49), heavy periods (1.63, 1.16-2.29), or a cancer diagnosis (11.33, 2.57-49.89). Infertile women who had or had not sought medical advice had similar odds of reporting an anxiety disorder or anxiety-related symptoms. CONCLUSION(S): Women with self-reported depression were unlikely to have sought medical advice for infertility. Depression and depressive symptoms may be barriers to seeking medical advice for infertility.
Authors:
Danielle L Herbert; Jayne C Lucke; Annette J Dobson
Publication Detail:
Type:  Journal Article     Date:  2010-01-04
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2010-11-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1817-21     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
School of Population Health, University of Queensland, Brisbane, Queensland, Australia. d.herbert@sph.uq.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Communication*
Depression / psychology*
Female
Humans
Infertility, Female / psychology*,  therapy
Information Seeking Behavior
Longitudinal Studies
Outcome Assessment (Health Care)
Physician-Patient Relations*
Self Disclosure

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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