Mental Health Status And The Quality Of Life Of Infertile Women Receiving Fertility Treatment: A Cross-Sectional Study

Abstract

Introduction: Infertility affects approximately 15% of couples globally, carrying significant emotional, social, and economic burdens. In India, particularly in Tamil Nadu, lifestyle changes and delayed childbearing contribute to rising infertility rates. Women undergoing fertility treatments often experience severe psychological distress due to societal stigma and personal struggles, leading to impaired quality of life (QoL). Addressing these mental health challenges is crucial for improving treatment outcomes and overall well-being.

Objective: This study aims to assess the prevalence of depression, anxiety, and stress among infertile women undergoing fertility treatments and to evaluate their overall quality of life. Additionally, it examines the relationship between infertility-related psychological distress and key demographic and clinical factors.

Methodology: A cross-sectional study was conducted among 250 infertile women undergoing fertility treatments in tertiary care hospitals in Chennai, Tamil Nadu. Participants were selected using simple random sampling and assessed through structured interviews. Mental health was evaluated using the Depression, Anxiety, and Stress Scale (DASS-21), while QoL was measured using the WHOQOL-BREF scale. Statistical analysis, including chi-square tests, ANOVA, and correlation analysis, was performed using SPSS.

Results: Findings indicate that 47.2% of participants exhibited symptoms of depression, 52.8% experienced anxiety, and 58% reported stress. Psychological distress was significantly associated with lower education, rural residency, lower socioeconomic status, early marriage, and primary infertility. Additionally, a strong negative correlation was observed between psychological distress and QoL.