Impact of different controlled ovarian stimulation protocols on the physical and psychological burdens in women undergoing in vitro fertilization/intra cytoplasmic sperm injection

Deenadayal Mamata, Subrat Ray, Kumar Pratap, Parikh Firuza, Ashish Birla, Banker Manish

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Infertility treatment involves a considerable amount of physical and psychological burden which may impact the outcome. Aim: The objective was to understand the amount of physical and psychological burden in women undergoing their first in vitro fertilization (IVF)/intra cytoplasmic sperm injection (ICSI) cycles. Setting and Design: Multi-center, prospective, parallel, observational study. Materials and Methods: The study was conducted across 12 IVF centers in India. A total of 692 women undergoing controlled ovarian stimulation as a part of the first cycle IVF/ICSI completed the trial. Women were recruited in 2 groups based on type of treatment (Group A-gonadotropin-releasing hormone [GnRH] antagonist; Group B-GnRH agonist) and were asked to fill questionnaires during the 2 treatment visits. Results: The mean changes between Visit 1 (baseline) and Visit 2 in anxiety and depression (Hospital Anxiety and Depression Scale) scores in Group A for anxiety and depression were-0.5 (3.67),-0.1 (3.57) respectively and for Group B were-0.4 (3.68), 0.1 (3.67) respectively, which was not statistically significant. In Group A, the mean (±standard deviation [SD]) Hopkins Symptom Check List (HSCL) score was 17.9 (±5.17) in visit 1 and 19.1 (±5.45) Visit 2. The change between visits was 1.1 (P < 0.0001) with higher score reflecting higher somatic distress symptoms. In Group B, the mean (±SD) HSCL score was 18.2 (±5.19) in Visit 1 and 18.8 (±5.23) in visit 2. The change between visits was 0.6 (P < 0.0014). The difference of the mean change in physical burden between Group A and Group B was not statistically significant. Conclusion: A significant impact in both treatment protocols with respect to the physical burden was found between Visit 1 and Visit 2 but no difference in physical or psychological burden between the two treatment groups was observed.

Original languageEnglish
Pages (from-to)86-92
Number of pages7
JournalJournal of Human Reproductive Sciences
Volume8
Issue number2
DOIs
Publication statusPublished - 01-01-2015
Externally publishedYes

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Ovulation Induction
Fertilization in Vitro
Spermatozoa
Psychology
Injections
Anxiety
Depression
Gonadotropin-Releasing Hormone
Hormone Antagonists
Therapeutics
Clinical Protocols
Infertility
Observational Studies
India

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine

Cite this

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title = "Impact of different controlled ovarian stimulation protocols on the physical and psychological burdens in women undergoing in vitro fertilization/intra cytoplasmic sperm injection",
abstract = "Infertility treatment involves a considerable amount of physical and psychological burden which may impact the outcome. Aim: The objective was to understand the amount of physical and psychological burden in women undergoing their first in vitro fertilization (IVF)/intra cytoplasmic sperm injection (ICSI) cycles. Setting and Design: Multi-center, prospective, parallel, observational study. Materials and Methods: The study was conducted across 12 IVF centers in India. A total of 692 women undergoing controlled ovarian stimulation as a part of the first cycle IVF/ICSI completed the trial. Women were recruited in 2 groups based on type of treatment (Group A-gonadotropin-releasing hormone [GnRH] antagonist; Group B-GnRH agonist) and were asked to fill questionnaires during the 2 treatment visits. Results: The mean changes between Visit 1 (baseline) and Visit 2 in anxiety and depression (Hospital Anxiety and Depression Scale) scores in Group A for anxiety and depression were-0.5 (3.67),-0.1 (3.57) respectively and for Group B were-0.4 (3.68), 0.1 (3.67) respectively, which was not statistically significant. In Group A, the mean (±standard deviation [SD]) Hopkins Symptom Check List (HSCL) score was 17.9 (±5.17) in visit 1 and 19.1 (±5.45) Visit 2. The change between visits was 1.1 (P < 0.0001) with higher score reflecting higher somatic distress symptoms. In Group B, the mean (±SD) HSCL score was 18.2 (±5.19) in Visit 1 and 18.8 (±5.23) in visit 2. The change between visits was 0.6 (P < 0.0014). The difference of the mean change in physical burden between Group A and Group B was not statistically significant. Conclusion: A significant impact in both treatment protocols with respect to the physical burden was found between Visit 1 and Visit 2 but no difference in physical or psychological burden between the two treatment groups was observed.",
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Impact of different controlled ovarian stimulation protocols on the physical and psychological burdens in women undergoing in vitro fertilization/intra cytoplasmic sperm injection. / Mamata, Deenadayal; Ray, Subrat; Pratap, Kumar; Firuza, Parikh; Birla, Ashish; Manish, Banker.

In: Journal of Human Reproductive Sciences, Vol. 8, No. 2, 01.01.2015, p. 86-92.

Research output: Contribution to journalArticle

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AU - Mamata, Deenadayal

AU - Ray, Subrat

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AU - Firuza, Parikh

AU - Birla, Ashish

AU - Manish, Banker

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