التفاصيل البيبلوغرافية
| العنوان: |
Impact of different controlled ovarian stimulation protocols on the physical and psychological burdens in women undergoing in vitro fertilization/intra cytoplasmic sperm injection. |
| المؤلفون: |
Mamata, Deenadayal1, Ray, Subrat K.2, Pratap, Kumar3, Firuza, Parikh4, Birla, Ashish Ramesh2 ashish.birla2@merck.com, Manish, Banker5 |
| المصدر: |
Journal of Human Reproductive Sciences. Apr-Jun2015, Vol. 8 Issue 2, p86-92. 7p. |
| مصطلحات موضوعية: |
*HUMAN in vitro fertilization, *INFERTILITY treatment, *INTRACYTOPLASMIC sperm injection, *HEALTH outcome assessment, *LUTEINIZING hormone releasing hormone receptors, *MENTAL depression |
| مستخلص: |
CONTEXT: 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. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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