• Quality of life in women of late reproductive age with infertility and endometrial pathology
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Quality of life in women of late reproductive age with infertility and endometrial pathology

HEALTH OF WOMAN. 2017.2(118):118–121; doi 10.15574/HW.2017.118.118

Korniyenko S. M. 
SI «Institute of Pediatrics, Obstetrics and Gynecology, NAMS of Ukraine», Kiev

Research has shown that infertile women are less satisfied with their lives than fertile women, as their mental, communicative, sexual and emotional well-being is undergoing a number of changes, especially in the late reproductive period when the proportion increases anxiety and depressive disorders.

The objective: сompare the quality of life parameters in infertile and fertile women of late reproductive age with endometrial pathology.

Patients and methods. The study included 237 women 35–44 years with different clinical forms of endometrial pathology. A questionnaire health SF-36 is used for studying the quality of life.

Results. The study of quality of life showed that patients with infertility compared with fertile women significantly higher assessed and psychological (p<0.008) and the physical component of their health (p<0.02), showed the greatest difference in emotional functioning (p<0.002). It was revealed that the longer the sterility, the worse the patients rated their physical functioning (с=-0.32, p<0.001) and mental health (с=-0.25, p<0.02), and the higher their overall health satisfaction (с=0.28, p<0.004).A subjective satisfaction with the physical and mental state is assessed. It was found that the age lowers the quality of life assessment more than a period of infertility. According to data obtained in the study of quality of life does not depend from infertility factors, but is largely determined by the presence of children.

Conclusions. It is concluded that the quality of life of secondary infertile women closest to the profile of fertile women; patient late reproductive age with infertility and endometrial pathology more satisfied with their lives than fertile women with endometrial pathology similar age.

Key words: endometrial pathology, late reproductive period, infertility, quality of life.

REFERENCES

1. Vovk IB, Kondratyuk VK, Revenko OO, Horban NE. 2010. Quality of life in women with infertility and induced abortion history. Perina, pathology and pediatrics. 4: 86-87.

2. Kolesnikov DB, Yermolenko KC, Solovieva AV. 2013. The mental state of women with infertility in older reproductive age. Clinical medicinа. 6: 38-41.

3. Korniyenko SM. 2011. Hysteroscopy in the diagnosis and treatment of intrauterine pathology in women of late reproductive and premenopausal age. Pediatrics, Obstetrics and Gynecology 73;4: 219-222.

4. Filippov ЕF. 2011. The methodology of non-pharmacological correction of quality of life and hormonal status of women relative to infertility. Herald of new medical technologies. 1: 69-70.

5. Potapov VO, Іvach VI, Donska UV, Simonova NV, Medvedev MV. 2013. Quality of life in women with combined hyperprolіferative processes female reproductive system. Taurian Medical and Biological Bulletin 16;2;1 (62): 187-189.

6. Carter J, Applegarth L, Josephs L, Grill E, Baser RE, Rosenwaks Z. 2011. A cross-sectional cohort study of infertile women awaiting oocyte donation: the emotional, sexual, and quality-of-life impact. Fertil Steril. 95(2): 711-716. https://doi.org/10.1016/j.fertnstert.2010.10.004; PMid:21055740

7. Mousavi SA, Masoumi SZ, Keramat A, Pooralajal J, Shobeiri F. 2013. Assessment of Questionnaires Measuring Quality of Life in Infertile Couples: A Systematic Review. J. Reprod. Infertil. 14(3): 110-119.

8. Bakhshayesh AR, Kazeraninejad M, Dehghan Mongabadi M, Raghebian M. 2012. A comparison of general health and coping strategies in fertile and infertile women in Yazd. Iran. J. Reprod. Med. 10(6): 601-606.

9. Choobforoushzade A, Kalantari M, Molavi H. 2011. The effectiveness of cognitive behavioral stress management therapy on quality of life in infertile women. Iran. J. Obst. Gynecol. Infertil. 14(1): 14–21.

10. Drosdzol А. 2008. Quality of life and sexual functioning of Polish infertile couples. Eur. J. Contracept. Reprod. Health Care. 13(3): 271-281.

11. Ragni G, Mosconi P, Baldini MP, Somigliana E, Vegetti W, Caliari I, Nicolosi AE. 2005. Health-related quality of life and need for IVF in 1000 Italian infertile couples. Hum. Reprod. 20(5): 1286-1291.

12. Montazeri А. 2007. Infertility and health related quality of life: Minireview of the literature. J. Family Reprod. Health. 1(2): 55–58.

13. Valsangkar S, Bodhare T, Bele S, Sai S. 2011. An evaluation of the effect of infertility on marital, sexual satisfaction indices and health-related quality of life in women. J. Hum. Reprod. Sci. 4(2): 80-85. https://doi.org/10.4103/0974-1208.86088

14. Chachamovich JR, Chachamovich E, Zachia S, Knauth D, Passos EP. 2007. What variables predict generic and health-related quality of life in a sample of Brazilian women experiencing infertility? Hum Reprod. 22(7): 1946-1952.

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