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. 2015 Apr-Jun;8(2):86-92.
doi: 10.4103/0974-1208.158615.

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  1 , Subrat K Ray  2 , Kumar Pratap  3 , Parikh Firuza  4 , Ashish Ramesh Birla  2 , Banker Manish  5
Affiliations

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 et al. J Hum Reprod Sci. 2015 Apr-Jun.

Abstract

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.

Keywords: GnRH Agonist; GnRH Antagonist; In vitro fertilization; OHSS; physical and psychological burden.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Subject disposition
Figure 2
Figure 2
Subject enrolment according to treatment assigned
Figure 3
Figure 3
Change in Physical Burden (HSCL Score)
See this image and copyright information in PMC

References

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