Battling the Invisible Infertility Agony: A Case Study of Infertile Women in Khyber Pakhtunkhwa-Pakistan

Aman Ullah, Hina Ashraf, Muhammad Tariq, Syed Zuhaib Aziz, seema Zubair, Khalil Ur Rehman Sikandar, Nayab Ali, Abdul Shakoor, Muhammad Nisar

Abstract


This study's main theme is to explore the negative impact of women's infertility on their social life. Only those women who experienced infertility, both primary and secondary, and were currently seeking treatment for their infertility in different Private and Public hospitals/clinics in the study area were selected. Since the exact number of infertile women was unknown in the study area, purposive sampling was adopted while using snowballing techniques to find study participants. Rigorously following the snowball sampling method, data was collected from 400 respondents dealing with the agony of infertility through purposive sampling. Univariate, bivariate, and multivariate analyses were conducted. The findings indicated that gynaecological problems caused infertility issues that sometimes caused a miscarriage and led to secondary infertility. Moreover, infertility was a cause of deterioration in familial and social relationships. Likewise, infertility contributed to the feeling of social isolation and withdrawal from others. The provision of health services and the diffusion of information regarding infertility treatment and improving current health policies are recommendations based on the study’s findings.


Keywords


Causes, infertility, Social Impact, Women, Pakistan.

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References


Abbey, A., Andrews, F. M., & Halman, L. J. (1994). Psychosocial predictors of life quality: How are they affected by infertility, gender, and parenthood? Journal of Family Issues, 15(2), 253-271. https://doi.org/10.1177/0192513X94015002006

Ali, S., Sophie, R., Imam, A. M., Khan, F. I., Ali, S. F., Shaikh, A., & Farid-ul-Hasnain, S. (2011). Knowledge, perceptions and myths regarding infertility among selected adult population in Pakistan: A cross-sectional study. BMC Public Health, 11(1), 760. https://doi.org/10.1186/1471-2458-11-760

Batool, S. S., & de Visser, R. O. (2016). Experiences of infertility in British and Pakistani women: A cross-cultural qualitative analysis. Health Care for Women International, 37(2), 180-196. https://doi.org/10.1080/07399332.2014.980890

Bernstein, J., Potts, N., & Mattox, J. H. (1985). Assessment of psychological dysfunction associated with infertility. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 14(s6), 63s-66s. https://doi.org/10.1111/j.1552-6909.1985.tb02803.x

Blenner, J. L. (1990). Passage through infertility treatment: A stage theory. Image: The Journal of Nursing Scholarship, 22(3), 153-158. https://doi.org/10.1111/j.1547-5069.1990.tb00199.x

Blenner, J. L. (1992). Stress and mediators: Patients' perceptions of infertility treatment. Nursing Research, 41(2), 92-97. https://doi.org/10.1097/00006199-199203000-00007

Brassard, M., AinMelk, Y., & Baillargeon, J. -P. (2008). Basic infertility including polycystic ovary syndrome. Medical Clinics of North America, 92(5), 1163-1192. https://doi.org/10.1016/j.mcna.2008.04.008

Bromham, D., Bryce, F., Balmer, B., & Wright, S. (1989). Psychometric evaluation of infertile couples (preliminary findings). Journal of Reproductive & Infant Psychology, 7(4), 195-202. https://doi.org/10.1080/02646838908403594

Callan, V. J. (1987). The personal and marital adjustment of mothers and of voluntarily and involuntarily childless wives. Journal of Marriage & the Family, 847-856. https://doi.org/10.2307/351978

Carmeli, Y. S., & Birenbaum-Carmeli, D. (1994). The predicament of masculinity: Towards understanding the male's experience of infertility treatments. Sex Roles, 30(9), 663-677. https://doi.org/10.1007/BF01544669

Chang, S. N., & Mu, P. F. (2008). Infertile couples’ experience of family stress while women are hospitalized for ovarian hyperstimulation syndrome during infertility treatment. Journal of Clinical Nursing, 17(4), 531-538. https://doi.org/10.1111/j.1365-2702.2006.01801.x

Daniluk, J. C. (1988). Infertility: Intrapersonal and interpersonal impact. Fertility & Sterility, 49(6), 982-990. https://doi.org/10.1016/S0015-0282(16)59948-8

Dierickx, S., Rahbari, L., Longman, C., Jaiteh, F., & Coene, G. (2018, 2018/09/12). ‘I am always crying on the inside’: A qualitative study on the implications of infertility on women’s lives in urban Gambia. Reproductive Health, 15(1), 151. https://doi.org/10.1186/s12978-018-0596-2

Eisner, B. G. (1963). Some psychological differences between fertile and infertile women. Journal of Clinical Psychology, 19(4), 391-395. https://doi.org/10.1002/1097-4679(196310)19:4<391::AID-JCLP2270190403>3.0.CO;2-R

Forrest, L., & Gilbert, M. S. (1992). Infertility: An unanticipated and prolonged life crisis. Journal of Mental Health Counseling, 14(1), 42-58.

Freeman, E. W., Rickels, K., Tausig, J., Boxer, A., Mastroianni, L., & Tureck, R. W. (1987). Emotional and psychosocial factors in follow-up of women after Ivf-Et treatment: A pilot investigation. Acta Obstetricia et Gynecologica Scandinavica, 66(6), 517-521. https://doi.org/10.3109/00016348709015727

Gerrity, D. A. (2001). A biopsychosocial theory of infertility. The Family Journal, 9(2), 151-158. https://doi.org/10.1177/1066480701092009

Gillespie, R. (2000). When no means no: Disbelief, disregard and deviance as discourses of voluntary childlessness. Women's Studies International Forum, 23(2), 223-234. https://doi.org/10.1016/S0277-5395(00)00076-5

Greil, A. L., Porter, K. L., Leitko, T. A., & Riscilli, C. (1989). Why me? Theodicies of infertile women and men. Sociology of Health & Illness, 11(3), 213-229.

Gurunath, S., Pandian, Z., Anderson, R. A., & Bhattacharya, S. (2011). Defining infertility—A systematic review of prevalence studies. Human Reproduction Update, 17(5), 575-588. https://doi.org/10.1093/humupd/dmr015

Hakim, A., Sultan, M., & Ahmad, F. (2001). Pakistan Reproductive Health and Family Planning Survey (2000-01): Preliminary report. National Institute of Health (NIH), Park Road. https://www.nips.org.pk/abstract_files/Pakistan%20Reproductive%20Health%20Family%20Planning%20Survey%202000-01%20_Preliminary%20Report.pdf

Hassan, S. -U. -N., Siddiqui, S., & Friedman, B. D. (2019). Health status and quality of life of women seeking infertility treatments in Baluchistan, Pakistan. The British Journal of Social Work, 50(5), 1401-1418. https://doi.org/10.1093/bjsw/bcz130

Heikkurinen, S. (2019). Missed children: A descriptive literature review on the effects of involuntary childlessness on a heterosexual couple's relationship and sexuality [Bachelor’s thesis, Lahti University Of Applied Sciences]. https://www.theseus.fi/bitstream/handle/10024/168915/Heikkurinen_Sanni.pdf

Hodin, S. (2017, 12 November ). The burden of infertility: Global prevalence and women’s voices from around the world. Maternal Health Task Force. https://www.mhtf.org/2017/01/18/the-burden-of-infertility-global-prevalence-and-womens-voices-from-around-the-world/#:~:text=Available%20data%20indicate%20that%20at%20least%2050%20million%20couples%20worldwide%20experience%20infertility.&text=According%20to%20a%20systematic%20analysis,roughly%202%25%20experienced%20primary%20infertility.

Inhorn, M., & Van Balen, F. (2002). Infertility around the globe: New thinking on childlessness, gender, and reproductive technologies. University of California Press.

Ismail, N., & Moussa, A. (2017). Coping strategies and quality of life among infertile women in Damanhour City. Journal of Nursing & Health Science, 6(2), 31-45. https://doi.org/10.9790/1959-0602083145

Jansen, N. A., & Saint Onge, J. M. (2015). An internet forum analysis of stigma power perceptions among women seeking fertility treatment in the United States. Social Science & Medicine, 147, 184-189. https://doi.org/10.1016/j.socscimed.2015.11.002

Lakatos, E., Szigeti, J. F., Ujma, P. P., Sexty, R., & Balog, P. (2017). Anxiety and depression among infertile women: A cross-sectional survey from Hungary. BMC Women's Health, 17(1), 48. https://doi.org/10.1186/s12905-017-0410-2

Letherby, G. (2000). Images and representation of non-motherhood. Reproductive Health Matters, 8(16), 143-143. https://doi.org/10.1016/S0968-8080(00)90197-6

Levin, J. B., Sher, T. G., & Theodos, V. (1997). The effect of intracouple coping concordance on psychological and marital distress in infertility patients. Journal of Clinical Psychology in Medical Settings, 4(4), 361-372. https://doi.org/10.1023/A:1026249317635

Lindsey, B., & Driskill, C. (2013). The psychology of infertility. International Journal of Childbirth Education, 28(3), 41-47.

Link, P. W., & Darling, C. A. (1986). Couples undergoing treatment for infertility: Dimensions of life satisfaction. Journal of Sex & Marital Therapy, 12(1), 46-59.

Loke, A. Y., Yu, P. L., & Hayter, M. (2012). Experiences of sub‐fertility among Chinese couples in Hong Kong: A qualitative study. Journal of Clinical Nursing, 21(3‐4), 504-512. https://doi.org/10.1111/j.1365-2702.2010.03632.x

Merhaut, M. (2019). Theoretical studies focused on gender discrimination against Roma women in the Czech Republic. Journal of Ethnic & Cultural Studies, 6(1), 28-44. http://doi.org/10.29333/ejecs/147

Miall, C. E. (1994). Community constructs of involuntary childlessness: Sympathy, stigma, and social support. Canadian Review of Sociology [Revue canadienne de sociologie], 31(4), 392-421. https://doi.org/10.1111/j.1755-618X.1994.tb00828.x

Muhammad, D., & Begum, N. (2018). Health and social issues of infertile women in Pakistan. Annals of Allied Health Sciences, 4(2), 31-32.

Mustafa, M., Hadi, J., Iiizam, E., & Sani, A. (2019, 09/01). Male and female infertility: Causes, and management. IOSR Journal of Dental & Medical Sciences, 18(9), 27-32. https://doi.org/10.9790/0853-1809132732

Namavar Jahromi, B., Mansouri, M., Forouhari, S., Poordast, T., & Salehi, A. (2018). Quality of life and its influencing factors of couples referred to an infertility center in Shiraz, Iran. International Journal of Fertility & Sterility, 11(4), 293-297. https://doi.org/10.22074/ijfs.2018.5123

Nguyen, P., Corona, R., DeCarlo, M. P., Yaros, A., Le, A. T., & Compton, K. (2018). Help seeking behavior in a diverse sample of Asian American adults. Journal of Ethnic & Cultural Studies, 5(2), 1-15. http://doi.org/10.29333/ejecs/124

O'Moore, A. M., O'Moore, R. R., Harrison, R. F., Murphy, G., & Carruthers, M. E. (1983). Psychosomatic aspects in idiopathic infertility: Effects of treatment with autogenic training. Journal of Psychosomatic Research, 27(2), 145-151. https://doi.org/10.1016/0022-3999(83)90091-0

Papreen, N., Sharma, A., Sabin, K., Begum, L., Ahsan, S. K., & Baqui, A. H. (2000). Living with infertility: Experiences among urban slum populations in Bangladesh. Reproductive Health Matters, 8(15), 33-44. https://doi.org/10.1016/S0968-8080(00)90004-1

Park, K. (2002). Stigma management among the voluntarily childless. Sociological Perspectives, 45(1), 21-45. https://doi.org/10.1525/sop.2002.45.1.21

Platt, J. J., Ficher, I., & Silver, M. J. (1973). Infertile couples: Personality traits and self-ideal concept discrepancies. Fertility & Sterility, 24(12), 972-976. https://doi.org/10.1016/S0015-0282(16)40097-X

Qadir, F., Khalid, A., Haqqani, S., & Medhin, G. (2013). The association of marital relationship and perceived social support with mental health of women in Pakistan. BMC Public Health, 13(1), 1-13. https://doi.org/10.1186/1471-2458-13-1150

Rasool, S., & Zhang, J. (2020). Bangladeshi, Indian, and Pakistani Parents’ Perceptions of Their Children’s Academic Achievement in Southwest Florida. American Journal of Qualitative Research, 4(3), 146-160. https://doi.org/10.29333/ajqr/9337

Rouchou, B. (2013). Consequences of infertility in developing countries. Perspectives in Public Health, 133(3), 174-179. https://doi.org/10.1177/1757913912472415

Roupa, Z., Polikandrioti, M., Sotiropoulou, P., Faros, E., Koulouri, A., Wozniak, G., & Gourni, M. (2009). Causes of infertility in women at reproductive age. Health Science Journal, 3(2), 80-87.

Slade, P. (1981). Sexual attitudes and social role orientations in infertile women. Journal of Psychosomatic Research, 25(3), 183-186. https://doi.org/10.1016/0022-3999(81)90031-3

Stephen Bell, J. (1981). Psychological problems among patients attending an infertility clinic. Journal of Psychosomatic Research, 25(1), 1-3. https://doi.org/10.1016/0022-3999(81)90077-5

Sun, H., Gong, T. -T., Jiang, Y. -T., Zhang, S., Zhao, Y. -H., & Wu, Q.-J. (2019). Global, regional, and national prevalence and disability-adjusted life-years for infertility in 195 countries and territories, 1990–2017: Results from a global burden of disease study, 2017. Aging (Albany NY), 11(23), 10952. https://doi.org/10.18632/aging.102497

Tabong, P. T. -N., & Adongo, P. B. (2013). Infertility and childlessness: A qualitative study of the experiences of infertile couples in Northern Ghana. BMC Pregnancy & Childbirth, 13(1), 72. https://doi.org/10.1186/1471-2393-13-72

Ullah, A., Ashraf, H., & Shah, M. (2016). Understanding perceptions about the role of traditional practices regarding inheritance with relation to inheritance feud settlement: A case study of District Mardan Khyber Pakhtunkhwa-Pakistan. Journal of Ethnic & Cultural Studies, 3(2), 1. http://doi.org/10.29333/ejecs/55

Ullah, A., & Muhammad, N. (2020). Prevalence of mental health problems among youth involved in street crimes. Rawal Medical Journal, 45(4), 938-942.

Ullah, A., Muhammad, N., Ullah, M. S., Ishaq, M. R., Ali, M. A., Farah, M., Jawad, M., & Aziz, S. Z. (2020). Media role in up surging the youth participation in street crimes. PalArch's Journal of Archaeology of Egypt/Egyptology, 17(6), 14157-14163.

Zarar, R., Bukhsh, M., & Khaskheli, W. (2017). Causes and consequences of gender discrimination against women in Quetta City. Arts & Social Sciences Journal, 8(3), 1-6.




DOI: http://dx.doi.org/10.29333/ejecs/679

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