International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
Abstract
Infertility is a global health burden. Primary infertility and psychiatric morbidity have a bidirectional relationship. It is well known now from several epidemiological and clinical studies of patients seeking medical attention for infertility, that a significant proportion may have psychiatric morbidity, most commonly mood disorders and anxiety disorders. Psychiatric morbidity in women with primary infertility is a multi‐factorial and multi‐dimensional entity with bio‐psycho‐social determinants and impact. Enthused by numerous studies from the literature, as well as with a variety of methodology and contradictory data and results, the current study was thus developed to assess psychiatric morbidity among women with primary infertility and compare it with fertile women and correlating it with socio‐demographic and clinical variables. A case‐control comparative study was conducted from Jan 2022 to June 2023 on 300 married women purposively selected primary infertile women. Married women coming to infertility clinic Saraswati Medical College Unnao, satisfying the definition of primary infertility as per WHO and satisfying inclusion and exclusion criteria was included as cases. A married woman with at least one child satisfying inclusion and exclusion criteria was included as a control. Selected subjects were independently screened by a consultant for Hamilton's depression rating scale and Hamilton's anxiety rating scale for severity assessment of depression and anxiety respectively. The prevalence of psychiatric morbidity in women with primary infertility was 28% in comparison to 11% in women with fertility and the difference was statistically significant (p = 0.027). Most common disorders were generalized anxiety disorder (42.86%) and depressive episode (26.19%) among cases, in the study they were threatened to divorce by spouse or fear of husband getting remarried (34%), family and social stigma and discrimination due to infertility (34%) and lack of self‐esteem (34.7%). The study shows that significant psychiatric morbidity is associated with women with primary infertility compared to women with fertility and that there is a significant correlation between psychiatric morbidity and duration of infertility, age, domicile, duration of the marriage, duration of infertility and presence of psycho social stressors among the cases with primary infertility. This emphasizes the need for early detection and effective management of both the disorders to achieve better outcomes in these patients.
How to cite this article:
Anita Jain, Dibya Singh, Chitrangda Gupta and Richa Pandey. The Prevalence of Psychiatric Morbidity in Women with Primary Infertility in Unnao Region (Nawabganj).
DOI: https://doi.org/10.36478/10.36478/makijtm.2023.4.87.94
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2023.4.87.94