A pilot investigation on possible interactions between clinical parameters and the psychology of couples undergoing IVF

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dc.authorid0000-0002-5638-3675
dc.authorid0000-0001-5695-2586
dc.authorid0009-0000-4926-825X
dc.authorid0000-0001-9049-2413
dc.authorid0000-0001-8859-0639
dc.authorid0000-0001-8426-8490
dc.contributor.authorAydın, Gerçek
dc.contributor.authorBülbül, Mehmet
dc.contributor.authorErgin, Elif
dc.contributor.authorAydin, Ayşe Gül
dc.contributor.authorAkkaya, Cengiz
dc.contributor.authorHatırnaz, Şafak
dc.contributor.authorTinelli, Andrea
dc.date.accessioned2025-08-20T15:22:47Z
dc.date.available2025-08-20T15:22:47Z
dc.date.issued2025
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.description.abstractObjective: To investigate the potential reciprocal influences between in vitro fertiliza tion (IVF) and the psychological states of patients. Materials and Methods: A prospective cohort study involved 180 couples who sought consultation for IVF. To monitor the fluctuations in the emotional states of the cou ples throughout the IVF process, questionnaires were administered on two separate occasions: the first was conducted immediately before the initiation of medication, and the second was administered promptly following the completion of embryo trans fer. The BECK inventories for anxiety and depression were employed for evaluation. Pregnancy outcomes were exclusively analyzed for women who received high-quality blastocysts, with cleavage-stage embryo transfers being excluded from consideration. Results: Pregnancy rates did not significantly differ based on the presence of height ened anxiety and/or depression among couples. Notably, a correlation was identified between severe anxiety in women before IVF and diminished rates of fertilization, as well as lower blastocyst/oocyte and blastocyst/metaphase II (M2) ratios (8.7 ± 5.0 vs. 7.5 ± 6.1, P= 0.029; 0.284 ± 0.199 vs. 0.218 ± 0.209, P= 0.001; and 0.333 ± 0.209 vs. 0.272 ± 0.232, P= 0.016, respectively). In the male cohort, elevated anxiety scores, ei ther pre- or post-IVF treatment, were found to be linked with a reduced mean oocyte count, as well as lower rates of M2, fertilization, blastocyst, and total embryo counts (P< 0.05). Conclusions: Pregnancy rates were not affected by the presence of anxiety and de pression, as they do not exert a significant impact on the implantation success of blas tocysts. However, given that fertilization rates are statistically diminished in instances of severe anxiety, which consequently results in a reduced number of blastocysts and total embryos, a decline in cumulative pregnancy rates may be anticipated.
dc.identifier.citationAydın, G., Bülbül, M., Ergin, E., Aydin, A. G., Akkaya, C., Hatırnaz, Ş., & Tinelli, A. (2025). A pilot investigation on possible interactions between clinical parameters and the psychology of couples undergoing IVF. International Journal of Gynecology & Obstetrics, pp. 1-17. https://doi.org/10.1002/ijgo.70466
dc.identifier.doi10.1002/ijgo.70466
dc.identifier.endpage17
dc.identifier.issn0020-7292
dc.identifier.issn1879-3479
dc.identifier.pmidPMID: 40817721
dc.identifier.scopus2-s2.0-105013224332
dc.identifier.scopusqualityQ2
dc.identifier.startpage1
dc.identifier.urihttps://doi.org/10.1002/ijgo.70466
dc.identifier.urihttps://hdl.handle.net/20.500.13055/1082
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.indekslendigikaynak.otherSCI-E - Science Citation Index Expanded
dc.institutionauthorAydın, Gerçek
dc.institutionauthorid0000-0002-5638-3675
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofInternational Journal of Gynecology & Obstetrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectIVF
dc.subjectAnxiety
dc.subjectAssisted Reproductive Technique
dc.subjectDepression
dc.subjectInfertility
dc.subjectPsychology
dc.titleA pilot investigation on possible interactions between clinical parameters and the psychology of couples undergoing IVF
dc.typeArticle
dspace.entity.typePublication

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