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Impact of Stress and Financials on Romanian Infertile Women Accessing Assisted Reproductive Treatment

Author

Listed:
  • Roxana Margan

    (Department 14 Microbiology, Discipline of Hygiene, Center for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Madalin-Marius Margan

    (Department of Microscopic Morphology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Corneluta Fira-Mladinescu

    (Department 14 Microbiology, Discipline of Hygiene, Center for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Salomeia Putnoky

    (Department 14 Microbiology, Discipline of Hygiene, Center for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Ioana Tuta-Sas

    (Department 14 Microbiology, Discipline of Hygiene, Center for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Radu Bagiu

    (Department 14 Microbiology, Discipline of Hygiene, Center for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Zoran Laurentiu Popa

    (Department of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Elena Bernad

    (Department of Obstetrics and Gynecology, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Ioana Mihaela Ciuca

    (Department of Pediatrics, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Felix Bratosin

    (Department of Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Oana Codruta Miloicov-Bacean

    (Department 14 Microbiology, Discipline of Hygiene, Center for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Brigitha Vlaicu

    (Department 14 Microbiology, Discipline of Hygiene, Center for Studies in Preventive Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

  • Amadeus Dobrescu

    (Department of General Surgery, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania)

Abstract

Around 20% of couples worldwide are affected by infertility issues, with numbers in the European Union reaching as high as 25%, while access to reproductive care varies significantly by geopolitical and country-specific variables. The purpose of this research is to shed light on the unique social, psychological, and financial difficulties faced by Romanian couples seeking access to assisted reproductive therapy (ART). A cross-sectional study was conducted between 2017 and 2019 to involve women who accessed ART at fertility clinics in Romania by completing two infertility surveys. We analyzed the data in terms of all facets of infertility and ART, including the effect of personal background and stress levels on succeeding to conceive, the impact of treatment costs, and household income. A total of 829 participants completed the survey. We observed that high stress exposure leads to a substantially higher duration to conceive using ART, although the proportions of successful pregnancies did not differ between low-stress and high-stress groups. A significantly higher number of couples achieved pregnancy when their monthly household income was higher than EUR 1000 and if the ART method was more expensive. Additionally, we observed that advanced age, high stress levels, and the high cost of ART had a negative association with achieving pregnancy using ART. The findings indicated that Romanian couples experiencing infertility must contend with significant expenses for specialist infertility treatments, as well as treatment-related stress, both of which have a detrimental effect on their odds of attaining conception.

Suggested Citation

  • Roxana Margan & Madalin-Marius Margan & Corneluta Fira-Mladinescu & Salomeia Putnoky & Ioana Tuta-Sas & Radu Bagiu & Zoran Laurentiu Popa & Elena Bernad & Ioana Mihaela Ciuca & Felix Bratosin & Oana C, 2022. "Impact of Stress and Financials on Romanian Infertile Women Accessing Assisted Reproductive Treatment," IJERPH, MDPI, vol. 19(6), pages 1-10, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3256-:d:767985
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    References listed on IDEAS

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    1. Palm, Willy & Webb, Erin & Hernández-Quevedo, Cristina & Scarpetti, Giada & Lessof, Suszy & Siciliani, Luigi & van Ginneken, Ewout, 2021. "Gaps in coverage and access in the European Union," Health Policy, Elsevier, vol. 125(3), pages 341-350.
    2. Aart C. Liefbroer & Dimiter Philipov & Francesco C. Billari, 2006. "The Postponement of Childbearing in Europe: Driving Forces and Implications," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 4(1), pages 1-17.
    3. Adriana Milazzo & George Mnatzaganian & Adam G Elshaug & Sheryl A Hemphill & Janet E Hiller & on behalf of The Astute Health Study Group, 2016. "Depression and Anxiety Outcomes Associated with Failed Assisted Reproductive Technologies: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-19, November.
    4. Miok Kim & Ju-Eun Hong & Minkyung Ban, 2021. "Mediating Effects of Emotional Self-Disclosure on the Relationship between Depression and Quality of Life for Women Undergoing In-Vitro Fertilization," IJERPH, MDPI, vol. 18(12), pages 1-9, June.
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    1. Zoran Laurentiu Popa & Madalin-Marius Margan & Izabella Petre & Elena Bernad & Lavinia Stelea & Veronica Daniela Chiriac & Marius Craina & Ioana Mihaela Ciuca & Anca Mihaela Bina, 2022. "A Cross-Sectional Study of the Marital Attitudes of Pregnant Women at Risk for Cystic Fibrosis and Psychological Impact of Prenatal Screening," IJERPH, MDPI, vol. 19(14), pages 1-14, July.

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