Fahimeh Molaahmadi

Royan Institute for Reproductive Biomedicine, Iran

Title: Couples' psychological adjustment related to perceptions of the fertility problem


Fahimeh Molaahmadi has completed her Midwifery degree from Iran University of Medical Sciences. Presently she is working in Royan Institute on infertility. She has international oral papers and publications.


Introduction: How are the couples undergoing assisted reproductive technologies perceptions and long-term emotional
adjustment to art? Several studies revealed eff ective coping depends on the characteristics of the stressor, meaning of infertility
and social support as predictors of the emotional adjustment to unsuccessful IVF and lack of adaptation in terms of the
inability to regain control, personality characteristics.
Materials & Methods: A total number of couples completed the adjustment of illness scale (AIS). Women fulfi lled the scale in
ovum pick-up day, but men completed the tool separately. Th e total mean score of this scale ranged from 0 to 72. Responses
were as 7-point Likert scale. Th e total mean score of 12 statements obtained by the couples was assessed according to clinical
and demographic characteristic. Th is was a cross-sectional study on 300 infertile couples referred to Royan Institute, a fertility
center, in Tehran, Iran within recruitment was done as convenience samples.
Results: Th e mean age of participants was 34.47±5.99. Nearly half of couples (43.6%) suff ered from male infertility. Most of
them (78%) did not report any history of abortion, but half had a history of failure of infertility treatment. One-way ANOVA
did not show any signifi cant diff erence between male and female in total mean score of AIS by cause of infertility (p=0.6) and
education level (p=0.27). Comparison of total mean score of couples with and without a history of failure and abortion did not
show any signifi cant diff erence between male and women (p=0.89 and p=0.89, respectively).
Conclusion: Th e total mean score of AIS was 42.59±9.93 (42.45±10.62 in males, 42.75±9.23 in females; p=0.72). Our fi ndings
indicated that all infertile clients need to have psychological interventions and counseling leading to upgrade their adjustment
with problem-oriented infertility.