Psychosocial and professional burden of Medically Assisted Reproduction (MAR): Results from a French survey
Objective To evaluate the impact of infertility and Medically Assisted Reproduction (MAR) throughout all aspects of life among infertile women and men. Materials and methods An online survey included 1 045 French patients (355 men, 690 women) who were living or had lived the experience of infertilit...
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| creator | Courbiere, Blandine Lacan, Arnaud Grynberg, Michael Grelat, Anne Rio, Virginie Arbo, Elisangela Solignac, Celine |
| description | Objective To evaluate the impact of infertility and Medically Assisted Reproduction (MAR) throughout all aspects of life among infertile women and men. Materials and methods An online survey included 1 045 French patients (355 men, 690 women) who were living or had lived the experience of infertility and MAR. The questionnaire included 56 questions on several domains: global feelings, treatment burden, rapport with medical staff, psychosocial impact, sexual life and professional consequences. Results Respondents had experienced an average of 3.6 (95% CI: 3.3-3.9) MAR cycles: 5% (n = 46) were pregnant, 4% (n = 47) were waiting to start MAR, 50% (n = 522) succeeded in having a live birth following MAR, 19% (n = 199) were currently undergoing ART, and 21% (n = 221) dropped out of the MAR process without a live birth. Satisfaction rates regarding the received medical care were above 80%, but 42% of patients pointed out the lack of information about non-medical support. An important impact on sexual life was reported, with 21% of patients admitted having not had intercourse for several weeks or even several months. Concerning the impact on professional life, 63% of active workers currently in an MAR program (n = 185) considered that MAR had strong repercussions on the organization of their working life with 49% of them reporting a negative impact on the quality of their work, and 46% of them reporting the necessity to lie about missing work during their treatment. Conclusion Despite a high overall level of satisfaction regarding medical care, the burden of infertility and MAR on quality of life is strong, especially on sexuality and professional organization. Clinical staff should be encouraged to develop non-medical support for all patients at any stage of infertility treatment. Enterprises should be warned about the professional impact of infertility and MAR to help their employees reconcile personal and professional life. |
| doi_str_mv | 10.1371/journal.pone.0238945 |
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Materials and methods An online survey included 1 045 French patients (355 men, 690 women) who were living or had lived the experience of infertility and MAR. The questionnaire included 56 questions on several domains: global feelings, treatment burden, rapport with medical staff, psychosocial impact, sexual life and professional consequences. Results Respondents had experienced an average of 3.6 (95% CI: 3.3-3.9) MAR cycles: 5% (n = 46) were pregnant, 4% (n = 47) were waiting to start MAR, 50% (n = 522) succeeded in having a live birth following MAR, 19% (n = 199) were currently undergoing ART, and 21% (n = 221) dropped out of the MAR process without a live birth. Satisfaction rates regarding the received medical care were above 80%, but 42% of patients pointed out the lack of information about non-medical support. An important impact on sexual life was reported, with 21% of patients admitted having not had intercourse for several weeks or even several months. Concerning the impact on professional life, 63% of active workers currently in an MAR program (n = 185) considered that MAR had strong repercussions on the organization of their working life with 49% of them reporting a negative impact on the quality of their work, and 46% of them reporting the necessity to lie about missing work during their treatment. Conclusion Despite a high overall level of satisfaction regarding medical care, the burden of infertility and MAR on quality of life is strong, especially on sexuality and professional organization. Clinical staff should be encouraged to develop non-medical support for all patients at any stage of infertility treatment. Enterprises should be warned about the professional impact of infertility and MAR to help their employees reconcile personal and professional life.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0238945</identifier><identifier>PMID: 32970695</identifier><language>eng</language><publisher>San Francisco: Public Library of Science</publisher><subject>Biology and Life Sciences ; Fertility ; Gynecology and obstetrics ; Health care ; Health services ; Human health and pathology ; Human reproductive technology ; Infertility ; Life Sciences ; Medical personnel ; Medical treatment ; Medicine ; Medicine and Health Sciences ; Ovaries ; Ovulation ; Patients ; People and Places ; Polls & surveys ; Pregnancy ; Psychiatrics and mental health ; Psychological aspects ; Quality of life ; Questionnaires ; Registration ; Reproduction ; Reproductive health ; Reproductive technologies ; Santé publique et épidémiologie ; Sexuality ; Social aspects ; Social Sciences ; Supervision ; Surveys ; Womens health</subject><ispartof>PloS one, 2020-09, Vol.15 (9), p.e0238945-e0238945</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Courbiere et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><rights>2020 Courbiere et al 2020 Courbiere et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c604t-69757014a8ef4d6871fb3396da9e89996989083be52a35cf6acc3c6e16ce2d2a3</citedby><cites>FETCH-LOGICAL-c604t-69757014a8ef4d6871fb3396da9e89996989083be52a35cf6acc3c6e16ce2d2a3</cites><orcidid>0000-0002-1847-4509 ; 0000-0001-7365-2526</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7514013/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7514013/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2095,2914,23846,27903,27904,53769,53771,79346,79347</link.rule.ids><backlink>$$Uhttps://hal.science/hal-03145934$$DView record in HAL$$Hfree_for_read</backlink></links><search><contributor>Laganà, Antonio Simone</contributor><creatorcontrib>Courbiere, Blandine</creatorcontrib><creatorcontrib>Lacan, Arnaud</creatorcontrib><creatorcontrib>Grynberg, Michael</creatorcontrib><creatorcontrib>Grelat, Anne</creatorcontrib><creatorcontrib>Rio, Virginie</creatorcontrib><creatorcontrib>Arbo, Elisangela</creatorcontrib><creatorcontrib>Solignac, Celine</creatorcontrib><title>Psychosocial and professional burden of Medically Assisted Reproduction (MAR): Results from a French survey</title><title>PloS one</title><description>Objective To evaluate the impact of infertility and Medically Assisted Reproduction (MAR) throughout all aspects of life among infertile women and men. Materials and methods An online survey included 1 045 French patients (355 men, 690 women) who were living or had lived the experience of infertility and MAR. The questionnaire included 56 questions on several domains: global feelings, treatment burden, rapport with medical staff, psychosocial impact, sexual life and professional consequences. Results Respondents had experienced an average of 3.6 (95% CI: 3.3-3.9) MAR cycles: 5% (n = 46) were pregnant, 4% (n = 47) were waiting to start MAR, 50% (n = 522) succeeded in having a live birth following MAR, 19% (n = 199) were currently undergoing ART, and 21% (n = 221) dropped out of the MAR process without a live birth. Satisfaction rates regarding the received medical care were above 80%, but 42% of patients pointed out the lack of information about non-medical support. An important impact on sexual life was reported, with 21% of patients admitted having not had intercourse for several weeks or even several months. Concerning the impact on professional life, 63% of active workers currently in an MAR program (n = 185) considered that MAR had strong repercussions on the organization of their working life with 49% of them reporting a negative impact on the quality of their work, and 46% of them reporting the necessity to lie about missing work during their treatment. Conclusion Despite a high overall level of satisfaction regarding medical care, the burden of infertility and MAR on quality of life is strong, especially on sexuality and professional organization. Clinical staff should be encouraged to develop non-medical support for all patients at any stage of infertility treatment. Enterprises should be warned about the professional impact of infertility and MAR to help their employees reconcile personal and professional life.</description><subject>Biology and Life Sciences</subject><subject>Fertility</subject><subject>Gynecology and obstetrics</subject><subject>Health care</subject><subject>Health services</subject><subject>Human health and pathology</subject><subject>Human reproductive technology</subject><subject>Infertility</subject><subject>Life Sciences</subject><subject>Medical personnel</subject><subject>Medical treatment</subject><subject>Medicine</subject><subject>Medicine and Health Sciences</subject><subject>Ovaries</subject><subject>Ovulation</subject><subject>Patients</subject><subject>People and Places</subject><subject>Polls & surveys</subject><subject>Pregnancy</subject><subject>Psychiatrics and mental health</subject><subject>Psychological aspects</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Registration</subject><subject>Reproduction</subject><subject>Reproductive health</subject><subject>Reproductive technologies</subject><subject>Santé publique et épidémiologie</subject><subject>Sexuality</subject><subject>Social aspects</subject><subject>Social Sciences</subject><subject>Supervision</subject><subject>Surveys</subject><subject>Womens 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and professional burden of Medically Assisted Reproduction (MAR): Results from a French survey</title><author>Courbiere, Blandine ; Lacan, Arnaud ; Grynberg, Michael ; Grelat, Anne ; Rio, Virginie ; Arbo, Elisangela ; Solignac, Celine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c604t-69757014a8ef4d6871fb3396da9e89996989083be52a35cf6acc3c6e16ce2d2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Biology and Life Sciences</topic><topic>Fertility</topic><topic>Gynecology and obstetrics</topic><topic>Health care</topic><topic>Health services</topic><topic>Human health and pathology</topic><topic>Human reproductive technology</topic><topic>Infertility</topic><topic>Life Sciences</topic><topic>Medical personnel</topic><topic>Medical treatment</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Ovaries</topic><topic>Ovulation</topic><topic>Patients</topic><topic>People and Places</topic><topic>Polls & surveys</topic><topic>Pregnancy</topic><topic>Psychiatrics and mental health</topic><topic>Psychological aspects</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Registration</topic><topic>Reproduction</topic><topic>Reproductive health</topic><topic>Reproductive technologies</topic><topic>Santé publique et épidémiologie</topic><topic>Sexuality</topic><topic>Social aspects</topic><topic>Social Sciences</topic><topic>Supervision</topic><topic>Surveys</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Courbiere, Blandine</creatorcontrib><creatorcontrib>Lacan, Arnaud</creatorcontrib><creatorcontrib>Grynberg, Michael</creatorcontrib><creatorcontrib>Grelat, Anne</creatorcontrib><creatorcontrib>Rio, Virginie</creatorcontrib><creatorcontrib>Arbo, 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Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Courbiere, Blandine</au><au>Lacan, Arnaud</au><au>Grynberg, Michael</au><au>Grelat, Anne</au><au>Rio, Virginie</au><au>Arbo, Elisangela</au><au>Solignac, Celine</au><au>Laganà, Antonio Simone</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychosocial and professional burden of Medically Assisted Reproduction (MAR): Results from a French survey</atitle><jtitle>PloS one</jtitle><date>2020-09-24</date><risdate>2020</risdate><volume>15</volume><issue>9</issue><spage>e0238945</spage><epage>e0238945</epage><pages>e0238945-e0238945</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Objective To evaluate the impact of infertility and Medically Assisted Reproduction (MAR) throughout all aspects of life among infertile women and men. Materials and methods An online survey included 1 045 French patients (355 men, 690 women) who were living or had lived the experience of infertility and MAR. The questionnaire included 56 questions on several domains: global feelings, treatment burden, rapport with medical staff, psychosocial impact, sexual life and professional consequences. Results Respondents had experienced an average of 3.6 (95% CI: 3.3-3.9) MAR cycles: 5% (n = 46) were pregnant, 4% (n = 47) were waiting to start MAR, 50% (n = 522) succeeded in having a live birth following MAR, 19% (n = 199) were currently undergoing ART, and 21% (n = 221) dropped out of the MAR process without a live birth. Satisfaction rates regarding the received medical care were above 80%, but 42% of patients pointed out the lack of information about non-medical support. An important impact on sexual life was reported, with 21% of patients admitted having not had intercourse for several weeks or even several months. Concerning the impact on professional life, 63% of active workers currently in an MAR program (n = 185) considered that MAR had strong repercussions on the organization of their working life with 49% of them reporting a negative impact on the quality of their work, and 46% of them reporting the necessity to lie about missing work during their treatment. Conclusion Despite a high overall level of satisfaction regarding medical care, the burden of infertility and MAR on quality of life is strong, especially on sexuality and professional organization. Clinical staff should be encouraged to develop non-medical support for all patients at any stage of infertility treatment. Enterprises should be warned about the professional impact of infertility and MAR to help their employees reconcile personal and professional life.</abstract><cop>San Francisco</cop><pub>Public Library of Science</pub><pmid>32970695</pmid><doi>10.1371/journal.pone.0238945</doi><orcidid>https://orcid.org/0000-0002-1847-4509</orcidid><orcidid>https://orcid.org/0000-0001-7365-2526</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Biology and Life Sciences Fertility Gynecology and obstetrics Health care Health services Human health and pathology Human reproductive technology Infertility Life Sciences Medical personnel Medical treatment Medicine Medicine and Health Sciences Ovaries Ovulation Patients People and Places Polls & surveys Pregnancy Psychiatrics and mental health Psychological aspects Quality of life Questionnaires Registration Reproduction Reproductive health Reproductive technologies Santé publique et épidémiologie Sexuality Social aspects Social Sciences Supervision Surveys Womens health |
| title | Psychosocial and professional burden of Medically Assisted Reproduction (MAR): Results from a French survey |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T22%3A26%3A17IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Psychosocial%20and%20professional%20burden%20of%20Medically%20Assisted%20Reproduction%20(MAR):%20Results%20from%20a%20French%20survey&rft.jtitle=PloS%20one&rft.au=Courbiere,%20Blandine&rft.date=2020-09-24&rft.volume=15&rft.issue=9&rft.spage=e0238945&rft.epage=e0238945&rft.pages=e0238945-e0238945&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0238945&rft_dat=%3Cgale_plos_%3EA636415919%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2445951696&rft_id=info:pmid/32970695&rft_galeid=A636415919&rft_doaj_id=oai_doaj_org_article_ff74a8f5742648dd9482a5035f0b83e4&rfr_iscdi=true |