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Pelupessy, Dunamis Talitha Exousia, Diah Widiawati Retnoningtias, and I. Rai Hardika. "SELF-ACCEPTANCE DAN INFERTILITY-RELATED STRESS." Journal of Psychological Science and Profession 7, no. 1 (April 25, 2023): 69. http://dx.doi.org/10.24198/jpsp.v7i1.42843.
Повний текст джерелаАнотація:
Wanita diharapkan mampu menerima diri dengan kondisi infertilitas agar mengurangi tekanan psikologis. Faktanya, wanita yang mengalami infertilitas cenderung memiliki penerimaan diri rendah yang berdampak terhadap stres. Penelitian ini bertujuan untuk melihat hubungan antara self-acceptance dan infertility-related stress pada wanita. Karakteristik subjek penelitian adalah berjenis kelamin perempuan dan belum memiliki anak setelah menikah selama minimal dua belas bulan. Sampel penelitian berjumlah 68 orang dan didapatkan dengan menggunakan teknik purposive sampling. Self-acceptance diukur dengan Unconditional Self-acceptance Questionnaire – Short Scale milik Popov dan Sokic (2022). Infertility-related stress diukur dengan Copenhagen Multi-Center Infertility Psychosocial Infertility-Fertility Problem Stress Scale dari Sobral et al. (2017). Analisis data dilakukan dengan menggunakan teknik product moment Pearson. Hasil penelitian menunjukkan bahwa self-acceptance berkorelasi negatif dengan infertility–related stress (p = .009 < .05). Dengan kata lain semakin tinggi self-acceptance, maka infertility-related stress yang dirasakan akan semakin menurun. Sementara itu semakin rendah self-acceptance, maka semakin meningkat infertility-related stress. Temuan ini menunjukkan bahwa self-acceptance mampu dicapai dengan adanya dukungan dari lingkungan sosial. Wanita dengan kondisi infertilitas memerlukan dukungan positif dan bukan stigma negatif terkait infertilitas. Temuan ini dapat memunculkan ide penelitian selanjutnya mengenai intervensi berbasis self-acceptance pada wanita dengan kondisi infertilitas.
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JAMHARIYAH, JAMHARIYAH, DINDA DIAN, and LULUT SASMITO. "OBESITAS DENGAN KEJADIAN INFERTILITAS PADA WANITA USIA SUBUR." HEALTHY : Jurnal Inovasi Riset Ilmu Kesehatan 1, no. 2 (June 20, 2022): 121–31. http://dx.doi.org/10.51878/healthy.v1i2.1246.
Повний текст джерелаАнотація:
Fertility issues are something that is quite sensitive for married couples who have difficulty having children. Globally, the infertility rate is 6% where Indonesia itself has 15% cases of infertility in women of childbearing age. Infertility can be caused by several factors, especially in women, including an imbalance of LH and FSH hormones that affect ovulation, abnormalities in the tubes, infections, unhealthy behavior such as smoking, alcohol, stress and weight. One of the factors that can increase the risk of infertility is obesity. The purpose of this study was to explain the relationship between obesity and the risk of infertility in women of childbearing age. This research is a Literature Study. Searching scientific research articles using the Google Scholar database, Pubmed, from 2016 to 2020. The search results are then checked for duplication and screening abstracts, full texts and feasibility tests so that 5 articles are appropriate and relevant. The results show that obesity is one of the most influential risk factors in increasing the risk of infertility in women of childbearing age. There is a relationship between obesity and the incidence of infertility in women of childbearing age. There are three articles reporting obesity as a higher risk of infertility, one article suggesting that obese women are more likely to experience infertility and, one article revealing that obesity further increases the risk of infertility in women of childbearing age. It can be concluded that women of childbearing age who are obese are at risk of infertility. Although obesity is not a single risk factor for infertility, promotive and preventive efforts are needed to increase knowledge and understanding of reproductive health for women, especially those who are planning a pregnancy. Physical activity, balanced diet, healthy living behavior and regular check-ups are efforts to treat infertility caused by overweight and obesity. ABSTRAKMasalah kesuburan adalah sesuatu yang cukup sensitif bagi pasangan suami istri yang kesulitan memiliki anak. Secara global, angka infertilitas adalah 6% dimana Indonesia sendiri memiliki 15% kasus infertilitas pada wanita usia subur. Infertilitas dapat disebabkan oleh beberapa faktor khususnya pada wanita, diantaranya adanya ketidakseimbangan hormon LH dan FSH yeng mempengaruhi ovulasi, kelainan pada tuba , infeksi, perilaku yang tidak sehat yaitu merokok, Alkohol, stress dan juga berat badan. Salah satu faktor yang dapat meningkatkan resiko infertilitas adalah keadaan obesitas. Tujuan dari penelitian ini untuk menjelaskan hubungan obesitas dengan resiko kejadian infertilitas pada Wanita Usia Subur. Penelitian ini merupakan Studi Literatur Penelusuran artikel penelitian ilmiah menggunakan database Google Scholar, Pubmed, dari rentang tahun 2016 hingga 2020. Hasil pencarian selanjutnya diperiksa duplikasi dan melakukan skreening abstrak , fulltex dan uji kelayakan sehingga diperoleh 5 artikel yang sesuai dan relevan. Hasil menunjukkan bahwa obesitas menjadi salah satu faktor resiko yang sangat berpengaruh meningkatkan resiko infertilitas pada Wanita Usia Subur. Terdapat hubungan antara obesitas dengan kejadian infertilitas pada Wanita Usia Subur. Terdapat tiga artikel melaporkan bahwa obesitas sebagai resiko infertilitas yang lebih tinggi, satu artikel mengemukakan bahwa wanita obesitas lebih mungkin mengalami infertilitas dan, satu artikel mengungkapkan bahwa obesitas lebih meningkatkan resiko infertilitas pada Wanita Usia Subur. Dapat disimpulkan bahwa wanita usia subur yang mengalami obesitas berpeluang mengalami resiko infertilitas. Meskipun obesitas bukan merupakan faktor tunggal risiko infertilitas, namun perlu upaya promotif dan preventif untuk meningkatkan pengetahuan dan pemahaman terhadap kesehatan reproduksi bagi wanita khususnya bagi yang merencanakan kehamilannya. Aktifutas fisik, pola makan seimbang, perilaku hidup sehat dan pemeriksaan berkala merupakan upaya penanganan infertilitas yang disebabkan berat badan berlebih dan obesitas.
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Novrika, Bri, Herni Susanti, and Dewi Eka Putri. "Analisis Faktor-faktor Yang Mempengaruhi Kecemasan Pasangan Infertil Yang Sedang Menjalani Pengobatan Infertilitas Di Rumah Sakit Kota Jambi Dan Padang." Jurnal Kesehatan Medika Saintika 10, no. 1 (June 1, 2019): 128. http://dx.doi.org/10.30633/jkms.v10i1.316.
Повний текст джерелаАнотація:
ABSTRAKKecemasan dapat menjadi faktor penting dalam keputusan mencari, melanjutkan, ataupun menghentikan pengobatan infertilitas. Tingkat kecemasan pasangan infertil bervariasi dan dipengaruhi mekanisme koping dan penyesuaian yang dilakukan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang mempengaruhi kecemasan pasangan infertil yang sedang menjalani pengobatan infertilitas di Rumah Sakit Kota Jambi dan Padang. Jenis penelitian ini adalah cross secsional, dengan sampel 76 wanita infertil yang mengalami kecemasan dengan tehnik total sampling. Analisis data dengan uji chi square dan one sample t test.Hasil penelitian terdapat hubungan diagnosis infertilitas (p = 0,012) dan mekanisme koping (p = 0,000) dengan kecemasan pada pasangan infertil. Tidak ada hubungan karakteristik usia (p = 0.318), pendidikan (p = 0,595), pekerjaan (p = 0,824), durasi infertilitas (p = 0,987), riwayat pengobatan (p = 0,449), dukungan keluarga (p = 0,568), dan budaya terkait infertilitas (p = 0,401).Mekanisme koping merupakan faktor paling dominan mempengaruhi kecemasan wanita pasangan infertil yang sedang menjalani pengobatan infertilitas, yaitu wanita pasangan infertil yang memiliki mekanisme koping berfokus pada emosi mempunyai peluang 7,66 kali untuk mengalami kecemasanKata kunci : Kecemasan, Infertil, Pengobatan Infertilitas Analysis of Factors Affecting Anxiety in Infertile Couples Who Are Treating Treatment for Infertility in Jambi City Hospital and Padang ABSTRACTAnxiety can be an important factor in the decision to seek, continue, or stop infertility treatment. The level of anxiety of infertile couples varies and is influenced by coping mechanisms and adjustments made. This study aims to determine the factors that influence the anxiety of infertile couples who are undergoing infertility treatment in Jambi City Hospital and Padang.This type of research is cross sectional, with a sample of 76 infertile women who experienced anxiety with a total sampling technique. Data analysis with chi square test and one sample t test.The results of the study showed a correlation between infertility diagnosis (p = 0.012) and coping mechanism (p = 0.000) with anxiety in infertile couples. There was no correlation between the characteristics of age (p = 0.318), education (p = 0.595), employment (p = 0.824), duration of infertility (p = 0.987), medical history (p = 0.449), family support (p = 0.568), and culture related to infertility (p = 0.401).Coping mechanism is the most dominant factor affecting anxiety of infertile couples who are undergoing infertility treatment, ie infertile couples who have an emotional-focused coping mechanism have a chance of 7.66 times to experience anxietyKeywords: Anxiety, Infertility, Infertility Treatment
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Jabeen, Faiza, Syeda Khadija, and Sapna Daud. "Prevalence of Primary and Secondary Infertility." Saudi Journal of Medicine 7, no. 1 (January 17, 2022): 22–28. http://dx.doi.org/10.36348/sjm.2022.v07i01.004.
Повний текст джерелаАнотація:
Objective: The purpose of this study is to decide the prevalence of primary and secondary infertility. Material and Method: In this systematic review facts extracted by Medline, PubMed, science direct and Obs gyne online library that were queried for studies posted between 2005 to 2021 by using specific MeSH terms. We extracted data from 15 cross sectional studies that was carried out in discipline exercise regions of tertiary care health facility. Results: This study shows data from population surveys reporting on occurrence of number one and secondary infertility. Fifteen research furnished estimates of primary and secondary infertility incidence in 6400 infertile couple. Out of 6400 infertile patients 3600 (fifty six.25%) offering with primary and 2800 (43.2%) supplying with secondary infertility. Age distribution with number one infertility confirmed that the majority of the participants belong to the most fertile age institution. Age distribution of women with secondary infertility confirmed that majority belongs to the age institution of 30–39 years. The primary results of the modern researches had been the primary infertility’s high rate (fifty six.25%) and excessive charge of female factors among infertile couples. Although, it has been said in other researches that female variables (40%), male variables (40%) or a combination (20%) of each could be associated to the causes of infertility. Motive of the couple’s infertility turned into determined on the basis of their examination results and medical history. As compared to the secondary infertility, number one infertility occurrence was higher within the people approaching a tertiary care middle of public zone. Conclusion: From this systematic evaluate we concluded that as compared to secondary infertility, the primary infertility’s superiority is higher. The marriage age is increasing which impacts reasons with male variables and unexplained infertility greater generally observed with increasing age of marriage. Female component stays a principle reason for the infertility including some unexplained reasons and means. In the population coming to a public region tertiary care center, the number one infertility’s prevalence is higher as compared to the prevalence of secondary infertility.
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Saputra, I. Made Ari Nugraha, Diah Widiawati Retnoningtyas, and I. Rai Rahardika. "HUBUNGAN RESILIENSI DENGAN INFERTILITY-RELATED STRESS PADA WANITA." Journal of Psychological Science and Profession 5, no. 3 (December 30, 2021): 213. http://dx.doi.org/10.24198/jpsp.v5i3.29985.
Повний текст джерелаАнотація:
Tujuan penelitian ini adalah untuk melihat hubungan antara resiliensi dengan infertility-related stress. Resiliensi adalah kualitas diri individu untuk bangkit atau bertahan dalam situasi sulit, sedangkan infertility-related stress atau stres infertilitas adalah stres yang muncul sebagai akibat dari infertilitas yang dialami. Tipe penelitian ini adalah kuantitatif dengan metode uji korelasional. Partisipan dalam penelitian ini adalah wanita yang mengalami infertilitas dan bertempat tinggal di Bali (n = 119) yang diperoleh dengan menggunakan teknik purposive sampling. Instrumen yang digunakan untuk mengukur variabel resiliensi adalah Connor-Davidson Resilience Scale (CD-RISC), sedangkan untuk mengukur variabel infertility-related stress menggunakan Copenhagen Multi Central Psychosocial Infertility-Fertility Problem Stress Scale (COMPI-FPSS). Kedua alat ukur tersebut telah diadaptasi ke dalam Bahasa Indonesia, masing-masing memiliki nilai reliabilitas sebesar .923 untuk CD-RISC dan .938 untuk COMPI-FPSS. Hasil dalam penelitian ini adalah terdapat hubungan antara resiliensi dengan infertility-related stress dengan nilai signifikansi .012 (p < .05) dengan koefisien korelasi menunjukkan arah hubungan negatif dan kekuatan hubungan yang lemah (-.229). Hasil tersebut memiliki arti bahwa makin tinggi tingkat resiliensi yang dimiliki, maka makin rendah tingkat stres infertilitas yang dirasakan dan begitu pula sebaliknya.
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Sirait, Irawati, and Elfira Sri Futriani. "Hubungan Faktor Usia dan Gangguan Ovulasi dengan Kejadian Infertilitas Pada Wanita Usia Subur di Poli Klinik Kandungan Rumah Sakit EMC Pulomas." Malahayati Nursing Journal 6, no. 5 (May 1, 2024): 1824–36. http://dx.doi.org/10.33024/mnj.v6i5.11223.
Повний текст джерелаАнотація:
ABSTRACT Infertility in older women may be caused by the number and quality of eggs, or health problems that affect fertility. About 10-15% of couples facing infertility problems during their reproductive years experience ovulation disorders around 30-40% in infertile women. Based on the data above, I am interested in conducting research "The relationship between age and ovulation disorders with the incidence of infertility in fertile women at the 2022 obstetric clinic at EMC Pulomas Hospital. Knowing the Relationship between Age Factors and Ovulation Disorders with Incidence of Infertility in Women of Reproductive Age at the Gynecology Clinic at EMC Pulomas Hospital 2022. This type of research uses quantitative descriptive research, uses a cross-sectional method by taking female patients of childbearing age as respondents. By using secondary data from the results of medical record data, data processing was carried out univariately and bivariately with the chi square test with the SPSS program. Based on research, that "there is a significant relationship between age and the incidence of infertility" because the Asimp.sig value is 0.019 <0.05. And "there is also a significant relationship between ovulation disorders and infertility events", because the Asimp.sig value is 0.000 <0.05. There is a significant relationship between age and ovulation disorders and the incidence of infertility in women of childbearing age. In women who are prone to infertility, it is advisable to frequently consult and carry out early detection with obstetricians. Keywords: Age, Ovulation Disorders, Infertility and Women of Reproductive Age ABSTRAK Infertilitas pada wanita yang lebih tua mungkin disebabkan oleh jumlah dan kualitas telur, atau masalah kesehatan yang mempengaruhi kesuburan. Sekitar 10-15% pasangan menghadapi masalah infertilitas selama masa reproduksi mereka mengalami gangguan ovulasi sekitar 30-40% pada wanita infertilitas. Berdasarkan data diatas, saya tertarik melakukan penelitian “Hubungan faktor usia dan gangguan ovulasi dengan kejadian infertilitas pada wanita subur di poli klinik kandungan RS EMC Pulomas 2022. Mengetahui Hubungan Faktor Usia Dan Gangguan Ovulasi Dengan Kejadian Infertilitas Pada Wanita Usia Subur Di Poli Klinik Kandungan RS EMC Pulomas 2022. Jenis penelitian ini memakai penelitian deskritif kuantitatif, menggunakan metode cross sectional dengan mengambil responden pasien wanita usia subur. Dengan menggunakan data sekunder dari hasil data rekam medis, pengolahan data dilakukan secara univariat dan bivariate dengan uji chi square dengan program SPSS. Berdasarkan penelitian, bahwa “terdapat hubungan yang signifikan antara usia dengan kejadian infertilitas” karena nilai Asimp.sig sebesar 0.019 < 0.05. Dan “terdapat hubungan yang signifikan juga antara gangguan ovulasi dengan kejadian infertilitas”, karena nilai Asimp.sig sebesar 0.000 < 0.05. Terdapat hubungan yang signifikan antara usia dan gangguan ovulasi dengan kejadian infertilitas pada wanita usia subur. Pada wanita-wanita yang rentan terhadap infertilitas, disarankan untuk sering berkonsultasi dan melakukan deteksi dini dengan ahli kandungan. Kata Kunci: Usia, Gangguan Ovulasi, Infertilitas dan Wanita Usia Subur
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Bayuaji, Hartanto. "Tata Laksana Infertilitas yang Rasional dan Efisien untuk Mempersingkat "Time to Pregnancy"." Indonesian Journal of Obstetrics & Gynecology Science 1, no. 2 (September 25, 2018): 73. http://dx.doi.org/10.24198/obgynia.v1i2.91.
Повний текст джерелаАнотація:
AbstrakTujuan: Memberikan pandangan kepentingan melakukan penatalaksanaan infertilitas yang efisien untuk mempersingkat time to pregnancy.Metode: Telaah pustaka dan basis bukti.Hasil: Kunci mempersingkat time to pregnancy pada penanganan infertilitas adalah melakukan work-up yang efisien dan rasional. Terdapat beberapa pemeriksaan yang mempunyai manfaat jelas berdasarkan basis bukti. Hari-hari tertentu pada siklus menstruasi seorang wanita dapat dimanfaatkan untuk melakukan beberapa pemeriksaan terpilih. Fokus pemeriksaan adalah identifikasi latar belakang kesehatan suami dan istri, mengetahui adanya ovulasi dan cadangan ovarium, tes patensi tuba, evaluasi anatomik uterus dan peritoneum, serta analisis sperma. Setelah data dasar tersebut diperoleh, dilakukan evaluasi komprehensif untuk mengetahui program penanganan yang sesuai. Saat ini telah terdapat panduan nasional praktik kedokteran penanganan infertilitas sebagai dasar untuk dapat menangani infertilitas secara efisien.Kesimpulan: Time to pregnancy dapat dipersingkat dengan proses diagnostik dan penanganan yang berbasis bukti dengan memanfaatkan waktu-waktu tertentu dari siklus menstruasi.Rational and Efficient Infertility Management Improve Shortening "Time to Pregnancy"AbstractObjective: Provide an insight of the importance of conducting efficient and rational infertility management to shorten time to pregnancy.Method: Literature and evidence base review.Results: The key to shortening time to pregnancy in infertility management is to do an efficient and rational work-up. There are several examination that have clear benefits. Certain days of a woman's menstrual cycle can be used to do some selected examinations. The focus of the examination is identification of the health background of husband and wife, ovulation documentation and ovarian reserve assay, tubal patency tests, anatomic evaluation of the uterus and peritoneum, and sperm analysis. After the basic data is obtained, a comprehensive evaluation is carried out to find out the appropriate management program. Currently there is a national guide to the practice of medical treatment of infertility as a basis for infertility management efficiently.Conclusion: Time to pregnancy can be shortened by an evidence-based diagnostic and treatment process by utilizing certain times of the menstrual cycle.Key words: Infertility, time to pregnancy, infertility management, referral system.
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Dewi, Ni Putu Indra, Diah Widiawati Retnoningtias, and Yashinta Levy Septiarly. "Kaitan Dukungan Sosial dan Infertility-related Stress." Jurnal Psikologi : Jurnal Ilmiah Fakultas Psikologi Universitas Yudharta Pasuruan 10, no. 2 (September 29, 2023): 216–30. http://dx.doi.org/10.35891/jip.v10i2.3726.
Повний текст джерелаАнотація:
Kurangnya dukungan sosial meningkatkan tekanan, sedangkan dukungan sosial mampu mengurangi tekanan. Penelitian sebelumnya menunjukkan bahwa dukungan sosial dapat mengurangi stres infertilitas. Jumlah subjek adalah 96 orang. Karakteristik subjek adalah perempuan menikah yang belum memiliki keturunan. Penelitian ini dilakukan untuk mengetahui korelasi dukungan sosial dan infertility-related stress. Penelitian menggunakan metode kuantitatif dengan tipe korelasi. Pengukuran dukungan sosial menggunakan alat ukur yang dibuat peneliti. Pengukuran infertility-related stress menggunakan COMPI-FPSS. Hasil menunjukkan ada hubungan negatif antara dukungan sosial dengan infertility-related stress. Hasil penelitian ini dapat menjadi acuan bagi keluarga, masyarakat, dan ahli kesehatan mental untuk menghadapi anggota keluarga, anggota masyarakat, atau klien, dengan pemberian dukungan sosial yang memadai bagi perempuan yang mengalami infertilitas.
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Brenda C., Josephine Herwita Atepela. "Peranan Suplemen dalam Tata Laksana Infertilitas." Cermin Dunia Kedokteran 49, no. 4 (April 1, 2022): 193–97. http://dx.doi.org/10.55175/cdk.v49i4.217.
Повний текст джерелаАнотація:
Infertilitas adalah tidak terjadinya kehamilan setelah 12 bulan menjalani hubungan seksual rutin tanpa proteksi atau kontrasepsi. Infertilitas memiliki dampak buruk baik secara pribadi maupun sosial karena meningkatkan angka kekerasan dalam rumah tangga, perceraian, stres emosional, dan rendahnya kepercayaan diri. Infertilitas dapat disebabkan oleh faktor pria ataupun wanita. Suplementasi antioksidan dan mikronutrien banyak diteliti untuk meningkatkan fertilitas baik secara langsung maupun tidak langsung dengan mengurangi stres oksidatif dan meningkatkan fungsi reproduksi.
Infertility defined as the absence of pregnancy after 12 months of routine sexual intercourse without protection or contraception. Infertility has devastating effects both personally and socially by increasing incidence of domestic violence, divorce, emotional stress, and low self-esteem. Infertility can be caused by either male or female factors. Antioxidant and micronutrient supplementation has been widely studied to increase fertility directly and indirectly by reducing oxidative stress and improving reproductive function
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Halim, Binarwan, Ermi Girsang, Sri Lestari Ramadhani Nasution, and Putranto Manalu. "Hambatan Akses Pelayanan Infertilitas pada Pasien dari Kawasan Urban dan Rural yang Berobat di Klinik Bayi Tabung Halim Fertility Center RSIA Stella Maris." MEDIA KESEHATAN MASYARAKAT INDONESIA 19, no. 4 (June 19, 2020): 272–78. http://dx.doi.org/10.14710/mkmi.19.4.272-278.
Повний текст джерелаАнотація:
ABSTRAKLatar belakang: Masalah infertilitas dihadapi 15-20% pasangan usia subur yang membawa dampak masalah pada sosial dan psikologis kepada pasangan, keluarga maupun masyarakat. Secara garis besar, pasangan yang mengalami infertilitas akan menjalani proses panjang, dimana proses ini dapat menjadi beban fisik dan psikologis bagi pasangan infertilitas. Saat ini terdapat 12% pasangan infertilitas yang tersebar di seluruh Indonesia baik di desa maupun di kota. Mengingat pelayanan infertilitas yang masih belum merata dan hanya terpusat pada kota-kota yang besar. Pelayanan kesuburan belum merambah ke seluruh lapisan masyarakat.Metode: Penelitian ini bertujuan untuk melihat perbedaan hambatan terhadap akses pelayanan infertilitas pada masyarakat urban dan rural yang berobat di Klinik Bayi Tabung Halim Fertility Center RSIA Stella Maris Medan. Jenis penelitian yang digunakan dalam penelitian ini adalah kuantitatif dengan teknik wawancara menggunakan kuesioner. Data yang diperoleh dilakukan analisis deskriptif dan analitik. Sebanyak 130 responden terbagi dalam dua kelompok masing masing 65 responden kelompok rural dan 65 responden kelompok urban.Hasil: Pada penelitian ini ditemukan tiga variabel yang signifikan (p=0,014, p=0,023 dan p=0,005) dalam analisis multivariat yaitu tingkat ekonomi dengan nilai OR 2,606 (95% IK 1,210-5,611), letak geografi dengan nilai OR 3,905 (95% IK 1,203-12,677), dan sosial budaya dengan nilai OR 5,299 (95% IK 1,659- 16,929).Simpulan: Terdapat perbedaan bermakna tingkat ekonomi, letak geografi dan sosial budaya pada pasien kawasan perkotaan dan perdesaan dalam akses pelayanan infertilitas di Klinik Bayi Tabung Halim Fertility Center RSIA Stella Maris Medan. Kata kunci: hambatan akses, infertilitas, urban, ruralABSTRACTTitle: Infertility Care Access Barriers in Patient of Urban and Rural Areas of the Treatment Clinic IVF Fertility Center RSIA Halim Stella Maris Background: The problem of infertility is faced by 15-20% of couples of childbearing age that have an impact on social and psychological problems for couples, families and communities. Broadly speaking, infertile couples will undergo a long process, where this process can be physical and psychological burden for the couple infertility. Currently, there are 12% of couples infertility scattered throughout Indonesia, both in villages and cities. Given the infertility services that are still not evenly distributed and only focused on large cities. Fertility services have not penetrated to the whole society.Method: The research looked at how different barriers to access to infertility services in urban and rural communities who seek treatment at the Fertility Clinic Halim tube baby center RSIA Stella Maris Medan. This type of research used in this study is quantitative with interview techniques using a questionnaire. The data obtained were analyzed descriptively and analytically. A total of 130 respondents were divided into two groups each 65 rural respondents and 65 urban respondents.Result: This study found three significant variables (p = 0.014, p = 0.023 and p = 0.005) in multivariate analysis that economic level with OR 2.606 (95% CI 1.210 to 5.611), geography with OR 3.905 (95% CI 1.203 to 12.677), and socio-cultural with OR 5.299 (95% CI 1,659- 16.929).Conclusion: There are significant differences in economic levels, geographical and socio-cultural patient urban and rural areas in access to infertility services at the Clinic IVF Fertility Center RSIA Halim Stella Maris Medan. Keywords: barriers to access, infertility, urban, rural
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Atepela Brenda C, Josephine Herwita. "Peranan Suplemen dalam Tata Laksana Infertilitas." Cermin Dunia Kedokteran 49, no. 4 (April 1, 2022): 193. http://dx.doi.org/10.55175/cdk.v49i4.1819.
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<p>Infertilitas adalah tidak terjadinya kehamilan setelah 12 bulan menjalani hubungan seksual rutin tanpa proteksi atau kontrasepsi. Infertilitas memiliki dampak buruk baik secara pribadi maupun sosial karena meningkatkan angka kekerasan dalam rumah tangga, perceraian, stres emosional, dan rendahnya kepercayaan diri. Infertilitas dapat disebabkan oleh faktor pria ataupun wanita. Suplementasi antioksidan dan mikronutrien banyak diteliti untuk meningkatkan fertilitas baik secara langsung maupun tidak langsung dengan mengurangi stres oksidatif dan meningkatkan fungsi reproduksi.</p><p>Infertility defined as the absence of pregnancy after 12 months of routine sexual intercourse without protection or contraception. Infertility has devastating effects both personally and socially by increasing incidence of domestic violence, divorce, emotional stress, and low self-esteem. Infertility can be caused by either male or female factors. Antioxidant and micronutrient supplementation has been widely studied to increase fertility directly and indirectly by reducing oxidative stress and improving reproductive function.</p>
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Meirow, D., and J. G. Schenker. "Infertility: Cancer and male infertility." Human Reproduction 10, no. 8 (August 1995): 2017–22. http://dx.doi.org/10.1093/oxfordjournals.humrep.a136228.
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Doyle, Betty. "End of the line: An exploration into the creation and challenges of infertility poetry." Performing Ethos: International Journal of Ethics in Theatre & Performance 13, no. 1 (January 1, 2023): 31–40. http://dx.doi.org/10.1386/peet_00052_1.
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Infertility is an aspect of motherhood that is ‘Other’ and is broadly met with silence by the wider western society and its pronatalist culture. The silence surrounding infertility impacts our individual, mutual and cultural understandings of motherhood, as this silence arises from its taboo nature. Speaking up about any aspect of motherhood that is not typical is still treated as taboo, and the experiences of ‘atypical’ mothers, such as those who have experienced infertility, are still side-lined. The taboo nature of infertility, coupled with the grief and absence that define it, all contribute to the silence that surrounds it. This article is in the form of a lyric essay that combines my own poetry about infertility and Polycystic Ovary Syndrome (PCOS) with a broader critical analysis about the challenges of writing about infertility. I intersperse my own infertility poetry with a close textual analysis of infertility poetry composed by contemporary western women poets, such as Kerry Priest, Gerrie Fellows and Julia Copus. This close reading highlights the poetics employed by these writers that recreate, reformulate and reinvent writing about infertility, and motherhood more broadly. Alongside my own poetry, I include a self-reflection that highlights how my poems challenge and resist the conventional approaches to performing maternity. This self-reflection also details how I utilized poetics to both present and represent the silence and absence of infertility’s ‘non-event’, and give it presence and language.
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KAUSAR, ROBINA, LUBNA YASMEEN, TAHIRA JABBAR, and Faiqa Imran. "INFERTILITY." Professional Medical Journal 18, no. 02 (June 10, 2011): 195–200. http://dx.doi.org/10.29309/tpmj/2011.18.02.2051.
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Objective: To measure the success rate of combined clomiphene citrate and gonadotrophin therapy in infertile patients. Study Design: Observational analytical study. Period: June 2009 to June 2010. Methods: In this observational analytical study, total of 100 infertile patients were selected for Combined Clomiphene Citrate and Human Menopausal Gonadotrophin (CC – hMG) regime and maximum of three treatment cycle were given. Results: Out of 100 patients in our study, 74% (2/3 rd) patients were less than 30 years of age and 26% (1/3rd ) were between 30 – 40 yrs of age. Primary infertility was seen also in 2/3rd of patients (73% ) and secondary infertility in remaining 1/3rd (27%) of patients. Polycystic ovary (PCO) was the commonest cause of an ovulation seen in 62% of patients, obesity in 24% of patients and in 14% of patients cause was unknown (unexplained infertility). on average only 4.1 Inj of gonadotrophin were required to get a mature follicle on an average 12th day (12.41 day) of the cycle. As concerned the treatment outcome, 82% of patient reported back after first course of treatment. Urine pregnancy test was positive in 18%. Remaining 64% patent were offered second course of treatment, out of which only 35% agreed for further treatment. After second course of treatment positive urine pregnancy test was seen in only 5% of patients. Remaining 30% of patients were advised third course of treatment. Out of these 30%, 8 patients took gonadotrophin regime, 10 patients agreed on follicle tracking only, 8 % of patients refused further treatment and 4 % did not report back. Conclusions: Our study shows the success rate of 23% with CC-HMG combined treatment which is double the CC alone and equal to HMG alone, thereby reducing the cost of treatment without sacrificing efficacy. In other words combined CC-HMG regime is cost effective technique in the management of infertile patients.
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DeFilippis, Ersilia M. "Infertility." Journal of the American College of Cardiology 79, no. 16 (April 2022): 1604–5. http://dx.doi.org/10.1016/j.jacc.2022.02.019.
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Sant, Grannum. "Infertility." Endocrinologist 2, no. 6 (November 1992): 408–10. http://dx.doi.org/10.1097/00019616-199211000-00009.
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Hammond, Karen R. "Infertility." Nurse Practitioner 26 (December 2001): 2–13. http://dx.doi.org/10.1097/00006205-200112001-00001.
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Seepana, Sreekala, and Sudhakar Allamsetty. "Infertility." InnovAiT: Education and inspiration for general practice 3, no. 2 (January 16, 2010): 76–82. http://dx.doi.org/10.1093/innovait/inp242.
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GREIL, ARTHUR L., THOMAS A. LEITKO, and KAREN L. PORTER. "INFERTILITY:." Gender & Society 2, no. 2 (June 1988): 172–99. http://dx.doi.org/10.1177/089124388002002004.
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Batty, Daphne. "Infertility." Adoption & Fostering 15, no. 1 (April 1991): 63. http://dx.doi.org/10.1177/030857599101500116.
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Thomas, Anthony J. "INFERTILITY." Journal of Urology 172, no. 3 (September 2004): 829–30. http://dx.doi.org/10.1097/01.ju.0000136524.86868.74.
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Varma, T. R. "Infertility." BMJ 294, no. 6576 (April 4, 1987): 887–90. http://dx.doi.org/10.1136/bmj.294.6576.887.
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Benasutti, Rita Diana. "Infertility." Journal of Couple & Relationship Therapy 2, no. 4 (October 21, 2003): 51–71. http://dx.doi.org/10.1300/j398v02n04_04.
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Illions, Edward H., Michael T. Valley, and Andrew M. Kaunitz. "INFERTILITY." Medical Clinics of North America 82, no. 2 (March 1998): 271–95. http://dx.doi.org/10.1016/s0025-7125(05)70607-6.
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Rosenthal, Miriam. "Infertility." Journal of Nervous and Mental Disease 180, no. 11 (November 1992): 742. http://dx.doi.org/10.1097/00005053-199211000-00025.
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Penzias, Alan S. "INFERTILITY." Obstetrics and Gynecology Clinics of North America 27, no. 3 (September 2000): 473–86. http://dx.doi.org/10.1016/s0889-8545(05)70150-9.
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Cunningham, Jill. "Infertility." Journal of the American Academy of Physician Assistants 30, no. 9 (September 2017): 19–25. http://dx.doi.org/10.1097/01.jaa.0000522130.01619.b7.
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Suneeta, Mittal, Dhaliwal Lakhbir, Sharma Sanjeev, Chauhan Sanjay, B. S. Garg, and Neeta Singh. "Infertility." Obstetrics and Gynecology International 2012 (2012): 1–2. http://dx.doi.org/10.1155/2012/508276.
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Klopper, A. "Infertility." BMJ 290, no. 6462 (January 12, 1985): 140–42. http://dx.doi.org/10.1136/bmj.290.6462.140.
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McCall, Janice. "Infertility." Nurse Education Today 8, no. 2 (April 1988): 115. http://dx.doi.org/10.1016/0260-6917(88)90013-5.
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EL-Gharib, Mohamed Nabih. "Endometriosis & Infertility." Journal of Clinical Research and Reports 3, no. 2 (March 4, 2020): 01–03. http://dx.doi.org/10.31579/2690-1919/051.
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In 2010 stated that the relationship between infertility and endometriosis is strong, and the monthly fecundity fee for regular couples 15%-20% decreases to 2%-5% when the lady has endometriosis. The mechanisms with which endometriosis reasons infertility are not settled. The possible mechanisms encompass altered folliculogenesis, impaired oocyte release or oocyte oviduct pickup, defects in luteal phase function, differences in the eutopic endometrium, poor oocyte quality, diminished fertilization and implantation rate, and anatomic pelvic alterations, immunological and endocrinological elements may additionally be evolved. Studies on oocyte donation cycles have bolstered the role of oocyte quality in infertile patients with the disease. Lee et al., (2018) determined that liquid chromatography-tandem mass spectrometry displayed considerably elevated peritoneal fluid (PF) sphingolipids in infertile female with severe endometriosis compared with infertile women without endometriosis. Functional research revealed that very-long-chain ceramides may also compromise oocyte maturation
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Conversano, Ciro, Elena Lensi, Francesca Arpone, Vito Cela, and Andrea Genazzani. "Aspetti psicosociali relativi alla diagnosi e al trattamento dei disturbi della fertilitŕ." PSICOLOGIA DELLA SALUTE, no. 1 (June 2009): 85–100. http://dx.doi.org/10.3280/pds2009-001006.
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- The aim of this paper is to describe the implications of fertility diseases and treatment (Medically Assisted Reproduction) from a psychosocial point of view. The individual functioning in relationships, social and working areas can be impaired, not just by the diagnosis, but also by medical procedures of the treatment. For the planning of a correct intervention it is necessary to understand feelings regarding the infertility from a personal aspect, in the socio-domestic sphere and within the sphere of the two people involved as a couple. The main purpose of the integrated approach is to ensure that patients understand the implications of the choices of their treatment, receive adequate emotional support and learn to cope with infertility consequences.Key words: infertility, psychosocial aspects of infertile couple, coping, communication, MAR.Parole chiave: infertilitŕ, aspetti psicosociali della coppia infertile, coping, comunicazione, PMA.
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Ingrit, Belet Lydia. "LITERATURE REVIEW: PERCEPTION AND QUALITY OF WOMEN'S LIFE WITH INFERTILITY [KAJIAN LITERATUR: PERSEPSI DAN KUALITAS HIDUP PEREMPUAN DENGAN INFERTILITAS]." Nursing Current Jurnal Keperawatan 7, no. 2 (February 14, 2020): 9. http://dx.doi.org/10.19166/nc.v7i2.2279.
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<p>Infertility is the failure to get a pregnancy after at least one year of sexual intercourse without using contraception. Many efforts that have been made by infertil women to get pregnant but not a few have failed treatment. Perception will affect the adaptation and quality of life of a woman. Therefore the purpose of this literature review is to explore perceptions and quality of life of women with infertility. Research articles were obtained from two databases namely EBSCO and Google Scholar. Literature search uses keywords (Indonesian and English), namely Perception and quality of life of women with infertility with inclusion criteria for research articles from 2009-2019, primary articles, full text and research subjects are infertil women (both primary and secondary). From 464 research articles, six articles were reviewed that met all the inclusion criteria and objectives of this literature review. Six articles obtained were then made critical appraisals which were then analyzed using simplified thematic analysis. The theme that emerged from this literature review was the negative impact, quality of life and handling of infertility. Based on the results of the review of this article, it is necessary to support both social and emotional systems for infertility women to achieve a better quality of life.</p><p><strong>BAHASA INDONESIA ABSTRAK: </strong>Infertilitas adalah kegagalan untuk mendapatkan kehamilan setelah setidaknya satu tahun berhubungan seksual tanpa menggunakan alat kontrasepsi. Banyak upaya yang sudah dilakukan perempuan infertil untuk bisa hamil namun tidak sedikit yang gagal dalam pengobatan. Persepsi akan memengaruhi adaptasi dan kualitas hidup seorang perempuan. Oleh karena itu tujuan kajian literatur ini adalah untuk menggali persepsi dan kualitas hidup peremuan dengan infertil. Artikel penelitian didapatkan dari dua database yaitu EBSCO dan Google Scholar. Pencarian literatur menggunakan kata kunci (bahasa Indonesia dan bahasa Inggris) yaitu persepsi (Perception) dan kualitas hidup perempuan dengan infertilitas (Quality of life women with infertility) dengan kriteria inklusi artikel penelitian dari tahun 2009-2019, artikel primer, fulltext dan subjek penelitian adalah perempuan infertil (baik primer maupun sekunder). Dari 464 artikel penelitian didapatkan enam artikel yang direview yang memenuhi semua kriteria inklusi dan tujuan dari kajian literatur ini. Enam artikel yang didapatkan kemudian dilakukan penilaian kritis (critical appraisal) yang kemudian dianalisis menggunakan simplified thematic analysis. Tema yang muncul dari kajian literatur ini adalah dampak negatif, kualitas hidup dan penanganan infertilitas. Berdasarkan hasil review artikel ini, dibutuhkan support system baik sosial maupun emosional bagi perempuan infertilitas untuk mencapai kualitas hidup yang lebih baik.</p><p> </p>
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Thatikonda, Rajashree, Tushar Palve, Soheil Shaikh, Priya Bulchandnani, Sejal Kulkarni, and Komal Devnikar. "Clinical features of endometriosis: a review of literature." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 1 (December 28, 2022): 139. http://dx.doi.org/10.18203/2320-1770.ijrcog20223484.
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Aim: To know the clinical features and prevalence of infertilityin endometriosis.Objectives: 1. to discuss clinical features of endometriosis2. to know the prevalence of infertility in endometriosisMaterial and methods:Background: The study shows the clinical features of endometriosis, common laparoscopic findings of endometriosis, and incidence in a particular age group. Objectives of current study were to discuss the clinical features of endometriosis and to know the prevalence of infertility in endometriosisMethods: Cases of infertility, chronic pelvic pain, dysmenorrhoea, and laparoscopically diagnosed endometriosis were considered for this study.Results: Endometriosis is a disease in which the endometrium (the tissue that lines the inside of the uterus or womb) is present outside the uterus. Endometriosis most commonly occurs in the lower abdomen or pelvis, but it can appear anywhere in the body. Symptoms of endometriosis include lower abdominal pain, dysmenorrhoea, dyspareunia, and infertility.Conclusions: This study show typical clinical features and prevalence of infertility in patients with endometriosis in a tertiary care centre.Cases of infertility, chronic pelvic pain, dysmenorrhoea, and laparoscopically diagnosed endometriosis were considered for this study. Results and conclusion: Endometriosis is a disease in which the endometrium (the tissue that lines the inside of the uterus or womb) is present outside of the uterus. Endometriosis most commonly occurs in the lower abdomen or pelvis, but it can appear anywhere in the body. Symptoms of endometriosis include lower abdominal pain, dysmenorrhoea, dyspareunia, and infertility. This study is to know the common clinical features and prevalence of infertility in patients with endometriosis in a tertiary care centre.
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Silvaggi, Cinzia, Ilaria Brandolese, and Ivana Vecchioni. "Aspetti relazionali e psicosessuologici della PMA nella coppia." RIVISTA DI SESSUOLOGIA CLINICA, no. 1 (July 2009): 79–92. http://dx.doi.org/10.3280/rsc2009-001004.
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- For psychological's detail, fertility disorder represents an attachment whether to individual or couple identity. Indeed the infertility condition draws a stressful event for couple, often contributes to alienate the couple from the relational expressive aspects of sexuality. Infact, sexuality frequently became a mechanical experience finalized only to reproduction, this facilitate the worsening of sexual dysfunctions already present in the couple before the diagnosis of infertility, and also, this facilities the emerge of new symptoms, during and after, the ART course. Psychosexual intervention, such as counselling, could be useful for the single patient, or even better the couple, to overcome the condition of being infertile and to satisfy the need to be better informed about their condition, whether it contributes to being able to accept that condition or to face up to their condition.Key words: fertility disorders, infertility, sexual disorders, counselling.Parole chiave: disturbi della fertilitŕ, infertilitŕ, disturbi sessuali, counselling.
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Coman, Eliana, Andreea Eliza Cazacu, and Anca Cătălina Şipoş. "Male infertility, a component of couple infertility." Medic.ro 2, no. 140 (2021): 14. http://dx.doi.org/10.26416/med.140.2.2021.4926.
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Zhu, Jin Liang, Carsten Obel, Bodil Hammer Bech, Jørn Olsen, and Olga Basso. "Infertility, Infertility Treatment, and Fetal Growth Restriction." Obstetrics & Gynecology 110, no. 6 (December 2007): 1326–34. http://dx.doi.org/10.1097/01.aog.0000290330.80256.97.
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Croughan, M. S., L. Camarano, D. Bernstein, N. Chamberlain, and M. Schembri. "Childhood outcomes following infertility and infertility treatment." Fertility and Sterility 82 (September 2004): S79—S80. http://dx.doi.org/10.1016/j.fertnstert.2004.07.202.
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Burns, Linda Hammer. "Psychiatric Aspects of Infertility and Infertility Treatments." Psychiatric Clinics of North America 30, no. 4 (December 2007): 689–716. http://dx.doi.org/10.1016/j.psc.2007.08.001.
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Kutubi, Afroza, Rusdana Rahman, Sumana Rahman, and Md Mustafizur Rahman. "Evaluation of Female Infertility by Laparoscopy in a Secondary Level Infertility Care Centre." Journal of Shaheed Suhrawardy Medical College 11, no. 1 (September 17, 2019): 9–12. http://dx.doi.org/10.3329/jssmc.v11i1.43171.
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Introduction: infertility is regarded as an upsetting and difficult life experience for some women with elevated levels of anxiety & depression. Laparoscopy is the gold standard in diagnosing various aspects of female subfertility as well as treatment of some of them at the same time.Secondary level infertility care centre includes all those can manage every aspects of problems of infertily except IVF-ET and other advance aspects of management.
Objective: To find out the role of laparoscopy in the management of infertile women in a secondary level infertility care centre.
Study Design: Prospective cross sectional study.
Setting: Fertility care centre, Department of Obst. &Gynaecology Dhaka Medical College Hospital from January 2018 to June 2018.
Methods: During the study period 328 infertile women attended infertility outdoor. .Among them 48 were admitted for diagnostic laparoscopy.
Results: Out of forty eight women 26 (54%) had primary infertility, 22 (46%) had secondary infertility.The findings were PCOS in 22% of cases, endometriosis in 14%, PID in 15% cases,unexplained in 20%, fibroid uterus in 6% cases congenital anomaly of uterus in 1% and others in 22% .
Conclusion: Laparoscopy is the gold standard in evaluating infertile women.Some women would have a correctable problem found at laparoscopy that would not be discovered with any other fertility screening tests like endometriosis.
J Shaheed Suhrawardy Med Coll, June 2019, Vol.11(1); 9-12
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Sormin, Tumiur. "Koping stres keluarga Suku Batak Toba dengan anak infertilitas primer." JOURNAL OF Mental Health Concerns 2, no. 1 (March 7, 2023): 1–9. http://dx.doi.org/10.56922/mhc.v2i1.326.
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Background: In the 2018 Consensus on Infertility Management, HIFERI 2013 reported that the prevalence of infertility in Indonesia was 21.3 percent. Of the 39.8 million couples of childbearing age (PUS) in Indonesia, 10–15 percent of them are declared infertile and an estimated 4–6 million couples require infertility treatment to have children. Based on Silaban's 2008 research, wife infertility in the Batak people is treated as something that demeans the dignity and perfection of the husband, so that at traditional weddings parents and relatives always convey their wishes and hopes that the newly formed couple will have many children. Purpose: This study aims to determine the stress coping of Toba Batak families with primary infertility children in Bandar Lampung in 2018. Methods: This research is a qualitative research with a phenomenological approach. Information was obtained by conducting in-depth interviews, FGDs and observations. Informants in this study consisted of 6 main informants, 3 triangulation informants. Results: The results of this study indicate that families begin to experience symptoms of stress after 3 years of their children being married without children. Conclusion: Psychological stress experienced is inferior and feels insignificant. Social stress is feeling of not being elder in adat and clan groups. Economic stress makes it difficult to pay for doctor's examinations and buy medicine. Physical stress can not sleep and lack of mood with husband. Religious stress sometimes considers God unfair. The stress coping used by the family is seeking social support, special prayer for the mother's younger brother, avoiding routine activities, positive assessment by visiting recreation and special prayer, accepting responsibility by confiding in families who are successful in infertility therapy and solving concrete problems such as program plans. test-tube baby. Suggestion: For families who experience this to keep fighting, good luck and success, everything is beautiful in its time. Keywords: Stress Coping; Batak Tribe; Primary Infertility. Pendahuluan: Dalam Konsensus Penanganan Infertilitas 2018, HIFERI 2013 melaporkan bahwa prevalensi infertilitas di Indonesia sebesar 21,3 persen. Dari 39,8 juta pasangan usia subur (PUS) di Indonesia, 10–15 persen diantaranya dinyatakan infertile dan diperkirakan 4–6 juta pasangan memerlukan pengobatan infertilitas untuk mendapatkan keturunan. Berdasarkan penelitian Silaban 2008, kemandulan istri pada masyarakat suku Batak, disikapi sebagai sesuatu yang merendahkan martabat dan kesempurnaan suami, sehingga pada acara adat perkawinan orangtua dan kerabat selalu menyampaikan keinginan dan harapannya supaya pasangan yang baru membentuk rumah tangga itu mendapat banyak anak . Tujuan: Penelitian ini bertujuan untuk mengetahui koping stres keluarga suku Batak Toba dengan anak infertilitas primer di Bandar Lampung tahun 2018. Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomelogi. Informasi diperoleh dengan melakukan wawancara mendalam, FGD dan observasi. Informan dalam penelitian ini terdiri dari 6 orang informan utama, 3 informan triangulasi. Hasil: Hasil dari penelitian ini menunjukkan bahwa keluarga mulai mengalami gejala stres setelah 3 tahun anaknya menikah belum memiliki anak. Simpulan: Stres psikologi yang dialami adalah minder dan merasa tidak berarti. Stres sosial merasa tidak dituakan di adat dan kumpulan marga. Stres ekonomi kesulitan membayar pemeriksaan dokter dan membeli obat. Stres fisik tidak bisa tidur dan kurang mood dengan suami. Stres religi kadang menganggap Tuhan tidak adil. Koping stres yang digunakan keluarga adalah mencari dukungan sosial doa khusus adik laki-laki ibu, menghindar dengan kegiatan rutin, penilaian positif dengan mengunjungi rekreasi dan berdoa khusus, menerima tanggung jawab dengan curhat pada keluarga yang sukses terapi infertilitas dan penyelesaian masalah secara konkret seperti rencana program bayi tabung. Saran: Kepada keluarga yang mengalami hal tersebut untuk tetap berjuang, semoga sukes dan berhasil, semua indah pada waktunya.
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Kirchhoff, Christiane. "Molecular biology of sperm maturation in the human epididymis." Reproductive Medicine Review 4, no. 3 (October 1995): 121–39. http://dx.doi.org/10.1017/s0962279900001137.
Повний текст джерелаАнотація:
Male infertility is a frequent cause of childlessness, and, indeed, a comparison of the contributions to conception failure made by male and female factors shows them to be equally frequent. In practice, male infertility appears to be resistant to most treatments. However, the major reason for this may be that often attempts are carried out without knowing the cause of the problem. Unlike in women, obstructions and hormonal disorders are rare in male infertility. Rather, it would appear that sperm disorders are the most common cause, reflecting a variety of pathogenetic mechanisms. Defects in sperm morphology, defective sperm movement, deficient development or functional failure of the acrosome, and the excessive generation of reactive oxygen species are changes that are often seen in infertile semen, but little is known about their aetiology. In 5–10% of men being treated for infertilty, an autoimmune reaction against spermatozoa is observed. Although the correlation between the presence of systemic antisperm antibodies and fertility potential is poor, the appearance of sperm-bound antibodies of immunoglobulin class IgA in semen seems to be closely associated with infertility. Studies in laboratory animals and humans have shown that complementary adhesion molecules are located on the surface of oocytes and spermatozoa. These molecules interact and lead to gamete fusion. Abnormalities in these molecules on the sperm surface might be expected to contribute to male infertility. However, their clinical significance has not yet been documented, and the molecular basis of human gamete interaction is far from being understood. Therefore, the key to understanding male infertility may lie in basic research which directly targets the fundamental cellular and molecular biology of the human spermatozoon.
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Priyanka, N. Jessie, and Dr K. Jayashankar Reddy. "Psychosocial Aspects of Infertility." Indian Journal of Applied Research 3, no. 8 (October 1, 2011): 634–36. http://dx.doi.org/10.15373/2249555x/aug2013/203.
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Kuivasaari-Pirinen, Paula, Kaisa Raatikainen, Maritta Hippeläinen, and Seppo Heinonen. "Adverse Outcomes of IVF/ICSI Pregnancies Vary Depending on Aetiology of Infertility." ISRN Obstetrics and Gynecology 2012 (April 9, 2012): 1–5. http://dx.doi.org/10.5402/2012/451915.
Повний текст джерелаАнотація:
In vitro fertilization (IVF) is a risk factor for pregnancy, but there have been few studies on the effect of infertility’s aetiology. Thus, we have assessed the role of aetiology on IVF pregnancy outcomes in a retrospective cohort study comparing the outcomes of IVF singleton pregnancies with those of spontaneous pregnancies in the general Finnish population. The study group consisted of 255 women with births resulting from singleton IVF pregnancies. Six subgroups were formed according to the following causes of infertility: anovulation (27%), endometriosis (19%), male factor (17%), tubal factor (15%), polycystic ovary syndrome (11%), and unexplained infertility (12%). The reference group consisted of 26,870 naturally conceived women. Adjusted odds ratios (AORs), for confounding factors such as age and parity, were estimated using logistic regression analysis. Women with endometriosis and anovulation had increased risks of preterm birth (AOR 3.25, 95% CI 1.5–7.1 and AOR 2.1, and 95% CI 1.0–4.2, resp.), while women in couples with male factor infertility had a twofold risk of admission to neonatal intensive care (AOR 2.5, 95% CI 1.2–5.3). The findings show that the aetiology of infertility influenced the obstetrics outcome, and that pooling results may obscure some increased risks among subgroups.
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Tumanova, L. E., and O. V. Kolomiiets. "Features of the psychoemotional state of pregnant women with different types of infertility in history." Reproductive health of woman, no. 1 (March 23, 2022): 52–58. http://dx.doi.org/10.30841/2708-8731.1.2022.258139.
Повний текст джерелаАнотація:
The objective: to study the features of the psycho-emotional state of pregnant women with different types of infertility in the anamnesis.Materials and methods. A study of psycho-emotional status in 127 pregnant women 20–49 years old, of which 97 women had a history of different forms of infertility and 30 pregnant women without a history of infertility, was carried out. The distribution of pregnant women into the groups was based according to the factor of infertility: I group included 35 pregnant women with a history of endocrine infertility, II group – 37 persons with a history of tubal origin infertility, III group – 25 pregnant women with a history of combined infertility (tubal and endocrine factors), IV group (control group) – 30 healthy pregnant women who had no history of infertility.L. Reeder psychosocial stress scale and Luscher color test were used to assess the psycho-emotional state.Results. The obtained data of L. Reeder psychosocial stress scale demonstrated that that in the I group the high level of psychosocial stress was found in 34.3 % of pregnant women, the moderate level – 37.1 % persons, in the II group – in 29.7 % and 37, 8 % individuals, respectively, in the III group – 56 % and 24 %, in the IV group – 6.7 % and 10 %. The results of the Luscher color test showed that high level of anxiety had 57.1 % in the I group, 59.5 % – in the II group, 68% – III group, and, 6.7 % – IV group. The indicators of pregnant women of groups I, II, III are marked by a high percentage of the 6th-8th positions – 57.1 %, 59.5 % and 68 % versus 6.7% of the persons in the IV group. This indicates a high level of anxiety in the patients with a history of infertility. Only 15 % of women in the I and II groups and 8 % – in the III group feel confident.The results of the Luscher test presented the highest number of women with the highest score of anxiety in the III group (68 %), which is 7 times more than in the IV one; 93.3 % of patients in the IV group had low and moderate levels of anxiety.Conclusions. Pregnant women with a history of infertility are in the group with a high level of anxiety and markedly unstable psycho-emotional state. The highest levels of psycho-emotional disorders are determined in women with a history of combined infertility.
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DEMARQUE, RENATA, JOEL RENNÓ JR., HEWDY LOBO RIBEIRO, JULIANA PIRES CAVALSAN, GISLENE VALADARES, AMAURY CANTILINO, JERÔNIMO DE ALMEIDA MENDES RIBEIRO, RENAN ROCHA, and ANTÔNIO GERALDO DA SILVA. "FEMALE INFERTILITY." Revista Debates em Psiquiatria Ano 4 (August 1, 2014): 30–32. http://dx.doi.org/10.25118/2236-918x-4-4-4.
Повний текст джерелаАнотація:
Segundo dados da Organização Mundial da Saúde, estima- -se que entre 60 e 80 milhões de pessoas em todo o mundo enfrentem dificuldades para levar a cabo seu projeto de paternidade e maternidade em algum momento da vida. Desejar ter filhos mas se deparar com a impossibilidade desse processo produz uma ampla gama de sentimentos, tais como medo, ansiedade, tristeza, frustração, desvalia e vergonha, desencadeando, por vezes, quadros importantes de estresse. A situação de infertilidade pode provocar efeitos devastadores tanto na esfera individual como conjugal, interferir nas relações sociais e na qualidade de vida. Muitas mulheres inférteis percebem a situação como estigmatizante, causadora de sofrimento psíquico e isolamento social.
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Haddad, Farid Sami. "Male Infertility." Annals of Saudi Medicine 11, no. 4 (July 1991): 478–79. http://dx.doi.org/10.5144/0256-4947.1991.478.
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Niederberger, Craig. "Male Infertility." Journal of Urology 205, no. 5 (May 2021): 1500–1502. http://dx.doi.org/10.1097/ju.0000000000001667.
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Turek, Paul J., and Larry I. Lipshultz. "IMMUNOLOGIC INFERTILITY." Urologic Clinics of North America 21, no. 3 (August 1994): 447–68. http://dx.doi.org/10.1016/s0094-0143(21)00619-4.
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Niederberger, Craig. "Male Infertility." Journal of Urology 205, no. 6 (June 2021): 1807–9. http://dx.doi.org/10.1097/ju.0000000000001741.
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