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    Impact of COVID-19 Pandemic on COMPI Fertility Problem Stress Scale and the State-Trait Anxiety Scale in Patients Undergoing IVF/ICSI
    (2021) Yurci, Arzu; Karayağız, Şaban
    OBJECTIVE: This study aimed to investigate the effect of the COVID-19 outbreak on infertile couplesdealing with stress and anxiety during in vitro fertilization treatment.STUDY DESIGN: 252 infertile patients who applied for in vitro fertilization treatment were included inthis cross-sectional study. Data were collected via four data collection tools including socio-demographicform, COVID-19 Inventory (COVID-I), COMPI fertility problem stress scale (COMPI-FPSS), and statetrait anxiety scale. Data analysis was conducted by SPSS statistical software included statistical analysis such as averages, standard deviations, correlation, regression, and t-test.RESULTS: Both negative and weak correlations were found between COMPI fertility problem stressscale and subscales of state-trait anxiety scale as well as the total score of state-trait anxiety scale. Interms of socio-demographic characteristics of the participants and their responses in state-trait anxietyscale and ISS forms, the correlation coefficients were also so low. The results also showed that publicofficials, health professionals, and educators showed lower state-trait anxiety scale (stress-related anxiety) scores.CONCLUSION: During the COVID-19 pandemic, there was an increase in spontaneous pregnancy expectations. Although participants were mostly stressed because of the COVID-19 outbreak, they didn’tchange their in vitro fertilization treatment plans during the outbreak.
  • [ X ]
    Öğe
    Management of Women with Vaginismus-related Infertility Through Assisted Reproductive Techniques
    (Galenos Publ House, 2021) Yurci, Arzu; Karayagiz, Saban
    Objective: To investigate reproductive outcomes of patients with infertility due to severe vaginismus undergoing in vitro fertilisation and embryo transfer (IVF-ET). Methods: Twenty-nine patients were selected among patients who presented with complaints of vaginismus-related infertility. The diagnosis and severity of vaginismus were assessed according to the Lamont-Pacik system. Five women with milder forms of vaginismus were treated with other options. Of the remaining 24 patients with severe vaginismus, 20 had Lamont grade 3 and four with Lamont grade 4. Likewise, 24 patients who were diagnosed with unexplained infertility were selected as the control group. Results: Of the 24 patients, 15 had first attempt, 8 had second and 1 had fourth attempt. Folliculometry was performed with abdominal ultrasonography in 21 women with normal body mass index. Folliculometry and endometrial evaluation were performed in three overweight cases with transvaginal ultrasonography under sedation. Single ET was performed in 27 cycles, and two ETs were performed in the others. Beta human chorionic gonadotropin positivity was detected in 20 of the 39 cycles. Similarly, in 20 patients, while clinical pregnancy was detected (20 of 39 cycles, 51.2%), the number of cycles with term and live births were 16 (16 of 39 cycles, 41.0%). While clinical pregnancy was detected in 25 of 35 cycles in the control group (71.4%), live birth was achieved in 22 cycles (62.8%). Compared with the vaginismus group, clinical pregnancy rate (20 vs 25, p<0.09) and live birth rate (LBR) (16 vs 22, p<0.06) were comparable. Conclusion: Both clinical pregnancy and LBRs of women with infertility due to severe vaginismus undergoing IVF-ET are similar to women with unexplained infertility.