This study explores the psychological and emotional impacts of infertility treatments on couples. Utilizing Interpretative Phenomenological Analysis, this qualitative research delves into the shared experiences of five couples undergoing fertility treatments, uncovering the deep-seated personal and relational dynamics of their journeys. Three key themes were identified: From Hope to Exhaustion: Navigating the Emotional Rollercoaster of Treatment, Redefining Togetherness: Making Sense of Infertility as a Couple, and Networks of Care: Negotiating Support Within and Beyond the Couple. Study explores how couples undergoing in vitro fertilization construct shared meaning around their experiences and how the process shapes their relational and psychological dynamics. This study adopts a couple-based interpretative phenomenological approach to reveal how partners co-construct meaning, manage shared distress, and experience relational growth during infertility treatment. It offers new insights into the dyadic processes that foster resilience amid infertility.
AlaseA (2017) The interpretative phenomenological analysis (IPA): A guide to a good qualitative research approach. International Journal of Education and Literacy Studies5(2): 9.
2.
AtwoodM (1985) The Handmaid’s Tale. McClelland & Stewart.
3.
BenyaminiYGozlanMKokiaE (2009) Women’s and men’s perceptions of infertility and their associations with psychological adjustment: A dyadic approach. British Journal of Health Psychology14(1): 1–16.
4.
BergCAUpchurchR (2007) A developmental-contextual model of couples coping with chronic illness across the adult life span. Psychological Bulletin133(6): 920–954.
5.
BergerR (2015) Now I see it, now I don’t: Researcher’s position and reflexivity in qualitative research. Qualitative Research15(2): 219–234.
6.
BirtLScottSCaversD, et al. (2016) Member checking: A tool to enhance trustworthiness or merely a nod to validation?Qualitative Health Research26(13): 1802–1811.
7.
BodenmannG (2005) Dyadic coping and its significance for marital functioning. In: RevensonTAKayserKBodenmannG (eds) Couples Coping With Stress: Emerging Perspectives on Dyadic Coping. American Psychological Association, pp.33–50.
8.
BodenmannGPihetSKayserK (2006) The relationship between dyadic coping and marital quality: A 2-year longitudinal study. Journal of Family Psychology20(3): 485.
9.
BoivinJGameiroS (2015) Evolution of psychology and counseling in infertility. Fertility and Sterility104(2): 251–259.
10.
BoivinJGriffithsEVenetisCA (2011) Emotional distress in infertile women and failure of assisted reproductive technologies: Meta-analysis of prospective psychosocial studies. BMJ342: d223. DOI: 10.1136/bmj.d223
11.
BoivinJScanlanLCWalkerSM (1999) Why are infertile patients not using psychosocial counselling?Human Reproduction14(5): 1384–1391.
12.
BoivinJSchmidtL (2005) Infertility-related stress in men and women predicts treatment outcome 1 year later. Fertility and Sterility83(6): 1745–1752.
CalhounLG (1999) Facilitating posttraumatic growth: A clinician’s guide. Lawerence Erlbaum.
15.
CousineauTMDomarAD (2007) Psychological impact of infertility. Best Practice & Research Clinical Obstetrics & Gynaecology21(2): 293–308.
16.
DanilukJC (2001) “If we had it to do over again. . .”: Couples’ reflections on their experiences of infertility treatments. Family Journal9(2): 122–133.
17.
DeciELRyanRM (2000) The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry11(4): 227–268.
18.
DomarADSmithKConboyL, et al. (2010) A prospective investigation into the reasons why insured United States patients drop out of in vitro fertilization treatment. Fertility and Sterility94(4): 1457–1459.
19.
DonarelliZLo CocoGGulloSet al. (2012) Are attachment dimensions associated with infertility-related stress in couples undergoing their first IVF treatment? A study on the individual and cross-partner effect. Human Reproduction27(11): 3215–3225.
20.
DrosdzolASkrzypulecV (2009) Evaluation of marital and sexual interactions of Polish infertile couples. Journal of Sexual Medicine6(12): 3335–3346.
21.
EatoughVSmithJA (2017) Interpretative phenomenological analysis. In: WilligCStainton RogersW (eds) The SAGE Handbook of Qualitative Research in Psychology (2nd edn). London: SAGE Publications Ltd, pp. 193–209.
22.
EmülTGAvşarB (2021) İnfertilite Tedavisinde Sosyal Destek ve Hemşirenin Rolü. Journal of Academic Research in Nursing7(2): 94–98. DOI: 10.55646/jaren.2021.97658.
23.
EngelGL (1977) The need for a new medical model: A challenge for biomedicine. Science196(4286): 129–136.
24.
FeeneyBCCollinsNL (2015) A new look at social support: A theoretical perspective on thriving through relationships. Personality and Social Psychology Review19(2): 113–147.
25.
FinlayL (2021) Thematic analysis: The ‘good’, the ‘bad’and the ‘ugly’. European Journal for Qualitative Research in Psychotherapy11: 103–116.
26.
GameiroSFinniganA (2017) Long-term adjustment to unmet parenthood goals following ART: A systematic review and meta-analysis. Human Reproduction Update23(3): 322–337.
27.
GameiroSVerhaakCMKremerJA, et al. (2013) Why we should talk about compliance with assisted reproductive technologies (ART): A systematic review and meta-analysis of ART compliance rates. Human Reproduction Update19(2): 124–135.
28.
GerrityDA (2001) A biopsychosocial theory of infertility. Family Journal9(2): 151–158.
29.
GhorbaniMHosseiniFSYunesianM, et al. (2020) Dropout of infertility treatments and related factors among infertile couples. Reproductive Health17(1): 192.
30.
GoughBMadillA (2012) Subjectivity in psychological science: From problem to prospect. Psychological Methods17(3): 374–384.
31.
GreilAL (1997) Infertility and psychological distress: A critical review of the literature. Social Science & Medicine45(11): 1679–1704.
32.
GreilALMcQuillanJLowryM, et al. (2011) Infertility treatment and fertility-specific distress: A longitudinal analysis of a population-based sample of US women. Social Science & Medicine73(1): 87–94.
33.
GreilALSlauson-BlevinsKMcQuillanJ (2009) The experience of infertility: A review of recent literature. Sociology of Health & Illness32(1): 140–162.
34.
HannaEGoughB (2020) The social construction of male infertility: A qualitative questionnaire study of men with a male factor infertility diagnosis. Sociology of Health & Illness42(3): 465–480.
35.
Hasanpoor-AzghdySBSimbarMVedadhirA (2014) The emotional-psychological consequences of infertility among infertile women seeking treatment: Results of a qualitative study. Iranian journal of reproductive medicine12(2): 131–138.
36.
Kiełek-RatajEWendołowskaAKalusA, et al. (2020) Openness and communication effects on relationship satisfaction in women experiencing infertility or miscarriage: A dyadic approach. International Journal of Environmental Research and Public Health17(16): 5721.
37.
LarkinMThompsonA (2012) Interpretative phenomenological analysis. In: ThompsonAHarperD (eds) Qualitative Research Methods in Mental Health and Psychotherapy: A Guide for Students and Practitioners. John Wiley & Sons, pp.99–116.
38.
LebowJLChambersALChristensenA, et al. (2012) Research on the treatment of couple distress. Journal of Marital and Family Therapy38(1): 145–168.
39.
MalacridaC (2007) Reflexive journaling on emotional research topics: Ethical issues for team researchers. Qualitative Health Research17(10): 1329–1339.
40.
MartinsMVBasto-PereiraMPedroJ, et al. (2016) Male psychological adaptation to unsuccessful medically assisted reproduction treatments: A systematic review. Human Reproduction Update22(4): 466–478.
41.
MartinsMVPetersonBDAlmeidaV, et al. (2014) Dyadic dynamics of perceived social support in couples facing infertility. Human Reproduction29(1): 83–89.
42.
MartinsMVPetersonBDAlmeidaVM, et al. (2011) Direct and indirect effects of perceived social support on women’s infertility-related stress. Human Reproduction26(8): 2113–2121.
43.
Mesquita da SilvaSPlaceJMBoivinJ, et al. (2020) Failure after fertility treatment: Regulation strategies when facing a blocked parenthood goal. Human Fertility23(3): 179–185.
44.
MeteSFataSAluş TokatM (2020) Feelings, opinions and experiences of Turkish women with infertility: A qualitative study. Health Informatics Journal26(1): 528–538.
45.
MolgoraSFenaroliVAcquatiC, et al. (2019) Examining the role of dyadic coping on the marital adjustment of couples undergoing assisted reproductive technology (ART). Frontiers in Psychology10: 415.
46.
MongaMAlexandrescuBKatzSE, et al. (2004) Impact of infertility on quality of life, marital adjustment, and sexual function. Urology63(1): 126–130.
47.
OrtlippM (2015) Keeping and using reflective journals in the qualitative research process. The Qualitative Report13(4): 695–705.
48.
ParkCLCohenLHMurchRL (1996) Assessment and prediction of stress-related growth. Journal of Personality64(1): 71–105.
49.
PaschLAGregorichSEKatzPK, et al. (2012) Psychological distress and in vitro fertilization outcome. Fertility and Sterility98(2): 459–464.
50.
PaschLASullivanKT (2017) Stress and coping in couples facing infertility. Current Opinion in Psychology13: 131–135.
51.
PatelASharmaPSVNKumarP (2018) Role of mental health practitioner in infertility clinics: A review on past, present and future directions. Journal of Human Reproductive Sciences11(3): 219–228.
52.
PattersonJM (2002) Integrating family resilience and family stress theory. Journal of Marriage and Family64(2): 349–360.
53.
PedroJBrandãoTFernandesJ, et al. (2021) Perceived threat of infertility and women’s intention to anticipate childbearing: The mediating role of personally perceived barriers and facilitators. Journal of Clinical Psychology in Medical Settings28(3): 457–467.
54.
PetersonBDGoldLFeingoldT (2007) The experience and influence of infertility: Considerations for couple counselors. Family Journal15(3): 251–257.
55.
PetersonBDNewtonCRRosenKH (2003) Examining congruence between partners’ perceived infertility-related stress and its relationship to marital adjustment and depression in infertile couples. Family Process42(1): 59–70.
56.
PetersonBDNewtonCRRosenKH, et al. (2006) Gender differences in how men and women who are referred for IVF cope with infertility stress. Human Reproduction21(9): 2443–2449.
57.
PhillipsEElanderJMontagueJ (2014) Managing multiple goals during fertility treatment: An interpretative phenomenological analysis. Journal of Health Psychology19(4): 531–543.
58.
PietkiewiczISmithJA (2014) A practical guide to using interpretative phenomenological analysis in qualitative research psychology. Psychological Journal20(1): 7.
59.
ProchaskaJODiClementeCC (1983) Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology51(3): 390–395.
60.
RahimiRHasanpourSMirghafourvandMet al. (2021) Effect of hope-oriented group counseling on mental health of infertile women with failed IVF cycles: A randomized controlled trial. BMC Psychiatry21(1): 286.
61.
RedshawMHockleyCDavidsonLL (2007) A qualitative study of the experience of treatment for infertility among women who successfully became pregnant. Human Reproduction22(1): 295–304.
62.
RockliffHELightmanSLRhidianE, et al. (2014) A systematic review of psychosocial factors associated with emotional adjustment in in vitro fertilization patients. Human Reproduction Update20(4): 594–613.
63.
ŞahinMErMN (2024) İnfertilitenin Yaşam Kalitesi ve Cinsel Yaşam Üzerine Etkisinin İncelenmesi: Sistematik Bir Derleme. Abant Sağlık Bilimleri Ve Teknolojileri Dergisi4(1): 1–12.
64.
SauvéMSPéloquinKBrassardA (2020) Moving forward together, stronger, and closer: An interpretative phenomenological analysis of marital benefits in infertile couples. Journal of Health Psychology25(10–11): 1532–1542.
65.
SchmidtLHolsteinBEChristensenU, et al. (2005) Communication and coping as predictors of fertility problem stress: Cohort study of 816 participants who did not achieve a delivery after 12 months of fertility treatment. Human Reproduction20(11): 3248–3256.
66.
ShentonAK (2004) Strategies for ensuring trustworthiness in qualitative research projects. Education for Information22(2): 63–75.
SmithJAOsbornM (2003) Interpretative phenomenological analysis. In: SmithJA (ed.) Qualitative Psychology: A Practical Guide to Research Methods. Sage Publications, pp.53–80.
69.
TashiroTFrazierP (2003) “I’ll never be in a relationship like that again”: Personal growth following romantic relationship breakups. Personal Relationships10(1): 113–128.
70.
TaylorLC (2018) The experience of infertility among African American couples. Journal of African American Studies22(4): 357–372.
71.
ThoitsPA (1991) On merging identity theory and stress research. Social Psychology Quarterly54(2): 101–112.
72.
ThoitsPA (1995) Stress, coping, and social support processes: Where are we? What next?Journal of Health and Social Behavior35: 53–79.
73.
TodorovaILGKotzevaT (2006) Contextual shifts in Bulgarian women’s identity in the face of infertility. Psychology and Health21(1): 123–141.
74.
TurnerD (2014) Qualitative interview design: A practical guide for novice investigators. The Qualitative Report15(3): 754–760.
75.
WirtbergIMöllerAHogströmL, et al. (2007) Life 20 years after unsuccessful infertility treatment. Human Reproduction22(2): 598–604.
World Medical Association (2013) World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association310(20): 2191–2194.
78.
YaoHChanCHYHouY, et al. (2023) Ambivalence experienced by infertile couples undergoing IVF: A qualitative study. Human Fertility26(2): 289–301.
79.
YardleyL (2000) Dilemmas in qualitative health research. Psychology and Health15(2): 215–228.
80.
YazdaniFElyasiFPeyvandiS, et al. (2017) Counseling-supportive interventions to decrease infertile women’s perceived stress: A systematic review. Electronic physician9(6): 4694–4702.
81.
ZhangXDengXMoY, et al. (2021) Relationship between infertility-related stress and resilience with posttraumatic growth in infertile couples: Gender differences and dyadic interaction. Human Reproduction36(7): 1862–1870.
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