Psycho-social experiences and coping strategies of infertile couples attending infertility clinics in Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia: a qualitative study

埃塞俄比亚亚的斯亚贝巴圣保罗医院千年医学院不孕不育门诊不孕夫妇的心理社会经历和应对策略:一项定性研究

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Abstract

BACKGROUND: Infertility is a significant reproductive health issue that affects couples physically, emotionally and socially. This qualitative study aims to explore the psycho-social experiences and coping strategies of infertile couples attending infertility clinics at Saint Paul's Hospital, Addis Ababa, Ethiopia. METHODS: This study employed a descriptive phenomenological research design. In-depth interviews were conducted with 12 purposively selected couples experiencing infertility. The study used thematic analysis to capture the emotional, social and psychological impacts of infertility on individuals and their relationships. RESULTS: Key themes identified include emotional distress, social stigma, marital strain and a sense of isolation. Participants reported experiencing feelings of shame, depression and anxiety, often exacerbated by societal expectations and pressure to conceive. Coping strategies varied across individuals and included seeking medical intervention, social support, religious faith and, in some cases, withdrawal from social interactions. CONCLUSIONS: The study highlights the need for comprehensive psychological support and counselling services in infertility care to address the mental health and social challenges faced by infertile couples. Promoting awareness to reduce stigma and enhancing social support systems may improve the overall well-being of affected individuals.

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