Internet and Media Use in the Context of Infertility and Assisted Reproductive Technology: Empowerment or Overload?

互联网和媒体在不孕不育和辅助生殖技术中的应用:是赋能还是信息过载?

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Abstract

Background Infertility is a major public health issue affecting approximately one in six couples worldwide. Beyond its medical implications, it carries significant psychological and social burdens, particularly in contexts where procreation is highly valued. Faced with barriers to accessing assisted reproductive technology (ART), many women turn to the Internet and media as primary sources of information. However, the reliability and clarity of online content remain variable, sometimes contributing to misinformation and increased anxiety. Objective To assess the frequency, sources, motivations, trust, satisfaction, and perceived impact of Internet and media use for infertility and ART-related information among women consulting in a specialized reproductive health center. Methods We conducted a prospective observational descriptive cross-sectional study between January and March 2025 among 100 women of reproductive age consulting for infertility in a specialized center. Participants were recruited randomly and completed a self-administered questionnaire exploring sociodemographic characteristics, digital practices, information sources, level of trust, satisfaction, and perceived impact. Data were analyzed using Epi Info™ version 7.2.5.0 (CDC, Atlanta, GA, USA). Results Almost all participants reported using the Internet for infertility or assisted reproductive technology-related information (99/100, 99%). The most frequently consulted sources were specialized medical websites (57/100, 57%), social media platforms (56/100, 56%), and online videos (53/100, 53%). The most commonly searched topics were treatment options (79/100, 79%), success rates (70/100, 70%), and causes of infertility (67/100, 67%). The main motivations for Internet use were better understanding of the condition (78/100, 78%), exploring therapeutic options (63/100, 63%), and obtaining a second opinion (40/100, 40%). Online information improved knowledge for 85 participants (85/100, 85%) and facilitated decision-making for 78 participants (78/100, 78%). However, increased stress related to online information was reported by 80 participants (80/100, 80%), and 34 participants (34/100, 34%) felt that the available information was not adapted to their personal situation. Despite this, high satisfaction with information provided by healthcare professionals was reported by 88 participants (88/100, 88%). Conclusion The Internet and media have become indispensable sources of information for women facing infertility, supporting knowledge acquisition and decision-making. However, the heterogeneity and potential inaccuracy of online resources may increase patient anxiety. These findings highlight the importance of healthcare professionals in guiding patients toward reliable, evidence-based, and contextualized information to optimize infertility care.

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