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The Relationship Between Stress and Infertility
(The following is an excerpt. Click on the link or graphic above for more detail)
A Synopsis for Harvard Medical International and their Centers of Excellence and Constituents
Alice D. Domar, Ph.D. The Mind Body Centre for Women's Health at Boston IVF
Mind/body treatment of infertility patients has been shown to both increase pregnancy rates as well as reducing psychological distress. In a recent study conducted at the MBMI, 185 women who had been trying to conceive for one to two years were randomized into either a 10 week mind/body group, a ten week support group, or a routine care control group. The birth rates during the one year follow up period were as follows: - Mind/body 55%, support 54%, and controls 20%. In addition the mind/body patients reported significantly greater psychological improvements than the support or control patients. Patients in the clinical Mind/Body Program for Infertility show benefits as well; in four published studies on several hundred women with an infertility duration of 3.5 years, 42 percent conceived within six months of completing the program and there were significant decreases in all measured psychological symptoms including depression, anxiety and anger.
Infertile women report elevated levels of psychological distress and this distress may reduce their chances of conceiving. Mind/body treatment has been shown to be effective in both significantly increasing pregnancy rates as well as reducing psychological stress.
Selected references on the Relationship between stress and fertility
1. Domar, A., Clapp, D., Slawsby, E., Dusek, J., Kessel, B., Freizinger, M (2000) Impact of group psychological interventions on pregnancy rates in infertile women. Fertility and Sterility Vol. 73, no.4 April
2. Domar, A., Zuttermeister, P., Friedman, R (1999) Distress and Conception in Infertile Women: A complementary approach. Journal of the American Medical Women's Association. Vol. 54, No.4
3. Demyttenaere K, Bonte L, Gheldof M, Veraeke M, Meuleman C, Vanderschuerem D, et al. (1998) Coping style and depression level influence outcome in vitro fertilization. Fertility and Sterility. 69:1026-1033
4. Domar, A (1996) Stress and Infertility in Women: Is there a relationship? Division of Behavioural Medicine, Deaconess Hospital Mind/Body Institute, Harvard Medical School. Psychotherapy in Practice 2/2:17-27
5. Domar, A., Zuttermeister, P., Friedman, R (1993) The Psychological impact of infertility: a comparison with patients with other medical conditions Journal of Psychosomatic Obstetric Gynaecology. 14 Special issue 45-52
6. Wasser, S., Sewal, G., & Soules, M. (1993) Psychosocial stress as a cause of infertility. Fertility & Sterility, 59, 685-689
7. Domar, A., Seibel, M., & Benson, H (1990) The Mind/Body Program for Infertility: A new treatment program for women with infertility. Fertility and Sterility, 53, 246-249
8. Pennebaker, J., Kiecolt-Glasser, J & Glasser, R. (1987) Disclosure of traumas and immune function. Health implications for psychotherapy. Journal of consulting and Clinical Psychology, 56, 239-245
Books by Alice Domar, PhD
CONQUERING INFERTILITY, A Mind/Body guide to enhancing fertility and coping with infertility. By Alice D Domar and Alice Lesch Kelly. Published by Viking (2001)
SIX STEPS TO INCREASED FERTILITY: An integrated Medical and Mind/Body Program to promote conception. A Harvard Medical School Book. By Robert L. Barbieri M.D, Alice D. Domar and Kevin R Loughlin, M.D. Published by Simon & Schuster (2000)
HEALING MIND, HEALTHY WOMEN, using the Mind Body Connection to manage stress and take control of your life. By Alice D Domar PhD and Henry Dreher. Published by Delta trade Paperbacks (1996)
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