{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:45:42Z","timestamp":1786977942379,"version":"build-2736575974"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T00:00:00Z","timestamp":1738713600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the lived experience of women living with infertility in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We used interpretative phenomenologic analysis with open\u2010ended semi\u2010structured questions, focusing on what living with infertility looks like and what that means to the women. Participants included women who had experienced infertility and were following treatment at St. Paul's Hospital Center for Fertility &amp; Reproductive Medicine in Addis Ababa, Ethiopia. We purposefully recruited 13 women living with infertility and used NVivo version 12 software for data analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The study generated six themes: (1) the reason for wanting a child, (2) the financial sacrifice of accessing treatment, (3) infertility and marriage, (4) estrangement and ostracization in social life, (5) psychological despair and support, and (6) faith and resilience. Further analysis identified the superordinate themes: the meaning of a child; lineage and continuity of life; togetherness; marital discord; reduced social participation; being left out of the world, psychological suffering; support and relationship with healthcare providers; helplessness, acceptance, and hope. A child in the Ethiopian context has significant meaning for women and the community. Being unable to accomplish motherhood brings numerous challenges.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The far\u2010reaching consequences of infertility substantially affect women's psychological, financial, sociocultural, and spiritual lives. However, despite the difficult journey of infertility, women develop coping mechanisms and resilience. Professional psychosocial support is necessary to alleviate the consequences of infertility, yet access to and utilization of these services are inadequate. Infertility needs to receive better attention in the Ethiopian healthcare system as it has significant implications for couples' lives.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70001","type":"journal-article","created":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T07:12:41Z","timestamp":1738739561000},"page":"926-936","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The complex lived experience of women with infertility in Ethiopia: An interpretative phenomenologic analysis"],"prefix":"10.1002","volume":"169","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1089-8585","authenticated-orcid":false,"given":"Bilen Mekonnen","family":"Araya","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Science, School of Rehabilitation Therapy Queen's University  Kingston Ontario Canada"},{"name":"Department of Clinical Midwifery, School of Midwifery University of Gondar  Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4834-8279","authenticated-orcid":false,"given":"Maria P.","family":"Velez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology McGill University  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4647-5178","authenticated-orcid":false,"given":"Kassahun","family":"Alemu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Science University of Gondar  Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silke","family":"Dyer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Groote Schuur Hospital, and Faculty of Health Sciences University of Cape Town  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiwot Temesgen","family":"Andualem","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Science, School of Rehabilitation Therapy Queen's University  Kingston Ontario Canada"},{"name":"Department of Social Work, College of Social Sciences University of Gondar  Gondar Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather M.","family":"Aldersey","sequence":"additional","affiliation":[{"name":"School of Rehabilitation Therapy Queen's University  Kingston Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dex234"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/hropen\/hoac051"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-024-03118-8"},{"key":"e_1_2_9_5_1","unstructured":"World Health Organization.Infertility definitions and terminology.2019Accessed September 2020.https:\/\/www.who.int\/reproductivehealth\/topics\/infertility\/definitions\/en\/"},{"key":"e_1_2_9_6_1","unstructured":"World Health Organization.Fact sheets: Inf Dent.2024Accessed August 13 2024.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/infertility"},{"key":"e_1_2_9_7_1","unstructured":"Medicine P.C.o.t.A.S.f.R.Definition of infertility: a committee opinion.2023Accessed September 18 2024.https:\/\/www.asrm.org\/practice\u2010guidance\/practice\u2010committee\u2010documents\/denitions\u2010of\u2010infertility\/"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4236\/jss.2016.48012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2017.1359672"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0054429"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11195-014-9348-6"},{"key":"e_1_2_9_12_1","volume-title":"Psychosocial Problems of Infertility among Married Men and Women in Addis Ababa: Implications for Marriage and Family Counseling","author":"Mekonnen A","year":"2017"},{"issue":"3","key":"e_1_2_9_13_1","first-page":"178","article-title":"The social construction of infertility among Iranian infertile women: a qualitative study","volume":"20","author":"Hasanpoor\u2010Azghady SB","year":"2019","journal-title":"J Reprod Infertil"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S31598"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-2017-003625"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2016.02.034"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmv016"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.22074\/ijfs.2015.4181"},{"key":"e_1_2_9_19_1","volume-title":"Infecundity, Infertility, and Childlessness in Developing Countries. 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