{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T12:15:43Z","timestamp":1791893743289,"version":"4.3.4"},"reference-count":40,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Spanish Ministry of Science, Innovation and Universities","award":["PSI2017-82487-R"],"award-info":[{"award-number":["PSI2017-82487-R"]}]},{"name":"the State Investigation Agency","award":["PSI2017-82487-R"],"award-info":[{"award-number":["PSI2017-82487-R"]}]},{"name":"European Regional Development Fund (2018\u20132020)","award":["PSI2017-82487-R"],"award-info":[{"award-number":["PSI2017-82487-R"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Epidemiological data show that human reproductive disorders are a common problem worldwide, affecting almost one in six people of reproductive age. As a result, infertility has been identified by the World Health Organization as a public health disease. Reproductive problems can take a heavy toll on the psychosocial well-being of couples suffering from infertility. This is especially true for women, who tend to be the ones who undergo the most treatment. The main objective of the present study is to find out whether a sex-based infertility diagnosis influences the quality of life of couples with infertility. Also, we aim to find out whether the degree of adherence to gender norms influences their quality of life. A cross-sectional study was conducted using the Fertility Quality of Life Questionnaire (FertiQoL) and the Conformity to Feminine and Masculine Norms Inventories in a sample of 219 infertile Spanish couples (438 participants). The results show that, in all cases, regardless of the degree of conformity to gender norms and whether the infertility diagnosis was of female or male origin, women have lower scores on the self-perceived quality of life. This suggests that being female is already a psychosocial risk factor when assessing the psychosocial consequences of infertility.<\/jats:p>","DOI":"10.3390\/ijerph21020158","type":"journal-article","created":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T11:35:34Z","timestamp":1706614534000},"page":"158","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Psychosocial Impact of Infertility Diagnosis and Conformity to Gender Norms on the Quality of Life of Infertile Spanish Couples"],"prefix":"10.3390","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0241-2717","authenticated-orcid":false,"given":"Lidia","family":"Bueno-S\u00e1nchez","sequence":"first","affiliation":[{"name":"Polibienestar Research Institute, Universitat de Val\u00e8ncia, 46022 Val\u00e8ncia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8595-1969","authenticated-orcid":false,"given":"Tamara","family":"Alhambra-Borr\u00e1s","sequence":"additional","affiliation":[{"name":"Polibienestar Research Institute, Universitat de Val\u00e8ncia, 46022 Val\u00e8ncia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5649-9838","authenticated-orcid":false,"given":"Alfonso","family":"Gallego-Valad\u00e9s","sequence":"additional","affiliation":[{"name":"Polibienestar Research Institute, Universitat de Val\u00e8ncia, 46022 Val\u00e8ncia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Garc\u00e9s-Ferrer","sequence":"additional","affiliation":[{"name":"Polibienestar Research Institute, Universitat de Val\u00e8ncia, 46022 Val\u00e8ncia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (WHO) (2024, January 24). Infertility Prevalence Estimates 1990\u20132021. Available online: https:\/\/www.who.int\/publications\/i\/item\/978920068315."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"hoac051","DOI":"10.1093\/hropen\/hoac051","article-title":"Infertility prevalence and the methods of estimation from 1990 to 2021: A systematic review and meta-analysis","volume":"2022","author":"Cox","year":"2022","journal-title":"Hum. Reprod. Open"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.fertnstert.2017.06.005","article-title":"The International Glossary on Infertility and Fertility Care, 2017","volume":"108","author":"Adamson","year":"2017","journal-title":"Fertil. Steril."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"hoad007","DOI":"10.1093\/hropen\/hoad007","article-title":"Financial costs of assisted reproductive technology for patients in low- and middle-income countries: A systematic review","volume":"2023","author":"Njagi","year":"2023","journal-title":"Hum. Reprod. Open"},{"key":"ref_5","first-page":"22","article-title":"Psychological impact of infertility. Directions for the development of interventions","volume":"4","author":"Vioreanu","year":"2021","journal-title":"Ment. Health Glob. Chall. J."},{"key":"ref_6","first-page":"129","article-title":"Cross-border reproductive care: Psychological distress in A sample of women undergoing in vitro fertilization treatment with and without oocyte donation","volume":"4","author":"Lasheras","year":"2020","journal-title":"Int. J. Fertil. Steril."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1016\/j.clinbiochem.2018.03.012","article-title":"Fertility and infertility: Definition and epidemiology","volume":"62","author":"Wyns","year":"2018","journal-title":"Clin. Biochem."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"306","DOI":"10.3892\/etm.2021.9737","article-title":"The complex relationship between infertility and psychological distress (Review)","volume":"21","author":"Simionescu","year":"2021","journal-title":"Exp. Ther. Med."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Kiani, Z., Simbar, M., Hajian, S., Zayeri, F., RashidiFakari, F., and Chimeh, F.J. (2022). Investigating different dimensions of infertile women\u2019s quality of life: A descriptive cross-sectional study. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-14924-w"},{"key":"ref_10","first-page":"e30320","article-title":"Psychological problems related to infertility","volume":"14","author":"Sharma","year":"2022","journal-title":"Cureus"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.ejogrb.2021.02.012","article-title":"The association between psychosocial interventions and fertility treatment outcome: A systematic review and meta-analysis","volume":"259","author":"Katyal","year":"2021","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Mobeen, T., and Dawood, S. (2023). Relationship beliefs, attachment styles and depression among infertile women. Eur. J. Obstet. Gynecol. Reprod. Biol. X, 20.","DOI":"10.1016\/j.eurox.2023.100245"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"89","DOI":"10.29333\/ejecs\/679","article-title":"Battling the invisible infertility agony: A case study of infertile women in Khyber Pakhtunkhwa-Pakistan","volume":"8","author":"Ullah","year":"2021","journal-title":"J. Ethn. Cult. Stud."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1002\/ijgo.14084","article-title":"Depression, anxiety, quality of life and coping in women with infertility: A cross-sectional study from India","volume":"158","author":"Dadhwal","year":"2022","journal-title":"Int. J. Gynaecol. Obstet."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"e057132","DOI":"10.1136\/bmjopen-2021-057132","article-title":"Worldwide prevalence, risk factors and psychological impact of infertility among women: A systematic review and meta-analysis","volume":"12","author":"Hussain","year":"2022","journal-title":"BMJ Open"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1055\/a-2166-4374","article-title":"Systematic review: Risk factors of anxiety, depressiveness, and (lack of) social support in women and men prior to assisted reproduction","volume":"83","author":"Thanscheidt","year":"2023","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Bright, S.J., H\u00fcbel, C., Young, K.S., Bristow, S., Peel, A.J., Rayner, C., Mundy, J., Palmos, A.B., Purves, K.L., and Kalsi, G. (2023). Sociodemographic, mental health, and physical health factors associated with participation within re-contactable mental health cohorts: An investigation of the GLAD Study. BMC Psychiatry, 23.","DOI":"10.1186\/s12888-023-04890-x"},{"key":"ref_18","unstructured":"Ten, H., and Neves, M.C. (2021). Dictionary of Global Bioethics, Springer International Publishing."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"712485","DOI":"10.3389\/fpsyg.2021.712485","article-title":"Patient-centered infertility care: Current research and future perspectives on psychosocial, relational, and communication aspects","volume":"12","author":"Borghi","year":"2021","journal-title":"Front. Psychol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"e044300","DOI":"10.1136\/bmjopen-2020-044300","article-title":"Patient-centred infertility care among Arab women experiencing infertility: A qualitative study","volume":"11","author":"Webair","year":"2021","journal-title":"BMJ Open"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s12978-022-01548-x","article-title":"Women\u2019s reflections on timing of motherhood: A meta-synthesis of qualitative evidence","volume":"20","author":"Temmesen","year":"2023","journal-title":"Reprod. Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"13","DOI":"10.14198\/fem.2023.41.01","article-title":"Rethinking Motherhood in the 21st Century: New feminist approaches. Introduction","volume":"41","author":"Blasco","year":"2023","journal-title":"Feminismo-s"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"848384","DOI":"10.3389\/fpsyg.2022.848384","article-title":"\u201cI Kind of Want to Want\u201d: Women Who Are Undecided About Becoming Mothers","volume":"13","author":"Donath","year":"2022","journal-title":"Front. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"394","DOI":"10.33314\/jnhrc.v18i3.2639","article-title":"Quality of life among infertile women attending an infertility treatment center, Kathmandu","volume":"18","author":"Pradhan","year":"2020","journal-title":"J. Nepal. Health Res. Counc."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Cheung, F.M., and Halpern, D.F. (2020). The Cambridge Handbook of the International Psychology of Women, Cambridge University Press.","DOI":"10.1017\/9781108561716"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1186\/s12978-018-0596-2","article-title":"\u2018I am always crying on the inside\u2019: A qualitative study on the implications of infertility on women\u2019s lives in urban Gambia","volume":"15","author":"Dierickx","year":"2018","journal-title":"Reprod. Health"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"252","DOI":"10.12688\/f1000research.131599.1","article-title":"\u201cAm I Masculine?\u201d A metasynthesis of qualitative studies on traditional masculinity on infertility","volume":"12","author":"Pakpahan","year":"2023","journal-title":"F1000Research"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"10","DOI":"10.4103\/aja202334","article-title":"Psychological consequences of a diagnosis of infertility in men: A systematic analysis","volume":"26","author":"Biggs","year":"2024","journal-title":"Asian J. Androl."},{"key":"ref_29","unstructured":"Gender Equality Glossary (2024, January 24). Council of Europe Publishing. Available online: https:\/\/edoc.coe.int\/en\/gender-equality\/6947-gender-equality-glossary.html."},{"key":"ref_30","unstructured":"Schnebly, R.A. (2024, January 24). Biological sex and gender in the United States. Available online: https:\/\/keep.lib.asu.edu\/items\/173103."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.fertnstert.2011.02.046","article-title":"The Fertility Quality of Life (FertiQoL) tool: Development and general psychometric properties","volume":"96","author":"Boivin","year":"2011","journal-title":"Fertil. Steril."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Dura-Ferrandis, E., Bonilla-Campos, A., and Alhambra-Borras, T. (2023). Psychometric properties of the Spanish version of the FertiQoL measure in couples undergoing infertility treatment. J. Reprod. Infant Psychol., 1\u201315.","DOI":"10.1080\/02646838.2023.2180623"},{"key":"ref_33","first-page":"32","article-title":"Adaptaci\u00f3n al espa\u00f1ol del Inventario de Conformidad con las Normas de G\u00e9nero Femeninas-45","volume":"14","author":"Paterna","year":"2017","journal-title":"URP"},{"key":"ref_34","first-page":"170","article-title":"El Inventario de Conformidad con las Normas de G\u00e9nero Masculinas (CMNI) en la poblaci\u00f3n espa\u00f1ola","volume":"27","author":"Dresch","year":"2011","journal-title":"An. De Psicol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1093\/swr\/svt034","article-title":"Confirmatory factor analysis of the abbreviated Conformity to Feminine Norms Inventory","volume":"37","year":"2013","journal-title":"Soc. Work Res."},{"key":"ref_36","first-page":"171","article-title":"Gender conformity norms: A systematic review of validity evidence","volume":"34","author":"Silva","year":"2020","journal-title":"Rev. Psicol. Para Am. Lat."},{"key":"ref_37","first-page":"97","article-title":"Ventajas de R como herramienta para el An\u00e1lisis y Visualizaci\u00f3n de datos en Ciencias Sociales","volume":"7","year":"2020","journal-title":"Rev. Cient\u00edfica De La UCSA"},{"key":"ref_38","first-page":"117","article-title":"The quality of life and dyadic adjustment of couples receiving infertility treatment","volume":"23","author":"Zeren","year":"2019","journal-title":"Afr. J. Reprod. Health"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1557988320982167","DOI":"10.1177\/1557988320982167","article-title":"The Etiology of Infertility Affects Fertility Quality of Life of Males Undergoing Fertility Workup and Treatment","volume":"15","year":"2021","journal-title":"Am. J. Men\u2019s Health"},{"key":"ref_40","doi-asserted-by":"crossref","unstructured":"Horstman, S., Schemechl, C., Palm, K., Oertelt-Prigione, S., and Bolte, G. (2022). The Operatiobalisation of Sex and Gender in Qualitative Health-Related Rsearch: A Scoping Review. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19127493"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/2\/158\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:51:55Z","timestamp":1760104315000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/21\/2\/158"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,30]]},"references-count":40,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["ijerph21020158"],"URL":"https:\/\/doi.org\/10.3390\/ijerph21020158","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,30]]}}}