{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T18:36:03Z","timestamp":1794335763821,"version":"4.9.0"},"reference-count":74,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T00:00:00Z","timestamp":1783728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Infertility is a complex health issue that extends beyond biological mechanisms, encompassing significant psychological, relational, and social aspects. Advances in assisted reproductive technologies have improved the chances of conception, yet many couples discontinue treatment due to stress, stigma, and reduced quality of life. This narrative review explores the role of rehabilitation as a complementary approach to conventional fertility care, highlighting psychological, physical, and integrated interventions. Psychological rehabilitation strategies, such as cognitive behavioral therapy, mindfulness-based interventions, and couple-focused counseling, have been shown to reduce anxiety and depression, improve coping, and, in some cases, support better adherence to fertility treatments. Physical rehabilitation approaches, including pelvic floor muscle training, structured exercise for women with polycystic ovary syndrome, lifestyle and fitness interventions for men, yoga, and sexual rehabilitation, contribute to reproductive health, reduce pain, and enhance intimacy. Integrated models that combine psychological and physical components show the greatest promise, as they address the interaction between stress, physical function, and reproductive outcomes. Overall, the evidence suggests that infertility care should not focus solely on achieving conception. Rehabilitation offers opportunities to strengthen emotional resilience, improve sexual health, and support relationship stability, ensuring that patients benefit not only medically but also in terms of long-term well-being and quality of life.<\/jats:p>","DOI":"10.3390\/medicina62071335","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T07:28:27Z","timestamp":1783927707000},"page":"1335","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Narrative Review of Psychological and Physical Rehabilitation in Infertility Treatment: Toward Holistic Outcomes Beyond Conception"],"prefix":"10.3390","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7679-394X","authenticated-orcid":false,"given":"Muhammad Adib Dwi Tamma","family":"Putra","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Faculty of Medicine, University of Sriwijaya, Palembang 30128, Indonesia"},{"name":"Doctoral Program, AMA University, Quezon City 1106, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Ayub","family":"Endratamma","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Sriwijaya, Palembang 30128, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0768-9041","authenticated-orcid":false,"given":"Muhammad Fadill","family":"Akbar","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universitas Sriwijaya, Palembang 30128, Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adila","family":"A. Hamid","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7801-6358","authenticated-orcid":false,"given":"Mohd Helmy","family":"Mokhtar","sequence":"additional","affiliation":[{"name":"Department of Physiology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,11]]},"reference":[{"key":"ref_1","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_2","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1001\/jama.2021.4788","article-title":"Diagnosis and Management of Infertility: A Review","volume":"326","author":"Carson","year":"2021","journal-title":"JAMA"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"17559","DOI":"10.1038\/s41598-025-01498-x","article-title":"Global, regional, and national burden of female infertility and trends from 1990 to 2021 with projections to 2050 based on the GBD 2021 analysis","volume":"15","author":"Liu","year":"2025","journal-title":"Sci. Rep."},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Mascarenhas, M.N., Flaxman, S.R., Boerma, T., Vanderpoel, S., and Stevens, G.A. (2012). National, regional, and global trends in infertility prevalence since 1990: A systematic analysis of 277 health surveys. PLoS Med., 9.","DOI":"10.1371\/journal.pmed.1001356"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1111\/j.1467-9566.2009.01213.x","article-title":"The experience of infertility: A review of recent literature","volume":"32","author":"Greil","year":"2010","journal-title":"Sociol. Health Illn."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Ahmadi, H., Aghebati-Maleki, L., Rashidiani, S., Csabai, T., Nnaemeka, O.B., and Szekeres-Bartho, J. (2023). Long-Term Effects of ART on the Health of the Offspring. Int. J. Mol. Sci., 24.","DOI":"10.3390\/ijms241713564"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"652","DOI":"10.1093\/humupd\/dms031","article-title":"Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment","volume":"18","author":"Gameiro","year":"2012","journal-title":"Hum. Reprod. Update"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2313","DOI":"10.1093\/humrep\/deh414","article-title":"Prevalence of depressive and anxiety disorders in an assisted reproductive technique clinic","volume":"19","author":"Chen","year":"2004","journal-title":"Hum. Reprod."},{"key":"ref_9","unstructured":"World Health Organization (2007). International Classification of Functioning, Disability, and Health: Children & Youth Version: ICF-CY, World Health Organization."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"610","DOI":"10.1080\/0092623X.2014.958789","article-title":"The Impact of Infertility on the Psychological Well-Being, Marital Relationships, Sexual Relationships, and Quality of Life of Couples: A Systematic Review","volume":"41","author":"Luk","year":"2015","journal-title":"J. Sex Marital Ther."},{"key":"ref_11","first-page":"26","article-title":"Sexual Dysfunction in Women Undergoing Fertility Treatment in Iran: Prevalence and Associated Risk Factors","volume":"17","author":"Bakhtiari","year":"2016","journal-title":"J. Reprod. Infertil."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1093\/humupd\/dmp048","article-title":"World Health Organization reference values for human semen characteristics","volume":"16","author":"Cooper","year":"2010","journal-title":"Hum. Reprod. Update"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1016\/j.ijnurstu.2015.05.004","article-title":"Gender differences in experiences with and adjustments to infertility: A literature review","volume":"52","author":"Ying","year":"2015","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s10433-025-00877-7","article-title":"Social aspects of childlessness experiences in midlife and late adulthood: A scoping review","volume":"22","author":"Xu","year":"2025","journal-title":"Eur. J. Ageing"},{"key":"ref_15","first-page":"102","article-title":"The economic impact of infertility on women in developing countries\u2014A systematic review","volume":"4","author":"Dyer","year":"2012","journal-title":"Facts Views Vis. ObGyn"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1177\/13591053241274682","article-title":"Reproductive identity of women undergoing IVF: An Interpretative Phenomenological Analysis","volume":"30","year":"2025","journal-title":"J. Health Psychol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"2101","DOI":"10.1093\/humrep\/der148","article-title":"Variation in distress among women with infertility: Evidence from a population-based sample","volume":"26","author":"Greil","year":"2011","journal-title":"Hum. Reprod."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"24220","DOI":"10.1038\/s41598-021-03715-9","article-title":"The associations between infertility-related stress, family adaptability and family cohesion in infertile couples","volume":"11","author":"Lei","year":"2021","journal-title":"Sci. Rep."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Xu, J., Zhang, X.-Y., Zhouchen, Y.-B., Luo, Y., Wang, S.-Y., Redding, S.R., Ouyang, Y.-Q., and Fu, D. (2025). Relationship Between Resilience and Fertility Quality of Life in Infertile Women: Mediating Roles of Infertility Self-Efficacy and Infertility Coping. Healthcare, 13.","DOI":"10.3390\/healthcare13202589"},{"key":"ref_20","unstructured":"World Health Organization (2023). Package of Interventions for Rehabilitation. Module 1. Introduction, World Health Organization."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"European Physical and Rehabilitation Medicine Bodies Alliance (2018). White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 1. Definitions and concepts of PRM. Eur. J. Phys. Rehabil. Med., 54, 156\u2013165.","DOI":"10.23736\/S1973-9087.18.05144-4"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Grammenou, M., Michou, V., Itziou, A., Tsiotsias, A., and Eskitzis, P. (2026). The Psychological Impact of In Vitro Fertilization (IVF): A Gender Systematic Review. Healthcare, 14.","DOI":"10.3390\/healthcare14030375"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1093\/humupd\/dml040","article-title":"Women\u2019s emotional adjustment to IVF: A systematic review of 25 years of research","volume":"13","author":"Verhaak","year":"2007","journal-title":"Hum. Reprod. Update"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"2325","DOI":"10.1016\/S0277-9536(03)00138-2","article-title":"A review of psychosocial interventions in infertility","volume":"57","author":"Boivin","year":"2003","journal-title":"Soc. Sci. Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"e006592","DOI":"10.1136\/bmjopen-2014-006592","article-title":"Efficacy of psychosocial interventions for psychological and pregnancy outcomes in infertile women and men: A systematic review and meta-analysis","volume":"5","author":"Frederiksen","year":"2015","journal-title":"BMJ Open"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2269","DOI":"10.1016\/j.fertnstert.2011.03.046","article-title":"Impact of a group mind\/body intervention on pregnancy rates in IVF patients","volume":"95","author":"Domar","year":"2011","journal-title":"Fertil. Steril."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1059","DOI":"10.1016\/j.fertnstert.2013.05.036","article-title":"Mindfulness-Based Program for Infertility: Efficacy study","volume":"100","author":"Galhardo","year":"2013","journal-title":"Fertil. Steril."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1016\/j.fertnstert.2006.12.023","article-title":"Anxiety and sexual stress in men and women undergoing infertility treatment","volume":"88","author":"Peterson","year":"2007","journal-title":"Fertil. Steril."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"41","DOI":"10.31887\/DCNS.2018.20.1\/klrooney","article-title":"The relationship between stress and infertility","volume":"20","author":"Rooney","year":"2018","journal-title":"Dialogues Clin. Neurosci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"2763","DOI":"10.1093\/humrep\/der246","article-title":"Stress, distress and outcome of assisted reproductive technology (ART): A meta-analysis","volume":"26","author":"Matthiesen","year":"2011","journal-title":"Hum. Reprod."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.ajog.2024.01.001","article-title":"Pelvic floor muscle training as treatment for female sexual dysfunction: A systematic review and meta-analysis","volume":"231","author":"Jorge","year":"2024","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.brat.2015.12.010","article-title":"Effects of a mindfulness-based intervention on fertility quality of life and pregnancy rates among women subjected to first in vitro fertilization treatment","volume":"77","author":"Li","year":"2016","journal-title":"Behav. Res. Ther."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1080\/0092623X.2019.1594476","article-title":"The Effect of Cognitive Behavioral Therapy on Sexual Function in Infertile Women: A Randomized Controlled Clinical Trial","volume":"45","author":"Sahraeian","year":"2019","journal-title":"J. Sex Marital Ther."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/S0015-0282(99)00164-8","article-title":"The Fertility Problem Inventory: Measuring perceived infertility-related stress","volume":"72","author":"Newton","year":"1999","journal-title":"Fertil. Steril."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Ramezanzadeh, F., Aghssa, M.M., Abedinia, N., Zayeri, F., Khanafshar, N., Shariat, M., and Jafarabadi, M. (2004). A survey of relationship between anxiety, depression and duration of infertility. BMC Womens Health, 4.","DOI":"10.1186\/1472-6874-4-9"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"3248","DOI":"10.1093\/humrep\/dei193","article-title":"Communication and coping as predictors of fertility problem stress: Cohort study of 816 participants who did not achieve a delivery after 12 months of fertility treatment","volume":"20","author":"Schmidt","year":"2005","journal-title":"Hum. Reprod."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/j.cbpra.2024.01.005","article-title":"The Application of Cognitive Behavioral Therapy for Adolescent Patients With Endometriosis: A Topical Review","volume":"31","author":"Lunde","year":"2024","journal-title":"Cogn. Behav. Pract."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/s13030-021-00219-w","article-title":"Cognitive-behavioral therapy for management of mental health and stress-related disorders: Recent advances in techniques and technologies","volume":"15","author":"Nakao","year":"2021","journal-title":"Biopsychosoc. Med."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1093\/humrep\/deh743","article-title":"Differential efficacy of group and individual\/couple psychotherapy with infertile patients","volume":"20","author":"Strauss","year":"2005","journal-title":"Hum. Reprod."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1093\/humupd\/dmp002","article-title":"The efficacy of psychological interventions for infertile patients: A meta-analysis examining mental health and pregnancy rate","volume":"15","author":"Znoj","year":"2009","journal-title":"Hum. Reprod. Update"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Zanettoullis, A.T., Mastorakos, G., Vakas, P., Vlahos, N., and Valsamakis, G. (2024). Effect of Stress on Each of the Stages of the IVF Procedure: A Systematic Review. Int. J. Mol. Sci., 25.","DOI":"10.3390\/ijms25020726"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1093\/humrep\/dem306","article-title":"Online psychoeducational support for infertile women: A randomized controlled trial","volume":"23","author":"Cousineau","year":"2008","journal-title":"Hum. Reprod."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"4983","DOI":"10.3233\/THC-240174","article-title":"The effects of mindfulness therapy on infertile female patients: A meta-analysis","volume":"32","author":"Wen","year":"2024","journal-title":"Technol. Health Care"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"416","DOI":"10.4103\/jehp.jehp_990_24","article-title":"The effects of lifestyle improvements and mindfulness-based stress reduction on pregnancy rate and anxiety in infertile women undergoing IVF: A randomized clinical trial","volume":"14","author":"Malekpour","year":"2025","journal-title":"J. Educ. Health Promot."},{"key":"ref_45","doi-asserted-by":"crossref","unstructured":"Jackson, P.L., Saunders, P., Mizzi, S., and Hallam, K.T. (2025). The efficacy of psychological interventions for infertile women: A systematic review and meta-analysis. BMC Womens Health, 25.","DOI":"10.1186\/s12905-025-04054-x"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1093\/humupd\/dmw009","article-title":"Male psychological adaptation to unsuccessful medically assisted reproduction treatments: A systematic review","volume":"22","author":"Martins","year":"2016","journal-title":"Hum. Reprod. Update"},{"key":"ref_47","doi-asserted-by":"crossref","unstructured":"Pan, J., Zhao, X., Lyu, C., Xu, L., and Zhu, Y. (2025). Heterogeneity of dormitory interpersonal conflict coping style and its negative emotional characteristics among college students: Based on latent profile analysis. Front. Psychol., 16.","DOI":"10.3389\/fpsyg.2025.1606721"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1007\/s00192-019-04019-3","article-title":"Pelvic floor rehabilitation in the treatment of women with dyspareunia: A randomized controlled clinical trial","volume":"30","author":"Ghaderi","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"102311","DOI":"10.1016\/j.ijintrel.2025.102311","article-title":"Factors associated with intentions to seek face-to-face and online supports among Chinese-heritage university students in Australia with mental health concerns","volume":"109","author":"Wang","year":"2025","journal-title":"Int. J. Intercult. Relat."},{"key":"ref_50","first-page":"Cd009252","article-title":"Pelvic floor muscle training with feedback or biofeedback for urinary incontinence in women","volume":"3","author":"Fernandes","year":"2025","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Zachariou, A., Zikopoulos, A., Sapouna, V., Skentou, C., Kaltsas, A., Giannakis, I., Zachariou, D., Dimitriadis, F., Mamoulakis, C., and Mai, D.B.T. (2024). Supervised Pelvic Floor Muscle Training Improves Sexual Function and Diminishes Sexual Distress in Women with Relapsing\u2013Remitting Multiple Sclerosis: A Randomised Controlled Study. J. Pers. Med., 14.","DOI":"10.3390\/jpm14010088"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"e116","DOI":"10.1097\/j.pbj.0000000000000116","article-title":"Infertility management in women with polycystic ovary syndrome: A review","volume":"6","author":"Cunha","year":"2021","journal-title":"Porto Biomed. J."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Kim, C.H., and Lee, S.H. (2022). Effectiveness of Lifestyle Modification in Polycystic Ovary Syndrome Patients with Obesity: A Systematic Review and Meta-Analysis. Life, 12.","DOI":"10.3390\/life12020308"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1111\/cen.14452","article-title":"Exercise training and reproductive outcomes in women with polycystic ovary syndrome: A pilot randomized controlled trial","volume":"95","author":"Benham","year":"2021","journal-title":"Clin. Endocrinol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"4048","DOI":"10.1210\/jc.2015-2778","article-title":"Randomized Controlled Trial of Preconception Interventions in Infertile Women With Polycystic Ovary Syndrome","volume":"100","author":"Legro","year":"2015","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"e19644","DOI":"10.1097\/MD.0000000000019644","article-title":"The effect of exercise as an intervention for women with polycystic ovary syndrome: A systematic review and meta-analysis","volume":"99","author":"Ashe","year":"2020","journal-title":"Medicine"},{"key":"ref_57","first-page":"Cd007506","article-title":"Lifestyle changes in women with polycystic ovary syndrome","volume":"3","author":"Lim","year":"2019","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/1477-7827-11-66","article-title":"Lifestyle factors and reproductive health: Taking control of your fertility","volume":"11","author":"Sharma","year":"2013","journal-title":"Reprod. Biol. Endocrinol."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Adelowo, O.E., Akindele, B.M., Adegbola, C.A., Oyedokun, P.A., Akhigbe, T.M., and Akhigbe, R.E. (2024). Unraveling the complexity of the impact of physical exercise on male reproductive functions: A review of both sides of a coin. Front. Physiol., 15.","DOI":"10.3389\/fphys.2024.1492771"},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Song, W., Peng, Y., Jiang, Z., and Quan, Z. (2025). Effectiveness of exercise interventions on sperm quality: A systematic review and network meta-analysis. Front. Endocrinol., 16.","DOI":"10.3389\/fendo.2025.1537271"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"156","DOI":"10.4103\/ijoy.ijoy_218_23","article-title":"Reducing Stress with Yoga: A Systematic Review Based on Multimodal Biosignals","volume":"16","author":"Khajuria","year":"2023","journal-title":"Int. J. Yoga"},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Bhimavarapu, S., Rathore, A., Rastogi, N., Rai, K., Saifi, V., and Ahlawat, K. (2025). Effect of yoga-based intervention on stress among university students: A randomized control trial. medRxiv.","DOI":"10.1101\/2025.11.27.25340139"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.fertnstert.2004.10.014","article-title":"Variability in the difficulties experienced by women undergoing infertility treatments","volume":"83","author":"Benyamini","year":"2005","journal-title":"Fertil. Steril."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"115","DOI":"10.4103\/ijoy.IJOY_34_19","article-title":"Effect of Yoga on Psychological Distress among Women Receiving Treatment for Infertility","volume":"13","author":"Dumbala","year":"2020","journal-title":"Int. J. Yoga"},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"S213","DOI":"10.4103\/psychiatry.IndianJPsychiatry_19_20","article-title":"Principles of Marital Therapies and Behavior Therapy of Sexual Dysfunction","volume":"62","author":"Vaishnav","year":"2020","journal-title":"Indian J. Psychiatry"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1080\/19317611.2022.2155288","article-title":"Effectiveness of Physiotherapy Interventions in the Management Male Sexual Dysfunction: A Systematic Review","volume":"35","author":"Gbiri","year":"2023","journal-title":"Int. J. Sex. Health"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"941","DOI":"10.1038\/s41443-025-01034-5","article-title":"Pelvic physical therapy for male sexual disorders: A narrative review","volume":"37","author":"Sahin","year":"2025","journal-title":"Int. J. Impot. Res."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1016\/j.jsxm.2016.08.011","article-title":"Sexual Satisfaction and the Importance of Sexual Health to Quality of Life Throughout the Life Course of U.S. Adults","volume":"13","author":"Flynn","year":"2016","journal-title":"J. Sex. Med."},{"key":"ref_69","first-page":"Cd007471","article-title":"Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women","volume":"12","author":"Woodley","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/s10815-012-9904-x","article-title":"Relationship between psychological stress and reproductive outcome in women undergoing in vitro fertilization treatment: Psychological and neurohormonal assessment","volume":"30","author":"An","year":"2013","journal-title":"J. Assist. Reprod. Genet."},{"key":"ref_71","doi-asserted-by":"crossref","unstructured":"Mercuri, C., Bosco, V., Ju\u00e1rez-Vela, R., Guillari, A., Simeone, S., and Doldo, P. (2025). Sexual Health in Women with Inflammatory Bowel Diseases: A Narrative Review. Healthcare, 13.","DOI":"10.3390\/healthcare13070716"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"873","DOI":"10.2471\/BLT.24.291565","article-title":"Associations between sexual health and well-being: A systematic review","volume":"102","author":"Vasconcelos","year":"2024","journal-title":"Bull. World Health Organ."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"2476","DOI":"10.1093\/humrep\/dev177","article-title":"ESHRE guideline: Routine psychosocial care in infertility and medically assisted reproduction-a guide for fertility staff","volume":"30","author":"Gameiro","year":"2015","journal-title":"Hum. Reprod."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1093\/humrep\/der386","article-title":"How patient-centred care relates to patients\u2019 quality of life and distress: A study in 427 women experiencing infertility","volume":"27","author":"Aarts","year":"2012","journal-title":"Hum. Reprod."}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/7\/1335\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T07:56:34Z","timestamp":1783929394000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/62\/7\/1335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,11]]},"references-count":74,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7]]}},"alternative-id":["medicina62071335"],"URL":"https:\/\/doi.org\/10.3390\/medicina62071335","relation":{},"ISSN":["1648-9144"],"issn-type":[{"value":"1648-9144","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,11]]}}}