Evidence map›Paper›PMID 40483394›Full record

SynthesisBMC public health2025

Gender differences in psychological status of infertile couples: a systematic review and meta-analysis.

Fahimeh Khorasani, Elnaz Iranifard, Robab Latifnejad Roudsari

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Fahimeh KhorasaniReproductive Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID http://orcid.org/0000-0002-1809-9649
Elnaz IranifardReproductive Health, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.ORCID http://orcid.org/0000-0003-1332-9094
Robab Latifnejad RoudsariNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. rlatifnejad@yahoo.com.ORCID http://orcid.org/0000-0002-1438-8822

Funding

Mashhad University of Medical Sciences 4010026
6 · The paper itself

Abstract

BACKGROUND AND

aimInfertility affects approximately millions of individuals of reproductive age worldwide and can lead to significant psychological consequences, dramatically impacting the lives of those involved. This systematic review aimed to measure the gender differences in psychological status experienced by infertile couples.

methodsA comprehensive search of observational studies in English was conducted across several databases, including PubMed, Web of Science, Cochrane Library, and Scopus, with no time restrictions applied until September 2024. The review adheres to the MOOSE Guidelines and is registered with PROSPERO (CRD42024541801). Comprehensive Meta-Analysis Version 2 was used to estimate mean difference and 95% CI and prediction interval by the random-effects model. A subgroup analysis was conducted based on the study region, stage of treatment, and measurement tools. Also, sensitivity analysis was performed using the one-study removed method. To assess publication bias, the Funnel plot and Egger's test were used.

resultsOut of 748 documents from the initial search, 27 studies, involving 10,083 infertile men and women, were included in this systematic review, of which 21 studies were included in the meta-analysis. There was a significant difference between the mean scores of infertile women and men in all aspects of psychological status (Std diff in Mean: 0.31, CI 95% [0.23-0.39]; p-value ≤ 0.001). Also, there were significant differences in mean levels of anxiety (0.42, CI 95% [0.34-0.50], p-value ≤ 0.001), depression (0.39, CI 95% [0.29-0.49], p-value ≤ 0.001), stress (0.34, CI 95% [0.23-0.45], p-value ≤ 0.001), and self-efficacy (-0.54, CI 95% [-0.69-0.39], p-value ≤ 0.001) between infertile women and men. The difference in mean levels of self-esteem and sexual satisfaction did not differ significantly between infertile women and men.

conclusionConsidering the differences in psychological status between infertile women and men, paying attention to gender differences is crucial when formulating policies and planning strategies for implementing solutions. It is important to consider how men and women may be affected differently when designing programs to address their infertility issues.

Indexed as

InfertilityFemaleHumansMaleSex FactorsAnxietyDepressionDistressGenderInfertilityStress

Identifiers

PMID40483394
PMCPMC12144790

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.