- Research Article
1
- 10.5114/hpr/213967
Sociodemographic and medical correlates of fertility-related quality of life in primary infertile Czech couples attending fertility clinics
- Jan 27, 2026
- Health Psychology Report
- Jana Daňková Kučerová + 6 more +6
BACKGROUNDInfertility significantly impacts couples’ quality of life (QoL), with women often reporting a greater psychological burden. However, evidence regarding the effects of socioeconomic and medical variables remains mixed, particularly for couples with primary infertility in Central/Eastern Europe. This study used a dyadic approach to investigate how gender, medical history, and sociodemographic factors affect fertility-related QoL (FertiQoL) in Czech couples seeking treatment for primary infertility.PARTICIPANTS AND PROCEDUREThis cross-sectional multicenter study included 469 heterosexual couples diagnosed with primary infertility from four Czech fertility clinics. Participants completed the FertiQoL questionnaire and a sociodemographic survey. Medical data were provided by attending physicians. The Actor-Partner Interdependence Model (APIM) was employed to analyze the interdependent data from the couples.RESULTSA significant gender effect was found, with women reporting lower total, Emotional, Mind-Body, and Social FertiQoL scores than their male partners. The cause of infertility was a key moderator: men with a male-factor or mixed-factor diagnosis reported lower Emotional and Mind-Body QoL, whereas women’s scores were consistently low regardless of etiology. Prior experience with assisted reproductive technology (ART) was associated with lower Emotional scores for both partners, while lower Mind-Body scores were observed for women only. Residing in mid-sized cities and having a higher household income were associated with better QoL. Conversely, longer relationship duration was negatively associated with total, Relational, and Social scores.CONCLUSIONSThe findings underscore the necessity of integrating psychological support into standard fertility care. A dyadic, context-sensitive approach is crucial for identifying and supporting at-risk groups. Interventions should be pro-actively offered to all patients, with a targeted focus on women – especially those with prior ART experience – and men diagnosed with male-factor infertility, who represent a distinct vulnerable population requiring tailored support.
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