Perceptions, expectations and challenges among men during in vitro fertilization treatment in a low resource setting: a qualitative study.

ABSTRACT

INTRODUCTION: Partner support is very important in alleviating the burden of infertility related stress and although understudied, partner coping patterns also play a key role in the other partner's ability to cope with the infertility experience which eventually affects treatment outcomes. Very few studies more so in a low to middle income setting, explore the psychological and social aspects of infertility in men. There is a need for a deeper understanding into men's perceptions, expectations and challenges of fertility treatment in our low resource setting. OBJECTIVE: To explore men's perceptions, expectations, challenges and experiences during IVF treatment among men in a low resource setting. METHODS: A qualitative research design was utilised. The study was conducted at life sure fertility and gynaecology centre. The study participants were men participating in the IVF cycles. They were selected purposefully by maximum variation sampling. All the interviews took place on the day of enrolment for treatment and inductive content analysis was used to draw meaning from the transcripts. Ethical approval for the study will be sought from Nsambya Hospital IRB/REC. RESULTS: Seven major themes arose, and these included (1) Societal influence on IVF treatment experience; (2) Social support during IVF treatment; (3) Feeling insignificant; (4) Financial burden; (5) IVF as an emotional bridge; (6) Inadequate sensitization; (7) Fear of treatment failure. CONCLUSION: Men's experiences during IVF treatment were negatively affected by the society's perceptions of IVF treatment and infertility, cost of treatment, perceived men's involvement and insufficient knowledge about the IVF process. However, spouse and friends' support helped with coping and the IVF treatment experience strengthened emotional bonds.