Mood disorders and fertility in women: a critical review of the literature and implications for future research
UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
2007-11-01Keywords
Biomedical ResearchFemale
Fertility
Fertilization in Vitro
Humans
Infertility, Female
Mood Disorders
Pregnancy
*Pregnancy Rate
Mental and Social Health
Psychiatry
Psychiatry and Psychology
Metadata
Show full item recordAbstract
A medline literature review of fertility and mood disorder articles published since 1980 was performed in order to critically review the literature regarding a relationship between mood disorders, fertility and infertility treatment. Previous studies suggests that mood disorders, both in the bipolar and unipolar spectrum, may be associated with decreased fertility rates. Most studies report that women seeking treatment for infertility have an increased rate of depressive symptoms and possibly major depression (none showed evaluated mood elevations). Many, but not all, studies found that depressive symptoms may decrease the success rate of fertility treatment. Treatments for infertility may independently influence mood through their effects on estrogen and progesterone, which have been shown to influence mood through their actions on serotonin. Studies are limited in scope and confounding variables are many, limiting the strength of the results. In conclusion, a range of existing studies suggests that fertility and mood disorders are related in a complex way. Future studies should use clinical interviews and standardized and validated measures to confirm the diagnosis of mood disorders and control for the variables of medication treatment, desire for children, frequency of sexual intercourse, age, FSH levels, menstrual cycle regularity in assessing an interrelationship between mood disorders and fertility.Source
Hum Reprod Update. 2007 Nov-Dec;13(6):607-16. Epub 2007 Sep 25. Link to article on publisher's siteDOI
10.1093/humupd/dmm019Permanent Link to this Item
http://hdl.handle.net/20.500.14038/46054PubMed ID
17895237Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1093/humupd/dmm019