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. 2025 Jan 7;6:1513243. doi: 10.3389/frph.2024.1513243

Table 3.

Themes and subthemes related to the experiences of infertile couples.

Domains Themes • Sub-themes
Biomedical experiences of the infertility treatment journey Lack of clear information regarding infertility care pathway
  • Diagnosis not established quickly

  • Therapeutic management not understood by patients

  • Information and orientation problem

Multiplicity of treatments
  • Multiple medical treatments

  • Use of a variety of alternative therapies

Fractured care or Lack of continuity in care
  • Discontinuous monitoring

  • Frequent change of doctors

  • Problem of trust in private practices

Social experiences Gendered social pressures
  • Stigma and discrimination

  • Social isolation

  • Harassment

  • Pejorative perception of ART/secretive nature of ART

Marital and relationship difficulties
  • Conflicts and tensions with in laws and marital partners

  • Threat of potential divorce

Disruption of daily and professional lives
  • Geographic distanceto ART centres

  • Disrupted labour

Psychological experiences Psychological suffering
  • Negative emotions

  • Psychological distress

Financial experiences Financial problems
  • High direct medical costs

  • Indirect costs

  • Financial indebtedness

  • Mandatory out of pocket expenditures