Quality-of-Life Assessment of Women Undergoing In Vitro Fertilization in Kazakhstan

Meruyert Suleimenova, Vyacheslav Lokshin, Natalya Glushkova, Sholpan Karibayeva, Milan Terzic

Research output: Contribution to journalArticlepeer-review


Infertility is a problem that affects millions of couples worldwide and has a significant impact on their quality of life. The recently introduced "Fertility Quality of Life Questionnaire (FertiQoL)" quickly became a gold standard for evaluation of the quality of life of patients suffering from infertility. The aim of this study was to determine the quality of life of Kazakhstani women coping with infertility problems by FertiQoL and assess the validity of the questionnaire. This cross-sectional study involved women of reproductive age undergoing an in vitro fertilization (IVF) cycle at a large IVF center in Kazakhstan in the period from 1 September 2020 to 31 September 2021. A total of 453 women out of 500 agreed to participate in the study, and the response rate was 90.6%. The overall Core FertiQoL was 56.95 ± 14.05, and the Treatment FertiQoL was 66.18 ± 11.13 points. Respondents with secondary infertility had statistically significantly higher Emotional ( p < 0.001), Mind-body ( p = 0.03), Social ( p < 0.001), Environment ( p = 0.02), and Treatment ( p < 0.001) domains of FertiQoL than women with primary infertility. Respondents with a low income had the lowest levels of Total FertiQoL (56.72 ± 11.65). The longer duration of infertility of women undergoing IVF treatment presented the worse scale of Treatment and Total FertiQoL. Cronbach's alpha revealed good internal reliability for all FertiQoL subscales on the Kazakhstan women's questionnaire and averaged 0.8, which is an indicator of a high degree of reliability. The Total FertiQoL of Kazakhstan women undergoing IVF treatment was 59.6 ± 11.5, which is considerably lower than European countries. We identified statistically significant differences across medical and demographic groups. As this questionnaire had validity in Kazakhstan survey it possibly be used for both medical counseling and future investigation in our country.

Original languageEnglish
JournalInternational Journal of Environmental Research and Public Health
Issue number20
Publication statusPublished - Oct 20 2022


  • Humans
  • Female
  • Quality of Life/psychology
  • Cross-Sectional Studies
  • Reproducibility of Results
  • Kazakhstan/epidemiology
  • Fertilization in Vitro/psychology
  • Infertility/psychology
  • Surveys and Questionnaires
  • Infertility, Female/epidemiology


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