THE PLACE OF MIND-‐BODY BALANCING IN IVF SUCCESS
Ebru Alçolak Suatoğlu (MSc)
Gürgan Clinic IVF and Women’s Health Center
MSRM
21-‐24 April 2016 Çeşme
STRESS and IVF
• Stress takes a toll on a woman’s ability to persevere through fer8lity treatments.
• Stress is the number one reason why pa8ents drop out of treatment.
Domar AD. et al, Fer8l Steril,1993 Olivius C et al,Fer8l Steril,2004
Infer8lity Stress
Stress Infer8lity
WHAT IS STRESS ?
• Physiological or biological stress is an organism's response to a stressor such as an environmental condition.
• Stress is a body's method of reacting to a challenge.
Hum. Reprod. 2004
Prevalence-‐InferZlity
• Psychiatric disorder in infer8le couples 25-‐60%
• N:112 infer8le women
• General incidence: 40.2%
Anxiety disorder: 23.2%
Major depression: 17%
• Infer8lity diagnosis and treatment is significantly coreleted with stress symptoms (+)
Greenfeld DA et al. Does psychological support counselling reduce the stress experinced by couple involved in ART? J Assisted Reprod Genet 1997
Domar et. al,Hum. Reprod,2012
FLIGHT
Should ferZlizaZon treatment start with reducing stress?
Campagne DM.Hum Reprod. 2006
Mind-‐Body Stress ReducZon Program
RelaxaZon Response
• Dr. Herbert Benson, MD
• Founding president of the Mind-‐Body Medical Ins8tute
• Asssociate Proffesor of Medicine, Harvard Medical School
RELAXATION
[The ‘’relaxta8on’’ phenomenon is a physical state of deep rest that changes physical and emo8onal responses to stress -‐ the opposite of the fight or flight response]
MIND-‐BODY STRESS REDUCTION PROGRAM FOR INFERTILITY
• The first Mind-‐Body Stress Reduc8on Program for infer8lity pa8ents was offered in 1987 by Dr.Alice Domar, USA
• Dr. Domar was doing a study on the impact of teaching relaxa8on techniques to women with unexplained infer8lity, to see if those who learned such techniques would have higher pregnancy rates and less anxiety.
• The women who agended the first few groups experienced about a 33% pregnancy rate within a few months and their psychological symptoms were markedly reduced.
History
MIND-‐BODY STRESS REDUCTION PROGRAM and IVF RESULT
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? ?
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Fer8lity and Sterility, 2014
CONCLUSION
• MB stress reducZon program which included relaxaZon training and stress management for ivf paZent
• May be offered as first line theraphy to all inferZle couples regadless of the type of inferZlity ?
• PaZent care program for paZent-‐friendly ivf treatment
• Pregnancy rates?
• Might help paZents to keep on pursuing ART treatments in a long term.
