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Beyond hormone replacement: quality of life in women with congenital hypogonadotropic hypogonadism.


ABSTRACT:

Objective

Little is known about how women with isolated GnRH deficiency cope with their condition. This study aimed to examine the health and informational needs of women with congenital hypogonadotropic hypogonadism (CHH) and evaluate if their experiences differ from women with more common forms of infertility.

Design

Cross-sectional, multiple methods study using web-based data collection to reach dispersed rare disease patients.

Methods

A community-based participatory research framework was employed to develop an online survey and collect quantitative and qualitative data. Adult women diagnosed with CHH who had received at least one year of hormonal treatment completed the Morisky Medication Adherence Scale, Revised Illness Perception Questionnaire and Zung Self-Rating Depression Scale. Information on health care experiences, treatment outcomes and patient-reported challenges were also collected.

Results

Women (n?=?55) were often diagnosed late (20.7?±?7.4, range: 10-48 years) and 16/20 patients receiving fertility treatment conceived. Poor adherence was frequently observed (34/55) while more than half (27/49) reported a gap in treatment exceeding a year. Low adherence correlated with depressive symptoms (r?=?0.3, P?>?0.05). Negative illness perceptions were pervasive and 30/55 exhibited some depressive symptoms - significantly greater than women with common female factor infertility (P?ConclusionsDespite being a treatable form of female infertility, the presumable availability of treatment does not necessarily ensure adequate quality of life for women with isolated GnRH deficiency.

SUBMITTER: Dzemaili S 

PROVIDER: S-EPMC5551425 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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Publications

Beyond hormone replacement: quality of life in women with congenital hypogonadotropic hypogonadism.

Dzemaili Shota S   Tiemensma Jitske J   Quinton Richard R   Pitteloud Nelly N   Morin Diane D   Dwyer Andrew A AA  

Endocrine connections 20170711 6


<h4>Objective</h4>Little is known about how women with isolated GnRH deficiency cope with their condition. This study aimed to examine the health and informational needs of women with congenital hypogonadotropic hypogonadism (CHH) and evaluate if their experiences differ from women with more common forms of infertility.<h4>Design</h4>Cross-sectional, multiple methods study using web-based data collection to reach dispersed rare disease patients.<h4>Methods</h4>A community-based participatory res  ...[more]

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