title: Depression: an emotional obstacle to seeking medical advice for infertility.
abstract: OBJECTIVE
  To investigate the mental and general health of infertile women who had not sought medical advice for their recognized infertility and were therefore not represented in clinical populations.
  
  
  METHODS
  Longitudinal cohort study.
  
  
  METHODS
  Population based.
  
  
  METHODS
  Participants in the Australian Longitudinal Study on Women's Health aged 28-33 years in 2006 who had ever tried to conceive or had been pregnant (n = 5,936).
  
  
  METHODS
  None.
  
  
  METHODS
  Infertility, not seeking medical advice.
  
  
  RESULTS
  Compared with fertile women (n = 4,905), infertile women (n = 1,031) had higher odds of self-reported depression (odds ratio [OR] 1.20, 95% confidence interval [CI] 1.01-1.43), endometriosis (5.43, 4.01-7.36), polycystic ovary syndrome (9.52, 7.30-12.41), irregular periods (1.99, 1.68-2.36), type II diabetes (4.70, 1.79-12.37), or gestational diabetes (1.66, 1.12-2.46). Compared with infertile women who sought medical advice (n = 728), those who had not sought medical advice (n = 303) had higher odds of self-reported depression (1.67, 1.18-2.37), other mental health problems (3.14, 1.14-8.64), urinary tract infections (1.67, 1.12-2.49), heavy periods (1.63, 1.16-2.29), or a cancer diagnosis (11.33, 2.57-49.89). Infertile women who had or had not sought medical advice had similar odds of reporting an anxiety disorder or anxiety-related symptoms.
  
  
  CONCLUSIONS
  Women with self-reported depression were unlikely to have sought medical advice for infertility. Depression and depressive symptoms may be barriers to seeking medical advice for infertility.
authors.affiliation: School of Population Health, University of Queensland, Brisbane, Queensland, Australia. d.herbert@sph.uq.edu.au
authors.forename: Danielle L
authors.initials: DL
authors.lastname: Herbert
authors.forename: Jayne C
authors.initials: JC
authors.lastname: Lucke
authors.forename: Annette J
authors.initials: AJ
authors.lastname: Dobson
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003142:Communication; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000523:psychology* / Q000628:therapy; D057226:Information Seeking Behavior; D008137:Longitudinal Studies; D017063:Outcome Assessment, Health Care; D010817:Physician-Patient Relations; D012650:Self Disclosure