Infertility Induced Silent Stress among Couples in Bharatpur Metropolitan City Chitwan, Nepal

Abstract

Infertility is often a silent issue, rarely discussed openly in society because of the emotional stress it places on couples. The purpose of this study was to investigate infertility cases, societal attitudes, and couple behaviors at Manakamana Hospital in Bharatpur. This cross-sectional case study included 16 infertility cases 9 urban (Ward 25) and 7 rural (Ward 27) of Bharatpur, Nepal identified from Manakamana Hospital records. Couples were contacted, consented, and interviewed by phone using standardized questions between late March and early April 2025. Key Informant Interviews with local health officials and practitioners supplemented the data. All information was analyzed using MS Excel and SPSS and is presented through tables, graphs, and analytical summaries The study found that couples experience significant mental, domestic, and social stress due to their inability to conceive. Feelings of shame, low self-esteem, and reduced morale were common among participants. This emotional burden also affected their performance in both household responsibilities and work outside the home. Social pressure was more intense and openly expressed in rural areas, while in urban areas it was present but less openly discussed. Many couples viewed alternative fertility options as helpful pathways to conception and childbirth, offering hope and a way to recover from previous setbacks. The study concludes that even the label “infertile” can heighten stress levels and negatively influence individuals’ quality of work, thought processes, and overall well-being. The findings highlight the importance of accessible counseling and reliable treatment options for couples facing infertility.