Clinics in Medicine 2019 | Volume 1 | Article 1009 030 © 2019 - Medtext Publications. All Rights Reserved. ISSN: 2688-6731 The Effects of Anesthesiologist on Anxiety Level in Patients Undergoing In-Vitro-Fertilization Therapy Research Article Gozde Ozturk 1 , Emre Can Melek 1 , Alican Otegen 1 , Bedirhan Kahraman 1 , Can Ilgin 2 , Tevfk Yoldemir 3 and Ayten Saracoglu 4* 1 Department of Medicine, Marmara University Medical School, Turkey 2 Department of Public Health, Marmara University Medical School, Turkey 3 Department of Obstetrics and Gynecology, Marmara University Medical School, Turkey 4 Department of Anesthesiology and Reanimation, Marmara University Medical School, Turkey Citation: Ozturk G, Melek EC, Otegen A, Kahraman B, Ilgin C, Yoldemir T, et al. The Effects of Anesthesiologist on Anxiety Level in Patients Undergoing In-Vitro-Fertilization Therapy. Clin Med. 2019; 1(2): 1009. Copyright: © 2019 Gozde Ozturk Publisher Name: Medtext Publications LLC Manuscript compiled: July 30 th , 2019 *Corresponding author: Ayten Saracoglu, Department of Anesthesiology and Reanimation, Marmara University Research and Hospital, Fevzi Cakmak Mahallesi, Muhsin Yazicioglu Cd No:10, 34890, Istanbul, Turkey, Tel: +90-216-6254545; Fax: +90-216-6254639; E-mail: anesthesiayten@gmail.com Abstract Background: In Vitro Fertilization (IVF) treatment is an assisted reproductive technique applied in infertile couples. According to World Health Organization reports, infertility afects 50 to 80 million women worldwide. Te hopelessness of patients treated with IVF determines the severity of anxiety. Although anxiety is functional up to a certain level, higher preoperative anxiety levels have been associated with increased anesthetic requirement. In order to reduce the level of anxiety, patients should be prepared psychologically and pharmacologically for surgery. Te aim of this study was to investigate the awareness of anesthesiologists about perioperative anxiety of patients undergoing surgery for IVF. Materials and methods: Forty-two volunteers and 33 anesthesiologists who received IVF treatment were included in the study. In the preoperative questionnaire, 14 sociodemographic and 5 likert scale questions were asked to the participants. Te Beck Anxiety Inventory was applied. In the postop questionnaire applied to the patients, 9 questions were asked, 7 of them were likert-sized, and 2 of them were open-ended. In our questionnaire applied to anesthesiologists, 5 sociodemographic, 7 likert-scale and 12 open-ended questions were asked. Results: Of the attending physicians, 51.52% were female, 48.48% were male and 81.25% were ready to deal with anxiety related complications during anesthesia. Tere was no signifcant correlation between educational status and anxiety levels of the patients (p=0.20). 47.62% of the patients were primary school, 14.29% were middle school, 16.67% were high school and 21.43% were university graduates, 95.4% had previously undergone anesthesia for diferent reasons. Tere was a positive relationship between preoperative and postoperative anxiety levels of the patients (p=0.0315). Tere was no signifcant relationship between anxiety awareness of physicians (p=0.72). Conclusion: It was observed that the patients who had high anxiety during the preoperative period maintained their anxiety levels in the postoperative period and afected the anesthesiologist's methods. However, the fact that the continuation of anxiety in the postoperative period was not related to any demographic data indicates that this issue is still controversial. Keywords: Anxiety; Anesthesiologist; In-vitro fertilization Introduction Anxiety is a natural reaction that an individual develops against situations in which he/she does not feel safe. Tey can have varying densities ranging from low tension and uneasiness to panic. Tere are types of panic attacks, generalized anxiety disorder, anxiety-depressive disorder. Anxiety is associated with increased postoperative morbidity and mortality and increased anesthetic requirement. In addition, the duration of hospital stay, patient satisfaction, stress, postoperative pain level, hemodynamic instability and nausea and vomiting frequency are directly efective. Preoperative anesthesia consultation is mostly limited to technical and medical evaluation, and the patient may have to struggle with anxiety causing serious complications in the postoperative period. For this reason, it is especially important to prepare patients in the preoperative period. Infertility is associated with high-frequency psychosomatic and somatic disorders that reduce the sense of well-being. According to the literature, women are generally more afected from infertility than men and deal with them diferently. Cousineau and Domar reported that infertility is as stressful as a serious disorder such as cancer [1]. Te results of a study by Bennon revealed that the failure of the treatment program was associated with increased anxiety [2]. Nourani et al. [3] showed that infertility is an important problem in the area of reproductive health. Although infertility is not accepted as a disease, it can lead to emotional disorders and psychosocial consequences. Chen et al. [4] evaluated the prevalence of anxiety and depressive disorders in an assisted fertility clinic in 2004 and the results of the study found that the prevalence of general anxiety disorders was 23.2%. Yassini et al. [5] in 2005, the majority of women were identifed as mild (76%) and severe (12%). Both in the treatment process and the results of treatment stressed infertility can lead to psychological disorders [6,7]. A clinical study that assesses anxiety scores with Beck Anxiety Scale before and afer egg collection in patients undergoing In-Vitro Fertilization (IVF) treatment, and which determines the efect of the awareness of the anesthesiologist is not yet included in the literature.