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Objectives  The emotional adjustment of couples undergoing assisted reproductive technology ( ART ) treatments has been widely studied; however, it remains unclear whether infertility history contributes to couples' adjustment. This study examined the impact of infertility history (duration of infertility and number of previous  ART  treatment cycles) on the emotional adjustment of couples undergoing an  ART  cycle and the mediating effect of importance of parenthood on that association.    Methods  In this cross‐sectional study, 70 infertile couples (70 women and 70 men) completed self‐report questionnaires assessing emotional adjustment and infertility stress during the hormonal stimulation phase of an  ART  cycle. Path models accounting for the dyadic nature of the data examined the direct and indirect effects (by affecting representations about parenthood and childlessness) of infertility history on emotional adjustment.    Results  The number of previous cycles affected men's, but not women's, emotional adjustment by affecting the representations on the importance of parenthood and of childlessness. Duration of infertility had the opposite effect, as couples with longer infertility reported heightened importance of parenthood, which negatively affected their emotional adjustment.    Conclusions  Infertility history was associated with emotional adjustment in men and women, although these associations were complex. The results suggest that progression through treatment is harder for those men and women who attribute higher importance to being parents, which is aggravated by longer infertility.Statement of contribution    What is already known about the subject?Infertility is an unexpected and stressful life event  Assisted reproductive treatments (ART) are emotionally demandingWhat does this study add?The influence of infertility history on adjustment is mediated by the importance of parenthood  Men and women are affected by their past history of infertility differently

british journal of health psychology

Does infertility history affect the emotional adjustment of couples undergoing assisted reproduction? the mediating role of the importance of parenthood