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Infertility and sleep

Yıl 2020, Cilt: 7 Sayı: 4, 290 - 295, 01.12.2020

Öz

Infertility is an important health problem affecting individuals and the society. Recently, the number of infertile individuals has been increasing. There is a bidirectional relationship between infertility and sleep. Infertility causes the life quality of couples to deteriorate besides causing a great number of problems. One of these problems is sleep problems. On the other hand, sleep deprivation and sleep disorders in women and men affect the circadian system and change the hormonal balance of individuals. These changes affect sperm quality in men and oocyte formation in women, causing infertility. There are few studies investigating the relationship between sleep disorders and infertility. The aim of this review is to address the relationship between sleep problems and infertility.

Kaynakça

  • 1. Vander Borght, M., & Wyns, C. (2018). Fertility and infertility: Definition and epidemiology. Clinical biochemistry, 62; 2-10.
  • 2. World Health Organization (WHO). Erişim tarihi: 21/02/2020, https://www.who.int/reproductivehealth/topics/infertility/perspective/en/.
  • 3. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. (2014). 2013 Türkiye Nüfus ve Sağlık Araştırması, Ankara, Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Erişim tarihi 24/02/2020. http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf
  • 4. Çetin Abalı, S., Arslan Özkan, H. (2019). İnfertilite. Arslan Özkan H. (ed). Hemşirelik ve Ebelik İçin Kadın Sağlığı Ve Hastalıkları (pp. 119-133). Akademisyen Kitapevi AŞ.
  • 5. Atasü, T., Şahmay, S. (2001). Jinekoloji. İstanbul: Nobel Tıp Kitabevi.
  • 6. Hotun Şahin, N., Bilgiç, D. (2015). İnfertilite. Kızılkaya Beji, N. (Ed), Hemşire ve Ebelere Yönelik Kadın Sağlığı ve Hastalıkları ( pp.113-7). Nobel Tıp Kitabevleri. İstanbul.
  • 7. Çavuşoğlu, İ. (2015). İnfertilite tedavileri sonrası gebe kalan kadınların yaşam kalitesi ve depresyon durumlarının incelenmesi. (Yüksek Lisans Tezi). Haliç Üniversitesi, Sağlık Bilimleri Enstitüsü, İstanbul.
  • 8. National Public Health Action Plan for the Detection, Prevention, and Management of Infertility. Erişim tarihi 24/02/2020, http://www.cdc.gov/reproductivehealth/infertility/pdf/drh_nap_final_508.pdf.
  • 9. Read, S.C., Carrier, M.E., Boucher, M.E., Whitley, R., Bond, S., & Zelkowitz, P. (2014). Psychosocial services for couples in infertility treatment: What do couples really want?. Patient Education and Counseling, 94(3), 390-395.
  • 10. Koyun, A., Taşkın, L., & Terzioğlu, F. (2011). Yaşam dönemlerine göre kadın sağlığı ve ruhsal işlevler: hemşirelik yaklaşımlarının değerlendirilmesi. Psikiyatride Güncel Yaklaşımlar, 3(1). 3:67-99.
  • 11.Yanıkkerem, E., Kavlak, O., Sevil, Ü. (2008). İnfertil çiftlerin yaşadıkları sorunlar ve hemşirelik yaklaşımı. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi,11:112-121.
  • 12. Karlıdere, T., Bozkurt, A., Yetkin, S., Dorul, A., Sütçigil, L., Nahit Özmenler, K., Özşahin, A. (2007). Psikiyatrik birinci eksen tanısı almayan infertil çiftlerde emosyonel semptomlar, sosyal destek ve cinsel işlev bağlamında cinsiyet farkı var mı? Türk Psikiyatri Dergisi, 18(4):311-322.
  • 13. Şen, E., Bulut, S., Şirin, A. (2014). Primer infertil kadınlarda eşler arası uyumun incelenmesi. F N Hem Derg, 22(1):17-24.
  • 14. Hammerberg, K., Astbury, J., Baker, H. (2001).Women’s experiences of IVF: a followup study. Human Reroduction,16,374-383.
  • 15. Domar, A.D. Akıl/beden bağlantısı. (2008). Işık AZ, Vicdan K. (ed). Boston IVF infertilite el kitabı. İstanbul: Nobel Tıp Kitap, 177-185.
  • 16. Hammarberg, K. (2003). Stress in assisted reproductive technology: implications for nursing practice. Human Fertility, 6(1), 30-33.
  • 17. Kendirci, A. (2010). İnfertilitenin çiftler üzerinde yarattığı stresin çözümünde tamamlayıcı tedavi yaklaşımları. 4. Ulusal Üreme Endokrinolojisi ve İnfertilite Kongresi. Antalya, p.191.
  • 18. Boivin, J. (2003). A review of psychosocial interventions in infertility. Social Science & Medicine, 57(12), 2325-2341.
  • 19. Akdeniz, F., Gönül, A.S. (2004). Kadınlarda üreme olayları ile depresyon ilişkisi. Klinik Psikiyatri Dergisi, 2,70-74.
  • 20. Beji, N. (2001). İnfertilite Sorunu, Yardımcı Üreme Teknikleri ve Hemşirelik Yaklaşımı. İstanbul, İstanbul Üniversitesi Yayınları.
  • 21. Choi, J.H., Lee, S.H., Bae, J.H., Shim, J.S., Park, H.S., Kim, Y.S., & Shin, C. (2016). Effect of sleep deprivation on the male reproductive system in rats. Journal Of Korean Medical Science, 31(10), 1624-1630.
  • 22. Jensen, T.K., Andersson, A.M., Skakkebæk, N.E., Joensen, U.N., Jensen, M.B., Lassen, T.H., ... & Jørgensen, N. (2013). Association of sleep disturbances with reduced semen quality: a cross-sectional study among 953 healthy young Danish men. American Journal Of Epidemiology, 177(10), 1027-1037.
  • 23. Durairajanayagam, D. (2018). Lifestyle causes of male infertility. Arab Journal Of Urology, 16:10–20.
  • 24. Akerstedt, T., Kecklund, G., Axelsson, J. (2007). Impaired sleep after bedtime stress and worries. Biological Psychology, 76(3), 170-3.
  • 25. Terzioğlu, F. (2001). Investigation into effectiveness of counseling on assisted reproductive techniques in Turkey. Journal of Psychosomatic Obstetrics & Gynecology, 22(3), 133-141.
  • 26. Chou, F.H., Chen, C.H., Kuo, S.H., Tzeng, Y.L. (2006). Experience of Taiwanese women living with nausea and vomiting during pregnancy. Journal of Midwifery and Women's Health. 51, 370–375.
  • 27. Repokari, L., Punamaki, R.L., Poikkeus, P., Vilska, S., Unkila-Kallio, L., Sinkkonen, J., ... & Tulppala, M. (2005). The impact of successful assisted reproduction treatment on female and male mental health during transition to parenthood: a prospective controlled study. Human Reproduction, 20(11), 3238-3247.
  • 28. Tsai, M.S., Huang, C.M., Kuo, W.M., Wu, H.M., Lee, M.Y. (2010). Physical activity, sleep quality, and unplanned cesarean section in pregnant women. Journal of Nursing and Healthcare Research 6,13–23.
  • 29. Lin, Y.N., Tsai, Y.C., Kung, C.Y. (2006). Taiwanese infertile women's experiences of infertility: a relational perspective. Chinese Annual Report of Guidance and Counselling,19, 175–210.
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İnfertilite ve uyku

Yıl 2020, Cilt: 7 Sayı: 4, 290 - 295, 01.12.2020

Öz

İnfertilite bireyleri ve toplumu etkileyen önemli bir sağlık sorunudur. Son zamanlarda infertil bireylerin sayısı giderek artmaktadır. İnfertilite ile uyku arasında ise çift yönlü bir ilişki mevcuttur. İnfertilite, çiftlerin yaşam kalitesinin bozulmasına ve bununla birlikte birçok sorunun yaşanmasına sebep olmaktadır. Karşılaşılan bu sorunlardan birisi de uyku problemleridir. Diğer yönden değerlendirildiğinde ise kadın ve erkekte uyku yoksunluğu ve uyku bozukluğu sirkadiyen sistemi etkileyerek bireylerin hormonal dengelerini değiştirmektedir. Bu değişimler ise erkekte sperm kalitesini, kadında oosit oluşumunu etkileyerek infertiliteye sebep olmaktadır. Uyku düzensizliğinin fertiliteyle ilişkisini inceleyen pek az çalışma mevcuttur. Bu derlemedeki amaç uyku problemleri ile infertilite arasındaki ilişkiyi ele almaktır.

Kaynakça

  • 1. Vander Borght, M., & Wyns, C. (2018). Fertility and infertility: Definition and epidemiology. Clinical biochemistry, 62; 2-10.
  • 2. World Health Organization (WHO). Erişim tarihi: 21/02/2020, https://www.who.int/reproductivehealth/topics/infertility/perspective/en/.
  • 3. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. (2014). 2013 Türkiye Nüfus ve Sağlık Araştırması, Ankara, Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Erişim tarihi 24/02/2020. http://www.hips.hacettepe.edu.tr/tnsa2013/rapor/TNSA_2013_ana_rapor.pdf
  • 4. Çetin Abalı, S., Arslan Özkan, H. (2019). İnfertilite. Arslan Özkan H. (ed). Hemşirelik ve Ebelik İçin Kadın Sağlığı Ve Hastalıkları (pp. 119-133). Akademisyen Kitapevi AŞ.
  • 5. Atasü, T., Şahmay, S. (2001). Jinekoloji. İstanbul: Nobel Tıp Kitabevi.
  • 6. Hotun Şahin, N., Bilgiç, D. (2015). İnfertilite. Kızılkaya Beji, N. (Ed), Hemşire ve Ebelere Yönelik Kadın Sağlığı ve Hastalıkları ( pp.113-7). Nobel Tıp Kitabevleri. İstanbul.
  • 7. Çavuşoğlu, İ. (2015). İnfertilite tedavileri sonrası gebe kalan kadınların yaşam kalitesi ve depresyon durumlarının incelenmesi. (Yüksek Lisans Tezi). Haliç Üniversitesi, Sağlık Bilimleri Enstitüsü, İstanbul.
  • 8. National Public Health Action Plan for the Detection, Prevention, and Management of Infertility. Erişim tarihi 24/02/2020, http://www.cdc.gov/reproductivehealth/infertility/pdf/drh_nap_final_508.pdf.
  • 9. Read, S.C., Carrier, M.E., Boucher, M.E., Whitley, R., Bond, S., & Zelkowitz, P. (2014). Psychosocial services for couples in infertility treatment: What do couples really want?. Patient Education and Counseling, 94(3), 390-395.
  • 10. Koyun, A., Taşkın, L., & Terzioğlu, F. (2011). Yaşam dönemlerine göre kadın sağlığı ve ruhsal işlevler: hemşirelik yaklaşımlarının değerlendirilmesi. Psikiyatride Güncel Yaklaşımlar, 3(1). 3:67-99.
  • 11.Yanıkkerem, E., Kavlak, O., Sevil, Ü. (2008). İnfertil çiftlerin yaşadıkları sorunlar ve hemşirelik yaklaşımı. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi,11:112-121.
  • 12. Karlıdere, T., Bozkurt, A., Yetkin, S., Dorul, A., Sütçigil, L., Nahit Özmenler, K., Özşahin, A. (2007). Psikiyatrik birinci eksen tanısı almayan infertil çiftlerde emosyonel semptomlar, sosyal destek ve cinsel işlev bağlamında cinsiyet farkı var mı? Türk Psikiyatri Dergisi, 18(4):311-322.
  • 13. Şen, E., Bulut, S., Şirin, A. (2014). Primer infertil kadınlarda eşler arası uyumun incelenmesi. F N Hem Derg, 22(1):17-24.
  • 14. Hammerberg, K., Astbury, J., Baker, H. (2001).Women’s experiences of IVF: a followup study. Human Reroduction,16,374-383.
  • 15. Domar, A.D. Akıl/beden bağlantısı. (2008). Işık AZ, Vicdan K. (ed). Boston IVF infertilite el kitabı. İstanbul: Nobel Tıp Kitap, 177-185.
  • 16. Hammarberg, K. (2003). Stress in assisted reproductive technology: implications for nursing practice. Human Fertility, 6(1), 30-33.
  • 17. Kendirci, A. (2010). İnfertilitenin çiftler üzerinde yarattığı stresin çözümünde tamamlayıcı tedavi yaklaşımları. 4. Ulusal Üreme Endokrinolojisi ve İnfertilite Kongresi. Antalya, p.191.
  • 18. Boivin, J. (2003). A review of psychosocial interventions in infertility. Social Science & Medicine, 57(12), 2325-2341.
  • 19. Akdeniz, F., Gönül, A.S. (2004). Kadınlarda üreme olayları ile depresyon ilişkisi. Klinik Psikiyatri Dergisi, 2,70-74.
  • 20. Beji, N. (2001). İnfertilite Sorunu, Yardımcı Üreme Teknikleri ve Hemşirelik Yaklaşımı. İstanbul, İstanbul Üniversitesi Yayınları.
  • 21. Choi, J.H., Lee, S.H., Bae, J.H., Shim, J.S., Park, H.S., Kim, Y.S., & Shin, C. (2016). Effect of sleep deprivation on the male reproductive system in rats. Journal Of Korean Medical Science, 31(10), 1624-1630.
  • 22. Jensen, T.K., Andersson, A.M., Skakkebæk, N.E., Joensen, U.N., Jensen, M.B., Lassen, T.H., ... & Jørgensen, N. (2013). Association of sleep disturbances with reduced semen quality: a cross-sectional study among 953 healthy young Danish men. American Journal Of Epidemiology, 177(10), 1027-1037.
  • 23. Durairajanayagam, D. (2018). Lifestyle causes of male infertility. Arab Journal Of Urology, 16:10–20.
  • 24. Akerstedt, T., Kecklund, G., Axelsson, J. (2007). Impaired sleep after bedtime stress and worries. Biological Psychology, 76(3), 170-3.
  • 25. Terzioğlu, F. (2001). Investigation into effectiveness of counseling on assisted reproductive techniques in Turkey. Journal of Psychosomatic Obstetrics & Gynecology, 22(3), 133-141.
  • 26. Chou, F.H., Chen, C.H., Kuo, S.H., Tzeng, Y.L. (2006). Experience of Taiwanese women living with nausea and vomiting during pregnancy. Journal of Midwifery and Women's Health. 51, 370–375.
  • 27. Repokari, L., Punamaki, R.L., Poikkeus, P., Vilska, S., Unkila-Kallio, L., Sinkkonen, J., ... & Tulppala, M. (2005). The impact of successful assisted reproduction treatment on female and male mental health during transition to parenthood: a prospective controlled study. Human Reproduction, 20(11), 3238-3247.
  • 28. Tsai, M.S., Huang, C.M., Kuo, W.M., Wu, H.M., Lee, M.Y. (2010). Physical activity, sleep quality, and unplanned cesarean section in pregnant women. Journal of Nursing and Healthcare Research 6,13–23.
  • 29. Lin, Y.N., Tsai, Y.C., Kung, C.Y. (2006). Taiwanese infertile women's experiences of infertility: a relational perspective. Chinese Annual Report of Guidance and Counselling,19, 175–210.
  • 30. Poikkeus, P., Saisto, T., Unkila-Kallio, L., Punamaki, R.L., Repokari, L., Vilska, S., ... & Tulppala, M. (2006). Fear of childbirth and pregnancy-related anxiety in women conceiving with assisted reproduction. Obstetrics & Gynecology, 108(1), 70-76.
  • 31. Lin, J.L., Lin, Y.H., Chueh, K.H. (2012). Psychological distress in women who have experienced intrauterine insemination. The Journal of Nursing Research, 20, 310–315.
  • 32. Chi, Y.C., Wu, C.L., Li, Y.S. (2010).The effects of work‐related factors on sleep quality. Health Promotion & Health Education Journal, 30, 35–62.
  • 33. Hung, H.M., Chen, C.H. (2011).Using alternative therapies in treating sleep disturbance. The Journal of Nursing, 58, 73–78.
  • 34. Fang, C.S., Wang, R.H. (2007). Sleep quality and its associated factors among surgical intensive care unit patients. Journal of Evidence‐Based Nursing, 3:54–63.
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  • 37. Piche, M., Babineau, V., Robitaille, J., Lachance, E., Ruchat, S. (2018). Lifestyle-Related Factors Associated with Reproductive Health in Couples Seeking Fertility Treatments: Results of Pilot Study.International Journal of Fertility and Sterility,12(1): 19-26
  • 38. Lin, Y.H., Chueh, K.H., & Lin, J.L. (2016). Somatic symptoms, sleep disturbance and psychological distress among women undergoing oocyte pick‐up and in vitro fertilisation–embryo transfer. Journal of Clinical Nursing, 25(11-12), 1748-1756.
  • 39. Goldstein, C.A., Lanham, M.S., Smith, Y.R., O'Brien, L.M. (2017). Sleep in women undergoing in vitro fertilization: a pilot study. Sleep Medicine, 32: 105-13.
  • 40. Akamatsu, S., Otsuki, J., Fujii, M., Enatsu, N., Tsuji, Y., Iwasaki, T., & Shiotani, M. (2017). The poor quality of women’s sleep negatively influences fertilization rates in assisted reproductive technology. Fertility and Sterility, 108(3),120.
  • 41. Park, I., Sun, H.G., Jeon, G.H., Jo, J.D., Kim, S.G., Lee, K.H. (2013). The more, the better? the impact of sleep on IVF outcomes. Fertility and Sterility,100(3): 466.
  • 42. Watson, N.F., Badr, M.S., Belenky, G., Bliwise, D.L., Buxton, O.M., Buysse, D., et al.(2015). Joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society on the recommended amount of sleep for a healthy adult: methodology and discussion. Sleep, 11:931–52.
  • 43. Eckel-Mahan, K., & Sassone-Corsi, P. (2013). Metabolism and the circadian clock converge. Physiological Reviews, 93(1), 107-135.
  • 44. Li, C., & Zhou, X. (2015). Melatonin and male reproduction. Clinica Chimica Acta, 446, 175-180.
  • 45. Hair, W.M., Gubbay, O., Jabbour, H.N., & Lincoln, G.A. (2002). Prolactin receptor expression in human testis and accessory tissues: localization and function. Molecular Human Reproduction, 8(7), 606-611.
  • 46. Becker, K.L. (Ed.). (2001). Principles and practice of endocrinology and metabolism. Lippincott Williams & Wilkins.
  • 47. Ford, E.S., Cunningham, T.J., Croft, J.B. (2015). Trends in self–reported sleep duration among US adults from 1985 to 2012. Sleep, 38:829–32.
  • 48. Levine, H., Jørgensen, N., Martino-Andrade, A., Mendiola, J., Weksler-Derri, D., Mindlis, I., ... & Swan, S.H. (2017). Temporal trends in sperm count: a systematic review and meta-regression analysis. Human Reproduction Update, 23(6), 646-659.
  • 49. Ponholzer, A., Plas, E., Schatzl, G., Struhal, G., Brössner, C., Mock, K., ... & Madersbacher, S. (2005). Relationship between testosterone serum levels and lifestyle in aging men. The Aging Male, 8(3-4), 190-193.
  • 50. Penev, P.D. (2007). Association between sleep and morning testosterone levels in older men. Sleep, 30:427–32.
  • 51. Reynolds, A.C., Dorrian, J., Liu, P.Y., Van Dongen, H.P., Wittert, G.A., Harmer, L.J., & Banks, S. (2012). Impact of five nights of sleep restriction on glucose metabolism, leptin and testosterone in young adult men. PloS One, 7(7).412-18.
  • 52. Andersen, M.L., Alvarenga, T.F., Mazaro-Costa, R., Hachul, H.C., & Tufik, S. (2011). The association of testosterone, sleep, and sexual function in men and women. Brain Research, 1416, 80-104.
  • 53. Leproult, R., Van Cauter, E. (2011). Effect of 1 week of sleep restriction on testosterone levels in young healthy men, JAMA; 305:2173–4.
  • 54. Wise, L. A., Rothman, K. J., Wesselink, A. K., Mikkelsen, E. M., Sorensen, H. T., McKinnon, C. J., & Hatch, E. E. (2018). Male sleep duration and fecundability in a North American preconception cohort study. Fertility and Sterility, 109(3), 453-459.
  • 55. Gambineri, A., Pelusi, C., Pasquali, R. (2003). Testosterone levels in obese male patients with obstructive sleep apnea syndrome: relation to oxygen desaturation, body weight, fat distribution and the metabolic parameters. Journal of Endocrinological İnvestigation, 26(6), 493-498.
  • 56. Hammoud, A.O., Walker, J.M., Gibson, M., Cloward, T.V., Hunt, S.C., Kolotkin, R.L., ... & Meikle, A. W. (2011). Sleep apnea, reproductive hormones and quality of sexual life in severely obese men. Obesity, 19(6), 1118-1123.
  • 57. Başoğlu, Ö.K. (2017). Obstrüktif Uyku Apne Sendromu Klinik Özellikleri ve Tanısı. Turkiye Klinikleri Pulmonary Medicine-Special Topics, 10(1), 7-13.
  • 58. Santamaria, J.D., Prior, J.C., Fleetham, J.A. (1988). Reversible reproductive dysfunction in men with obstructive sleep apnoea. Clinical Endocrinology, 28(5), 461-470.
  • 59. Kouchiyama, S., Honda, Y., Kuriyama, T. (1990). Influence of nocturnal oxygen desaturation on circadian rhythm of testosterone secretion. Respiration, 57:359-63.
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  • 61. Reiter, R.J., Tamura, H., Tan, D.X., Xu, X.Y. (2014). Melatonin and the circadian system: contributions to successful female reproduction. Fertility and Sterility, 102(2), 321-328.
  • 62. Tamura, H., Takasaki, A., Taketani, T., Tanabe, M., Kizuka, F., Lee, L., ... & Sugino, N. (2012). The role of melatonin as an antioxidant in the follicle. Journal of Ovarian Research, 5(1), 1-9.
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  • 68. Touzet, S., Rabilloud, M., Boehringer, H., Barranco, E., Ecochard, R. (2002). Relationship between sleep and secretion of gonadotropin and ovarian hormones in women with normal cycles. Fertility and Sterility, 77(4), 738-744
  • 69. Mahoney, M.M. (2010). Shift work, jet lag, and female reproduction. International Journal of Endocrinology, 2010.
  • 70. Wang, Y., Gu, F., Deng, M., Guo, L., Lu, C., Zhou, C., ... & Xu, Y. (2016). Rotating shift work and menstrual characteristics in a cohort of Chinese nurses. BMC Women's Health, 16(1), 24.
  • 71. Kang, W., Jang, K.H., Lim, H.M., Ahn, J.S., & Park, W.J. (2019). The menstrual cycle associated with insomnia in newly employed nurses performing shift work: a 12-month follow-up study. International Archives of Occupational and Environmental Health, 92(2), 227-235.
  • 72. Mínguez-Alarcón, L., Souter, I., Williams, P.L., Ford, J.B., Hauser, R., Chavarro, J.E., & Gaskins, A.J. (2017). Occupational factors and markers of ovarian reserve and response among women at a fertility centre. Occupational and Environmental Medicine, 74(6), 426-431.
  • 73. Mo, L., Mansfield, D.R., Joham, A., Cain, S.W., Bennett, C., Blumfield, M., ... & Moran, L.J. (2019). Sleep disturbances in women with and without polycystic ovary syndrome in an Australian National Cohort. Clinical Endocrinology, 90(4), 570-578.
  • 74. Maggiore, U.L.R., Bizzarri, N., Scala, C., Tafi, E., Siesto, G., Alessandri, F., & Ferrero, S. (2017). Symptomatic endometriosis of the posterior cul-de-sac is associated with impaired sleep quality, excessive daytime sleepiness and insomnia: a case–control study. European Journal of Obstetrics & Gynecology and Reproductive Biology, 209, 39-43.
  • 75. Kloss, J.D., Perlis, M.L., Zamzow, J.A., Culnan, E.J., & Gracia, C.R. (2015). Sleep, sleep disturbance, and fertility in women. Sleep Medicine Reviews, 22, 78-87.
Toplam 75 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Handan Özcan 0000-0002-7131-1856

Sibel Yücetürk 0000-0003-0820-6997

Yayımlanma Tarihi 1 Aralık 2020
Kabul Tarihi 13 Eylül 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 7 Sayı: 4

Kaynak Göster

APA Özcan, H., & Yücetürk, S. (2020). İnfertilite ve uyku. Sağlık Akademisyenleri Dergisi, 7(4), 290-295.
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