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Table 2 Reflective thematic analysis: from codes to themes

From: Experiences of infertile women pursuing treatment in Kenya: a qualitative study

Codes

Sub-themes

Themes

Constantly worried and anxious about treatment outcome

Emotional distressing

Challenges encountered during fertility treatment

Depressed about visiting different hospitals and gynecologists

  

Going through the treatment is a lonely experience

  

Progesterone shots are painful as they are injected deep into the muscle

Physical pain

 

Egg retrieval was the most brutal and most painful procedure

  

Experience severe bloating and headache after taking fertility medication

  

Applying for a loan to pay for my treatment

Financial constraining

 

Asking our family and friends for money to pay for surgery

  

Only can access treatment because of an NHIF card

  

Loss of sexual interest

Relationship with their husband

Impacts of fertility treatment on relationships

He started drinking excessively and became verbally abusive

  

He became work alcoholic

  

Become more emotionally connected (Positive effect)

  

Feeling hopeful again about becoming parents (Positive effect)

  

The mother-in-law is not happy

Relationship with their family

 

Intrusive questions about the treatment process

  

Offering unnecessary advice

  

Lack of closure of treatment journey due to perceiving pressure and fear of their children being stigmatized

  

Very disappointed with their best friend

Relationship with their friends

 

Loss of friends during the treatment process

  

Some friends ask intrusive questions about treatment

  

Reading the Bible and praying

Religious practices and personal faith

Coping with fertility treatment

Believing in Allah

  

Crying, especially during menses

Giving in to feelings

 

Neglect doing their daily activities such as taking a shower

  

Indulging themselves by buying new outfits and bags or dinner

  

Deciding to pursue higher education

Shifting focus

 

Involved more in voluntary work

  

Taking a break for two years from treatment

Taking a break

 

Taking a break for some months to rest

  

Staying with nieces who helped with simple chores

Staying with their relative’s children

 

Staying with nephews to create a complete family feeling

  

The husband accompanied his wife during a hospital appointment

Receiving support from others

 

Mother is very supportive in that she gives advice and encourages during the treatment process

  

Friends have been supportive during the treatment process