Table 3 First Order item-factor loadings for the fertility quality of life indicators

Item#4 excluded

Emotional QoL

5 items

C8

fertQol8 Do you experience grief and/or feelings of loss about not being able to have a child (or more children)?

0.883

C7

fertQol7 Do your fertility problems cause feelings of jealousy and resentment?

0.864

C16

fertQol16 Do you feel sad and depressed about your fertility problems?

0.864

C9

fertQol9 Do you fluctuate between hope and despair because of fertility problems?

0.818

C23

fertQol23 Do your fertility problems make you angry?

0.742

Mind–Body QoL

6 items

C3

fertQol3 Do you feel drained or worn out because of fertility problems?

0.865

C2

fertQol2r Do you think you cannot move ahead with other life goals and plans because of fertility problems?

0.828

C18

fertQol18 Are you bothered by fatigue because of fertility problems?

0.826

C1

fertQol1 Are your attention and concentration impaired by thoughts of infertility?

0.808

C24

fertQol24 Do you feel pain and physical discomfort because of your fertility problems?

0.759

C12

fertQol12 Do your fertility problems interfere with your day-to-day work or obligations?

0.630

Item15r excluded

Relational QoL

5 items

C19

fertQol19 Have fertility problems had a negative impact on your relationship with your partner?

0.853

C20

fertQol20, Do you find it difficult to talk to your partner about your feelings related to infertility?

0.778

C6

fertQol6 Are you satisfied with your sexual relationship even though you have fertility problems?

0.695

C21

fertQol21R Are you content with your relationship even though you have fertility problems?

0.543

C11

fertQol11R Are you and your partner affectionate with each other even though you have fertility problems?

0.467

Item14R removed

Social QoL

5 items

C17

fertQol17 Do your fertility problems make you inferior to people with children?

0.850

C15

fertQol5, Are you satisfied with the support you receive from friends about your fertility problems?

0.788

C22

fertQol22, Do you feel social pressure on you to have (or have more) children?

0.750

C10

fertQol10 Are you socially isolated because of fertility problems?

0.612

C13

fertQol13, Do you feel uncomfortable attending social situations like holidays and celebrations because of your fertility problems?

0.578

Item2T removed

Environmental QoL

5 items

T9

fertQolT9 How would you rate the quality of information you received about medication, surgery, and/or medical treatment?

0.866

T8

fertQolT8 How would you rate the surgery and/or medical treatment(s) you have received?

0.848

T10

fertQolT10 Are you satisfied with your interactions with fertility medical staff?

0.833

T7

fertQolT7 Are you satisfied with the quality of services available to you to address your emotional needs?

0.723

T5

fertQolT5R Do you feel the fertility staff understands what you are going through?

0.462

Tolerability QoL

4 items

T4

fertQolT4 Are you bothered by the effect of treatment on your daily or work-related activities?

0.884

T6

fertQolT6 Are you bothered by the physical side effects of fertility medications and treatment?

0.810

T1

fertQolT1 Does infertility treatment negatively affect your mood?

0.803

T3

fertQolT3 How complicated is dealing with the procedure and/ or administration of medication for your infertility treatment(s)?

0.677