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Research Article | DOI: https://doi.org/10.31579/2578-8965/282
1Department of Obstetrics and Gynaecology All India Institute of Medical Sciences, New Delhi, India.
2Department of Biostatistics All India Institute of Medical Sciences, New Delhi, India.
*Corresponding Author: Rekha Ramappa, Department of Obstetrics and Gynaecology All India Institute of Medical Sciences, New Delhi, India.
Citation: Neeta Singh, Nisha, Ashish Datt Upadhyay, Rekha Ramappa, (2025), Prevalence of altered sleep traits and female infertility: A case-control study in Indian population, J. Obstetrics Gynecology and Reproductive Sciences, 9(6) DOI:10.31579/2578-8965/282
Copyright: © 2025, Rekha Ramappa. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 01 September 2025 | Accepted: 08 September 2025 | Published: 16 September 2025
Keywords: infertility; sleep quality; pittsburgh sleep quality index (psqi); female reproductive health; sleep disturbances
Aim: To study the prevalence of altered sleep characteristics in female patients seeking treatment for infertility.
Materials and Methods: A case-control study conducted at tertiary centre from 2024 to 2025 after ethical approval (AIIMSA1273/03.05.2024). Women aged 20-40 years who are seeking treatment for infertility were included for cases and women aged 20-40 years who are fertile for control.
Women who declined consent for the study and those taking medication that can alter sleep-wake cycle were excluded. Patients’ demographic parameters (age, smoking habits, gravida, parity, infertility length, type of infertility and BMI) will be gathered, as well as Pittsburgh Sleep Quality Index (PSQI) groups and scores. This index has 24 questions, 19 of which are filled by the individual and five by the individual’s spouse or a person with whom they reside. There are seven modules to these 19 scored items A score of 0–3 is assigned to each module. These seven component ratings yield a total index score ranging from 0 to 21 Scores ≤ 5 were evaluated as good sleep quality, and scores >5 were set as poor sleep quality.
Primary outcome measure was global PSQI score while secondary outcome measures were subjective sleep quality,sleep duration, sleep efficiency and use of sleep medication.
Statistical analyses were performed using Stata-16 (TX, USA).
Objective:
To determine how common sleep disturbances are among infertile women receiving treatment for infertility and how these disturbances relate to demographic factors and various types of infertility.
Methods:
We conducted a case-control study with 145 infertile women and 96 age-matched controls. All participants completed structured questionnaire forms, including the Pittsburgh Sleep Quality Index (PSQI). The collected information on sleep patterns, types of infertility, and sociodemographic details was filled in excel and subjected to SPSS analysis. We analyzed the data to find any associations between sleep patterns, demographic variables, and types of infertility.
Results:
In the infertility group, the women were significantly older (mean 29.92 ± 3.86 years) and had been married longer (mean 6.64 ± 3.60 years) compared to controls (mean 26.32 ± 3.20 years; mean marriage duration 3.72 ± 2.30 years). Poor sleep quality, defined as a PSQI score above 5, was observed in 42.1% of infertile women. In contrast, only 3.1% of controls reported poor sleep (p < 0.001). In the infertility group, we found significant correlations among subjective sleep quality, sleep duration, sleep efficiency, and infertility-related variables. These correlations were not observed among the controls.
Conclusion:
Poor sleep quality is common among Indian women seeking infertility care. This indicates that including sleep assessment and counseling in infertility care may be beneficial.
The World Health Organization estimates that about 17.5% of people, roughly one in every six, suffer from infertility1. In India, the estimated prevalence of primary infertility ranges from 3.9% to 16.8%2. Despite improvements in reproductive technologies, infertility continues to cause significant psychological and social challenges, especially for women, primarily due to societal and cultural pressures3.
Sleep is necessary for vital functions, and sleep characteristics might affect fertility. As a result, there has been a new trend toward evaluating the relationship between sleep quality and fertility. The ideal duration of sleep is defined as 7–9h of sleep on a 24-h time span, but in real life, one-third of premenopausal women sleep less than 74. Environmental and lifestyle factors are also closely correlated with sleep and to the sleep-wake cycle, especially because of societal and work-related trends (e.g., late-night electronic device use, shift work, noise)5.
Research shows that sleep disturbances, inferior sleep quality and irregular sleep patterns, greatly impact female fertility. These issues are closely linked with infertility, suggesting that sleep plays a crucial role in reproductive health. Additionally, obesity combined with sleep problems can further increase the risk of infertility, as higher BMI and sleep disturbances relate to lower fertility rates. High stress levels and reduced quality of life also contribute to fertility issues, especially for women facing infertility. Lifestyle factors like diet and physical activity can worsen the negative effects of poor sleep and stress on fertility. While sleep disorders are a key factor, other lifestyle aspects, such as mental health and nutrition, also affect female fertility [6-10].
Recent studies reveal a strong connection between sleep deprivation, poor sleep quality, and disruptions in the hypothalamic-pituitary-gonadal (HPG) axis, which is a vital hormonal system for regulating reproduction. This can lead to menstrual irregularities and infertility. This is especially concerning in India, where research on this topic is limited. Sleep deprivation harms hormone secretion and reduces fertility in both men and women. It can cause issues such as anovulation, amenorrhea, and even early pregnancy loss by disrupting levels of gonadotropin and sex hormones. Disruptions in circadian rhythms, commonly seen in shift workers, have been linked to menstrual irregularities and decreased reproductive capacity. Furthermore, infertility itself is connected with increased psychological stress, which can further harm sleep quality. These findings underscore the need for more research to explore these connections and develop targeted treatments for women facing infertility and sleep issues [6-7, 11-12].
Sleep problems have been connected to reduced fertility since women struggling with infertility frequently report more sleep disturbances than fertile women. Poor sleep quality is also linked to negative reproductive outcomes, even in women undergoing assisted reproductive technologies [11-15].
In India, the most common causes of primary infertility are tubal factor infertility and male factor infertility. However, few studies have looked into how sleep problems might interact with these causes of infertility in the Indian population 16.
Despite global research, there is still a lack of studies focusing on Indian women, particularly regarding how sleep quality relates to different types of infertility and their underlying causes. This gap highlights the urgent need for in-depth research to inform specific interventions for Indian women experiencing infertility [17-19].
Additionally, poor sleep quality is linked to decreased ovarian reserve, suggesting a biological pathway through which sleep deprivation might affect fertility. Sleep therapy could potentially improve reproductive outcomes in women with poor baseline sleep quality. Emerging evidence indicates that sleep disturbances may trigger inflammation and hormone imbalances, reinforcing the idea that sleep quality is a modifiable risk factor for reproductive health [6,17,18-19].
Sleep is controlled by homeostatic regulation, which corresponds to the propensity to fall asleep, and by circadianregulation, which is under the control of the central clock located in the suprachiasmatic nuclei 5. The mechanism for infertility secondary to sleep disorders maybe the activation of the hypothalamic–pituitary–adrenal (HPA) axis 20. The activated HPA then affects sex hormones, such as LH, FSH, and progesterone, causing changes in menstruation, normal follicle development, and infertility. Moreover, HPA activation increases melatonin levels, which is associated with GnRH suppression and irregular ovulation 21. Sleep deprivation leads to high FSH, TSH, prolactin and estradiol and low progesterone, LH and melatonin. It also leads to increased oxidative stress and insulin resistance and glucose intolerance 22. a comprehensive study demonstrates that Clock gene is able to influence the activity of the estrogen receptor alpha, by regulating its transcriptional activity 23. Increase of glucocorticoid levels occurring due to stimulation of any cause could severely impair different organs including immune and reproductive system24.
The PSQI, which is frequently used to assess sleep quality, has been demonstrated to be beneficial in the study of sleep disorders25. It has 19 self-report items composed of seven categories. A score of 0–3 is assigned to each module. These seven component ratings yield a total index score ranging from 0 to 21. Scores ≤ 5are evaluated as good sleep quality, and scores >5 are set as poor sleep quality26.
Given these insights, this study aimed to explore the prevalence of sleep disturbances among Indian women seeking infertility treatment in comparison to fertile controls.
2.1 Study Design:
This case-control study was conducted at the Department of Obstetrics and Gynaecology, AIIMS, New Delhi, between 15.7.2024 and 15.1.2025 after obtaining approval from the Institutional Ethics Committee (IEC No. AIIMSA1588) and written informed consent from all participants. This study was conducted as per Helsinki Declaration. Women aged 20-40 years who are seeking treatment for primary and secondary infertility were included for cases. The control group comprised age-matched fertile parous women with proven natural fertility with no history of infertility or assisted reproductive procedures. Exclusion criteria included known psychiatric disorders, diagnosed sleep disorders, chronic systemic diseases such as diabetes or thyroid dysfunction, use of medications that could impact sleep or hormonal status, and a history of substance abuse.
Data collection involved a structured questionnaire that included demographic details such as age, body mass index (BMI), duration of marriage, and infertility-related factors. Causes of infertility were categorized after thorough clinical evaluation, laboratory investigations, and imaging studies into tubal factor infertility, male factor infertility, polycystic ovary syndrome (PCOS), unexplained infertility, and other causes such as endometriosis or uterine abnormalities.
2.2 Questionnaire:
In this study, the Pittsburg Sleep Quality Index (PSQI) was used to evaluate sleep quality and is mentioned in Table 8. It has 19 self-report items composed of seven categories: subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbance, use of sleep medication and daytime dysfunction. The questions include sleep length, sleep latency, the regularity, and intensity of certain sleeping issues. This index has 24 questions, 19 of which are filled by the individual and five by the individual’s spouse or a person with whom they reside. There are seven modules to these 19 scored items: Some are made up of only one object, while others are made up of a number of them. A score of 0–3 is assigned to each module. These seven component ratings yield a total index score ranging from 0 to 21. Scores ≤ 5 were evaluated as good sleep quality, and scores >5 were set as poor sleep quality
2.3 Outcomes:
Primary outcome measure was global PSQI score while secondary outcome measures were subjective sleep quality, sleep duration, sleep efficiency and use of sleep medication.
Statistical analysis was performed using SPSS Statistics (IBM Corp., Armonk, NY, USA). Continuous variables were expressed as mean ± standard deviation (SD) and compared using the independent samples t-test. Categorical variables were presented as frequencies and percentages, with group differences analyzed using the chi-square test. Pearson’s correlation coefficient was used to assess relationships between continuous variables. A p-value of less than 0.05 was considered statistically significant.
A total of 145 women with infertility and 96 healthy controls participated in this study. Figure 1shows flow diagram for study.
Figure 1: Flow diagram of stud
4.1 Demography of Study Participants:
The demographic comparison in Table 1 showed that infertile women were significantly older and had been married longer than the control group. Both groups had similar BMI values, but the infertility group had a much higher global PSQI score, indicating poorer sleep quality among these women.
In our study, primary infertility was the most common diagnosis, making up 83.4% of the infertility cases. As shown in Table 2, there was a significant link between the type of infertility and its causes. Tubal factor and male factor infertility were most often connected to primary infertility. This likely occurs because these issues interfere with natural conception. On the other hand, unexplained infertility was more frequently observed in women with secondary infertility, possibly due to more subtle, acquired, or combined causes that develop after a previous pregnancy. These findings emphasize the need for tailored diagnostic strategies based on the specific type of infertility.
The demographic analysis revealed significant differences in age, BMI, and duration of marriage between women with infertility and healthy controls, as shown in Table 3. In terms of age distribution, most infertility cases were in the 26–30 and 31–35 year age groups. The control group was mostly younger, with many in the 20–25 and 26–30 year categories. Notably, none of the controls were older than 35, while about 33% of infertility cases were aged 31 or older, suggesting a trend toward older age among infertile women.
The BMI distribution also showed clear differences. Obesity was common in both groups, but it was slightly more prevalent among the controls. Underweight women were found only in the infertility group (6.9%), indicating that low body weight might affect fertility in women experiencing infertility.
A significant difference also appeared in the duration of marriage between the two groups. Most healthy controls had been married for less than five years, while more than half (56.6%) of the infertility cases had been married for over five years. Notably, 11% of the infertile women had been married for over ten years, a category not seen in the controls. This trend suggests that infertile women tended to have a longer marriage duration, likely due to ongoing efforts to conceive.
Overall, these findings indicate that older age, longer marriage duration, and extremes in BMI (both obesity and underweight) are more common among women with infertility. This supports the idea that these factors might be important demographic risk factors for infertility.
| Demographic Variables | Cases (Mean ± SD) | Controls (Mean ± SD) |
| Age (years) | 29.92 ± 3.86 | 26.32 ± 3.20 |
| BMI (Kg/m²) | 25.9 ± 3.26 | 25.7 ± 3.04 |
| Married life (years) | 6.64 ± 3.60 | 3.72 ± 2.30 |
Table 1: Comparison of Demographic Variables between Infertility Cases and Controls
| Factor | Primary (n, %) | Secondary (n, %) | Total (n, %) | χ² (p-value) |
| Unexplained Infertility | 19 (13) | 13 (9) | 32 (22.1) | 21.53 (<0> |
| Tubal | 30 (20.7) | 2 (1.4) | 32 (22.1) | |
| Male Factor | 30 (20.7) | 1 (0.7) | 31 (21.4) | |
| PCOS | 21 (14.5) | 6 (4.1) | 27 (18.6) | |
| Others | 21 (14.5) | 2 (1.4) | 23 (15.9) | |
| Total | 121 (83.4) | 24 (16.6) | 145 (100) |
Table 2: Association between Infertility Type and Contributing Factors (Cases Only, n = 145)
*Significant at p < 0>Variable Cases (n, %) Controls (n, %) χ² (p-value) Age group (years) 38.98 (<0> 20–25 21 (14.5) 39 (40.6) 26–30 60 (41.4) 47 (49.0) 31–35 53 (36.6) 10 (10.4) 36–40 11 (7.6) 0 (0) BMI 8.64 (0.035)* Underweight 10 (6.9) 0 (0) Normal 25 (17.2) 13 (13.5) Overweight 38 (26.2) 24 (25) Obese 72 (49.7) 59 (61.5) Married Life (years) 30.17 (<0> Less than 5 63 (43.4) 74 (77.1) 5–10 66 (45.5) 22 (22.9) 10–15 16 (11) 0 (0)
Table 3: Distribution of Age, BMI, and Married Life in Infertility Cases and Controls
*Statistically significant
4.2 PSQI score and study participants
The comparison of PSQI components in Table 4 revealed that women with infertility reported significantly worse subjective sleep quality and shorter sleep durations compared to healthy controls. Although there was no major difference in sleep efficiency between the groups, the prevalence of poor sleep quality (defined as PSQI >5) was much higher among infertility cases. These results suggest that infertile women not only view their sleep quality as worse but also report shorter sleep durations and higher PSQI scores, indicating that sleep disturbances may be linked to infertility.
The correlation analysis within the infertility group in Table 5 showed significant links between demographic factors and sleep parameters. Notably, subjective sleep quality had substantial correlations with sleep duration, sleep efficiency, and overall PSQI classification. These findings highlight the relationships among sleep characteristics in women with infertility, suggesting that poorer subjective sleep quality often comes with shorter sleep durations, reduced sleep efficiency, and higher overall PSQI scores.
In contrast, the control group showed fewer significant correlations as shown in table 6. While sleep duration and sleep efficiency were related, as in the infertility group, these associations were weaker. A strong positive correlation was seen between age and duration of married life, which reflects expected demographic trends. Interestingly, a negative correlation appeared between BMI and PSQI classification, suggesting that in the control group, higher BMI was associated with better sleep quality. This finding contrasts with common beliefs and highlights the complexity of factors affecting sleep in healthy women.
These findings show a significant relationship between infertility and poor sleep quality, as well as demographic factors like age, extremes in BMI, and length of marriage. The stronger correlations observed among sleep parameters in women with infertility suggest that sleep disturbances may contribute to infertility, emphasizing the need to consider sleep health in infertility assessment and care.
| Component | Subgroups | Cases (n, %) | Controls (n, %) | χ² (p-value) |
| Subjective Sleep Quality | Very Good | 64 (44.1) | 58 (60.4) | 6.91 (0.032)* |
| Fairly Good | 58 (40) | 24 (25) | ||
| Fairly Bad | 23 (15.9) | 14 (14.6) | ||
| Sleep Duration | >7 hours (Normal) | 83 (57.2) | 72 (75) | 32.64 (<0> |
| 5–7 hours (Short) | 19 (13.1) | 23 (24) | ||
| <5> | 43 (29.7) | 1 (1) | ||
| Sleep Efficiency | >85% (Normal) | 128 (88.3) | 85 (88.5) | 3.01 (0.390) NS |
| 75–84% (Mild Reduction) | 13 (9.0) | 11 (11.5) | ||
| 65–74% (Moderate) | 2 (1.4) | 0 (0) | ||
| <65> | 2 (1.4) | 0 (0) | ||
| PSQI Classification | Good Sleep (≤5) | 84 (57.9) | 93 (96.9) | 44.91 (<0> |
| Poor Sleep (>5) | 61 (42.1) | 3 (3.1) |
Table 4: Comparison of PSQI Components Between Infertility Cases and Controls*
Statistically significant (p < 0 xss=removed>Variable 1 Variable 2 Pearson Correlation (r) p-value Type of Infertility Infertility Factor -0.191 0.021 Type of Infertility Age 0.205 0.014 Subjective Sleep Quality Sleep Duration 0.405 <0> Subjective Sleep Quality Sleep Efficiency 0.184 0.027 Subjective Sleep Quality PSQI Classification 0.663 <0> Sleep Duration Sleep Efficiency 0.413 <0> Sleep Duration PSQI Classification 0.578 <0> Sleep Efficiency PSQI Classification 0.377 <0> Age BMI 0.202 0.015 BMI Married Life 0.183 0.028
Table 5: Significant Correlations in Infertility Cases (n = 145)
| Variable 1 | Variable 2 | Pearson Correlation (r) | p-value |
| Sleep Duration | PSQI Classification | 0.417 | <0> |
| Sleep Efficiency | PSQI Classification | 0.311 | 0.002 |
| Age (new) | Married Life | 0.637 | <0> |
| BMI (new) | PSQI Classification | -0.285 | 0.005 |
Table 6: Significant Correlations in Controls (n = 96)
| Country (Year) | Design & Population | Sleep Measure & Results | Notes |
| India (our study) | Case–control: Infertile women (n=145) vs fertile controls (n=96) | PSQI global: 4.94 ± 3.60 vs 1.60 ± 1.60; 42.1% vs 3.1% PSQI > 5 | First Indian study with infertility-specific case-control design |
| India, Bhopal (2021)24 | PCOS vs controls (62 vs 31) | PSQI 7.97 ± 3.61 vs 5.42 ± 2.73 | Higher sleep disturbance in PCOS women |
| India, Chennai (2024)25 | PCOS women | PSQI-based; reported significant sleep impairment | Confirms Tamil Nadu’s PCOS–sleep link |
| China, Li et al. (2023)26 | Cohort: infertile women (n=1002) pre-ART | PSQI 7.53 ± 1.78; 24.3% PSQI > 5 | Poor sleep linked to primary infertility |
| Multinational systematic review (2024)4 | 19 observational studies across Asia | Sleep disturbance is significantly associated with infertility | Confirms broader Asian link |
| Meta-analysis pooled (2023)9 | Eleven studies, global | SMD -0.75 in sleep quality among infertile women (significant) | Strong evidence of poor sleep in infertile women |
Table 7: Comparative Studies on Sleep & Female Infertility (Case–Control & Cohort)
Name: Date:
Pittsburgh Sleep Quality Index (PSQI)
Instructions: The following questions relate to your usual sleep habits during the past month only. Your answers should indicate the most accurate reply for the majority of days and nights in the past month. Please answerall questions.
1. During the past month, what time have you usually gone to bed at night?
2. During the past month, how long (in minutes) has it usually taken you to fall asleep each night?
3. During the past month, what time have you usually gotten up in the morning?
4. During the past month, how many hours of actual sleep did you get at night? (This may be different than the number of hours you spent in bed.)
| 5. During the past month, how often have you had trouble sleeping because you… | Not during the past month | Less than once a week | Once or twice a week | Three or more times a week |
| a. Cannot get to sleep within 30 minutes | ||||
| b. Wake up in the middle of the night or early morning | ||||
| c. Have to get up to use the bathroom | ||||
| d. Cannot breathe comfortably | ||||
| e. Cough or snore loudly | ||||
| f. Feel too cold | ||||
| g. Feel too hot | ||||
| h. Have bad dreams | ||||
| i. Have pain | ||||
| j. Other reason(s), please describe: | ||||
| 6. During the past month, how often have you taken medicine to help you sleep (prescribed or “over the counter”)? | ||||
| 7. During the past month, how often have you had trouble staying awake while driving, eating meals, or engaging in social activity? | ||||
| No problem at all | Only a very slight problem | Somewhat of a problem | A very big problem | |
8. During the past month, how much of a problem has it been for you to keep up enough enthusiasm to get things done? | ||||
| Very good | Fairly good | Fairly bad | Very bad | |
| 9. During the past month, how would you rate your sleep quality overall? | ||||
No bed partner or room mate
| Partner/room mate in other room | Partner in same room but not same bed | Partner in same bed
| |
10. Do you have a bed partner or room mate? | ||||
| Not during the past month | Less than once a week | Once or twice a week | Three or more times a week | |
| If you have a room mate or bed partner, ask him/her how often in the past month you have had: | ||||
| a. Loud snoring | ||||
| b. Long pauses between breaths while asleep | ||||
| c. Legs twitching or jerking while you sleep | ||||
d. Episodes of disorientation or confusion during sleep | ||||
| e. Other restlessness while you sleep, please describe: |
Table 8: PSQI questionnaire and scoring
Scoring the PSQI
The order of the PSQI items has been modified from the original order in order to
fit the first 9 items (which are the only items that contribute to the total score) on a single
page. Item 10, which is the second page of the scale, does not contribute to the PSQI
score.
In scoring the PSQI, seven component scores are derived, each scored 0 (no
difficulty) to 3 (severe difficulty). The component scores are summed to produce a global
score (range 0 to 21). Higher scores indicate worse sleep quality.
Component 1: Subjective sleep quality—question 9
Response to Q9 Component 1 score
Very good 0
Fairly good 1
Fairly bad 2
Very bad 3
Component 1 score:
Component 2: Sleep latency—questions 2 and 5a
Response to Q2 Component 2/Q2 subscore
≤ 15 minutes 0
16-30 minutes 1
31-60 minutes 2
> 60 minutes 3
Response to Q5a Component 2/Q5a subscore
Not during past month 0
Less than once a week 1
Once or twice a week 2
Three or more times a week 3
Sum of Q2 and Q5a Component 2 score
0 0
1-2 1
3-4 2
5-6 3
Component 2 score:
Component 3: Sleep duration—question 4
Response to Q4 Component 3 score
> 7 hours 0
6-7 hours 1
5-6 hours 2
< 5>
Component 3 score:
Component 4: Sleep efficiency—questions 1, 3, and 4
Sleep efficiency = (# hours slept/# hours in bed) X 100%
#hours slept—question 4
# hours in bed—calculated from responses to questions 1 and 3
Sleep efficiency Component 4 score
> 85% 0
75-84% 1
65-74% 2
< 65>
Component 4 score:
Component 5: Sleep disturbance—questions 5b-5j
Questions 5b to 5j should be scored as follows:
Not during past month 0
Less than once a week 1
Once or twice a week 2
Three or more times a week 3
Sum of 5b to 5j scores Component 5 score
0 0
1-9 1
10-18 2
19-27 3
Component 5 score:
Component 6: Use of sleep medication—question 6
Response to Q6 Component 6 score
Not during past month 0
Less than once a week 1
Once or twice a week 2
Three or more times a week 3
Component 6 score:
Component 7: Daytime dysfunction—questions 7 and 8
Response to Q7 Component 7/Q7 subscore
Not during past month 0
Less than once a week 1
Once or twice a week 2
Three or more times a week 3
Response to Q8 Component 7/Q8 subscore
No problem at all 0
Only a very slight problem 1
Somewhat of a problem 2
A very big problem 3
Component 7 score
In this case-control study of Indian women, we examined the relationship between sleep problems and infertility. We found significant differences in demographics, health, and sleep between infertile women and healthy controls. Our results suggest that infertility is not just a physical issue; it is also closely related to lifestyle and psychosocial factors, particularly sleep quality. We discovered that women who were unable to have children were much older and had been married for a longer time than healthy controls. This finding is in line with what other studies have found: older mothers and longer periods of infertility are both linked to lower fertility potential27. Also, while previous Indian studies have mostly focused on how being overweight or obese affects infertility, our study found that only infertile women were underweight.
Regarding infertility causes, our results showed tubal factors and male factor infertility as the most common etiologies in primary infertility, while unexplained infertility was significantly associated with secondary infertility. Studies have reported a higher occurrence of structural issues, like blocked tubes, among primary infertility cases in India28-29 The higher rate of unexplained infertility in secondary cases suggests possible subtle endocrine dysfunction or post-pregnancy issues, supporting the need for in-depth etiological investigations.
A particularly important finding was the significantly poorer sleep quality reported by infertile women. The average PSQI score, the proportion of poor sleepers (PSQI >5), and the prevalence of short sleep duration (<5>
Our analysis of PSQI components showed significant differences in subjective sleep quality and sleep duration between the two groups. Interestingly, despite the high rate of obesity in both groups, underweight status was only found among infertile women, highlighting the complex relationship between nutrition and reproductive health. These findings support Kamboj et al.,30 who noted the link between sleep disorders and infertility outcomes.
Correlation analyses further showed that infertile women had stronger associations among sleep variables like subjective sleep quality, sleep duration, sleep efficiency, and PSQI classification compared to controls. These interconnections may reflect a combined effect of psychosocial stress, hormonal changes, and lifestyle factors. Lin et al.31 reported a similar connection between poor sleep quality and reduced ovarian reserve, suggesting that disrupted sleep could directly influence reproductive physiology
Additionally, we found significant correlations between demographic factors (age, BMI, duration of marriage) and sleep parameters within the infertility group, a pattern not seen in healthy controls. This suggests a multifactorial risk profile for infertile women, supporting Kloss et al.20 hypothesis that sleep disturbances may influence fertility through inflammatory processes and hormonal disruption.
Although sleep duration and PSQI classification correlated in both groups, the associations were notably stronger in infertile women. This may mean that while poor sleep affects overall well-being, it has particularly harmful effects on women dealing with infertility—a point that has not been widely explored in Indian research.
Our case-control study adds to the growing evidence linking poor sleep quality with infertility, especially in India, where such studies are sparse. We found a significantly higher prevalence of poor sleep quality among infertile women (42.1%) compared to healthy controls (3.1%), with mean PSQI scores also notably higher. These findings are consistent with both national and global research on sleep disturbances and reproductive health.
Notably, earlier Indian studies primarily focused on women with polycystic ovary syndrome (PCOS), such as those from Bhopal (2021) and Chennai (2024), which reported significantly poor sleep quality among PCOS patients. However, these studies did not use infertility-specific case-control approaches. Our research, which specifically enrolled women diagnosed with infertility regardless of PCOS status, offers a broader view of the connection between infertility and sleep patterns in the Indian population (Table 7).
Data from China and other global reviews consistently report similar outcomes, suggesting that poor sleep is a common issue among infertile women worldwide. Systematic reviews and meta-analyses also back up this connection, highlighting its clinical significance (Table 7).
Our study is unique as the first Indian investigation, based on a literature review, to use a structured case–control design examining infertility beyond the commonly studied PCOS subset. The significant correlation we observed between poor sleep quality and infertility indicates a potential role for sleep assessments in infertility evaluations. However, causality cannot be established, and further longitudinal and mechanistic studies are needed to clarify whether sleep disturbances are a contributing factor to infertility or a consequence of infertility-related stress.
Our study highlights a significant association between poor sleep quality and female infertility, adding to the evidence that sleep disturbances may be both a contributing factor and a result of reproductive challenges. These findings suggest that assessing sleep quality should be a key part of infertility evaluations.
In practice, incorporating standardized tools like the Pittsburgh Sleep Quality Index (PSQI) into infertility assessments could help identify modifiable risk factors. Addressing sleep disturbances through behavioral interventions, sleep hygiene education, and referrals to sleep specialists may improve fertility outcomes.
Given the complex relationships between psychological and physiological factors in infertility, a team approach involving reproductive specialists, mental health professionals, and sleep experts may provide more comprehensive care. This is particularly important in settings like India, where sleep evaluation is often not included in infertility care, despite its potential effect on reproductive health.
Looking ahead, clinical guidelines might benefit from formally incorporating sleep quality assessments into infertility management protocols paving the way for targeted interventions that could enhance both sleep health and fertility outcomes.
This study stands out as one of the first Indian case–control investigations to thoroughly examine the link between sleep characteristics and infertility, with the inclusion of a well-matched control group adding strength to the comparisons made. Using a validated tool like the Pittsburgh Sleep Quality Index (PSQI) provided a uniform method for assessing sleep patterns.
However, several limitations need to be considered. The cross-sectional design limits our ability to draw conclusions about causality. Using self-reported sleep data also introduces the risk of recall bias. Moreover, as a single-center study, the findings may not represent the wider Indian population. An important limitation is the absence of objective sleep measurements, like actigraphy or polysomnography, which could have given more precise insights into sleep patterns.
Our study demonstrates that infertile women in the Indian population show distinct demographic and clinical characteristics, particularly a higher prevalence of sleep disturbances compared to healthy controls. The strong links observed between sleep quality, infertility-related factors, and demographic variables highlight the complex and multifaceted nature of infertility.
These findings suggest that sleep disturbances may serve not only as a reflection of reproductive challenges but also as a potentially modifiable risk factor. The observation of underweight status among infertile women alongside the clear associations between sleep parameters and infertility characteristics underscores the need for a holistic approach to infertility assessment. This approach should take into account lifestyle factors and psychosocial influences as part of comprehensive patient care.
As evidence accumulates linking sleep disturbances to reproductive outcomes, incorporating regular sleep quality screenings and interventions into infertility care may enhance treatment success. Future longitudinal and intervention-based studies are essential to clarify causal relationships and explore targeted strategies aimed at improving sleep health in infertility management.
Conflict of interest: None.
Human rights statement and informed consent: All patients were well informed and written informed consent was obtained prior to the treatment period.
The statement of approval from Institutional Review Board: All procedures in this study were in accordance with the ethical standards of the Ethical Committee in accordance with the ethical principles that have their origin in the Declaration of Helsinki 1964 and its later amendments. This study was approved by Institutional Ethics Committee(IEC) with reference number AIIMSA1273/03.05.2024
The study was conceptualized and designed by NS and RR. RR and N were responsible for obtaining clinical data and informed consent. NS and RR were responsible for protocol implementation. NS supervised the overall study. AU, NS and RR. analyzed and interpreted the data. RR and NS drafted the first manuscript. RR, N. and NS were responsible for critically editing the manuscript. All authors contributed to the patient management and follow-up. All authors contributed to manuscript writing and critical evaluation of the final manuscript.
None
The data set used in the current study is available on request from the corresponding author.
Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
