Discontinuation Decision in Assisted Reproductive Techniques
Background In vitro fertilization (IVF) and intra cytoplasmic sperm injection (ICSI) are recognized as established and increasingly successful forms of treatment for infertility, yet significant numbers of couples discontinue treatment without achieving a live birth. This study aims to identify majo...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Royan Institute (ACECR), Tehran
2009-02-01
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| Series: | International Journal of Fertility and Sterility |
| Subjects: | |
| Online Access: | http://www.ijfs.ir/article_45730_8b5100c1c033affc229063f056ee265c.pdf |
| _version_ | 1819225742835187712 |
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| author | Ashraf Moini Sahar Salehizadeh Farzaneh Moosavi Kiandokht Kiani Soraya Khafri |
| author_facet | Ashraf Moini Sahar Salehizadeh Farzaneh Moosavi Kiandokht Kiani Soraya Khafri |
| author_sort | Ashraf Moini |
| collection | DOAJ |
| description | Background
In vitro fertilization (IVF) and intra cytoplasmic sperm injection (ICSI) are recognized as established and increasingly successful forms of treatment for infertility, yet significant numbers of couples discontinue treatment without achieving a live birth. This study aims to identify major factors that influence the decision to discontinue IVF/ICSI treatments.
Materials and methods
We studied the data of 338 couples who discontinued their infertility treatments after three cycles; based on medical records and phone contact. The main measure was the reason for stopping their treatments.
Results
Economical problems were cited by 212 couples (62.7%), as their mean income was significantly less than other couples (p<0.0001). Lack of success was reported as a reason by 229 (67.8%), from whom 165 (72%) also had economical problems. Achieving independent- ART pregnancy was the reason for discontinuation in 20 (5.9%) couples. Psychological stress, depression and anxiety were reported as other cessation factors by 169 (50%), 148 (43.8%) and 182 (53.8%) couples, respectively.
Conclusion
This survey suggests that the most common reasons for assisted reproductive technique (ART) discontinuation after three cycles are: prior unsuccessful cycles, economical and psychological problems. Therefore, the substantial proportion of couples could benefit from psychological intervention, increasing awareness of ART outcomes and health funding to cope more adequately with failed treatments. |
| first_indexed | 2024-12-23T10:14:26Z |
| format | Article |
| id | doaj.art-218d8b4bfc304cf4a419883ace14f7f3 |
| institution | Directory Open Access Journal |
| issn | 2008-076X 2008-0778 |
| language | English |
| last_indexed | 2024-12-23T10:14:26Z |
| publishDate | 2009-02-01 |
| publisher | Royan Institute (ACECR), Tehran |
| record_format | Article |
| series | International Journal of Fertility and Sterility |
| spelling | doaj.art-218d8b4bfc304cf4a419883ace14f7f32022-12-21T17:50:51ZengRoyan Institute (ACECR), TehranInternational Journal of Fertility and Sterility2008-076X2008-07782009-02-012417317810.22074/ijfs.2009.4573045730Discontinuation Decision in Assisted Reproductive TechniquesAshraf Moini0Sahar Salehizadeh1Farzaneh Moosavi2Kiandokht Kiani3Soraya Khafri4Endocrinology and Female Infertility Department, Reproductive Medicine Research Center, Royan Institute, ACECR, Tehran, Iran Obstetrics and Gynecology Department, Faculty of Medicine, Tehran University of Medical Science, Tehran, IranObstetrics and Gynecology Department, Faculty of Medicine, Tehran University of Medical Science, Tehran, IranObstetrics and Gynecology Department, Faculty of Medicine, Tehran University of Medical Science, Tehran, IranEndocrinology and Female Infertility Department, Reproductive Medicine Research Center, Royan Institute, ACECR, Tehran, IranSocial Medicine and Health Department, Babol University of Medical Sciences, Babol, IranBackground In vitro fertilization (IVF) and intra cytoplasmic sperm injection (ICSI) are recognized as established and increasingly successful forms of treatment for infertility, yet significant numbers of couples discontinue treatment without achieving a live birth. This study aims to identify major factors that influence the decision to discontinue IVF/ICSI treatments. Materials and methods We studied the data of 338 couples who discontinued their infertility treatments after three cycles; based on medical records and phone contact. The main measure was the reason for stopping their treatments. Results Economical problems were cited by 212 couples (62.7%), as their mean income was significantly less than other couples (p<0.0001). Lack of success was reported as a reason by 229 (67.8%), from whom 165 (72%) also had economical problems. Achieving independent- ART pregnancy was the reason for discontinuation in 20 (5.9%) couples. Psychological stress, depression and anxiety were reported as other cessation factors by 169 (50%), 148 (43.8%) and 182 (53.8%) couples, respectively. Conclusion This survey suggests that the most common reasons for assisted reproductive technique (ART) discontinuation after three cycles are: prior unsuccessful cycles, economical and psychological problems. Therefore, the substantial proportion of couples could benefit from psychological intervention, increasing awareness of ART outcomes and health funding to cope more adequately with failed treatments.http://www.ijfs.ir/article_45730_8b5100c1c033affc229063f056ee265c.pdfivficsipatient dropout |
| spellingShingle | Ashraf Moini Sahar Salehizadeh Farzaneh Moosavi Kiandokht Kiani Soraya Khafri Discontinuation Decision in Assisted Reproductive Techniques International Journal of Fertility and Sterility ivf icsi patient dropout |
| title | Discontinuation Decision in Assisted Reproductive Techniques |
| title_full | Discontinuation Decision in Assisted Reproductive Techniques |
| title_fullStr | Discontinuation Decision in Assisted Reproductive Techniques |
| title_full_unstemmed | Discontinuation Decision in Assisted Reproductive Techniques |
| title_short | Discontinuation Decision in Assisted Reproductive Techniques |
| title_sort | discontinuation decision in assisted reproductive techniques |
| topic | ivf icsi patient dropout |
| url | http://www.ijfs.ir/article_45730_8b5100c1c033affc229063f056ee265c.pdf |
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