This is the first study, to the authors' knowledge, to identify and assess the determinants of the patient decision-making process when presented with the choice of PGS. Several factors contribute to the patient-perceived determinants when choosing to accept or decline PGS, including cost, religious and ethical beliefs and values, social and family support, provider influences, and the past reproductive experience of the patient.

likely to feel isolated or guilty than their fertile counter parts (pp of an effect for infertility was .48 in women and .63 in men). Men with MHT were more isolated/guilty during the first year than men without such history (mean parameter estimate for MHT ¼ .62, pp ¼ .99). Older men and women were less likely to view their miscarriage as the loss of a baby than younger men and women, though this did not reach significance. Time had a significant effect in reducing I/G, DE, and LB in women. Men's initial impact remained constant over the course of the year except for devastation, which showed a small decrease. The couples scores were significantly correlated, albeit, the correlation coefficients were low (r ¼ .07-.16, pp ¼ .96-.99) CONCLUSIONS: During the first year of loss, the impact of miscarriage is not influenced by infertility. Men with a history of grief, depression, or anxiety may experience more isolation and guilt. Women see a decrease in impact over time, where as men only see a decrease in the devastation experienced. References: 1. Swanson KM, Chen HT, Graham, JC, Wojnar DM, Petras A. Resolution of depression and grief during the first year after miscarriage: a randomized controlled clinical trial of couples-focused interventions. J