Emotional factors and the in vitro fertilization and embryo transfer process

Mahlstedt, Patricia P.; Macduff, Susan; Bernstein, Judith

doi:10.1007/bf01533762

Cited by 110 publications

(37 citation statements)

References 10 publications

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“…The psychological burden associated with fertility treatment appears to have an important impact on women's decision to stop treatment [1,6,9] . Many patients experience considerable psychological burden not only while participating in fertility treatment [10] , but also following diagnosis and during the clinical investigation of infertility [11,12] .…”

Section: Discussionmentioning

confidence: 99%

Reasons for Dropout in Infertility Treatment

Broeck

Holvoet

Enzlin³

et al. 2009

Gynecol Obstet Invest

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Background: The objective of this study was to explore the reasons why couples discontinue fertility treatment. Methods: A retrospective exploratory study was performed at the Leuven University Fertility Centre, a university hospital-based fertility center. Women who discontinued treatment between September 2000 and December 2001 were contacted in 2004–2005 by telephone for a standardized interview which covered 9 dropout reasons. For each reason, its importance on the decision to stop treatment was measured on an 11-point Likert scale. Results: On average, psychological burden (x = 5.96) had the highest impact on the decision to stop treatment followed by physical burden (x = 4.48) and female age (x = 3.64). Perceived lack of staff expertise (x = 1.84), negative impact on social contacts (x = 2.12) and financial burden (x = 2.16) had the lowest impact on the decision to stop treatment. Longer duration of infertility was significantly positively correlated with a higher rating of physical burden as a reason to discontinue treatment (r = 0.48; p < 0.05). Discussion: On average, psychological burden appears to be most frequently named as the number one reason to discontinue infertility treatment, whereas financial burden had the lowest impact. Longer duration of infertility is associated with more externalizing reasons to discontinue treatment.

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Section: Discussionmentioning

confidence: 99%

Reasons for Dropout in Infertility Treatment

Broeck

Holvoet

Enzlin³

et al. 2009

Gynecol Obstet Invest

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show abstract

“…Sixty-three percent of the women and 38% of the men expected that IVF treatment would be extremely stressful. Mahlstedt et al (2) analyzed responses from 94 IVF patients. They found that 82% of the patients did not view the decision to enter the IVF program to be a difficult one and that upon entry to the program 56% of patients indicated they would repeat the IVF treatment if the initial procedure was not successful.…”

Section: ~Troductionmentioning

confidence: 99%

Factors influencing patients’ decision not to repeat IVF

Goldfarb

Austin

Lisbona

et al. 1997

J Assist Reprod Genet

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Women who did not pursue a second in vitro fertilization cycle after a failed cycle were surveyed. The major reason for not pursuing a second cyclewas financial.KEY WORDS: finance; in vitro fertilization; psychologic stress. ~TRODUCTIONIn vitro fertilization (IVF) is still generally considered to be the last step for couples who are being treated for infertility. There have been many studies regarding the stress of infertility and specifically the stress of IVF. Collins et aL (1) examined the stress associated with infertility reported by couples who were enrolling in an IVF program. Sixty-three percent of the women and 38% of the men expected that IVF treatment would be extremely stressful. Mahlstedt et al. (2) analyzed responses from 94 IVF patients. They found that 82% of the patients did not view the decision to enter the IVF program to be a difficult one and that upon entry to the program 56% of patients indicated they would repeat the IVF treatment if the initial procedure was not successful. Interestingly after the first IVF cycle, only 37% of couples planned to repeat the treatment. Factors they found that influenced patients' plans not to repeat IVF included emotional strain, medical barriers, and disruption of activities. We also have been interested in the attitudes of couples who do not pursue a second IVF cycle after an initial cycle is not successful and have in this study examined such couples.i Department of Ob/Gyn, University Hospitals of Cleveland, 11100Euclid Avenue, Cleveland, Ohio 44106. MATERIALS AND METHODSQuestionnaires were sent to 54 couples who went through a single unsuccessful IVF cycle during the years 1990-1993 and who had not pursued a second cycle as of October 1995. Questionnaires were mailed to the last known address. If a response was not received in 3 weeks a telephone call was made in follow-up. Several of the questionnaires were returned undelivered, the couples having moved with no forwarding address available, DemographicsAt the time of the IVF procedure the women ranged in age from 29 to 40, with a mean age of 34.5 (SD, 3.5). Women were predominantly white (25 of 28). All women responding had at least a twelfth-grade education, with 17 to 28 being at least college graduates. Their spouses all had at least a twelfth-grade education as well, with 18 of 28 being at least college graduates. Nine of 28 women described their occupation as professional, and an equal number of men listed their occupation as professional. Length of infertility at the time of the IVF procedure ranged from 2 to 15 years, with a mean of 6.9 years (SD, 4.3 years). Twenty-four of the 28 women had no living children; the other 4 each had one. Five of the 28 women had had a voluntary termination in the past. MeasuresThe questionnaire included three sets of questions that attempted to determine the attitudes of couples who chose not to pursue a second cycle of IVE The 381

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“…Grief and depressive symptoms have been described as typical reactions to a failed cycle (10). Though most recover quickly from these symPtoms and go on to another cycle, a minority suffer more severe grief reactions (9), and one study described patients who discontinued treatment as a result of the emotional strain following a failed cycle (5).…”

Section: What Is So Stressful About This Technology?mentioning

confidence: 99%

“…4,1997 resulted in the first successful birth in 1978, a myriad of studies on the psychological profile of participants in these programs has appeared in the literature (1-3). Evidence of serious psychopathology in this patient population is rare, but the ART experience appears to have a profound psychological affect on participants (4,5). Accordingly, the need for counseling and support in this treatment milieu has been clearly demonstrated.…”

mentioning

confidence: 98%

Does psychological support and counseling reduce the stress experienced by couples involved in assisted reproductive technology?

Greenfeld

1997

J Assist Reprod Genet

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Emotional factors and the in vitro fertilization and embryo transfer process

Cited by 110 publications

References 10 publications

Reasons for Dropout in Infertility Treatment

Reasons for Dropout in Infertility Treatment

Factors influencing patients’ decision not to repeat IVF

Does psychological support and counseling reduce the stress experienced by couples involved in assisted reproductive technology?

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