2019
DOI: 10.1016/j.fertnstert.2019.07.1130
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Infertility patient clinical journey outcome depends on initial treatment, starting with ovulation induction (OI) vs in vitro fertilization (IVF): results from a large real-world database

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Cited by 2 publications
(2 citation statements)
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“…For example, cycle cancellation due to the risk of OHSS may necessitate discontinuation of the ongoing ART treatment and/or subsequent OS cycles, which increases both the emotional and financial burden on patients ( 7 ). Evidence suggests that the discontinuation rate is higher amongst patients undergoing subsequent treatment cycles after a failed ART treatment in previous attempts ( 44 ). Dose adjustment during gonadotropin stimulation based on ovarian response to treatment measured by ultrasound assessment of follicular development and hormonal monitoring is a common strategy to limit the risk of OHSS and reduce the occurrence of cycle cancellations ( 18 , 38 , 45 ).…”
Section: Discussionmentioning
confidence: 99%
“…For example, cycle cancellation due to the risk of OHSS may necessitate discontinuation of the ongoing ART treatment and/or subsequent OS cycles, which increases both the emotional and financial burden on patients ( 7 ). Evidence suggests that the discontinuation rate is higher amongst patients undergoing subsequent treatment cycles after a failed ART treatment in previous attempts ( 44 ). Dose adjustment during gonadotropin stimulation based on ovarian response to treatment measured by ultrasound assessment of follicular development and hormonal monitoring is a common strategy to limit the risk of OHSS and reduce the occurrence of cycle cancellations ( 18 , 38 , 45 ).…”
Section: Discussionmentioning
confidence: 99%
“…The barriers to achieving this patient goal are several: medical conditions in the female and/or male, the patient's age, financial barriers and psychological stress. Based on numerous clinicians' experience, approximately 50-60% of patients seen in a tertiary care center will have a baby [22]. About 10% will decide not to pursue treatment because the prognosis is very poor, while about 30% will not achieve their goal because of financial and/or psychological barriers: 10% financial reasons alone, 10% psychological reasons alone and 10% a combination of the two.…”
Section: Overview Of Infertilitymentioning
confidence: 99%