Reasons for discontinuation of IVF treatment: a questionnaire study

Abstract

Though funding is an important issue, factors including lack of success and psychological stress play a greater role in influencing the decision to discontinue treatment. Better information and support are needed to improve the continuation rates.

Couples’ discontinuation of fertility treatments: a longitudinal study on demographic, biomedical, and psychosocial risk factors

“…According to these studies, a psychological burden is the most commonly cited reason by patients for discontinuation [3,5,10,[12][13][14]. Psychological variables have also been found to predict discontinuation [9,15], and associations between discontinuation and marital and personal problems [13,16,17], perceived poor diagnosis [5,13], female age [15,18,19], and parity [20] have also been reported.…”

“…Discontinuation rates nevertheless vary across studies (e.g., 5.6% [9], 70% [10]) because of the use of different conceptualizations of discontinuation. For example, patients to whom treatment is denied because of a poor prognosis (Bactively censored patients^ [11]) are inconsistently considered discontinuers.…”

“…First, the lack of consensus regarding the definition of discontinuation engenders inconsistent results across studies. Different reasons have been reported, such as emotional stress [12] but also successful pregnancy [10]. Second, most studies ask participants to select the main reason for discontinuation from a preexisting list of possible reasons [12,13,22] (see [16,20,23] for exceptions).…”

IVM is an alternative for patients with PCO after failed conventional IVF attempt

“…After obtaining IRB approval, we recruited for the study 23 women who did not deliver after standard IVF-ET with a long Buserelin acetate protocol. A failed IVF attempt was defined as a cycle which did not reach pregnancy with live birth.…”

Validation study of the SCREENIVF: an instrument to screen women or men on risk for emotional maladjustment before the start of a fertility treatment

“…Reasons for discontinuation are multifactorial but can be distinguished in being financial, hospital/clinic related, medical, physical and/or psychological reasons (4,8,10,11).…”