The Cost of Infertility (Coin) Study: Modeling Decision Regret

Sundaram, Viji; Morris, J.W.; Anderson, J.; Noel, Martha

doi:10.1016/j.fertnstert.2020.08.335

Cited by 2 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Struggles and complaints expressed by the participants were physical pain, uncomfortable with scheduled sex or sexual stress, financial stress, the experience of multiple or numerous doctors, time-consuming treatments, and the risks and side effects of medications. Financial stress is evident among those seeking treatment, placing a significant financial burden on families (Sundaram et al, 2020).…”

Section: A the Starting Point: Warnings Of Infertilitymentioning

confidence: 99%

It's the Climb: The Reproductive Journey and Well-being of Filipino Women with Infertility

Taguibao¹,

Bance²

2022

PSSJ

View full text Add to dashboard Cite

According to studies, infertility is often ignored in developing countries despite its impact on well-being. This qualitative study aimed to explore how Filipino women with infertility gave meaning to their well-being and experiences in trying to conceive. In-depth interviews were conducted with eight women, while three psychologists and two reproductive doctors were consulted as additional data sources. Utilizing interpretative phenomenological analysis (IPA), four themes were generated: walking trails of my reproductive story; hazards along the way: stressors of infertility; lost in the wilderness: toll on mental health and well-being; and looking back, I am in awe: journey of ascending from waiting and exploring. A simulacrum, "T.T.C. Journey Map," was developed from these themes. The findings added to the limited literature on reproductive health and well-being, which can be used as a basis to create a psychosocial program to address fertility-related concerns and ensure well-being among women with infertility.

show abstract

Section: A the Starting Point: Warnings Of Infertilitymentioning

confidence: 99%

It's the Climb: The Reproductive Journey and Well-being of Filipino Women with Infertility

Taguibao¹,

Bance²

2022

PSSJ

View full text Add to dashboard Cite

show abstract

Decision regret among couples experiencing infertility: a mixed methods longitudinal cohort study

Cusatis,

Johnson,

Schoyer

et al. 2023

Reprod Health

View full text Add to dashboard Cite

Background Decisions for how to resolve infertility are complex and may lead to regret. We examined whether couples and individuals who sought a consultation from a reproductive specialist for infertility later expressed decisional regret about their family-building choices and whether regret was associated with parental role, family-building paths, or outcomes. Methods This longitudinal mixed methods study included women and their partners who completed a questionnaire prior to their initial consultation with a reproductive specialist and 6 years later. The six-year questionnaire included the Ottawa Decision Regret Scale referencing “the decisions you made about how to add a child to your family.” A score of 25+ indicates moderate-to-severe regret. Additional items invited reflections on family-building decisions, treatments, and costs. A systematic content analysis assessed qualitative themes. Results Forty-five couples and 34 individuals participated in the six-year questionnaire (76% retention rate), Half (n = 61) of participants expressed no regret, which was similar by role (median 0 for women and supporting partners, F = .08; p = .77). One in 5 women and 1 in 7 partners expressed moderate-to-severe regret. Women who did not pursue any treatment had significantly higher regret (median 15; F = 5.6, p < 0.01) compared to those who pursued IVF (median 0) or other treatments (median 0). Women who did not add a child to their family had significantly higher regret (median 35; F = 10.1, p < 0.001) than those who added a child through treatment (median 0), through fostering/adoption (median 0), or naturally (median 5). Among partners, regret scores were not associated with family-building paths or outcomes. More than one-quarter of participants wished they had spent less money trying to add a child to their family. Qualitative themes included gratitude for parenthood despite the burdensome process of family-building as well as dissatisfaction or regret about the process. Results should be confirmed in other settings to increase generalizability. Conclusion This longitudinal study provides new insight into the burden of infertility. For women seeking parenthood, any of the multiple paths to parenthood may prevent future decision regret. Greater psychosocial, financial, and decision support is needed to help patients and their partners navigate family-building with minimal regret.

show abstract

The Cost of Infertility (Coin) Study: Modeling Decision Regret

Cited by 2 publications

References 0 publications

It's the Climb: The Reproductive Journey and Well-being of Filipino Women with Infertility

It's the Climb: The Reproductive Journey and Well-being of Filipino Women with Infertility

Decision regret among couples experiencing infertility: a mixed methods longitudinal cohort study

Contact Info

Product

Resources

About