AI Article Synopsis
- Assisted reproductive technology (ART) is a widely used treatment for infertility, but many cycles fail, prompting the need for follow-up with couples after unsuccessful attempts in Iran and Turkey.
- A study involving 198 couples from Iran and 355 from Turkey revealed that the drop-out rate was higher in Iran, with varying reasons for discontinuation, including financial issues and hope of natural pregnancy.
- Spontaneous pregnancy rates were notably higher in Iran compared to Turkey, suggesting a need for greater support for couples facing treatment challenges.
Article Abstract
Objectives: Assisted reproductive technology (ART) has become an established and increasingly successful form of treatment for infertility. However, significant numbers of cycles fail after embryo transfer (ET) and it becomes necessary to follow up the infertile couples after failed ART treatments. The main goal was to follow up the infertile patients after failed IVF/ICSI+ET treatments in Iran and Turkey.
Study Design: 198 infertile couples from Iran and 355 infertile couples from Turkey were followed up after IVF/ICSI failures. The patients' demographic data, the couples' decisions about continuation of treatment and the spontaneous pregnancy rates were compared in the two countries.
Results: The drop-out rate was higher in Iran (28.3%) than in Turkey (23.4%). The reasons for treatment discontinuation in Iran and Turkey were: financial problem (33.9% vs. 41%), hopeless (10.7% vs. 22.9%), fear of drug side-effects (7.1% vs. 12%), achieving pregnancy (37.5% vs. 19.6%), child adoption (5.4% vs. 2.4%), lack of spouse cooperation (5.4% vs. 2.4%), and divorce (0% vs. 2.4%). Spontaneous pregnancy was significantly higher in Iran (10.1%) than in Turkey (3.9%). There was correlation between duration of infertility and female factor infertility with spontaneous pregnancy.
Conclusions: Since the majority of couples that discontinued treatment had financial problems, it is essential for health professionals to support infertile couples during their childlessness crisis.
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| http://dx.doi.org/10.1016/j.ejogrb.2011.11.025 | DOI Listing |
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