Shahin Ahmed Y
Department of Obstetrics and Gynaecology, Assiut University, 71116, Assiut, Egypt.
Reprod Biomed Online. 2007 Jul;15(1):51-6. doi: 10.1016/s1472-6483(10)60691-8.
Infertility represents a national health problem in some African countries. Limited financial health resources in developing countries are a major obstacle facing infertility management. IVF is the definitive line of treatment for many couples. Stimulation cycles are associated with risks of ovarian hyperstimulation syndrome and multiple pregnancy. This study evaluates the client acceptability of stimulated versus natural cycle IVF among couples attending one infertility clinic, with respect to cost and pregnancy outcome. Of the patients who were indicated for IVF, 15% (16/107) cancelled, due mostly (12/16, 75%) to financial reasons. The majority of patients who completed their IVF treatment (82/91, 90.1%) felt the price of the medical service offered was high, and 68.1% (62/91) accepted the idea of having cheaper drugs with fewer side effects but with possibly lower chances of pregnancy. Natural cycle IVF has emerged as a potential option that might be suitable for patients worldwide, especially in developing countries.
在一些非洲国家，不孕症是一个国民健康问题。发展中国家有限的医疗卫生资源是不孕症治疗面临的主要障碍。体外受精（IVF）是许多夫妇的最终治疗方案。促排卵周期存在卵巢过度刺激综合征和多胎妊娠的风险。本研究评估了在一家不孕症诊所就诊的夫妇中，就成本和妊娠结局而言，促排卵周期体外受精与自然周期体外受精哪种更易被患者接受。在被建议接受体外受精的患者中，15%（16/107）取消了治疗，主要原因（12/16，75%）是经济因素。大多数完成体外受精治疗的患者（82/91，90.1%）认为所提供医疗服务的价格过高，68.1%（62/91）接受使用价格更低、副作用更少但妊娠几率可能更低的药物。自然周期体外受精已成为一种可能适合全球患者的潜在选择，尤其是在发展中国家。
