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对前往不孕不育诊所就诊的夫妇中体外受精治疗中断原因的调查。

Survey of reasons for discontinuation from in vitro fertilization treatment among couples attending infertility clinic.

作者信息

Kulkarni Grishma, Mohanty Nimain C, Mohanty Ipseeta Ray, Jadhav Pradeep, Boricha B G

机构信息

Department of Pharmacology, Mahatma Gandhi Mission Medical College, Kamothe, Navi Mumbai, Maharashtra, India.

Department of Pediatrics, Mahatma Gandhi Mission Medical College Hospital for Women and Children, Kalamboli, Navi Mumbai, Maharashtra, India.

出版信息

J Hum Reprod Sci. 2014 Oct-Dec;7(4):249-54. doi: 10.4103/0974-1208.147491.

DOI:10.4103/0974-1208.147491
PMID:25624660
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4296398/
Abstract

BACKGROUND

With the increase in infertility burden, more and more couples are opting for in vitro fertilization (IVF). Despite the availability of various treatment options, the major concern that needs to be addressed is the reasons why such couples, initially motivated so strongly, drop out in fairly high numbers from IVF cycles. With this point of view the study was designed.

AIM

The objective of this study was to explore the reasons why couples discontinue fertility treatment.

SETTINGS AND DESIGN

This retrospective study was carried out among couples in the age group of 20-40 years who opted for IVF at Tertiary care hospital and a private infertility center.

MATERIALS AND METHODS

Medical records for 3 years (2009-2012) were taken out and included in the study for analysis. Socio-demographic details along with indication for IVF and reasons for drop-separate IVF therapy were recorded on case record form and were analyzed.

RESULTS

Twenty-one percent of the patients had tubal pathology, thus making it the commonest female related factor for indication of IVF. Oligoasthenospermia (13%) was the commonest cause of male related infertility factor. Financial burden was the primary cause for terminating treatment in majority of the IVF cases.

CONCLUSIONS

Financial burden (62.5%) was the commonest reason for drop out among couples from IVF cycle.

摘要

背景

随着不孕负担的增加，越来越多的夫妇选择体外受精（IVF）。尽管有各种治疗选择，但需要解决的主要问题是，为什么这些最初积极性很高的夫妇中，有相当高比例的人会退出IVF周期。基于这一观点开展了本研究。

目的

本研究的目的是探讨夫妇停止生育治疗的原因。

设置与设计

这项回顾性研究是在一家三级护理医院和一家私立不孕不育中心，对年龄在20至40岁之间选择IVF的夫妇进行的。

材料与方法

提取了3年（2009 - 2012年）的病历并纳入研究进行分析。社会人口学详细信息以及IVF指征和停止IVF治疗的原因被记录在病例记录表上并进行分析。

结果

21%的患者有输卵管病变，因此这是女性相关的IVF指征中最常见的因素。少弱精子症（13%）是男性相关不孕因素中最常见的原因。经济负担是大多数IVF病例终止治疗的主要原因。

结论

经济负担（62.5%）是夫妇退出IVF周期最常见的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c24/4296398/24801f4f11c2/JHRS-7-249-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c24/4296398/b66f244c60e8/JHRS-7-249-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c24/4296398/24801f4f11c2/JHRS-7-249-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c24/4296398/b66f244c60e8/JHRS-7-249-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c24/4296398/24801f4f11c2/JHRS-7-249-g005.jpg

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