Follow up of infertile patients after failed ART cycles: a preliminary report from Iran and Turkey

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• 作者：Mohammad Ali Khaliliup>aup>up> ; up>up>khalili59@hotmail.comup> ; Semra Kahramanup>bup> ; Mete Gurol Ugurup>bup> ; Azam Agha-Rahimiup>aup> ; Nasim Tabibnejadup>aup>
• 关键词：ART ; Follow-up ; Infertility ; Pregnancy ; Iran ; Turkey
• 刊名：European Journal of Obstetrics and Gynecology and Reproductive Biology
• 出版年：2012
• 期刊代码：92_03012115
• 类别：med
• 出版时间：March, 2012
• 卷：161
• 期：1
• 页码：38-41
• 文件大小：220 K

摘要

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鈥?demographic data, the couples鈥?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.