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Fertil Steril. 2013 Apr;99(5):1319-23. doi: 10.1016/j.fertnstert.2012.11.035. Epub 2012 Dec 20.

Treatment discontinuation in couples consulting for male infertility after failing to conceive.

Author information

1
Université de Toulouse, UPS, Groupe de Recherche en Fertilité Humaine (EA 3694, Human Fertility Research Group), TSA 70034, Toulouse, France. walschaerts.m@chu-toulouse.fr

Abstract

OBJECTIVE:

To evaluate rates and reasons for treatment discontinuation in couples with male factor infertility and who failed to conceive.

DESIGN:

Retrospective study.

SETTING:

Male Sterility Center, University Hospital.

PATIENT(S):

A total of 407 couples consulting for male factor infertility and who discontinued treatment without conceiving.

INTERVENTION(S):

None.

MAIN OUTCOME MEASURE(S):

Treatment, reasons for dropout, and reproductive outcomes after discontinuation.

RESULT(S):

Of the 407 patients, 218 (54%) had had fertility treatment (medical or surgical), and 189 (46%) underwent assisted reproductive techniques (ART) (intrauterine insemination [IUI], in vitro fertilization [IVF], or intracytoplasmic sperm injection [ICSI]). The main reasons for dropout were painfulness of treatment (15% for patients with non-ART treatment vs. 32% for patients who had undergone ART), its ineffectiveness (12% vs. 26%), and separation of the couple (18% vs. 7%). Of the 407 patients, 27% consulted in another fertility center, 8% succeeded in having a child by ART with male partner sperm, 1% by ART with donor sperm, and 11% through adoption.

CONCLUSION(S):

About half of the couples consulting for male factor infertility discontinued fertility treatment, and of those who discontinued only a fifth finally succeeded in having a child. Although support is available to couples during fertility care, ART is a physical and psychological burden.

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