%0 Journal Article %A Walsh, Anthony PH %A Collins, Gary S. %A Le Du, Monique %A Walsh, David J. %A Sills, E Scott %D 2019 %T Pre-treatment preferences and characteristics among patients seeking in vitro fertilisation %U https://repository.rcsi.com/articles/journal_contribution/Pre-treatment_preferences_and_characteristics_among_patients_seeking_in_vitro_fertilisation/10788458 %2 https://repository.rcsi.com/ndownloader/files/19301075 %K IVF %K Patient Characteristics %K Obstetrics and Gynaecology %X

Background: This study sought to describe patient features before beginning fertility treatment, and to ascertain their perceptions relative to risk of twin pregnancy outcomes associated with such therapy.

Methods: Data on readiness for twin pregnancy outcome from in vitro fertilisation (IVF) was gathered from men and women before initiating fertility treatment by anonymous questionnaire.

Results: A total of 206 women and 204 men were sampled. Mean (± SD) age for women and men being 35.5 ± 5 and 37.3 ± 7 yrs, respectively. At least one IVF cycle had been attempted by 27.2% of patients and 33.9% of this subgroup had initiated ≥3 cycles, reflecting an increase in previous failed cycles over five years. Good agreement was noted between husbands and wives with respect to readiness for twins from IVF (77% agreement; Cohen's K = 0.61; 95% CI 0.53 to 0.70).

Conclusion: Most patients contemplating IVF already have ideas about particular outcomes even before treatment begins, and suggests that husbands & wives are in general agreement on their readiness for twin pregnancy from IVF. However, fertility patients now may represent a more refractory population and therefore carry a more guarded prognosis. Patient preferences identified before IVF remain important, but further studies comparing pre- and post-treatment perceptions are needed.

%I Royal College of Surgeons in Ireland