Time to pregnancy: as important for patients as underestimated by doctors


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Volume 113, Issue 3, Pages 522–523


Matheus Roque, M.D., Ph.D., Carlos Simon, M.D., Ph.D.


How many couples that have not yet become parents abandon in vitro fertilization (IVF) treatment owing to the psychological burden associated with treatment failure? Psychological stress is by far the most important factor in IVF treatment termination. Up to 50% of patients change doctors after their first IVF attempt. In the United States, up to 65.2% of patients with health insurance coverage that would be eligible to undergo another IVF treatment after a failed treatment do not seek further care. This discontinuation of treatment among insured patients is most commonly attributed to psychological burdens, including feeling too stressed to continue and the strain of infertility on the couple’s relationship.

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Fertility and Sterility

Editorial Office, American Society for Reproductive Medicine

Fertility and Sterility® is an international journal for obstetricians, gynecologists, reproductive endocrinologists, urologists, basic scientists and others who treat and investigate problems of infertility and human reproductive disorders.