title: Application of in-vitro fertilization in (almost) fertile couples should, and can, be avoided.
abstract: In-vitro fertilization is a successful treatment for infertile couples. However, in a minority of cases it can be dangerous, both for mother and child. IVF should therefore be avoided in (almost) fertile couples. A simple prognostic model makes it possible to distinguish couples with a good chance of conceiving spontaneously from those who deserve treatment in due course. Use of this model should enable IVF to be avoided in (almost) fertile couples.
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospital, Utrecht, The Netherlands.
authors.forename: E R
authors.initials: ER
authors.lastname: te Velde
authors.forename: J D
authors.initials: JD
authors.lastname: Habbema
authors.forename: R J
authors.initials: RJ
authors.lastname: Van Kooij
mesh_terms: D005307:Fertilization in Vitro / Q000009:adverse effects*; D006801:Humans; D007246:Infertility / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D011379:Prognosis