title: Long-term follow-up of women and men after unsuccessful IVF.
abstract: The experience of 92 couples, who had unsuccessfully undergone one or more IVF cycles at a university clinic, was evaluated 3-8 years following their last failed attempt. One member of each couple completed a telephone questionnaire regarding life events during their last IVF cycle performed at the clinic and at the time of the interview. Some couples had continued further treatment and some had not. Multivariate correspondence analysis was used to analyse the data. Regarding the long-term experience of couples who had undergone further treatment, for men the main experiences were psychological problems and having adopted a child. For women, the main experiences were related to problems of self-image, psychological problems, loss of hope, and having adopted a child. These women also presented a strong association with problems in their marital relationship and with adoption. For the group that did not undergo further treatment, the women showed a strong association with considering adoption, and a less intense association with psychological problems and loss of hope. The men presented psychological problems and having adopted a child as associated variables. Comparison between men and women showed that recognizing the impossibility of conceiving a child and giving up treatment were strongly associated. Men and women who had not continued with further treatment were more affected in the long term than those who had undergone further treatment after IVF failure.
authors.affiliation: Centro de Pesquisas em Saúde Reprodutiva de Campinas (Cemicamp) and Department of Obstetrics and Gynaecology, School of Medicine, Universidade Estadual de Campinas (UNICAMP), Campinas, São Paulo, Brazil.
authors.forename: Juliana N
authors.initials: JN
authors.lastname: Filetto
authors.forename: Maria Y
authors.initials: MY
authors.lastname: Makuch
mesh_terms: D000300:Adoption; D000328:Adult; D001007:Anxiety; D005260:Female; D005307:Fertilization in Vitro / Q000523:psychology*; D005500:Follow-Up Studies; D006801:Humans; D007246:Infertility / Q000523:psychology*; D007247:Infertility, Female / Q000628:therapy; D007248:Infertility, Male / Q000628:therapy; D008297:Male; D008393:Marriage; D008875:Middle Aged; D015999:Multivariate Analysis; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D013997:Time Factors; D017211:Treatment Failure; D016896:Treatment Outcome