Life after unsuccessful IVF treatment in an assisted reproduction unit: a qualitative analysis of gains through loss among Chinese persons in Hong Kong.
BACKGROUND
Previous studies examining experiences of infertility focused mainly on the aspect of loss but neglected the possible gains realized through surviving the experience of infertility. The success rate of IVF remains relatively low, and we used the strengths perspective to examine adjustment after unsuccessful treatment. This study aims to provide an in-depth description of the gains perceived by Chinese men and women and how they re-constructed their lives after unsuccessful IVF treatment.


METHODS
Four couples and another six women who experienced unsuccessful IVF treatment were recruited from an assisted reproduction clinic. Data were collected through in-depth interviews, using a grounded theory constructivist approach.


RESULTS
Of the 10 women and 4 men interviewed, 9 remained childless, 3 had adopted a child and 2 had conceived naturally. They reported gains on a personal level, interpersonal level and transpersonal level through surviving the experience of infertility. All, regardless of the eventual outcome, reported at least one form of personal gain: in personality or knowledge gain. Interpersonal gains were perceived in relationships with their spouses, children, parents, friends, colleagues and fellow IVF service users. More than half of them reported spiritual growth and a change in identity through integrating their experiences and offering help to others.


CONCLUSIONS
Despite the small sample size, this study makes a significant contribution by suggesting that while negative feelings provoked by the failure to conceive should be acknowledged, people in this situation should also be enabled to consolidate their negative experiences of IVF constructively, helping them to move on with their lives.
Lee
Geok Ling
GL
Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong. gllee@hkusua.hku.hk
Hui Choi
W H
WH
Chan
Celia H Y
CH
Chan
Cecilia L W
CL
Ng
Ernest H Y
EH
D000223:Adaptation, Psychological; D000300:Adoption; D044466:Asian People / Q000523:psychology; D004644:Emotions; D005260:Female; D005307:Fertilization in Vitro / Q000523:psychology*; D006723:Hong Kong; D006801:Humans; D007246:Infertility / Q000523:psychology* / Q000628:therapy; D007247:Infertility, Female / Q000523:psychology / Q000628:therapy; D007248:Infertility, Male / Q000523:psychology / Q000628:therapy; D007406:Interview, Psychological; D008297:Male; D011788:Quality of Life; D027724:Reproductive Techniques, Assisted; D018454:Spouses