title: Reasons for dropping out from a waiting list for in vitro fertilization.
abstract: OBJECTIVE
  To determine the incidence of couples dropping out of the in vitro fertilization (IVF) waiting list and to describe the couples' reasons.
  
  
  METHODS
  Prospective cohort study.
  
  
  METHODS
  Fertility center in an academic hospital.
  
  
  METHODS
  674 women placed consecutively on the IVF waiting list between June 2000 and July 2003.
  
  
  METHODS
  None.
  
  
  METHODS
  Number of dropouts and reasons for dropping out.
  
  
  RESULTS
  Follow-up information was collected in 2005 and 2008. Of the 674 couples on the waiting list, 87% started IVF, and 13% dropped out before starting their first IVF cycle. Follow-up data were obtained for 85 of 86 patients (98.8%): 37% dropped out because of spontaneous pregnancy, 36% for personal reasons (passive censoring), and 27% for medical reasons (active censoring). Most of the pregnancies occurred within 3 months after the patient had been placed on the waiting list (30 of 32, 94%). Of the 54 censored couples, four became pregnant.
  
  
  CONCLUSIONS
  On a 6-month waiting list for IVF, 13% of the couples dropped out before starting treatment. The single most important reason for dropout was (spontaneous) pregnancy. Most of these pregnancies occurred within 3 months, which suggests that psychological factors such as stress relief after being placed on the waiting list might be operative.
authors.affiliation: Department of Obstetrics and Gynaecology, GROW, School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, the Netherlands. ajcmvandongen@gmail.com
authors.forename: Angelique J C M
authors.initials: AJ
authors.lastname: van Dongen
authors.forename: Tamara E M
authors.initials: TE
authors.lastname: Verhagen
authors.forename: John C M
authors.initials: JC
authors.lastname: Dumoulin
authors.forename: Jolande A
authors.initials: JA
authors.lastname: Land
authors.forename: Johannes L H
authors.initials: JL
authors.lastname: Evers
mesh_terms: D000328:Adult; D005260:Female; D005307:Fertilization in Vitro / Q000523:psychology*; D006801:Humans; D015994:Incidence; D009426:Netherlands; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D011247:Pregnancy; D018873:Pregnancy Rate; D012189:Retrospective Studies; D013315:Stress, Psychological / Q000453:epidemiology; D014850:Waiting Lists