title: Predictors of not pursuing infertility treatment after an infertility diagnosis: examination of a prospective U.S. cohort.
abstract: We studied a prospective cohort of 434 couples in Northern California and found that 13% did not pursue any form of infertility treatment after their initial consultation. Although age, education, and financial concerns remain important for patients in choosing whether to pursue infertility treatment, depressive symptoms may also be a barrier to achieving reproductive goals.
authors.affiliation: Department of Urology, University of California San Francisco, San Francisco, California 94143-0738, USA. meisenberg@urology.ucsf.edu
authors.forename: Michael L
authors.initials: ML
authors.lastname: Eisenberg
authors.forename: James F
authors.initials: JF
authors.lastname: Smith
authors.forename: Susan G
authors.initials: SG
authors.lastname: Millstein
authors.forename: Robert D
authors.initials: RD
authors.lastname: Nachtigall
authors.forename: Nancy E
authors.initials: NE
authors.lastname: Adler
authors.forename: Lauri A
authors.initials: LA
authors.lastname: Pasch
authors.forename: Patricia P
authors.initials: PP
authors.lastname: Katz
mesh_terms: D000328:Adult; D001294:Attitude to Health; D015984:Causality; D015331:Cohort Studies; D003657:Decision Making / Q000502:physiology; D005191:Family Characteristics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007246:Infertility / Q000175:diagnosis* / Q000453:epidemiology* / Q000523:psychology; D007407:Interviews as Topic; D008297:Male; D011446:Prospective Studies; D027724:Reproductive Techniques, Assisted / Q000523:psychology / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology
references.citation: J Psychosom Obstet Gynaecol. 2001 Sep;22(3):133-41
references.pmid: 11594714
references.citation: Hum Reprod. 2008 Sep;23(9):2050-5
references.pmid: 18544578
references.citation: Hum Reprod. 2006 Feb;21(2):358-63
references.pmid: 16269448
references.citation: Fertil Steril. 2009 Jun;91(6):2466-70
references.pmid: 18439586
references.citation: Fertil Steril. 2004 Feb;81(2):271-3
references.pmid: 14967355
references.citation: Fertil Steril. 2004 Feb;81(2):258-61
references.pmid: 14967352
references.citation: J Assist Reprod Genet. 1997 Aug;14(7):381-4
references.pmid: 9285321
references.citation: Fertil Steril. 2004 Feb;81(2):262-8
references.pmid: 14967353
references.citation: Fertil Steril. 2009 Apr;91(4):988-97
references.pmid: 18343375
references.citation: Vital Health Stat 23. 2005 Dec;(25):1-160
references.pmid: 16532609
references.citation: Hum Reprod. 2001 Jul;16(7):1420-3
references.pmid: 11425823