title: Human infertility: is medical treatment enough? A cross-sectional study of a sample of Italian couples.
abstract: OBJECTIVE
  To explore infertile couples' well-being, needs and drop-out rates considering their previous gynaecological history, treatments and support received.
  
  
  METHODS
  Self-reported questionnaires and a telephone follow-up were used to gather data from a sample of 57 Italian couples undergoing first-step procedures for infertility treatment. The questions concerned socio-demographic and personality factors, global perspective on generation, childbearing motivation, intra-psychic and relational dimensions.
  
  
  RESULTS
  The study found a strong need for psychological and ethical counselling and showed that drop-out rates were related to psychological discontent. Among couples who had a longer history of infertility, those who had no previous treatments presented higher dyadic adjustment than those who had an history of previous treatments. Moreover, the study provides evidences of the stronger need for personal support for couples who had undergone previous treatments, and for psychological and ethical support for couples with previous generative failures. It also showed that there were beneficial effects to attending to couples' religious and ethical needs.
  
  
  CONCLUSIONS
  Professional care for those who are undergoing or have undergone fertility treatment should (i) embrace a broader and more comprehensive perspective to understand infertile couples' experience and should (ii) provide appropriate therapy to cope with these experiences.
authors.affiliation: UCSC, Bioethics, Rome, Italy. manuela.sina@gmail.com
authors.forename: Manuela
authors.initials: M
authors.lastname: Sina
authors.forename: Ruud
authors.initials: R
authors.lastname: Ter Meulen
authors.forename: Ignacio
authors.initials: I
authors.lastname: Carrasco de Paula
mesh_terms: D000223:Adaptation, Psychological; D016009:Chi-Square Distribution; D003376:Counseling; D003430:Cross-Sectional Studies; D005191:Family Characteristics; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D007246:Infertility / Q000523:psychology* / Q000628:therapy*; D007407:Interviews as Topic; D007558:Italy; D008297:Male; D017060:Patient Satisfaction; D010551:Personality; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy; D011795:Surveys and Questionnaires