title: Survey of reasons for discontinuation from in vitro fertilization treatment among couples attending infertility clinic.
abstract: BACKGROUND
  With the increase in infertility burden, more and more couples are opting for in vitro fertilization (IVF). Despite the availability of various treatment options, the major concern that needs to be addressed is the reasons why such couples, initially motivated so strongly, drop out in fairly high numbers from IVF cycles. With this point of view the study was designed.
  
  
  OBJECTIVE
  The objective of this study was to explore the reasons why couples discontinue fertility treatment.
  
  
  METHODS
  This retrospective study was carried out among couples in the age group of 20-40 years who opted for IVF at Tertiary care hospital and a private infertility center.
  
  
  METHODS
  Medical records for 3 years (2009-2012) were taken out and included in the study for analysis. Socio-demographic details along with indication for IVF and reasons for drop-separate IVF therapy were recorded on case record form and were analyzed.
  
  
  RESULTS
  Twenty-one percent of the patients had tubal pathology, thus making it the commonest female related factor for indication of IVF. Oligoasthenospermia (13%) was the commonest cause of male related infertility factor. Financial burden was the primary cause for terminating treatment in majority of the IVF cases.
  
  
  CONCLUSIONS
  Financial burden (62.5%) was the commonest reason for drop out among couples from IVF cycle.
authors.affiliation: Department of Pharmacology, Mahatma Gandhi Mission Medical College, Kamothe, Navi Mumbai, Maharashtra, India.
authors.forename: Grishma
authors.initials: G
authors.lastname: Kulkarni
authors.affiliation: Department of Pediatrics, Mahatma Gandhi Mission Medical College Hospital for Women and Children, Kalamboli, Navi Mumbai, Maharashtra, India.
authors.forename: Nimain C
authors.initials: NC
authors.lastname: Mohanty
authors.affiliation: Department of Pharmacology, Mahatma Gandhi Mission Medical College, Kamothe, Navi Mumbai, Maharashtra, India.
authors.forename: Ipseeta Ray
authors.initials: IR
authors.lastname: Mohanty
authors.affiliation: Department of Pharmacology, Mahatma Gandhi Mission Medical College, Kamothe, Navi Mumbai, Maharashtra, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Jadhav
authors.affiliation: Department of Obstetrics and Gynecology, Mahatma Gandhi Mission Medical College Hospital for Women and Children, Kalamboli, Navi Mumbai, Maharashtra, India.
authors.forename: B G
authors.initials: BG
authors.lastname: Boricha
keywords: Drop out; in vitro fertilization; infertility