Infertility treatment: when is it time to give up? An Internet-based survey.

Introduction. Many factors have been suggested that influence a couple's decision to stop infertility treatment despite not achieving their goal of having a baby. This internet-based questionnaire study aims to shed light on these reasons by surveying patients who have received treatment from a variety of different centres. Methods. Registered users of an independent infertility website were invited to participate in the survey by filling in a structured questionnaire. Results. Eighty users completed the questionnaire. Fifty-eight percent of patients received treatment in just one centre. Seventy-eight percent of the patients paid for the treatment themselves. Forty-two percent of couples intended to have only one treatment cycle and 60% of couples reported undergoing more cycles than they had originally intended. Ten percent of patients regretted not stopping their treatment earlier. The most common reasons why patients opted against further treatment cycles were financial constraints (46%), emotional burden (35%), poor response to treatment (29%) and poor egg quality (19%). Conclusions. The decision to stop treatment despite poor outcomes is a difficult one and unique to the couple. The findings of this study are consistent with the widely held belief that in vitro fertilization is a stressful, expensive process given that almost all women cited these as reasons to stop treatment.