ruoounu. nnSlunCIS&UINI-rOSIlnS - the Society for Reproductive ...

FSA FREE COMMUNICATIONS-NF CLINICALFSA SYMPOSIUM ON REPRODUCTNE SURGERYWHY DO PEOPLE WHO COMMENCE IVF TREATMENT STOPGab Kovacs, Alison Meeking, Vivien MacLachlanMonash NF, 4 th Floor, Epworth Hospital, 89 Bridge Road, RICHMOND 3121It has long been recognised that the ultimate success ofIVF depends on the number ofattempts. Previous life table analyseshave suggested that halfthe couples conceive within 3-4 cycles and 70-80% within 6. Although Medicare funds up to 6stimulated cycles, many couples leave the program before achieving a pregnancy or before using their full quota ofcycles.The aim ofthe study was to determine why couples do not continue with IVF treatment.During 1993 1629 couples registered with Monash IVF with view to having ART treatment. Ofthis group 1294 coupleshad at least one cycle oftreatment and their outcomes are presented here. These couples were asked to complete aquestionnaire, a sample ofwhich is presented here.Ofthe 1294 questionnaires sent outto couples who had IVF treatment 579 (45%) were returned. Ofthese, 120 (21%)wereno longer at the address given at the time oftheir last treatment. A total of459 (35%) completed questionnaires werereturned. A random sample of 105 questionnaires has been analysed and is being presented as a preliminary report.Reasons for not continuing with treatment included relationship break-up, switched to a different treatment (eg.donor.insemination), pursuing adoption, low chance ofpregnancy, IVF too emotionally stressful, financial constraints, concernabout long-term physical effects, switching to a different IVF clinic and completion offamily.The most common reasons for not continuing with IVF treatment were "family considered complete" (46% ofcouples),"IVF is to stressful" (18% ofcouples) and "financial constraints" (17% ofcouples). 47 couples (46%) achieved at least 1child through Monash IVF. The findings ofthis survey may have implications for areas offocus in counselling ofIVFpatients.THE PLACE OF SURGERY, SELECTION OF CASES AND RESULTS. Ossie PetruccoUniversity ofAdelaide, Women's and Children's Hospital, 72 King William Street,North Adelaide, South Australia 5006.(Abstract not submitted)CURRENT TRENDS IN ADHESION PREVENTION, RESEARCH AREAS AND RESULTSOF ANTI-ADHESION AGENTS TO DATEOssie PetruccoUniversity ofAdelaide, Women's and Children's Hospital, 72 King William Street,North Adelaide, South Australia 5006(Abstract not submitted)ENDOSCOPIC SURGERY FOR REPAIR OF PELVIC DAMAGEDavid MolloyQueensland Fertility Group PIL, Watkins Medical Centre, 225 Wickham Terrace, Brisbane, Queensland 4000(Abstract not submitted)130131