O-196 The impact of providing couples with their IVF-prognosis on the expectations and anxiety of women and men

AbstractStudy questionWhat is the impact of providing couples with their IVF-prognosis on expectations and anxiety in women and men on the day of embryo transfer?Summary answerOnly couples with a less than average IVF-prognosis updated their high expectations and IVF-prognosis was negatively associated with anxiety, especially in women.What is known alreadyFemale IVF-patients are known to expect a pregnancy rate per IVF-cycle of no less than 49-55%. Qualitative interviews and a survey showed that well informed women expect unrealistically high pregnancy rates as they think that their (family ’s) fertility and their clinic is better than average. Several prognostic models have recently been published. The adapted van Loendersloot model including clinical and laboratory characteristics proved performant for our clinic (AUC=0.74) and was validated internally (Devroe et al, BMJ Open, 2020 ). The impact of providing couples with their IVF-prognosis on expectations and wellbeing of female and male patients has yet to be studied.Study design, size, durationA prospective survey, questioning a final sample of 148 partnered individuals, completing their 2nd-6th IVF-cycle (2019-2020) in a University clinic, on the days of oocyte aspiration (OA) and fresh embryo transfer (ET). Thirty other partnered individuals declined participation (participation rate=85%) and 26 were excluded due to ET-cancellation. The IVF-prognosis (live birth rate, LBR, per completed IVF-cycle including fresh and...
Source: Human Reproduction - Category: Reproduction Medicine Source Type: research