The Best Science, Medicine and Care for Families

Those couples who do not respond to traditional treatment modalities find themselves confronted with decisions concerning In Vitro Fertilization (IVF). These treatments are highly technological and may cause additional stress for couples who have already endured multiple disappointments. IVF can be difficult, both physically and emotionally. Studies have shown that couples who know what to expect are better able to endure these processes and use their own natural coping skills to their best advantage.

• For many couples this is the last step toward achieving a biological child.
• It is difficult to realistically confront the odds while remaining optimistic enough to endure a regimented treatment program.
• An IVF treatment cycle disrupts work, school and daily schedules.
• Physical distance from an IVF program may cause daily commuting, separation from the spouse if commuting is unrealistic, or additional expense and unfamiliar accommodations during treatment.
• A normal grief reaction is inevitable if pregnancy does not occur.
• Joy verses fear can occur when pregnancy occurs and the possibilities of miscarriage or tubal pregnancy remain a threat.

There are several strategies that can assist couples during this time:

• Become informed about IVF.
• Understanding the process of IVF and knowing what to expect will lessen your anxiety about the procedure.
• Be realistic about your expectations. The chance of establishing a pregnancy is 20% to 60% each treatment cycle. Also, each cycle contributes valuable information which can be of assistance in subsequent cycles.
• Set limitations.
• Make decisions ahead of time. Discuss with your spouse your feelings about cryopreservation, donor semen, the number of cycles you will attempt, and who will be included in your confidence.
• Provide for emotional support. Talk about your feelings.
• Keep life simple. Plan activities that are relaxing and entertaining. If you are staying in a hotel, bring familiar items from home.
• Counseling may be of assistance to some couples to help them cope with difficult emotions and stress.