A qualitative study on couples' attitudes and concerns regarding a freeze all strategy in ART treatment
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A qualitative study on couples' attitudes and concerns regarding a freeze all strategy in ART treatment. / Sylvest, Randi; Stormlund, Sacha; Koert, Emily; Freiesleben, Nina la Cour; Løssl, Kristine; Ziebe, Søren; Schmidt, Lone; Pinborg, Anja.
In: Human Fertility, 2021.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - A qualitative study on couples' attitudes and concerns regarding a freeze all strategy in ART treatment
AU - Sylvest, Randi
AU - Stormlund, Sacha
AU - Koert, Emily
AU - Freiesleben, Nina la Cour
AU - Løssl, Kristine
AU - Ziebe, Søren
AU - Schmidt, Lone
AU - Pinborg, Anja
PY - 2021
Y1 - 2021
N2 - The freeze all strategy has become a promising alternative to fresh embryo transfer in fertility treatment almost eliminating late ovarian hyperstimulation syndrome (OHSS) in the segmented cycle. There is a lack of in-depth knowledge regarding patients' attitudes towards the freeze all strategy. The aim of this study was to explore the attitudes towards a freeze all strategy compared with fresh embryo transfer in assisted reproductive technology (ART) treatment among couples in a public health care setting. We conducted semi-structured qualitative interviews with ten couples already participants in a randomised controlled trial (RCT) and undergoing ART treatment. The couple's responses showed five themes: (i) Starting treatment provides needed relief; (ii) Treatment must be provided with humanity; (iii) Provision of information instigates positive attitudes towards treatment; (iv) Fresh treatment - 'The normal way'; and (v) Freeze all treatment - 'The new black'. When thorough information about treatment procedures and safety aspects regarding both the freeze all and fresh embryo transfer strategy is given prior to initiation of treatment, couples feel secure and content, regardless of which treatment strategy is finally applied. This qualitative study found that starting treatment could prompt longed-for relief, as professionals would now 'take over' and assist in meeting the couple's family building goals.
AB - The freeze all strategy has become a promising alternative to fresh embryo transfer in fertility treatment almost eliminating late ovarian hyperstimulation syndrome (OHSS) in the segmented cycle. There is a lack of in-depth knowledge regarding patients' attitudes towards the freeze all strategy. The aim of this study was to explore the attitudes towards a freeze all strategy compared with fresh embryo transfer in assisted reproductive technology (ART) treatment among couples in a public health care setting. We conducted semi-structured qualitative interviews with ten couples already participants in a randomised controlled trial (RCT) and undergoing ART treatment. The couple's responses showed five themes: (i) Starting treatment provides needed relief; (ii) Treatment must be provided with humanity; (iii) Provision of information instigates positive attitudes towards treatment; (iv) Fresh treatment - 'The normal way'; and (v) Freeze all treatment - 'The new black'. When thorough information about treatment procedures and safety aspects regarding both the freeze all and fresh embryo transfer strategy is given prior to initiation of treatment, couples feel secure and content, regardless of which treatment strategy is finally applied. This qualitative study found that starting treatment could prompt longed-for relief, as professionals would now 'take over' and assist in meeting the couple's family building goals.
KW - Attitudes
KW - fresh embryo transfer
KW - qualitative study
KW - freeze all
KW - ART
KW - patient-centred care
U2 - 10.1080/14647273.2021.1893838
DO - 10.1080/14647273.2021.1893838
M3 - Journal article
C2 - 33673786
JO - Human Fertility
JF - Human Fertility
SN - 1464-7273
ER -
ID: 258622962