A new era in reproductive technologies: the emotional stages of in vitro fertilization.

摘要: I Editorials in this journal do not necessarily reflect either the Editorial Board's or publisher's opinion. z Division of Reproductive Endocrinology and Dana Biomedical Research Laboratory, Beth Israel Hospital Harvard Medical School, Boston, Massachusetts. 3 To whom correspondence should be addressed at Department Obstetrics & Gynecology, Hospital, 330 Brookline Avenue, Massachusetts 02215. world perform IVF approximately 100 centers are operable United States. It is believed that potential pool patients who might benefit from exceeds 1 million, population growing. date there only a handful studies addressing psychological impact procedure on receive it. Since resuits baby for one six patients, five couples must again face failure. Yet most performing provide support these emotionally charged infertile if they fail to conceive, no routinely successful. Infertility established as stressful life crisis whether achieve pregnancy (1,2). In young adults, fertility an expectation taken granted. fact, how get pregnant more central theme reproduction becomes possibility. However, States, every adults anticipate sexual activity natural conception reality o f seeking physician beginning potentially long involved process resolving their infertility. For half couples, efforts will rewarded with child dreamed. While adoption real alternative, it has become increasingly difficult recent years, growth slowed social mores longer condemn unwed parents. As woman her partner begin realize she may never bear child, emotional stage develops can called "crisis infertility" (1). older suggest infertility caused by emotional: stress, recently been realized places tremendous stress individually couple (3). found cause anxiety, depression, frustration, guilt, isolation (4). These feelings, some rational others irrational, evolve logical order (5). Surprise, denial, anger, isolation, grief sequentially confronted people attempting work through crisis. last few years medical technology pro-