Why do couples drop out of IVF treatment?
By the MyBabyBridge editorial team · · Last reviewed · 2 min read
Many couples stop IVF before they have a baby or have used all the cycles available to them. Understanding why can help patients and clinics plan better support.
What research shows
A systematic review of 22 studies covering more than 21,000 patients in eight countries found that the most common reasons for stopping were:
- Postponing treatment: the most frequently reported reason, often for personal or practical reasons.
- Physical and psychological burden: the stress, injections, procedures, and emotional ups and downs of treatment.
- Relational and personal problems: strain on the relationship or other life events.
- Treatment rejection: deciding not to continue with the treatment offered.
The review also found that only a minority of patients stop because of reduced hope of success or a poor prognosis. Organizational problems at the clinic and financial constraints were also reported.
Cost
In the United States, cost is a major barrier. KFF notes that most patients pay out of pocket for fertility services because coverage is limited.
Physical discomfort and poor response
IVF involves hormone injections, egg retrieval, and embryo transfer, which some people find uncomfortable or painful. Some patients respond poorly to stimulation or have several unsuccessful cycles, which can be disheartening.
What can help
- Ask about counselling and emotional support before starting.
- Get a clear, itemized cost estimate and discuss how many cycles are realistic.
- Talk openly with your doctor about your prognosis and alternatives, including donor eggs or stopping treatment.
Each couple's experience is different, and stopping treatment is a valid choice. Discussing your concerns with your healthcare provider can help you make the decision that is right for you.