In vitro fertilization (IVF) has become an increasingly common solution to infertility in the United States, as infertility rates rise. Despite the growing use of IVF technologies, little is known about the lived experiences of individuals and couples who undergo these procedures, particularly within the U.S. context. A recent narrative review aimed to fill this gap by examining the economic, emotional, physical, and relational impacts of IVF, as well as the role of healthcare providers and the healthcare system in these experiences.
This review, which includes qualitative studies published between 2013 and 2024, sought to provide insights into the multifaceted nature of IVF and identify areas for potential improvement in care. The researchers conducted a thorough search of peer-reviewed studies through three electronic databases and assessed methodological rigor before selecting studies for review. A total of 22 studies were included in the analysis, which covered various aspects of healthcare systems, economic factors, interpersonal relationships, and both physical and emotional health.
The findings reveal that individuals undergoing IVF face a range of challenges that can have both positive and negative effects on their overall well-being. Key factors influencing these experiences include healthcare systems-related issues, such as physician communication and difficulties in processing complex information; economic challenges related to financing IVF and dealing with insurance coverage; and the impact of IVF on interpersonal relationships with partners, family members, and friends. Additionally, physical health concerns, such as pain from procedures, and emotional health issues, including stress, sadness, and anxiety, were consistently highlighted across studies.
The review suggests that many IVF patients encounter a combination of these factors, creating a complex and often overwhelming situation. Addressing these challenges calls for urgent improvements in care practices. Recommendations include provider sensitivity training, interventions at the clinic level to improve the patient experience, and community education efforts to better inform both physical and virtual spaces.
Overall, this review underscores the need for a more patient-centered approach in IVF care that acknowledges the economic, emotional, physical, and relational aspects of the process, aiming to enhance the overall healthcare experience for individuals seeking infertility treatment.
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