%0 Journal Article
%T When to Give Up Infertility Treatment? SciDoc Publishers | Open Access | Science Journals | Media Partners
%A Rohit Bhatt
%J Reproduction, Fertility & Sexual Health (IJRFSH)
%D 2018
%R http://dx.doi.org/10.19070/2377-1887-160002e
%X Since several players are involved, it is necessary to decide when each player should give up efforts in time and refer the case to next in hierarchy. Normally, there should be no place for quacks in infertility treatment. Unfortunately, quacks still thrive because of the gullible people. Normally, it should be left to the infertile couple to decide when to give up or change the health care provider. Health care provider must counsel the couple about the chances. Some ART experts feel that they will continue treatment till the couple decides to discontinue. Healthcare providers are reluctant to advise to ¡°give up¡± because miracles do occur and the woman conceives when hope of conception is given up by medical fraternity. Friends and relatives advise the infertile couple about various postures and timing of coitus, consumption of some food articles or visit some religious places. This may be alright for a short time. But friends and relatives should not pursue for long and certainly not if the woman is 35 years+. Fertility issue is high jacked by religious leaders, astrologers and soothsayers. They advise various rituals and ceremonies. They charge high fees. Some cases of unexplained infertility do conceive because there may be release of anxiety and tension. These leaders must realize that they should not pursue when there is some organic fault in the couple. Most family physicians do not participate in infertility treatment except to advise to whom to go. However, there are some family physicians who advise the infertile couple on basic treatment like BBT chart, timing of coitus or IUI. Family physician must not continue for more than 4-6 months in young couples and should advise elderly (35+) couples to go to specialist without delay. I sent questionnaire to about 400 members of medical fraternity(some family physicians, ob.Gyn experts and infertility experts) I asked them their opinion about ¡°When to discontinue a particular regime of infertility treatment.¡± The results are summarized in the following table
%K n/a
%U https://scidoc.org/IJRFSH-2377-1887-03-001e.php