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Updated: Jul 19, 2025

Fertility Preservation in Patients with Severe Ovarian Dysfunction
Published on: March 25, 2021
Out-of-Pocket Costs for Men Undergoing Infertility Care and Associated Financial Strain
Peter A Elliott1, Jacquelyn Hoffman2, Matthew Abad-Santos3
1Department of Urology, Kaiser Permanente, Los Angeles, California.
Male infertility treatments can be very expensive, with many men spending over $15,000 and nearly half experiencing financial strain. These costs can limit treatment options and impact decisions about care.
Area of Science:
- Reproductive Medicine
- Health Economics
- Men's Health
Background:
- Male infertility care involves significant out-of-pocket expenses.
- Understanding the financial burden is crucial for patients and providers.
- Previous research has not fully characterized these economic hardships.
Purpose of the Study:
- To determine the out-of-pocket expenses for men seeking fertility care.
- To identify financing methods used by these patients.
- To assess the financial strain associated with fertility treatments.
Main Methods:
- Retrospective cohort study involving 111 participants.
- Questionnaires collected data on total costs, cost components, financing measures, and financial strain.
- Multivariable logistic regression analyzed relationships between fertility characteristics, costs, and strain.
Main Results:
- 64% of men incurred out-of-pocket expenses exceeding $15,000.
- Procedures represented the largest cost component.
- 47% of participants reported financial strain, with debt and savings use linked to higher strain.
Conclusions:
- Male infertility care presents substantial economic challenges.
- High costs and financial strain can limit treatment options.
- This study provides realistic financial expectations for men and partners undergoing fertility treatment.
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