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Preconception carrier screening in couples seeking IVF: exploring the patient perspective.

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|December 8, 2024
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Summary

Couples seeking IVF/ICSI generally have positive attitudes towards preconception carrier screening (PCS). However, concerns about treatment delays and misconceptions about PCS purpose necessitate tailored information and counseling for these individuals.

Keywords:
AttitudeCounsellingDecision-makingExpanded carrier screeningMedically assisted reproduction

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Area of Science:

  • Reproductive Medicine
  • Genetic Counseling
  • Infertility Treatment

Background:

  • Preconception carrier screening (PCS) is crucial for informed reproductive decisions.
  • Couples undergoing in vitro fertilization (IVF) or intracytoplasmic sperm injection (ICSI) represent a key demographic for PCS.
  • Understanding patient perspectives is vital for effective implementation of PCS.

Purpose of the Study:

  • To assess the understanding of preconception carrier screening (PCS).
  • To evaluate attitudes and considerations regarding PCS among couples pursuing IVF/ICSI.
  • To identify factors influencing the uptake of PCS in assisted reproductive technology (ART) settings.

Main Methods:

  • A mixed-methods approach combining interviews and questionnaires.
  • Interviews with 16 partners from 9 couples undergoing initial IVF/ICSI consultations.
  • Questionnaire survey completed by 115 participants undergoing IVF/ICSI.

Main Results:

  • Over half of participants expressed willingness to undergo PCS if available.
  • Key motivators for PCS included informed reproductive decision-making.
  • Concerns involved potential treatment delays, reproductive dilemmas, and misconceptions about PCS utility in fertility treatment.

Conclusions:

  • Generally positive attitudes towards PCS exist among couples seeking IVF/ICSI.
  • Misconceptions about PCS and concerns regarding treatment delays require attention.
  • Personalized information and counseling are essential for couples considering PCS within ART.