Patient satisfaction concerning assisted reproductive technology treatments in moderate to severe endometriosis

Lisette E E van der Houwen, Anneke M F Schreurs, A M F Schreurs, R. Schats, Roel Schats, Cornelis B Lambalk, Peter G A Hompes, Velja Mijatovic
Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology · 2014 · vol. 30(11) , pp. 798–803 · doi:10.3109/09513590.2014.932341 · PMID:24993503 · W2085808361
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study found comparable patient satisfaction scores across intrauterine insemination, IVF, and IVF-ultralong treatments for endometriosis, with satisfaction linked to treatment outcomes.

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Abstract

A prospective observational cohort study was performed to examine patient satisfaction after one Assisted Reproductive Technology (ART) treatment cycle in moderate to severe endometriosis patients. From May 2012 till September 2013, 25 patients with surgically proven endometriosis stage III-IV were included per group and received intrauterine insemination (IUI), in vitro fertilization (IVF) or IVF preceded by long-term pituitary down-regulation (IVF-ultralong). The median patient satisfaction scores were 8.3, 7.9 and 8.0 in patients receiving IUI (n = 22), IVF (n = 24) and IVF-ultralong (n = 23), respectively (p = 0.89). Both deterioration in pain and quality-of-life could not be identified as determinants of decreased patient satisfaction scores. Satisfaction was higher in women receiving their first ART treatment attempt (p = 0.002), after treatment accomplishment (p = 0.04) and after a positive pregnancy test (p = 0.04). A median satisfaction score concerning preceding long term pituitary down-regulation of 6.1 (IVF-ultralong n = 25, IUI n = 8) was reported. Only three patients would refrain from this preceding therapy in a next treatment attempt. We concluded that patient satisfaction scores were comparable between the three different ART treatments. Since patient satisfaction was in particular dependent on treatment outcomes, it is recommended to compare those three ART treatments in a randomized controlled trial investigating the efficacy, safety and cost-effectiveness.

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Condition tags

mesh:D004715endometriosis

MeSH descriptors

Endometriosis Infertility, Female Patient Satisfaction Reproductive Techniques, Assisted Adult Endometriosis Endometriosis Female Humans Infertility, Female Infertility, Female Infertility, Female Prospective Studies Reproductive Techniques, Assisted Treatment Outcome

Citation neighborhood

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References (33)

Cited by (14)

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