ABSTRACT

More recently, studies have turned their attention away from the tremendously complex relationship between stress or depression and pregnancy outcome, focusing instead on the causes behind the discontinuation of treatment and treatment perseverance. These studies clearly demonstrate that treatment dropout is associated with psychological factors (1-5). Given the high pregnancy rates using IVF over cycles, even involving patients with poorer prognoses, the ability for patients to remain in treatment, that is, treatment persistence, gives a patient her best opportunity for achieving a pregnancy. Treatment persistence will allow a patient to optimize her biological potential.