Navigation Links
Counting the cost of infertility treatment
Date:12/6/2013

New York, NY, December 6, 2013 Although the demand for infertility treatment is rising, the high cost may deter some couples from seeking care. Researchers from the University of California-San Francisco assessed direct out-of-pocket costs for couples undergoing fertility treatment. Those using medication only had the lowest out-of-pocket expenses at $912, while those using in vitro fertilization (IVF) had the highest at $19,234. The results, published in The Journal of Urology, will help inform couples who seek infertility care and the physicians who counsel them.

"Urologists are on the front lines of counseling male and female partners about fertility options and almost all patients want to know the cost. To our knowledge no previous group has measured the actual out-of-pocket costs of reproductive care in prospective fashion," explains James F. Smith, MD, MS, Assistant Professor and Director, Male Reproductive Health, at the University of California-San Francisco.

Up to 24% of couples have difficulty conceiving a child, with estimates of the prevalence of infertility varying from 6% to 24%. Between 8% and 18% of men and 12% of women seek infertility care at some point in life. However, many couples who seek infertility care have only partial or no insurance coverage, and the costs may be too burdensome for their household. Even for couples who are receiving fertility care, socioeconomic status may influence the success of fertility treatment. These problems are compounded by the lack of comprehensive infertility insurance coverage in the United States.

Data from the Centers for Disease Control and Prevention and the Society for Assisted Reproductive Technologies indicate that the use of fertility treatments in the United States is increasing each year. However, the United States has one of the lowest rates of IVF use compared to other developed countries, while Australia has the highest IVF use, according to an earlier study. The average cost of an IVF cycle was 6% of annual disposable income in Australia compared to 44% in the United States.

In this study couples were recruited from eight reproductive endocrinology clinics. They were followed for 18 months from the start of treatment and were asked to maintain monthly cost diaries of out-of-pocket expenses, including clinic visits, medication, and miscellaneous expenses such as travel, parking, food, and other expenses related to fertility care. A total of 332 couples completed cost diaries and had data available on treatment and outcomes.

More than half of the couples (55%), many of which had incomes of more than $100,000, underwent IVF. Of the remaining couples 19% received non-cycle based therapy, four percent used medication to induce ovulation only, and 22% underwent intrauterine insemination. The overall out-of-pocket expense was about $5,338. Couples using medication only had the lowest out-of-pocket expense at about $912, while those who underwent IVF had the highest at $19,234. Couples spent about $6,955 for each additional IVF cycle. Couples with male factor fertility paid around $9,404 more than those with female factor infertility only. Couples with insurance coverage for fertility care spent $2,152 less than couples without insurance. The out-of-pocket expense was not significantly associated with successful pregnancy.

"For many patients the high costs identified in this study represent a significant burden on household finances and almost certainly have a major role in fertility treatment decision making," says Smith. "These data provide real world estimates of out-of-pocket costs, which can be used to help couples plan for expenses that they may incur with treatment. Communicating these costs clearly with patients at the onset of fertility care can help them prepare for treatment and make informed decisions about their options."

This analysis demonstrates that out-of-pocket costs vary significantly depending on treatment modality even after controlling for fertility insurance coverage.


'/>"/>

Contact: Linda Gruner
jumedia@elsevier.com
212-633-3923
Elsevier Health Sciences
Source:Eurekalert

Related medicine news :

1. 1 week and counting: Dont cut the research that fuels the US economy
2. MileAgeAds.com Invites Blog Owners in Accounting Niche to their Ad Network
3. Counting copy numbers characterises prostate cancer
4. Albertson & Davidson, LLP Obtains Court Order Requiring California Trustee to Provide Pre-Death Accounting
5. Voltari Corporation Selects Intacct Cloud Financials and Synergy Business Solutions for New Accounting System and Implementation
6. Online Accountant? – Now using a remote accounting firm can bring better service, experience and cost savings to entrepreneurs & small businesses vs a local CPA firm.
7. Scott Price Selected as Speaker for Florida State University’s John Perry Thomas Accounting Speaker Series
8. Remote Accountant, LLC., a US online accounting firm launches business coaching, mentoring and part time CFO programs for small businesses & entrepreneurs to succeed.
9. Remote Accountant, LLC. Announces Increased Small Business Sustainability and Cost Savings using a Remote National Accounting Firm when Having to Move Locations
10. Organic Valley Counting Down to National Eggnog Day on December 24, 2013
11. PoolMate Lap Counting Watch Introduction Video Released on SwimovateUSA.com
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/22/2017)... ... 22, 2017 , ... Silicon Valley startup Enke Life has ... Their electric toothbrushes aggressively attack oral bacteria by reducing dental plaque and other ... edge Enke technology with a premium timeless design, they want to redefine the ...
(Date:9/22/2017)... ... September 22, 2017 , ... Egg ... life. Although frozen embryos have a slight statistical advantage for live births, frozen ... a wonderful opportunity for women undergoing medical treatment or who are concerned about ...
(Date:9/21/2017)... ... September 21, 2017 , ... Process Capability Indices for ... 3:00 p.m. ET, http://www.fdanews.com/processcapabilityindices      , Quality in device ... of The Quality System Regulation (§820.250), and Devicemakers find themselves staring at a ...
(Date:9/21/2017)... ... September 21, 2017 , ... ... of a new member survey conducted by the International Society of Hair ... from 2014 to 2016 rose 60 percent, with 635,189 procedures performed in 2016. ...
(Date:9/21/2017)... ... 21, 2017 , ... Innovatum will demonstrate capabilities of fully ... Conference 2017 in Chicago, IL on October 17-19, 2017. This unique development addresses ... patient safety. , Microscan , a global technology leader in barcoding, ...
Breaking Medicine News(10 mins):
(Date:9/6/2017)... , Sept. 6, 2017 Eli Lilly and ... will present new data for galcanezumab and lasmiditan, two ... the International Headache Society (IHC) taking place Sept. 7-10 ... Lilly will highlight new, long-term data from an open-label ... of galcanezumab (120 mg and 240 mg) for the ...
(Date:9/5/2017)... , Sept. 5, 2017 Oramed Pharmaceuticals Inc. ... ), a clinical-stage pharmaceutical company focused on the development ... has successfully concluded its meeting with the U.S. Food ... oral insulin formulation. ... the regulatory pathway for submission of ORMD-0801, would be ...
(Date:8/29/2017)... , Aug. 29, 2017 ivWatch, LLC, the leading provider ... infiltrations, announced it has been awarded an Innovative Technology contract from ... the country. ... device to aid in the early detection of peripheral IV infiltration ... The Innovative Technology contract ...
Breaking Medicine Technology: