Preferences for fertility in women with pelvic inflammatory disease.

Abstract:

OBJECTIVE:To identify the value that women with pelvic inflammatory disease (PID) assign to the health impact of future infertility. DESIGN:Cross-sectional observations on patient preferences. SETTING:Participants in an existing multicenter clinical trial of PID treatment options. PATIENT(S):Five hundred thirty-two women with signs and symptoms of PID who were identified from emergency departments and sexually transmitted disease clinics. INTERVENTION(S):Women were asked to rate whether life with future infertility was more or less meaningful than life with each of seven chronic health conditions: sinus congestion, insomnia, chronic headache, asthma, incontinence, dialysis, and paralysis. MAIN OUTCOME MEASURE(S):Preferences regarding future infertility. RESULT(S):Most respondents rated future infertility as being worse than sinus congestion and asthma but better than the health impact of incontinence, dialysis, and paralysis. There was a wide range of opinion, with 18% viewing future infertility as minor (better than all conditions) and 5% viewing it as extremely important (worse than all conditions). Future infertility ratings were influenced by race, parity, difficulty in conceiving, and views on the importance of future pregnancy. CONCLUSION(S):The majority of women with PID rate future infertility as a significant issue. Optimizing access to infertility treatment may affect the quality of life for such women.

journal_name

Fertil Steril

journal_title

Fertility and sterility

authors

Songer TJ,Lave JR,Kamlet MS,Frederick S,Ness RB,Pelvic Inflammatory Disease Evaluation and Clinical Health (PEACH) Study.

doi

10.1016/j.fertnstert.2003.09.064

keywords:

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

1344-50

issue

5

eissn

0015-0282

issn

1556-5653

pii

S0015028204000810

journal_volume

81

pub_type

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