I posted this elsewhere, but I figure it can't hurt to post it here, too. I saw a one-question poll tonight, which asked, "Who do you think should have the final say in the number of embryos transferred back in an IVF Cycle?" with the possible answers being "Doctor" or "Patient". I, of course, have a very opinionated, knee-jerk reaction to this one, which I'll enlighten you on later, but I'm curious as to your response to the question. But while I'm at it, I figured I'd get your thoughts on a broader spectrum of IVF-related questions. You know, since I was making a poll anyway. Why not? It gave me a good excuse to play with google forms. I *heart* google sometimes, even if I *do* think that deep down they *are* a little bit evil.
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The final say: the doctor should not get a patient to take on MORE risk than they/she is willing, but has a responsibility to set a medically reasonable ceiling. For eg, a doctor should not be able to put two embryos in where a patient would prefer a SET, but has a responsibility not to put, just to pull a figure out of my head, six embryos in where a lower number would be more appropriate.
Oh, and it depends what you mean by “psych evaluation”. Is it directed at assessing couples to give them the tools needed to cope with infertility/IVF? Or is it a fitness to parent?
Bea
#1 is difficult b/c
a. I feel every clinic should be mildly responsible and have a 3-embryo-transfer policy.
b. The vast majority of states do not require insurance to cover ivf, which means this is many patient’s only shot (even though I feel it is 100% ridiculous to transfer >3 embryos/blastocysts).
Good survey.