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Public Perception on Infertility and IVF - A Hong Kong Study Dr. Milton Leong MDCM DSc(McGill) Director, IVF Center Hong Kong Sanatorium & Hospital Global.

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Presentation on theme: "Public Perception on Infertility and IVF - A Hong Kong Study Dr. Milton Leong MDCM DSc(McGill) Director, IVF Center Hong Kong Sanatorium & Hospital Global."— Presentation transcript:

1 Public Perception on Infertility and IVF - A Hong Kong Study Dr. Milton Leong MDCM DSc(McGill) Director, IVF Center Hong Kong Sanatorium & Hospital Global Chinese Conference 15 Dec 2002

2 Infertility l 1/6 couples trying for pregnancy l Medical,social and psychological problems studied l Very few perception studies

3 Perception study in Infertility l Bertarelli Foundation Survey 2000 l 1st published population perception survey l Polled 6 European Countries, USA and Australia 1998/1999 l Telephone survey: random selection households l 7036 polled, no mention of % completion

4 Perception Survey in Infertility l 6 questions l Asked You/your friend to avoid rejection l 52 % claimed personally know somebody who had infertility

5 Perception Study in Infertility l Is Infertility a disease? Mean 38% l Australia, UK, USA 20% l Germany, Italy 55% l Heard of IVF? l 77% (Germany) to 99% (Sweden)

6 Perception study in infertility l Should IVF be reimbursed? l Told respondent cost 3x IVF equals hip replacement l 60-80% said to reimburse

7 Perception Study in Infertility l Although 97% of respondents heard of IVF and approved of IVF, only 16% answered correctly that IVF success is similar to that of natural pregnancy. l Most people guessed the success rate, and no correlation can be established

8 YWCA Perception Study 2002 l Aims: l Infertility problem vs no problem l psycho-social states l medical aspects - treatment profiles

9 Bertarelli vs. Hong Kong Survey Bertarelli l 52% know infertility l 16% know success rate l 89% know IVF l 38% said infertility = disease Hong Kong l 50% know infertility l 20%know success rate l 46% know IVF l 50% said infertility=disease

10 YWCA Perception Study 2002 l Methodology: l Telephone survey l Randomly called numbers l No demographic questions to maximise response l Respondents answer 7,15, or16 questions

11 YWCA Perception Study 2002 l Randomly dialed Numbers l Carried out July to October l Successfully Connected:147897 l Valid Data: 7028 l Success Rate: 5%

12 YWCA Perception Study 2002

13 Know Reasons, Know IVFC, Expected Success Rate

14 INFERTILE PATIENTS

15 INFERTILE Treatment Vs Time as suffering time increased, more infertility subjects received treatment, however, when they suffered more than 5 years, the subjects received treatment decreased N = 1173 Chi-square test P<0.05

16 Accepted ART? N = 265

17 Why Reject IVF

18 Chi-Square Compare Subjects with and Without Infertility (p < 0.05) More subjects reported no Infertility problem knew IVFC The expected Success Rate of IVFC was different between subjects with and without Infertility

19 Chi-Square Compare Subjects with and Without Infertility (p < 0.05) More Infertile Subjects reported that they believed infertility is a disease.

20 Chi-Square Compare Subjects with and Without Infertility (p = NS)

21 Investigations on Treated Subjects

22 Investigations done Treated subjects

23 Basic Investigations Made

24 Treatment Method offered

25 Summary of Results l 16% of polled has infertility problem l 45% view infertility as disease. For infertile couples 52% consider it a disease l 35% only has heard of IVF centers l 50% know the reason for their infertility l 30% know IVF success rate (20-40%)

26 Summary of Results l 1173/7208 polled claimed to be infertile l only 265 (34%) have received or under treatment l 50.6% had ovulation induction l 34% had intra-uterine insemination l 24% had IVF/related treatment

27 Summary of Results l Diagnosis procedures reported l Ovulation/hormone, laparoscopy 35% l SA, HSG only 45% l Ultrasound only test >50% (58%) l 42% answered that none of the above tests were done

28 Summary of Results l Although 50% of respondents who are under treatment accepts IVF l Only 30% actually received IVF treatment l This is 6.5% of respondents who has infertility l Of those rejecting IVF, 45.7% worry IVF begets abnormal babies. 22.5% think too expensive

29 CONCLUSIONS l There is misconception about IVF mainly in the availability, success rate, and the technology itself l There is a problem of education, so that appropriate tests were not done l Funding is not enough, especially third party payment

30 CONCLUSIONS l Patients are not seeking treat- ment. Social factors and other psychological reasons may be present. l May also be that right treatment is not readily offered, so treat- ment abandoned after a while

31 Cost Hip Replacement Vs IVF l Hip Replacement l OT charge:$40000 l Hospital Bed: $20000 l Surgical Fee:$30000 l Drugs etc: $5000 l Total: $95000 l IVF l OT charge: $12000 l Hospital bed:$3000 l Surgical Fee:$15000 l Lab Fee:$ 15000 l Drugs etc:$15000 l Total: $$60000

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