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Human Reproduction, Vol. 14, No. 3, 581-585, March 1999
© 1999 European Society of Human Reproduction and Embryology


Opinions

Breaking bad news concerning fertility

Ann Lalos

Department of Obstetrics and Gynaecology, University Hospital, S-901 85 Umeå, Sweden

Introduction

The subject for this opinion paper is breaking bad news, a complex and integral part in the area of infertility. From the couple's point of view, involuntary childlessness is not a question of once receiving bad news but repeatedly receiving bad news during the infertility investigation and treatment. Already before seeking medical attention, the couple will have had monthly bad news in the form of unwanted menstruation. To exaggerate a little, one could say that there is, in this respect, only one form of good news for the couple – that of a successful pregnancy.

From research regarding the impact of infertility it is obvious that both the infertility itself and the medical process evoke many feelings in the couple (Lalos et al., 1985aGo; Kentenich, 1989Go; Möller and Fällström, 1991Go). In most cases, the woman is the first to recognize infertility as a problem and to . . . [Full Text of this Article]

The crisis of infertility

Coping

The relational triangle

Medical staff

The doctor's role

Conclusion

References


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