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May 8, 1996

A Couple With Infertility, 1 Year Later

JAMA. 1996;275(18):1446. doi:10.1001/jama.1996.03530420074040

At the obstetrics and gynecology grand rounds held approximately 1 year ago, Dr John Collins discussed the evaluation and management of a couple with unexplained infertility.1 Dr Collins outlined current assisted reproduction techniques, including intrauterine insemination (IUI), transfer of gametes into the fallopian tube (GIFT), and in vitro fertilization (IVF), with transfer of an embryo into the uterus. We asked the patient, Mrs B, and her doctor, Dr T, to comment on the year that has passed.

Mrs B  : We're about to start our first cycle of IVF. Our care has been transferred to another center, so Dr T is no longer our doctor. This will be our fifth doctor since starting this process, and I am frustrated by that. I am looking forward to starting IVF, but I think I have realistic expectations and am less hopeful than I felt with IUI. My husband is more upbeat, but