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May 16, 1986

Making Miracles: In Vitro Fertilization

Author Affiliations

Mount Sinai Hospital Medical Center of Chicago Rush Medical College

JAMA. 1986;255(19):2678. doi:10.1001/jama.1986.03370190162044

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Nan and Todd Tilton are a persistent couple. They fortunately have a strong relationship within a supportive family background. Their expectation of a family is never questioned as they attempt to conceive after two years of marriage. After four months of unsuccessful attempts, Nan starts wondering whether there is something wrong with her.

Like an estimated 3.5 million American couples, the Tiltons had a fertility problem. The authors' account of their initial visit to an infertility specialist clearly reflects infertile couples' early misconceptions surrounding infertility. The Tiltons expect immediate diagnosis and a quick remedy for their problem. Instead, they are presented with a long list of diagnostic tests. We sympathize with their shock. It will take months to go through the tests. The couple later regret their quick retreat from investigation, but their apprehension at the time is understandable.

This begins the couple's five-year struggle to treat their combined infertility