QBoost Question of the Month - July 2021

Question Title

* A 45-year-old patient with diminished ovarian reserve has undergone several IVF cycles resulting in low egg yield. You discuss with her and her partner that further treatment using autologous oocytes would be “futile” (<1% chance of live birth). Though you suggest the use of donor oocytes, the couple remains committed to proceeding with another autologous IVF cycle.

Which variable(s) should you consider in honoring their request? (Choose Two).

A. The practice of beneficence dictates that you should proceed with the cycle as requested.

B. You may decline to proceed with this cycle as doing so would negatively impact your practice’s success rates.

C. Repeated autologous IVF cycles may be unproductive and prevent this couple from reassessing their reproductive options.

D. Though a couple’s religious beliefs may impact their medical decision making, these beliefs should not influence your care plan.

E. If the couple has been informed of the failure rate and medical risks, professional integrity and reproductive liberty enable a clinic to either provide or decline the desired care.