Book contents
- Frontmatter
- Contents
- Participants
- Declarations of personal interest
- Preface
- SECTION 1 BACKGROUND TO AGEING AND DEMOGRAPHICS
- SECTION 2 BASIC SCIENCE OF REPRODUCTIVE AGEING
- SECTION 3 PREGNANCY: THE AGEING MOTHER AND MEDICAL NEEDS
- SECTION 4 THE OUTCOMES: CHILDREN AND MOTHERS
- SECTION 5 FUTURE FERTILITY INSURANCE: SCREENING, CRYOPRESERVATION OR EGG DONORS?
- SECTION 6 SEX BEYOND AND AFTER FERTILITY
- SECTION 7 REPRODUCTIVE AGEING AND THE RCOG: AN INTERNATIONAL COLLEGE
- SECTION 8 FERTILITY TREATMENT: SCIENCE AND REALITY – THE NHS AND THE MARKET
- SECTION 9 THE FUTURE: DREAMS AND WAKING UP
- 31 In our wildest dreams: making gametes
- 32 The future: dreams
- 33 Managing expectations and achieving realism: the individual journey from hope to closure
- 34 Managing expectations and achieving realism: the ‘realpolitik’ of reproductive ageing and its consequences
- 35 The future: waking up
- SECTION 10 CONSENSUS VIEWS
- Index
33 - Managing expectations and achieving realism: the individual journey from hope to closure
from SECTION 9 - THE FUTURE: DREAMS AND WAKING UP
Published online by Cambridge University Press: 05 February 2014
- Frontmatter
- Contents
- Participants
- Declarations of personal interest
- Preface
- SECTION 1 BACKGROUND TO AGEING AND DEMOGRAPHICS
- SECTION 2 BASIC SCIENCE OF REPRODUCTIVE AGEING
- SECTION 3 PREGNANCY: THE AGEING MOTHER AND MEDICAL NEEDS
- SECTION 4 THE OUTCOMES: CHILDREN AND MOTHERS
- SECTION 5 FUTURE FERTILITY INSURANCE: SCREENING, CRYOPRESERVATION OR EGG DONORS?
- SECTION 6 SEX BEYOND AND AFTER FERTILITY
- SECTION 7 REPRODUCTIVE AGEING AND THE RCOG: AN INTERNATIONAL COLLEGE
- SECTION 8 FERTILITY TREATMENT: SCIENCE AND REALITY – THE NHS AND THE MARKET
- SECTION 9 THE FUTURE: DREAMS AND WAKING UP
- 31 In our wildest dreams: making gametes
- 32 The future: dreams
- 33 Managing expectations and achieving realism: the individual journey from hope to closure
- 34 Managing expectations and achieving realism: the ‘realpolitik’ of reproductive ageing and its consequences
- 35 The future: waking up
- SECTION 10 CONSENSUS VIEWS
- Index
Summary
Childlessness is becoming more common and it is estimated that around one in five women of childbearing age will not have children in the UK. The average age of a woman giving birth is 29 years and, as more women delay motherhood, either until they feel ready or until they meet the right partner, the risk of leaving it too late to conceive grows.
Fertility treatment is often seen as a solution for older women who want children of their own. Of course, no one wants to have treatment in order to conceive but, if getting pregnant naturally is not easy, fertility treatment is seen as a way to overcome this. It is too frequently assumed that anyone who can afford treatment and who perseveres will eventually have a child of their own.
We hear very little about in vitro fertilisation (IVF) failure. The Human Fertilisation and Embryology Authority publishes IVF success rates and there is rarely any focus on the fact that the current average success rate, which is not far above 20% per cycle, means that more than 75% of cycles will fail. Cumulative success rates suggest that many more couples will succeed if they can continue with treatment but not everyone will be able to afford this financially or emotionally.
Unrealistic expectations
Despite the igures, the idea that IVF can beat the biological clock remains, and fertility treatment is often seen as a solution for having left it ‘too late’ to conceive naturally.
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- Reproductive Ageing , pp. 331 - 338Publisher: Cambridge University PressPrint publication year: 2009