Background: Whilst IVF is the best option for some, research shows that many couples with unexplained infertility go on to conceive naturally if they try for longer. A new online tool gives couples with unexplained infertility personalised calculations of their chance of conceiving if they keep trying naturally or undergo IVF. To ensure the tool meets the needs of the target population, this study aimed to explore the tool’s acceptability and impact on decision-making for people with unexplained infertility.
Methods: Semi-structured interviews were conducted with 22 people experiencing unexplained infertility. Topics included reactions to the tool, as well as impact on decision-making. Participants were aged between 25-43 years and living in Australia. Interviews were audio-recorded, transcribed and analysed thematically.
Results (preliminary): The majority of participants thought the online tool was clear and easy to use, and appreciated the objectivity the tool provided. Many were surprised about higher-than-expected chances of natural conception, as well as lower-than-anticipated chances with IVF. The tool reaffirmed the decision to undergo treatment for many, and instilled a sense of urgency for a few. Some described how the tool output made them feel more positive about treatment or were reassured that continuing to try naturally would not impact success with treatment.
Conclusion: These findings provide useful insights into the acceptability and usefulness of the online guide, which will allow it to be optimised to better meet the needs of people with unexplained infertility and help them explore their options, free from vested interests. "