When patients seek GP help..

0 Infertility/Subfertility is managed in 1.3 per 1000 consultations

0 Infertility/subfertility was most commonly managed for patients aged 25–44 years (89.5%), followed by patients aged 15–24 years (6.2%) and 45–64 years (4.0%).

Fertility awareness in women

0 Less than a third of women attending GP can identify the fertile period of menstrual cycle

0 Women request fertility awareness education

GPs are a source of health literacy

-talking

-Facebook sharing

-directing internet searches

GPs are neutral, depending on their own education

0 Where do GPs learn about ART?

Where do GPs learn this?

Where do GPs learn ?

Courses

Accessible resources for reference

Healthpathways

eg

No rush, IVF is there

0 - re-orienting assumptions

What does the public see in relation to IVF success

0 Adds, facebook, info , stats

No success percentages

0 “We invest by far the most of any Australian clinic with at least 10 per cent of our annual revenue on average going back into research “

0 “We were also the first clinic in Australia to introduce routine single embryo transfer. While many clinics transfer more than one embryo to try to improve their chances of success, our technology allows us to achieve higher success rates while transferring a single, carefully selected embryo”

Success rates

“ How much does IVF really cost you” website

0 Pay Less and Get Cash for IVF

0 Could You Win a Free IVF Cycle?

0 Grants and Scholarships for Fertility Treatment

0 Crowdfunding IVF or Adoption: The Basics

0 Tips for Successful Crowdfunding of IVF or Adoption

0 IUI Treatment: Costs, Success Rates

0 Fertility Treatment With Gonadotropins

0 Fertility Treatment Stress: How to Survive Your IVF, IUI, or Other Fertility Treatment Cycle

0 How to Cope When Trying to Conceive Overwhelms You

Consider the cost

And what about special couples?

0 Same sex couples

0 Egg donation

0 Single women

GPs are neutral

How do couples get to know the truth when there are vested interests colouring decisions?

What happens after

“With IVF, if you end up having a lot of eggs, the doctor will ... attempt to fertilize them all. And after you've had a success, you suddenly have to have this question of, 'What do we do with the other ones?' And there's not a rule of what you're supposed to do.

And, you know, these are full siblings — it's not half, it's not potential, they are their siblings. One day, we're going to have to explain that to them. ...”

..and then

What happens when ART fails?