Advances in Reproductive Sciences, Reproductive Health & Infertility

review article

Doctor-Patient Relationship in the Case of Infertility: A Vision from General Medicine

Jose Luis Turabian*

Health Center Santa Maria de Benquerencia, Regional Health Service of Castilla la Mancha (SESCAM), Toledo, Spain

*Corresponding author: Jose Luis Turabian, Health Center Santa Maria de Benquerencia, Regional Health Service of Castilla la Mancha (SESCAM), Toledo, Spain. Tel: 34925154508; Email: jturabianf@hotmail.com

Received Date: 17 August, 2019; Accepted Date: 18 September, 2019; Published Date: 27 September, 2019

Abstract

The General Practitioner (GP) takes care of patients with infertility with some frequency, and probably this will be even greater because of ART. Infertility involves a family crisis. The doctor-patient relationship is especially important in these patients and has some typical nuances that include, at least, 1) Know the context and use it in the doctor-patient relationship; 2) Easy access to the GP; 3) Unique case; 4) Family and couple care; 5) The importance of information; 6) Recognize the psychological factors in the doctor-patient with sterility relationship; 7) Recognize the factors related to the quality of life; 8) The repercussions of the diagnosis; 9) Patient participation and shared decision making; 10) The importance of continuity of care; 11) Social support; And 12) The importance of the repercussions of the treatment. The infertility approach is biopsychosocial in nature, and so, it is essential that the GP establish an affective relationship with patients with infertility for creating a solid basis on psychological support. Some of the practical implications of the work of the GP, which are embedded in the doctor-patient relationship are: working on the acceptance of emotions and thoughts so that they do not overflow or paralyze patients, managing tension and anxiety, advise on sexual intercourse, preparing the couple for the chances of having multiple pregnancy, preparing the couple to face possible treatment failures, managing anxiety and uncertainty while waiting for the results of treatment, developing and training communication skills in the couple to use with family and friends, preparing couple, to make decisions that are often difficult, such as using donors, stopping the treatment or ending it, maintaining a continuity of care, and deciding when to refer for psychological intervention.

Keywords

Couple; Consultation; Doctor-patient communication; Family Crisis; General Practice; Infertility; Physician-Patient Relations; Patient-Centred Care; and Referral