Cost burden of male infertility investigations and treatments: A survey study
Affiliations
Affiliations
- Department of Surgery (Urology), Faculty of Medicine, Kuwait University, Safat, Kuwait.
- Mubark Hospital, Sabah Al Ahmad Urology Center, Kuwait.
Purpose: Male infertility represents 50% of all infertility problems. The management of male infertility is expensive, causing a huge burden on the patients. In this study, we aimed to calculate the cost burden of male infertility investigations and treatments.
Methods: A total of 600 infertile male patients from a single center in Kuwait city were asked to fulfill an internet-based survey. The survey encompassed data about the cost of different investigations and treatments of male infertility. Patients were also asked about the preference of covering their condition either through government or by private insurance.
Results: A total of 145 patients responded to the survey. Most of the patients earned 3295 United States Dollar (USD) to 6590 USD per month. The cost of the outpatient visit ranged from 131.7 to 263.4 USD. The cost of each hormonal test was 164.5 USD while the average cost of each imaging study was 131.8-164.7 USD. Most of the patients (62.8%) received medical therapy with an expense of >988.74 USD. Varicocelectomy cost ranged from 3295 to 6590 USD while the cost of testicular sperm extraction ranged from 1644 to 3294 USD. Most patients (96.3%) did not have health insurance coverage of infertility. On average, patients spent around 18% of their annual income on infertility care, excluding major surgeries.
Conclusion: Male infertility is a worrisome medical condition that causes a huge burden on the Kuwait community. Effective management necessitates insurance coverage and public health support owing to the huge financial burden on the patients and their partners. Thus, policymakers should re-evaluate their protocols of spending on male infertility care.
Keywords: Cost; Kuwait; insurance; male infertility.
Conflict of interest statement
There are no conflicts of interest.
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KMEL References
References
-
- Zegers-Hochschild F, Adamson GD, de Mouzon J, Ishihara O, Mansour R, Nygren K, et al. The International Committee for Monitoring Assisted Reproductive Technology (ICMART) and the World Health Organization (WHO) Revised Glossary on ART Terminology, 2009. Hum Reprod. 2009;24:2683–7. - PubMed
-
- Mohammed F, Al-Yatama F, Al-Bader M, Tayel SM, Gouda S, Naguib KK. Primary male infertility in Kuwait: A cytogenetic and molecular study of 289 infertile Kuwaiti patients. Andrologia. 2007;39:87–92. - PubMed
-
- Cooper TG, Noonan E, von Eckardstein S, Auger J, Baker HW, Behre HM, et al. World Health Organization reference values for human semen characteristics. Hum Reprod Update. 2010;16:231–45. - PubMed
-
- Matetakufa S. Our own gift. New Int. 1998:11–2.
-
- Eisenberg ML, Lathi RB, Baker VL, Westphal LM, Milki AA, Nangia AK. Frequency of the male infertility evaluation: Data from the national survey of family growth. J Urol. 2013;189:1030–4. -PubMed
-
- Mehta A, Nangia AK, Dupree JM, Smith JF. Limitations and barriers in access to care for male factor infertility. Fertil Steril. 2016;105:1128–37. - PubMed
-
- Elliott P, Abad-Santos M, Katz P, Smith J. PD52-09 out of pocket costs of male infertility care and associated financial strain. J Urol. 2015;4:e1116.
-
- Medicine PCotASfR. Diagnostic evaluation of the infertile female: A committee opinion. Fertil Steril. 2015;103:e44–50. - PubMed
-
- Cayan S, Erdemir F, Ozbey I, Turek PJ, Kadioǧlu A, Tellaloǧlu S. Can varicocelectomy significantly change the way couples use assisted reproductive technologies? J Urol. 2002;167:1749–52. -PubMed
-
- Kolettis PN, Sabanegh ES. Significant medical pathology discovered during a male infertility evaluation. J Urol. 2001;166:178–80. - PubMed
-
- Connolly MP, Hoorens S, Chambers GM ESHRE Reproduction and Society Task Force. The costs and consequences of assisted reproductive technology: An economic perspective. Hum Reprod Update. 2010;16:603–13. - PubMed
-
- De Neubourg D, Bogaerts K, Wyns C, Albert A, Camus M, Candeur M, et al. The history of Belgian assisted reproduction technology cycle registration and control: A case study in reducing the incidence of multiple pregnancy. Hum Reprod. 2013;28:2709–19. - PubMed
-
- Chambers GM, Sullivan EA, Ishihara O, Chapman MG, Adamson GD. The economic impact of assisted reproductive technology: A review of selected developed countries. Fertil Steril. 2009;91:2281–94. - PubMed