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Managing Uncertainty by Certainty: Japanese IVF Users' Decision-Making Frameworks for Treatment Accessibility and Reliability
期刊文章

Managing Uncertainty by Certainty: Japanese IVF Users' Decision-Making Frameworks for Treatment Accessibility and Reliability

蓓婕 徐 (Pei-Chieh Hsu)
Women's reproductive health, 卷.13(1), 頁碼.163-177
02/01/2026
Web of Science ID: WOS:001610087000001

摘要

Science & Technology Uncertainty reproductive decision-making mild stimulation IVF IVF in Japan Women's Studies
Decision making for in vitro fertilization (IVF) in Japan is distinctive because of the widespread use of mild ovarian stimulation protocols. This article employs thematic analysis to examine qualitative data from 32 participants to explore the decision-making frameworks valued by Japanese IVF users. The results suggest that, in a highly gendered work and family environment and the power imbalances in doctor-patient relationships, accessibility and reliability are the two most valued factors in addressing treatment uncertainties. These two factors are facilitated by participants' evaluation of clinic location, hours, costs, responsiveness, and information clarity, in which the mild stimulation protocol offers ways to manage treatment uncertainties but creates new uncertainties.

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