Exploring Infertility in Saudi Arabia: Qualitative Insights into IVF Treatment Services and Policy Recommendations.

Background: Infertility is an increasing global health concern, including in Saudi Arabia. This study aimed to explore patients' perceptions of infertility and in vitro fertilization services, focusing on knowledge, experiences, and barriers to treatment among couples in Khobar and Dammam. Methods: This study employed a descriptive phenomenological qualitative method, specifically using a hybrid thematic analysis approach that incorporates both deductive and inductive coding. The data triangulation method was used to ensure the accuracy of the data. Therefore, participants were categorized into three groups: patients, physicians, and administrative staff at IVF centers. Data was collected through interviews. Data saturation was achieved with fifteen participants. Results: Three main themes emerged: perceptions of infertility, perceptions of infertility services, and barriers to treatment. Participants perceived infertility, particularly male infertility, to be increasing; however, the lack of a national registry limits an accurate prevalence estimate. Key barriers included financial burden due to limited insurance coverage, societal influences, lengthy treatment processes, and limited awareness. Conclusions: Expanding insurance coverage, providing financial assistance, and implementing awareness initiatives may help improve access to infertility treatment and reduce stigma. Establishing a national registry could also support better planning and improvement of infertility services.