CONCLUSIONS: Data suggests the EngagedMD MP improves patient education about treatment, gives them more control over their medical deci- sions, and better prepares them for consent. Providers/nurses appear to like it, and find it easy to implement. P-506 Wednesday, November 1, 2017 THE FATE OF SUPERNUMERARY CRYOPRESERVED EMBRYOS: INSIGHTS INTO COUPLES’ DISPOSITION DECISIONS. K. Coyne, a E. Luong, b M. Lee, c J. L. Madeira, d A. S. Jaeger, e J. P. Parry, f S. R. Lindheim. g a Wright State University, Dayton, OH; b Obstetrics & Gynecology, Wright State University, Boonshoft School of Medicine, Dayton, OH; c Epidemiology, Human Genetics and Environmental Sciences, University of Texas Health Science Center at Houston, School of Public Health, Houston, TX; d Law, Indiana University, Bloo- mington, IN; e Law Policy and Ethics, Santa Fe, NM; f OB/GYN- REI, UMMC, Flowood, MS; g Obstetrics & Gynecology, Wright State University, Dayton, OH. OBJECTIVE: Great interest surrounds patients’ decisions about surplus cryopreserved embryo disposition (ED) after death or dissolution of a current relationship (DCR). We report couples’ decisions and influential factors. DESIGN: Quantitative survey. MATERIALS AND METHODS: A survey obtaining responses through forums & blogs from patients undergoing autologous IVF in the past 5 years. Questions addressed ED options following death or DCR including posthu- mous assisted reproduction (PAR), donation to another couple (EmD), research, or destruction. Data were grouped and analyzed based on age, pri- mary income, IVF payment method, and number of IVF cycles. RESULTS: Of 267 subjects ages 22-50, 78% provided a disposition following death and 63% with DCR. Following death, 55% preferred PAR compared to 19% after DCR (p<0.001). With DCR, more chose EmD (27% vs 11%, p<0.001), research (27% vs 18%, p<0.001) and destruction (22% vs 10%, p<0.01). Partners made a different choice 10% of the time. In- come, IVF payment method, and number of IVF cycles were associated with disposition decision. Income, IVF payment method, and number of IVF cy- cles were all significantly associated (p<0.05) with some disposition deci- sion. Compared with subjects making >100k, those from 50-100k were 60%, p<0.05 less likely to prefer PAR in the event of death. Those who paid cash were 2.3 times, p<0.01 more likely to choose PAR. CONCLUSIONS: Patients’ perceptions of their relationship play an important role in ED decisions. This suggests that thorough disposition infor- mation and counseling are needed during informed consent processes, given the associated economic, legal, ethical, and moral costs of ill-considered disposition decisions. Supported by: Indiana University Faculty Research Support Grant P-507 Wednesday, November 1, 2017 CAN YOGA AFFECT IVF OUTCOMES?. P. Nayar, K. D. Nayar, R. Ahuja, M. Singh, G. Kant, N. Sharma, K. Nayar. Akanksha IVF Centre, New Delhi, India. OBJECTIVE: To study the affect of YOGA on pregnancy rates in women undergoing frozen embryo transfer after failed fresh transfer cycle. DESIGN: A randomized controlled trial conducted in a private Infertility centre from 1st December 2015 to 30th November 2016. MATERIALS AND METHODS: Women with primary infertility of more than 5 years who did not conceive in the first IVF cycle and were to undergo frozen embryo transfer in subsequent cycle were enrolled (N¼105). Women more than 38 years, Intramural fibroid > 4 cm, either side hydrosalpinx, ad- enomyosis were excluded. Women were randomised to two groups by using computer generated random number sequence -Group A (N¼52) who at- tended 3 months of YOGA thirty sessions- involving asana (exercises) and pranayama (regulated breathing) before undergoing frozen embryo transfer and group B (N¼53) who under went frozen embryo transfer in the subse- quent cycle without Yoga therapy. All women in group Awere asked to com- plete the Hamilton Depression rating Scale (HAM- D), Hamilton Anxiety Rating Scale (HAM-A) and FertiQol questionnaire at baseline (S1) and after 3 months of YOGA sessions (S2) before embryo transfer. Primary outcome were Pregnancy rates, Clinical Pregnancy rates. Secondary outcomes were change in psychological test scores. Chi square test was applied for qualita- tive and student t test for quantitative data using SPSS software. RESULTS: The Pregnancy rate and clinical pregnancy rate were signifi- cantly better in Group A compared to Group B (63.46% vs 43.39% : p¼0.039, 59.61% vs 37.7%: p¼0.024). There was a significant S1 to S2 reduction in depression and anxiety after YOGA therapy ( p< 0.001 for HAM-D and p< 0.001 for HAM-A). CONCLUSIONS: Stress negatively affects reproductive outcomes in IVF cycles and this study suggests YOGA can be an adjuvant to improve the preg- nancy rates in couples undergoing ART. Affect of Yoga on IVF outcome Pregnancy rates Group A, Yoga therapy (N¼52) Percentage Group B (N¼53) Percentage P value Pregnancy rate 33 63.46% 23 43.39% 0.039 Clinical Pregnancy Rate 31 59.61% 20 37.7% 0.024 References: 1. Alice D, Domar et al. impact of group mind/body intervention on preg- nancy rate in IVF patients. Fertility Sterility 2011;95:7;2269-2273. 2. Vania Valoriani, Francesco Lotti, Claudia Vanni, Maria-Chiara Noci, Nicolas Fontanarosa, Gabriella Ferrari, Cinzia Cozzi, Ivo Noci. Ha- tha-yoga as a psychological adjuvant for women undergoing IVF: a pi- lot study. Eur J Obstet Gynecol Reprod Biol. 2014 May;176:158-62. P-508 Wednesday, November 1, 2017 DO MENTAL HEALTH ASSESSMENTS OF IN-VITRO FERTILIZATION (IVF) PATIENTS DIFFER BY INFERTILITY DIAGNOSIS? A PROSPECTIVE STUDY. M. Raman, a A. K. Lawson, a S. Klock, a R. Confino, a J. E. Hirshfeld-Cytron, b M. Pavone. a a Northwestern University Feinberg School of Medicine, Chicago, IL; b Fertility Centers of Illinois, Chi- cago, IL. OBJECTIVE: To prospectively assess anxiety, depression, coping, and appraisal metrics by infertility diagnosis in female infertility patients under- going IVF. DESIGN: Prospective pre- and post-treatment survey MATERIALS AND METHODS: Patients with a diagnosis of infertility were consented for this IRB approved study prior to starting their first IVF cycle. Patients completed a pre-treatment (T1) survey including Center for Epidemiologic Studies Depression Scale, State-Trait Anxiety Inventory, Ways of Coping-Revised scale, Appraisal of Life Events scale, and Fertility Problems Inventory. At the time of oocyte retrieval (T2), a second question- naire was filled out. Patients were grouped using CDC infertility diagnoses. Non-parametric statistics were used to analyze data using SPSS software, including Spearman’s correlations and chi squared tests. RESULTS: 113 patients consented for the study, with a median age of 32 (SD 2.97 years) and AMH of 1.8ng/mL. The most frequent infertility diag- noses were: male factor (23.0%), male and female (17.7%), and decreased ovarian reserve (14.2%). Positive correlations were identified between mea- sures of depression, anxiety, and coping at both T1 and T2; negative correla- tions were identified between these measures and fertility related stress. Chi squared analysis revealed significant differences (p¼0.038) in the Ways of Coping-Revised scale at T1 among infertility diagnoses. Unexplained, male and female, and endometriosis diagnoses had lower levels of avoidance and cognitive restructuring while ovarian dysfunction, decreased ovarian reserve, and multiple female diagnoses were associated with higher levels. There were no significant differences at T2. CONCLUSIONS: Patient levels of avoidance and cognitive restructuring differ based on infertility diagnosis. Although it is unclear what causes these differences, avoidance-based coping is a known risk factor for depression and is the greatest predictor of psychological distress among both men and women. Therefore, assessment of coping style among fertility patients, particularly those with ovarian dysfunction and decreased ovarian reserve is warranted. e300 ASRM Abstracts Vol. 108, No. 3, Supplement, September 2017