BACKGROUND:
In Japan, adoption is rarely introduced or prioritized as a reproductive option in fertility care settings. Many couples undergoing infertility treatment are unaware of adoption as a realistic path to parenthood. This reflects limited systemic support for information provision and strong societal emphasis on biological parenthood, which narrows reproductive choices and contributes to prolonged or unresolved treatment experiences.

OBJECTIVES:
This study aimed to explore the experiences of Japanese couples who transitioned from infertility treatment to special adoption, and to identify nursing perspectives that can support informed and emotionally supported reproductive decision-making.

METHODS:
A narrative life story analysis was conducted using publicly available published testimonies from three couples. Data were analyzed using the Trajectory Equifinality Model (TEM), which visualized nonlinear psychological transitions and key branching points in the decision-making process.

RESULTS:
Treatment continuation was often driven by unspoken assumptions between partners, emotional mismatches, and internalized social norms. Treatment pauses offered moments for reflection, recovery, and reevaluation of life goals. Volunteer experiences with children supported the transformation of family images, leading some couples to embrace adoption. However, clinical settings often delayed or avoided adoption-related discussions, partly due to provider hesitation and concern for patient distress. Nursing support should involve early values clarification, partner dialogue facilitation, and promotion of inclusive family awareness.

CONCLUSIONS:
This study contributes to midwifery and nursing practice in reproductive care by deepening the understanding of infertility experiences. Supporting couples to gain foresight and broaden their reproductive options—beyond biological parenthood—can enhance autonomy and promote care that is more person-centered, inclusive, and future-oriented.

KEY MESSAGE:
Reframing adoption as a parallel, valid reproductive option—not a last resort—can empower couples to make meaningful, well-supported decisions during and after infertility treatment. Poster session 1 (Group A)