| An attitude survey of male infertile patients with artificial insemination by donor. |
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Hyun Jun Park, Nam Cheol Park |
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Department of Urology, College of Medicine, Pusan National University, Busan, Korea. |
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| Abstract |
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OBJECTIVES: In determining to perform non-spousal artificial insemination by donor (AID) to an infertile married couple, infertile couple requires not only the thorough understanding of the medical procedure but also scrutinizing the effect, which it will have on the relationship of the family including the baby to be born itself. MATERIALS AND METHODS: 148 cases with non-curable male infertility were enrolled in this inquiry survey. The donor insemination questionnaire consists of 18-items which are assessing subjects' clinical properties, the background for AID practice, psychological traits, and long term influence. RESULTS: Of the survey, 49 cases were returned (33.1%) and 10 cases (20.4%) of these gave birth after AID practice. The mean age of husbands and wives of the 49 cases were 34.6+/-4.2 and 32.1+/-3.0 yers old, respectively and the duration of marriage was 5 years and 4 months. In about half of the cases, AID was first suggested by husband and the decision was made by only the couple. The major reason for the operation was to form a complete family. In the item of the psychological effects, two-third of the couples felt anxiety related to the procedure which are mostly about the possible congenital or acquired deformity of baby. The AID was positively suggested in overall by all of recipients. After giving birth to a child, most couples felt positive about their decision.As a child grows up, about half of the couples felt the child as their own and expected not to tell of the AID.In overall, about 50% of couples presented satisfaction with the procedure. CONCLUSIONS: As the above results, various psychological impacts including anxiety about a child-to-be-born were accompanied to those who were recommended of AID. To overcome these problems, sufficient medical information and consultation about the course of selecting the donor and the whole procedures of AID should be provided beforehand. |
| Key Words:
Artificial insemination; Donor; Male infertility |
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