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. 2014 Feb;55(2):134-9.
doi: 10.4111/kju.2014.55.2.134. Epub 2014 Feb 14.

The attitudes of infertile male patients toward the use of artificial insemination by donor: a korean regional survey

Dae Sung Hwang  1 , Tae Gyeong Jeon  1 , Hyun Jun Park  1 , Nam Cheol Park  1
Affiliations

The attitudes of infertile male patients toward the use of artificial insemination by donor: a korean regional survey

Dae Sung Hwang et al. Korean J Urol. 2014 Feb.

Abstract

Purpose: Infertile couples interested in nonspouse artificial insemination by donor (AID) not only require a thorough understanding of the medical procedure but also must scrutinize the effects it will have on family relationships, including those on the infant to be born. We conducted a series of surveys in couples with male infertility to collect information necessary for AID counseling.

Materials and methods: A total of 384 cases with noncurable male infertility were enrolled in this inquiry survey. The questionnaire consisted of 18 items that assessed demographic characteristics, background information concerning the choice to use AID, subjective experiences, long-term effects, and an overall evaluation.

Results: A total of 126 surveys were returned (32.8%). AID was first suggested by the husband in about half of the cases. The major reason for considering the procedure was to form a complete family. Two-thirds of the couples were anxious about the procedure, most often about possible congenital or acquired deformities in the infant. After the birth of the child, most couples were positive about their decision to have used AID. About half of the couples felt that the child was their own and expected not to tell the child about AID. Overall, about 50% of the couples were satisfied with the procedure.

Conclusions: Those who underwent AID experienced various psychological effects, including anxiety about the child to be born. To overcome these problems, sufficient medical information and consultation about the process of selecting the donor and about AID procedures should be provided before the procedure is used.

Keywords: Artificial insemination; Male infertility; Sperm banks.

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Conflict of interest statement

The authors have nothing to disclose.

Figures

FIG. 1
FIG. 1
Background factors that influence the decision to undergo artificial insemination by donor (AID).
FIG. 2
FIG. 2
Reasons for anxiety about undergoing artificial insemination by donor (AID).
FIG. 3
FIG. 3
Aftereffects of artificial insemination by donor (positive changes).
FIG. 4
FIG. 4
Attitudes regarding whether to notify children about artificial insemination by donor.
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