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[Psychological aspects of requests for artificial insemination using a donor. Data on 740 couples].

The authors present the problems that have been raised by psychologically interviewing 740 couples who ask for A.I.D. They describe the procedure that they adopted and the features that came up during the interview and particularly in the way the couples experienced their sterility. They conclude by pointing out how important a consultation is, both from the point of view of evaluating the couple psychologically in regard to the treatment and from the point of view of clarifying the needs, the doubts and the expectations that the two partners have when they decide to undertake A.I.D.

Adult↗

Psychological reactions of couples to artificial insemination with donor sperm.

The case histories of 62 couples successfully treated by AID were established through nondirective interviews, and were surprisingly similar in all cases. Several distinct stages were regularly observed: the awareness of wanting a child while the woman cannot become pregnant; the investigation of the couple's sterility with as a result, the announcement that the husband is sterile; a period in which the couple adapt to this situation; the disappearance of the feeling of guilt both of the husband, wounded in his "virility," and of the wife, ashamed of her desire for a child; acceptance of the idea of AID; request for AID; conflict with the medical profession; the disturbing seances of AID, usually in the presence of the husband; uneasiness at the beginning of pregnancy; euphoric continuation of pregnancy; uncomplicated delivery of a child whose father is very involved in its upbringing, and then request for a second child by AID.

Adult↗

[The difficulty of being St-Joseph. The sterile "father" confronted with artificial insemination by donor (AID) (author's transl)].

Two cases of total marital sexual impotence which occurred after the diagnosis of pregnancy following AID are reported by way of illustration. This impotence was accompanied by reoganisation of the economic situation in the marriage with a declaration that there was a very strong attachment for the wife and the child and a desire to have a second child and apparently for the wife to accept the whole situation. The influence of AID on the dynamics of a couple where the husband is sterile has been presented (it is the theme of a preliminary psychological enquiry which has been undertaken following the creation of CECOS IN 1973). A psychological study is a catch if we try to understand the interpretation. It is necessary to carry out a long-term psychoanalytical study of both partners in the marriage.

Adult↗

[Heterologous artificial insemination (author's transl)].

The indications for insemination, the selection of donor, consultation with the recipient parent and the technique will be described, based on our four-year experience. A description of the examination before the insemination and the results from a small collection of cases will be discussed.

Erythroblastosis, Fetal↗

[Indications and results of artificial insemination with donor semen (AID) (author's transl)].

Among 1,000 couples requesting for AID at CECOS Sud-Est in Marseille azoospermia is found in 572, oligoasthenozoospermia in 395. Cryptorchidism is recorded in 20% of these men. Several hypofertility factors are frequently associated. Ejaculation is absent in 23 men. 10 couples are requesting for AID because a risk of severe autosomic disease. Mean success rate is 10% per cycle, increased by sperm quality, decreased in women older than 35 years.

Adult↗