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Attitudinal survey of sperm donors to an artificial insemination clinic.

Donors (n = 42) to an artificial-insemination-by-donor sperm clinic were surveyed to ascertain individual motivations and attitudes regarding participation. Responses were compared to those of a matched control group (n = 50) of nondonors. Donors were motivated by money, with the majority (69%) unwilling to participate if financial incentives were withdrawn. Anonymity was desired, and donors did not favor disclosure of information to a national registry tracking insemination outcomes. However, donors and controls did endorse providing sperm for an infertile brother. Donors and controls differed significantly in response to 2 of 15 questions asked, with differences due to perceptions of donor motivation. Although perceived as altruistic by peers, donors did not envision themselves as such, and most considered donating semen similar to donating blood or organs.

Adult↗

Artificial insemination by donor at Groote Schuur Hospital.

An artificial insemination by donor (AID) service was started in the Infertility Clinic at Groote Schuur Hospital, Cape Town, in response to repeated requests by patients, doctors and social workers. The methods, results of treatment, and reasons for reorganizing the work of the clinic are presented. Future management at the clinic is also outlined. The clinic has been reorganized and work on semen cryopreservation is being carried out by the Andrology Service at Groote Schuur Hospital. A semen bank has also been established. The ethical, religious, legal and genetic aspects of AID are reviewed.

Adult↗

[Homologous artificial insemination and male infertility. Study of prognostic factors].

Artificial insemination using the husband's semen (AIH) can help overcome a number of cases of sterility, particularly where these are male in origin. But the results are not always in proportion to the effort required, both from the patients and their doctor. We have compared 25 cases in which AIH resulted in pregnancy with 25 cases in which no pregnancy was achieved after a minimum of 6 cycles' insemination. No factor other than success or failure entered into the selection of cases for comparison. No significant difference was observed in age, past medical history, clinical findings and treatment used. However, study of the seminal analyses showed that the number of spermatozoa was only a secondary factor; sperm motility, and its duration, were more important. This gave two graphs defining two prognostic zones. In 72% of cases, pregnancy was achieved during the first 5 cycles of insemination using AIH. Lastly, miscarriages increased in frequency with age. The number of cases studied is obviously too few to provide any binding statistical conclusions, but these preliminary results give grounds for continuing the study; mathematical models ought to make it possible to identify prognostic factors.

Adult↗

The single woman and artificial insemination by donor.

Requests by single women for artificial insemination by donor (AID) raise important ethical issues concerning the obligations of physicians and the well-being of the children who would be conceived. Specific objections to AID for single women can be raised, including that the absence of a father may adversely affect the child or that a lesbian mother may influence the child to become homosexual. A review of the relevant social science research indicates, however, that these and other objections are not supported by the available data. In support of AID for single women it can be argued that the life of the child who would be produced could be expected to have value, considered in itself. Consideration of the various aspects of the issue suggests that AID for single women is permissible in selected cases and that the physician has a right to refuse to carry out such requests.

Adult↗