Recently, there have been marked improvements in reproduction-supporting medicine, and various investigations have been carried out concerning infertile patients. However, clinical investigations on reproductive technology in infertile couples have been scarce. We performed a questionnaire survey concerning the attitude toward reproductive technology in 122 patients (58 males aged 36.3±4.5 years and 64 females aged 33.8±3.9 years) being treated for infertility and statistically analyzed their answers according to gender and whether they had children. The survey was performed between October 19, 2002 and August 27, 2003.
The questionnaire having a face sheet consisted of 4 questions concerning the view of living, 5 questions concerning the view of life, 8 questions concerning the value and promotion of reproductive technology, 7 questions concerning artificial insemination by donor (AID), 4 questions concerning the future of reproductive medicine, and 4 questions concerning the attitude toward family planning and reproductive technology in the future.
Concerning reproduction-supporting techniques, the "attitude toward AID" and "management of sperms by a sperm bank rather than for profits" were closely related to whether the respondents had children, and their general attitude was "I would not do it, but I don't care if others do it." Regardless of whether the respondents had children, none approved "donation of ova" or "donation of embryos". Couples with children answered that they expected the use of reproduction technology involving "AIH", "IVF", and "ovulation stimulators", and those without children answered that they expected its use involving "AID", "surrogate delivery", "surrogate mother", "artificial ova", and "artificial sperms".
Gender was closely related to "experience of infertility of the patient himself/herself" and "the presence of (an) infertile person (s) among relatives and close friends", suggesting that gender has some effect on the environmental factors and experience in daily living.
In reproduction-supporting medicine, the protection of privacy of the treated infertile couples, their children, and donors is an important matter, and further ethical, legal, and social discussion in consideration of welfare of the children is anticipated.
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