چالش های درمان با اسپرم اهدایی در مردان نابارور : یک مطالعه مروری

عنوان انگليسی

Challenges of treatment with donated sperm in infertile men: A narrative review

خلاصه انگلیسی

Infertility is associated with psychological, emotional, economic, and social stresses affecting a person's life. However, treatment with donated sperm in infertile couples has some challenges. This study aimed to review the challenges of sperm donation treatment in infertile men. Articles related to the study by searching the Key words such as men, infertility, sperm donation, and alternative fertility treatments were extracted from articles related to qualitative and quantitative studies indexed in databases such as ProQuest, Science Direct, Springer, Google Scholar, Scopus, Iran doc, SID, Iran Medex and Noor Mags in English and Persian language. In all, 47 articles were extracted, and after reviewing the articles and their quality assessment, 11 articles published between 2018 and 2023 were analyzed by the thematic analysis method. The present study's findings led to the classification of challenges of sperm donation treatment in infertile men in the following 5 main areas and nineteen sub-areas. 1) Challenges in accepting treatment, with 5 sub-areas: being judged by society and family, belief in donation methods depending on Sharia permission, fear caused by religious issues and being forbidden, mental burden about the imagination of life without children, and wife’s dissatisfaction about accepting the donated sperm. 2) Intellectual and emotional challenges affecting the common life, with 4 sub-areas: decrease in self-confidence and feeling of worthlessness, emptiness in life, increase in anxiety and stress, isolation, and being motiveless in marriage. 3) Challenges related to sexual issues affecting the marriage with 4 sub-areas: decreased sexual desire, erectile dysfunction, premature ejaculation, and orgasm disorder. 4) Economic challenges in treating infertility, with 3 sub-areas: couple’s financial problems, lack of health insurance support, and lack of aid and employment support. 5) Concerns about the treatment process, with 3 sub-areas: preterm delivery, abnormal baby, and abortion. Infertile men experience many worries and difficulties in the treatment process with donated sperm. They need to receive special attention and support, so it is suggested that health care service providers and population policymakers reduce the psychological burden of these people and, to solve the population crisis in the country, prioritize in their services the planning for specific care such as psychological counseling, couple counseling, moral counseling, legal counseling, and financial support.

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