Reply: Is the transport of frozen embryos a good option to improve results in a transnational oocyte donation program?
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Oocyte donation
Embryo donation
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Summary: The attitudes of In Vitro Fertilization (IVF) patients, their relatives, and their friends towards oocyte and embryo donation and disposal of frozen embryos were determined by questionnaire. The results obtained from a group of patients undergoing IVF treatment in the hospital were compared and some differences in attitudes were detected.
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Current legislation in Canada allows for only altruistic gamete donation. Limited clinical data are available on the emotional and psychological impact of altruistic oocyte donation on known donors.Seventeen women who had donated oocytes to known parties without financial compensation agreed to receive the oocyte donation questionnaire (ODQ) to explore the psychological domains of altruistic oocyte donation.Thirteen ODQ were returned, giving a response rate of 76%. All subjects indicated that they were primarily motivated by a 'desire to give and help' the recipient couple. Most subjects did not find the donation decision difficult but some found the post-donation psychological adjustments challenging. Subjects also indicated that mandatory counselling on the psychological implications of oocyte donation was an important component of cycle preparation. The majority of subjects had disclosed the donation to others and felt that disclosure to the presumptive child was essential.The findings provide clinical materials for conceptualizing the dynamics entailed by known altruistic oocyte donation, with regards to motivation, relationship implications, donor satisfaction and plans for disclosure. The data support the provision of psycho-social support services to help donors dealing with any residual emotional difficulties regardless of the outcome of oocyte donation.
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In the last few years, there has been a significant resurgence of interest in the potential benefits of human oocyte freezing. Essentially, these benefits are formation of donor "egg banks" to facilitate and lessen the cost of oocyte donation for women unable to produce their own oocytes; provision of egg cryostorage for women who wish to delay their reproductive choices; and convenient cryopreservation of ovarian tissue from women about to undergo therapy deleterious to such tissue, which may threaten their reproductive health.
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BACKGROUNDIn New Zealand, embryo donation to others was approved in late 2005 and follows strict guidelines. To date, few donations have proceeded. Given the novelty of embryo donation and New Zealand’s guidelines around donation, this study explores how potential recipients in New Zealand made meaning of embryo donation.
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