Infertility and decisions about the use of assisted reproductive technologies such as embryo donation have legal, psychological and social issues in addition to medical aspect. So, expert advice should be considered as an integral element in providing the services. Accordingly, this study designed and implemented to investigate the consulting needs of embryo donation applicants to clarify the strengths and weaknesses of the rules in this area in addition to provide a perspective on the current state of the process of embryo donation at infertility treatment centers to address weaknesses by government policy makers in the field of infertility treatment.
Materials and methods
This study is a descriptive study through interviews with 100 couples applying for Embryo Donation from September 2013 to July 2014 to assess the cover of their consulting needs in the process of embryo donation. The instrument is a questionnaire validated using content validity and the reliability has been verified by calculating Cronbach's alpha and test-retest method. Data analysis had also been performed using SPSS version 18.
Embryo donation infertility treatment center service providers just provided brief information in the medical aspects of embryo donation process on the majority of applicants (74%). As well, the physicians had attempted to provide advice on the legal and juridical aspects of the process for most applicants (56%). Altogether, the most of samples showed the lack of emphasis by service providers on need for specialized legal and juridical advices. Also, effective method was not provided by the assisted reproduction service providers about supporting of embryo donation applicants' prospective needs for advice in cases such as necessity of exposing of embryo donation issue for resulting children, the disclosure and appropriate time for it and the applicants were placed in a state of confusion.
We are faced with a hierarchy of obvious and hidden needs of donor/recipient and the offspring of this method in which knowing them and providing the correct answer to them is necessary to ensure benefits for individuals. In this regard, survey of problems and concerns of patients after treatment and investigation of offspring’s situation and also several ongoing communications and consultations would be essential steps to improve the situation of these people. Therefore, it is recommended that officials, experts and planners associated with infertility should pay particular attention to those issues.