Inquiry Survey of Infertile Couples for Sperm Donation and Artificial Insemination by Donor

In Hwa Kim; Ji-Hyun Kim; Min Jung Park; Sung Min Kang; Young Seuk Cho; Tae Yeon Kim; Nam Cheol Park

doi:10.15384/kjhp.2017.17.4.242

Korean J Health Promot > Volume 17(4); 2017 > Article

Kim, Kim, Park, Kang, Cho, Kim, and Park: Inquiry Survey of Infertile Couples for Sperm Donation and Artificial Insemination by Donor

Original Article

Korean Journal of Health Promotion 2017;17(4):242-251.

Published online: December 28, 2017

DOI: https://doi.org/10.15384/kjhp.2017.17.4.242

Inquiry Survey of Infertile Couples for Sperm Donation and Artificial Insemination by Donor

In Hwa Kim¹, Ji-Hyun Kim¹, Min Jung Park², Sung Min Kang³, Young Seuk Cho⁴, Tae Yeon Kim⁴, Nam Cheol Park^2,³

¹Department of Family Medicine, BHS Hanseo Hospital, Busan, Korea.

²The Korea Institution for Public Sperm Bank, Busan, Korea.

³Department of Urology, Pusan National University School of Medicine, Busan, Korea.

⁴Department of Statistics, Pusan National University, Busan, Korea.

Corresponding author: Nam Cheol Park, MD, PhD. Department of Urology, Pusan National University School of Medicine, 179 Gudeok-ro, Seo-gu, Busan 49241, Korea.
Tel: +82-51-240-7349, Fax: +82-51-247-5443, pnc@pusan.ac.kr

Received August 10, 2017 Accepted October 12, 2017

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

ABSTRACT

Background

Artificial insemination by donor (AID) is important to chance the pregnancy in male infertile couples by requiring appropriate medical, legal and ethical reviews. The purpose of this study was to investigate the perception changes of AID to collect the basic information for establishing the sperm donation, cryopreservation and artificial insemination management system.

Methods

We evaluated the people's thought of sperm donation, cryopreservation, and artificial insemination by donor by means of national inquiry survey from 247 infertile couples for 4 weeks from October 2016. The questionnaires were composed of 4 areas, and each questionnaire consisted of 15 items. Changes in the perception of AID by year were investigated after review of domestic journals.

Results

67.6% of respondents knew the growth of couples with difficulty getting pregnant due to male infertility. 82.2% of respondents replied the necessary of sperm bank as a treatment option for infertility and 40.5% knew the donation and receipt system of sperm. In the survey of change perception of AID according to year, 37.5% and 39.5% of respondents were got information about AID from doctor in 2003 and 2004, but 49.6% from broadcasting in 2016. As a child grows up, 4.0% (2003), 9.0% (2014), and 42.8% (2016) of respondents answered to tell the child about AID.

Conclusions

Infertile couple's thought of AID about the extension of opportunities for male infertility treatment is changed. In conclusion, it is necessary to establish institutional system of sperm donation, cryopreservation and artificial insemination prior to public sperm bank operation.

Keywords: Artificial insemination, donor, Male infertility, Sperm bank

This work was supported by a 2-Year Research Grant from Pusan National University and a research grant from Ministry of Health, and Welfare (No. 20160903789-00).

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Figure 1

Factors to influence the decision to undergo artificial insemination by donor. 2003 and 2014 were double-barreled a question, and 2016 was a single survey question. To compare each subject, we calculated the average percentage by the total percentage in 2003 and 2014. The question of newspaper and people who have undergo AID were not asked in 2016.

Abbreviations: AID, artificial insemination by donor; NA, not available.

Figure 2

Attitude change regarding whether to notify children about artificial insemination by donor. 2003 and 2014 were double-barreled a question, and 2016 was a single survey question. To compare each subject, we calculated the average percentage by the total percentage in 2003 and 2014. The question of not thinking was not asked in 2016.

Abbreviation: NA, not available.

Table 1

General characteristics of the participants in this study

Values are presented as numbers (%).

^aSingle includes widowed, divorced, and separated status.

Table 2

Population characteristics of the participants in 2003, 2014, and 2016

Abbreviation: NA, not applicable.

Values are presented as means±standard deviation (range) or number (%).

^aThe question was not asked in 2016.