Psychological screening and the success of donor insemination |
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Authors: | Schover, L.R. Greenhalgh, L.F. Richards, S.I. Collins, R.L. |
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Affiliation: | 2Center for Sexual Function, The Cleveland Clinic Foundation Cleveland, OH 44195, USA Department of Gynecology The Cleveland Clinic Foundation Cleveland, OH 44195, USA |
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Abstract: | In a previous case series, a psychologists rating ofcouples emotional adjustment and readiness for donorinsemination was predictive of pregnancy rates. We attemptedto replicate this finding with an extended series of 120 consecutivecouples in which each spouse filled out questionnaires whenevaluated for donor insemination. The Stress and InfertilityQuestionnaire measured specific attitudes and anxieties aboutdonor insemination. The Brief Symptom Inventory assessed psychologicaldistress. The Dyadic Adjustment Scale measured marital happiness.A psychologist used these questionnaires to rate the couplesoverall adjustment in regard to donor insemination. Those couplesrated as distressed had a session of psychological counselling.Outcome was reviewed at a mean of 20 months after evaluation,with categories of pregnancy, continuing donor insemination,failure to begin the programme, or dropped out. For the 120couples overall, psychological factors did not predict pregnancyoutcome. Younger age of the wife did predict higher pregnancyrates |
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Keywords: | donor/insemination/outcome/psychological |
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