非自愿性无子女的管理。
Management of involuntary childlessness.
作者信息
Himmel W, Ittner E, Kochen M M, Michelmann H W, Hinney B, Reuter M, Kallerhoff M, Ringert R H
机构信息
Department of General Practice, University of Göttingen, Germany.
出版信息
Br J Gen Pract. 1997 Feb;47(415):111-8.
Any definition of involuntary childlessness has to consider the difference between sterility and subfertility. As the latter affects about 20-30% of all couples at least once in their lives, general practitioners (GPs) may be the first to be confronted with this problem. This review presents the most relevant diagnostic and therapeutic options in cases of female or male infertility, and discusses the new assisted reproductive technologies (such as insemination, in vitro fertilization, gamete transfer and intracytoplasmatic sperm injection) so that GPs may adequately inform their patients about these procedures and their risks and outcomes. Although controversial, involuntary childlessness and its clinical treatment seem to have a strong psychological impact on a couple's social, emotional and sexual life. Being available for discussion with childless couples and offering ongoing support may be the most important role for the GP in this context.
任何关于非自愿无子女的定义都必须考虑不育和生育力低下之间的差异。由于后者影响到约20% - 30%的夫妇，且至少在他们一生中出现一次，全科医生（GPs）可能是最先面对这个问题的人。这篇综述介绍了女性或男性不育病例中最相关的诊断和治疗选择，并讨论了新的辅助生殖技术（如人工授精、体外受精、配子移植和胞浆内单精子注射），以便全科医生能够充分告知患者这些程序及其风险和结果。尽管存在争议，但非自愿无子女及其临床治疗似乎对夫妇的社会、情感和性生活有强烈的心理影响。在这种情况下，能够与无子女夫妇进行讨论并提供持续支持可能是全科医生最重要的作用。
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