Perez C, Koeppel B, Olivennes F, Bertrand-Rongières C, Fanchin R, Righini C, Frydman R
Service de Gynécologie-Obstétrique, Hôpital A. Béclère, Clamart.
Contracept Fertil Sex. 1998 Oct;26(10):713-7.
The aim of the study was to assess the psychological repercussions of IVF + ICSI on the male partner of infertile couples and on the couples and on the couple itself. The preliminary work has been done on the 23 couples in the waiting list of an ICSI cycle in A. Beclere hospital in Clamart. All couples respond to the same questionnaire. The two members of the couples were present in a semi-structured interview by 2 clinical psychologists. This ICSI scheme requires a complete change about the biological paternity. For infertile men, getting embryos work as a real reparation of their wounded ego, and the guilt goes from the man to the women when embryos are obtained. This study shows that infertile couples involved in IVF + ICSI have not the same concerns that doctors. Genetic abnormality transmission is not mentioned. On the opposite the male patients are strongly concerned by obtention of embryos which restore their fertility power. At this stage, female patients have to prove by carry out a pregnancy that they are as "good" as their partner.
该研究的目的是评估体外受精+卵胞浆内单精子注射对不育夫妇男性伴侣、夫妇双方及夫妻本身的心理影响。初步工作已在克拉马尔的A. 贝克莱尔医院接受卵胞浆内单精子注射周期等待名单上的23对夫妇中开展。所有夫妇都回答了相同的问卷。夫妇双方的两名成员接受了2名临床心理学家的半结构化访谈。这种卵胞浆内单精子注射方案要求在生物学亲子关系方面有彻底改变。对于不育男性来说，获得胚胎如同对其受伤自尊的真正修复，而当获得胚胎时，内疚感从男性转移到了女性身上。这项研究表明，参与体外受精+卵胞浆内单精子注射的不育夫妇所关心的问题与医生不同。未提及遗传异常的传递。相反，男性患者强烈关注胚胎的获得，这恢复了他们的生育能力。在这个阶段，女性患者必须通过怀孕来证明自己和伴侣一样“优秀”。
