What are the Thoughts of Women Whose Husbands' Frozen Testicular Sperm Is Thawed for in vitro Fertilization on the Day of Oocyte Retrieval? A Qualitative Study.

Abstract

Objective: The psychological experiences will be analyzed to understand the needs and burdens of women on the day of oocyte retrieval when the thawed testicular sperm of their husbands is used for in vitro fertilization, in order to provide a basis for the subsequent formulation of relevant nursing measures.

Methods: This study utilized a descriptive phenomenological research approach. A cohort of 13 women undergoing oocyte retrieval on the day when thawed testicular sperm from their husbands is used for in vitro fertilization at the Reproductive Medicine Center of Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, between August and October 2024, were chosen as participants for this study. Semi-structured, in-depth interviews were conducted to gather qualitative data. The Colaizzi 7-step analysis method was subsequently utilized to analyze the interview transcripts and identify emerging themes.

Results: The analysis yielded 3 themes: (1) facing challenges and requiring assistance (a. demonstrate a strong desire to acquire professional knowledge; b. demonstrate a strong desire for recognition); (2) overwhelming psychological stress (a. concerns about potential privacy breaches; b. concerns about security issues; c. concerns about the therapeutic efficacy); (3) improving family atmosphere and marital relationships (a. communication between couples has increased.; b. shared expectations for children help couples establish a common goal).

Conclusion: It is recommended that healthcare practitioners implement strategies to enhance patient education and awareness surrounding assisted reproductive technology. Additionally, establishing and strengthening social support, reinforcing privacy protections and safety measures, promoting effective communication between partners, and managing treatment outcome expectations are crucial steps forward.

Immediate practical implications: Women prioritize treatment efficacy, privacy preservation, and the necessity of acquiring comprehensive professional knowledge when employing their partner's testicular sperm for in vitro fertilization. The study is instrumental in shaping policy dialogues on reproductive health, highlighting the critical significance of women's psychological health in the realm of in vitro fertilization.