Copy of MALE FERTILITY BIOETHICS

MALE FERTILITY BIOETHICS

This questionnaire is on male fertility bioethics, a part of my MSc project, I am carrying out this survey to get the views and opinions of reproductive and fertility clinicians around the world regarding male patients who present for fertility treatment or fertility preservation. There are 10 questions, which will only take 5-10 minutes to answer. Thank you for taking the time to do this.

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* 1. What country do you work?

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* 2. How many treatment cycles of ART does your clinic perform per year?

LESS THAN 100

100 TO 250

250 TO 500

ABOVE 500

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* 3. How are male patients routinely evaluated?

Take a brief medical history only.

Take a detailed medical history from a fertility perspective, including life exposure only

Take a brief history and sometimes examine him.

Take a detailed history from a fertility perspective and sometimes examine him.

Take a brief history and usually examine him

Take a detailed history from a fertility perspective and usually examine him

Other (please specify)

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* 4. Do you experience any issues getting men to undertake fertility testing (diagnostic semen analysis) ?

No- there are no issues

Yes - because men are sexually active and assume they have no fertility problem

Yes - because men have previously fathered a pregnancy and assume they have no fertility problem

Yes- because men are not comfortable with producing/submitting a sample for analysis

Yes- because men assume that infertility is a woman's issue

Other (please specify)

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* 5. Do you recommend fertility vitamin and dietary supplements for unexplained male infertility?

Yes- always

Yes -sometimes

Not routinely

Never

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* 6. What medical treatment do you routinely recommend for unexplained male infertility?

Clomiphene (clomid) or Tamoxifen

Letrozole

FSH and HCG combined

HCG

Testosterone

none of the above

Other (please specify)

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* 7. Do you advise men to make lifestyle and dietary changes in preparation for fertility treatment and pregnancy (please tick all that apply)?

Alcohol reduction

Smoking cessation

Caffeine reduction

Sugar reduction

Advice about regular exercise

Advice about fruit, vegetables and healthy diet

None of the above

Other (please specify)

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* 8. What fertility treatment do you usually recommend for unexplained male infertility?

IVF

ICSI

ICSI and surgical sperm retrieval (SSR)

Donor sperm

Other (please specify)

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* 9. Is fertility and/or genetic counselling compulsory for patients?

Yes – but only women.

Yes – but only men.

Yes – for both.

Yes – but only in certain circumstances, for example fertility preservation, donor gamete treatment.

No- it is optional

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* 10. Do you think it is acceptable for a clinic to charge patients for donor sperm that has been altruistically donated? you may tick more than one option.

Yes - so patients appreciate that it is valuable

Yes – because it makes a profit for the clinic

Yes – because it generates funds for the running of the clinic

Yes – but only to cover costs

No – clinics shouldn’t make a profit on something that was altruistically donated

No- other reason

Other (please specify)