| Autor: |
Montagnini HL; Huntington Medicina Reprodutiva - Eugin Group. Av República do Líbano, 529 Ibirapuera. São Paulo, SP 04501-000, Brasil., Kimati CT; Huntington Medicina Reprodutiva - Eugin Group. Av República do Líbano, 529 Ibirapuera. São Paulo, SP 04501-000, Brasil., Lorenzon AR; Huntington Medicina Reprodutiva - Eugin Group. Av República do Líbano, 529 Ibirapuera. São Paulo, SP 04501-000, Brasil., Bonetti TC; Disciplina de Ginecologia Endocrinológica, Departamento de Ginecologia, Escola Paulista de Medicina da Universidade Federal de São Paulo (UNIFESP-EPM). Rua Napoleão de Barros, 608 Vila Clementino, São Paulo, SP, 04024-002, Brasil., Serafini PC; Huntington Medicina Reprodutiva - Eugin Group. Av República do Líbano, 529 Ibirapuera. São Paulo, SP 04501-000, Brasil.; Disciplina de Ginecologia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina, Universidade de São Paulo (USP). Av. Dr. Arnaldo, 455 Cerqueira César, São Paulo, SP 01246-903, Brasil., Motta E; Huntington Medicina Reprodutiva - Eugin Group. Av República do Líbano, 529 Ibirapuera. São Paulo, SP 04501-000, Brasil.; Disciplina de Ginecologia Endocrinológica, Departamento de Ginecologia, Escola Paulista de Medicina da Universidade Federal de São Paulo (UNIFESP-EPM). Rua Napoleão de Barros, 608 Vila Clementino, São Paulo, SP, 04024-002, Brasil., Domingues TS; Huntington Medicina Reprodutiva - Eugin Group. Av República do Líbano, 529 Ibirapuera. São Paulo, SP 04501-000, Brasil.; Disciplina de Ginecologia Endocrinológica, Departamento de Ginecologia, Escola Paulista de Medicina da Universidade Federal de São Paulo (UNIFESP-EPM). Rua Napoleão de Barros, 608 Vila Clementino, São Paulo, SP, 04024-002, Brasil. |
| Abstrakt: |
New family configurations are emerging concurrently with improved assisted reproduction techniques, including the use of donated gametes. Most indications for treatment when using donated eggs are caused by an age-related decrease in reproductive capacity. We evaluated the emotional state regarding accepting egg donation in participants who chose this option for in vitro fertilization cycles. This is a retrospective, Brazilian cohort study, based on data collected from sixty psychological counseling sessions with participants that opted to be enrolled in an egg donation program. A single professional conducted semi-structured psychological counselling sessions. The data were analyzed using a thematic analysis as the qualitative methodology. Two years after the psychological counseling sessions, participants were contacted to obtain information about their outcomes. Of 60 sessions, 19 (32%) were classified as involving participants with positive emotional state (group 1), 14 (23%) with unfavorable emotional state (group 2), and 27 (45%) without evident classification (group 3). Three couples did not undergo treatment until two years after the psychological counselling session and the other couples underwent treatment in a period ranging from 1-8 months after the session. This is the first study in the Brazilian population regarding the acceptance of egg donation. The process of acceptance of infertility and the impossibility to have a biological child is fundamental to gradually accepting a new way of becoming a parent. Psychological counseling can contribute to reflecting on the use of donated eggs, exploring its emotional implications and identifying the need for psychotherapeutic work to address conflict and suffering. |
