A Qualitative Study of the Emotional and Decision-Making Experiences of Mothers Whose Daughter Undergoes Assisted Reproductive Technology with Donor Sperm

Qun Wei, Xinyi Yang, Xia Hong, Yu He, Zhuoya Fan, Zilian Wang Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou City, Zhejiang Province, People’s Republic of ChinaCorrespondence: Zilian Wang, Nursing Department, Sir Run Run Shaw Hospital, School of Medi...

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Main Authors: Wei Q, Yang X, Hong X, He Y, Fan Z, Wang Z
Format: Article
Language:English
Published: Dove Medical Press 2025-07-01
Series:International Journal of Women's Health
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Online Access:https://www.dovepress.com/a-qualitative-study-of-the-emotional-and-decision-making-experiences-o-peer-reviewed-fulltext-article-IJWH
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author Wei Q
Yang X
Hong X
He Y
Fan Z
Wang Z
author_facet Wei Q
Yang X
Hong X
He Y
Fan Z
Wang Z
author_sort Wei Q
collection DOAJ
description Qun Wei, Xinyi Yang, Xia Hong, Yu He, Zhuoya Fan, Zilian Wang Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou City, Zhejiang Province, People’s Republic of ChinaCorrespondence: Zilian Wang, Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, No. 3 Qingchun East Road, Hangzhou City, Zhejiang Province, 310020, People’s Republic of China, Email yanchen517@126.comObjective: To explore the emotional experiences, decision-making dilemmas, and social support needs of mothers whose daughter has used donor sperm in assisted reproduction treatment due to azoospermia in the daughter’s partner. The findings will provide a basis for developing clinical education programs and optimising family decision support systems.Methods: Mothers of 12 female patients undergoing donor sperm assisted reproduction at a A-grade tertiary care reproductive center were selected for semi-structured interviews from January 2025 to March 2025, and Colaizzi’s phenomenological analysis was used to distil themes and report them according to COREQ guidelines.Results: Three core themes and nine sub-themes were identified: (1) the complex emotions of knowing that the daughter’s spouse was azoospermia and would need to use donor sperm to conceive, including shock and anger, rationality and tolerance, as well as secret joy and relief; and (2) the multiple concerns about the future relationship between the daughter and her family: the uncertainty of the treatment process and outcome; the potential risk to privacy; the potential impact on the future marital relationship; and the psychological challenge of the identity of the offspring. (3) Comprehensive support and protection for the daughter: manifested in accompaniment to the clinic and financial support, protection of privacy and expectation of sperm selection.Conclusion: The mother’s emotional experience of female patients using donor sperm in assisted reproductive technology (ART) presents complexity and multiplicity, and has a potential impact on the decision-making process of the couple. Therefore, caregivers should consider the psychological characteristics of female patients, their family relationships and the level of support their mothers provide when treating them. They should also provide personalized clinical education programs and information support. Furthermore, they should explore the degree to which mothers are involved in their daughters’ decision to use donor sperm. This will improve their decision-making experience and enhance the family’s overall satisfaction with the treatment.Keywords: donor sperm, assisted reproductive technology, mother of the woman, decision making experience, qualitative research
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issn 1179-1411
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publishDate 2025-07-01
publisher Dove Medical Press
record_format Article
series International Journal of Women's Health
spelling doaj-art-44298623bb47472bbeea15044325b0e42025-08-20T03:49:49ZengDove Medical PressInternational Journal of Women's Health1179-14112025-07-01Volume 17Issue 119711984104679A Qualitative Study of the Emotional and Decision-Making Experiences of Mothers Whose Daughter Undergoes Assisted Reproductive Technology with Donor SpermWei Q0Yang X1Hong X2He Y3Fan Z4Wang Zreproductive centerReproductive centerreproductive centerNursing departmentreproductive centerQun Wei, Xinyi Yang, Xia Hong, Yu He, Zhuoya Fan, Zilian Wang Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou City, Zhejiang Province, People’s Republic of ChinaCorrespondence: Zilian Wang, Nursing Department, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, No. 3 Qingchun East Road, Hangzhou City, Zhejiang Province, 310020, People’s Republic of China, Email yanchen517@126.comObjective: To explore the emotional experiences, decision-making dilemmas, and social support needs of mothers whose daughter has used donor sperm in assisted reproduction treatment due to azoospermia in the daughter’s partner. The findings will provide a basis for developing clinical education programs and optimising family decision support systems.Methods: Mothers of 12 female patients undergoing donor sperm assisted reproduction at a A-grade tertiary care reproductive center were selected for semi-structured interviews from January 2025 to March 2025, and Colaizzi’s phenomenological analysis was used to distil themes and report them according to COREQ guidelines.Results: Three core themes and nine sub-themes were identified: (1) the complex emotions of knowing that the daughter’s spouse was azoospermia and would need to use donor sperm to conceive, including shock and anger, rationality and tolerance, as well as secret joy and relief; and (2) the multiple concerns about the future relationship between the daughter and her family: the uncertainty of the treatment process and outcome; the potential risk to privacy; the potential impact on the future marital relationship; and the psychological challenge of the identity of the offspring. (3) Comprehensive support and protection for the daughter: manifested in accompaniment to the clinic and financial support, protection of privacy and expectation of sperm selection.Conclusion: The mother’s emotional experience of female patients using donor sperm in assisted reproductive technology (ART) presents complexity and multiplicity, and has a potential impact on the decision-making process of the couple. Therefore, caregivers should consider the psychological characteristics of female patients, their family relationships and the level of support their mothers provide when treating them. They should also provide personalized clinical education programs and information support. Furthermore, they should explore the degree to which mothers are involved in their daughters’ decision to use donor sperm. This will improve their decision-making experience and enhance the family’s overall satisfaction with the treatment.Keywords: donor sperm, assisted reproductive technology, mother of the woman, decision making experience, qualitative researchhttps://www.dovepress.com/a-qualitative-study-of-the-emotional-and-decision-making-experiences-o-peer-reviewed-fulltext-article-IJWHdonor spermassisted reproductive technologymother of the womandecision making experiencequalitative research
spellingShingle Wei Q
Yang X
Hong X
He Y
Fan Z
Wang Z
A Qualitative Study of the Emotional and Decision-Making Experiences of Mothers Whose Daughter Undergoes Assisted Reproductive Technology with Donor Sperm
International Journal of Women's Health
donor sperm
assisted reproductive technology
mother of the woman
decision making experience
qualitative research
title A Qualitative Study of the Emotional and Decision-Making Experiences of Mothers Whose Daughter Undergoes Assisted Reproductive Technology with Donor Sperm
title_full A Qualitative Study of the Emotional and Decision-Making Experiences of Mothers Whose Daughter Undergoes Assisted Reproductive Technology with Donor Sperm
title_fullStr A Qualitative Study of the Emotional and Decision-Making Experiences of Mothers Whose Daughter Undergoes Assisted Reproductive Technology with Donor Sperm
title_full_unstemmed A Qualitative Study of the Emotional and Decision-Making Experiences of Mothers Whose Daughter Undergoes Assisted Reproductive Technology with Donor Sperm
title_short A Qualitative Study of the Emotional and Decision-Making Experiences of Mothers Whose Daughter Undergoes Assisted Reproductive Technology with Donor Sperm
title_sort qualitative study of the emotional and decision making experiences of mothers whose daughter undergoes assisted reproductive technology with donor sperm
topic donor sperm
assisted reproductive technology
mother of the woman
decision making experience
qualitative research
url https://www.dovepress.com/a-qualitative-study-of-the-emotional-and-decision-making-experiences-o-peer-reviewed-fulltext-article-IJWH
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