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Submitted by Dr. Hesham Al-Inany, M.D. Lecturer, Gynaecology
& Obstetrics dept. Kasr El-Aini hospital, Cairo University, Egypt.
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During Gamete Micromanipulation sperms are injected into an ovum to assist in
union of the gametes.
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Patient activation and consent form
Prior to commencing treatment the couple are interviewed by their gynecologist
and any change in their medical condition is noted. The procedure of gamete
micromanipulation is discussed in details and the routine investigations
are done first. Once the patients have been activated, consent should
be taken.
Consent forms need to cover the following areas : the technique of gamete
micromanipulation, its potential complications, the inability to guarantee
success and possible unknown ill effects on the resultant fetus. If excess
embryos or eggs are to be frozen, special consent is obtained outlining
the experimental nature of these procedure.
The main reason for having consent from the couple that have the possible
complications explained and understood. As legal systems vary from country
to country, it is advised that appropriate legal advice should be obtained
before the consent forms are drafted.
Psychological Support
Most couples entering the gamete micromanipulation program have been
through a long series of investigations. They often are depressed about
their inability to conceive and not infrequently, one or other of the
partners feels inadequate being unable to fulfill the spouse's desire
for a child.
Sometimes there is pressure from one or the other partner that if the
child is not produced then divorce may result. Many couples find that
intercourse becomes a calculated compulsory activity and all elements
of pleasure and recreation is removed. For all these, psychological support
is essential to help couples to cope with these problems. The doctor plays
the main role to eliminate the patient anxiety, anger and depression.
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