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A taxonomy of possible reasons for and against sperm donation

Authors


  • The authors have stated explicitly that there are no conflicts of interest in connection with this article.

Correspondence

Ercolie R. Bossema, Department of Clinical and Health Psychology, Utrecht University, P.O. Box 80.140, Utrecht 3508 TC, the Netherlands. E-mail: e.r.bossema@uu.nl.

Abstract

Objective

Various reasons may guide the decision of men to become a sperm donor. Our aim was to identify a comprehensive set of possible reasons for and against sperm donation.

Design

Concept mapping.

Setting

Assisted reproduction clinics.

Sample

Nine sperm donors and seven non-sperm donors.

Methods

Interviews to obtain statements for and against sperm donation, card-sorting tasks to categorize these statements according to similarity, and hierarchical cluster analysis to structure these categorizations.

Main outcome measures

Hierarchical structure with reasons for and against sperm donation.

Results

The hierarchical structure with 91 reasons comprised selfishness (including narcissism and procreation), psychosocial drives (including altruism, detached procreation, and sexual/financial satisfaction), and psychosocial barriers (including normative and moral barriers related to oneself, one's spouse, the donor child, and society).

Conclusions

The identified hierarchical overview of reasons for and against sperm donation may help potential sperm donors when considering becoming a sperm donor, enable more systematic counseling of potential sperm donors, and guide further research on reasons for and against sperm donation.

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