Competency: 10

Details

Discuss insemination methods used in treatment based on semen quality with patients communicating sensitively and empathically.

Considerations

• The importance of communicating sensitively and empathically with a diverse range of patients and associated people according to best practice.
• Information needs of a patient, the implications of consent and the limits of the concept of confidentiality.
• The importance of preparing for discussion with patients, including review of specific case histories.
• Clinical reasons when ICSI is used with regard to semen quality and previous treatment outcomes.
• Consideration of the requirements of sperm quality for the 3 main forms of assisted conception IUI, IVF and ICSI
• Methods involved in IVF and ICSI and the advantages, disadvantages and risks of each method and the implications of failed fertilisation.
• The impact of sperm quality on conception, embryo development, and child health, understanding what may be observed and which observations would link to a sperm factor.
• When it is necessary to consider the use of donor sperm and the regulatory requirements associated with donor gamete use.
• Common questions and concerns of the patient about procedures.
• Relative Risk associated with  each form of treatment.

Relevant learning outcomes