title: Reproductive decisions of men with microdeletions of the Y chromosome: the role of genetic counselling.
abstract: Couples dealing with microdeletions of the Y chromosome have to make decisions about their reproductive future. Do they opt for intracytoplasmic sperm injection (ICSI), artificial insemination with donor insemination (AID) or no treatment? We analysed this decision in 28 couples and investigated the role of the counsellor and the counselling process on the final decision of the couple. Ten counsellors from six fertility clinics in The Netherlands and Belgium were interviewed about their genetic counselling of couples dealing with microdeletions. The answers to the questionnaire were converted to 11 dichotomous variables. Of the 1627 tested men in the six centres, 37 (2.3%) had a microdeletion in the AZFc region, a subregion of the AZF region on the Y chromosome important for normal spermatogenesis. The decisions of 28 of them could be analysed. Most couples chose ICSI (79%). The remaining couples chose donor insemination (7%) or refrained from treatment (14%). Several variables, including the counselling procedure, the counsellor and the available treatments in the fertility centre, influenced the decision of the couple. In conclusion, most couples dealing with microdeletions in the AZF region choose ICSI. Several aspects of the process of genetic counselling appear to be related to the final decision.
authors.affiliation: Department of Gynaecology and Obstetrics, University Hospital Nijmegen, The Netherlands.
authors.forename: A W
authors.initials: AW
authors.lastname: Nap
authors.forename: R J
authors.initials: RJ
authors.lastname: Van Golde
authors.forename: J H
authors.initials: JH
authors.lastname: Tuerlings
authors.forename: P
authors.initials: P
authors.lastname: De Sutter
authors.forename: M H
authors.initials: MH
authors.lastname: Pieters
authors.forename: J C
authors.initials: JC
authors.lastname: Giltay
authors.forename: P M
authors.initials: PM
authors.lastname: Kastrop
authors.forename: D D
authors.initials: DD
authors.lastname: Braat
authors.forename: J A
authors.initials: JA
authors.lastname: Kremer
mesh_terms: D000328:Adult; D002872:Chromosome Deletion; D003657:Decision Making; D005260:Female; D005307:Fertilization in Vitro; D005817:Genetic Counseling; D006801:Humans; D008297:Male; D011247:Pregnancy; D014998:Y Chromosome