title: The Social Impact of the Offer of Assisted Reproductive Techniques (ART) in a University Hospital in Rio de Janeiro.
abstract: OBJECTIVE
  The aim of this study is to report the procedures undertaken in the laboratory of semen of a university hospital specialized in human reproduction in Rio de Janeiro, principally Homologous Artificial Insemination (HAI) taking into account a more social aspect.
  
  
  METHODS
  This descriptive and retrospective study was based on documentary research. The source of information included medical records and registers containing the procedures performed in the laboratory of semen and the HAI. Testimonies, questionings and suggestions given by the couples during the process were also registered.
  
  
  RESULTS
  The couples were clearly informed about the techniques and many times they externalized their demands, doubts and desires in relation to the procedures, treatment and issues concerning their wish to have children and start a family. The discussion shows concerns over the techniques and theories used in this context when performing procedures in the laboratory of semen.
  
  
  CONCLUSIONS
  The bond to the service remains based on the idea that "now my dream of having kids will come true". Nevertheless, for the operationalization of the access to ARTs, at the public sector of medicine, we should count on the implementation of the National Politics in Assisted Reproduction. It did not take place and today it has even been removed, no longer being in force. It makes very clear the distance between the "accomplishment of the desire for children" and the reality of the provision of means and resources for ART at the medical public level in Brazil.
authors.affiliation: Federal University of Rio de Janeiro (UFRJ) - Rio de Janeiro/RJ, Brazil.
authors.forename: Tonia
authors.initials: T
authors.lastname: Costa
authors.affiliation: Instituto de Medicina Social - Departamento de Politicas e Instituições de Saúde - State University of Rio de Janeiro (UERJ).
authors.forename: Marilena C D V
authors.initials: MC
authors.lastname: Corrêa
keywords: Infertility; assisted reproduction; assisted reproductive techniques (ART); desire for children and family; human reproduction