P-150: Ethicals Challenges in Infertile Patients

Background: Medical ethics is an interdisciplinary science that must be resolved the ethical issues with modern developments. Materials and Methods: A total of 980 infertile women that select with simple and available method from doctor Rasekh clinic and about 51 (5.2%) of them have ethical problems regarding infertility. We review 5 Cases in this study. Case 1: The patient is a 18 year old housewife with 3 years primary infertility but man avoids testing spermogram and saying to her wife that I am healthy, And you are sick and infertile. Case 2: A 36 year old woman with 20 year primary infertility and her husband have history of pertosis in child hood .and now he is azospermic. After testicular biopsy he tears up all the document. Case 3: 30 year old woman and a 38 year old man with infertility but the man is addict with decreased sexual desire and libido, and her mother in law would rebuke. Case 4: 20 year old female who is married two months ago, and her Mother-in-law said that if you do not be pregnant till 2 month later, you should be divorce. Case 5: A 29 year old housewife who had an abortion 3 years ago. Her husband is a farmer and drug addicted 42 years old man .and he said that the cause of infertility is related to her wife and should take divorce. Her wife has suicidal attempt for several time. Results: In this cases what is the doctor's moral duty? 2-Gynecologist should talk to these couples and their family with which of aspects (social or medical)? Conclusion: All of the ethical issues that been created by this treatment must be resolved by the medical ethics. Cultural promotion in infertile couple and their families Through TV and radio in our country.