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Project

Management of Infertility in Men with SCI: An Educational Program for Practitioners and Clients

Funder: Craig H Neilsen Foundation

Funding period
USD 300 K
Funding amount
Abstract
TITLE: Management of Infertility in Men with SCI: An Educational Program for Practitioners and Clients. BRIEF DESCRIPTION: This project addresses the lack of appropriate resources for the management of infertility in men with spinal cord injury (SCI). The majority of men with SCI are infertile. Contributing factors include ejaculatory dysfunction and abnormal semen quality. Because of these abnormalities, couples with a male partner with SCI are often told that they must undergo invasive and expensive procedures such as in vitro fertilization (IVF) to achieve pregnancy. The medical and lay communities are generally unaware that, despite these abnormalities, sufficient motile sperm often may be obtained from a man with SCI to allow for the possibility of less invasive and less expensive methods of assisted conception, such as intrauterine insemination or even intravaginal insemination at home. This project will create an educational program to train practitioners and educate clients in the topic of management of infertility in men with SCI. This goal will be accomplished by targeting four major resources typically consulted by couples seeking help for infertility: rehabilitation centers, infertility specialists, local SCI support groups, and digital media. Based on our 25 years of experience in this field, we will train practitioners in evidence-based algorithms of semen retrieval, semen processing and assisted conception for couples with SCI male partners. In addition, we will provide lay information in the form of seminars and webinars to client support groups. Finally, we will create a website with separate entry portals for practitioners and clients. The website will provide comprehensive and current information in language appropriate for each group. EXPECTED OUTCOME: The expected outcome is a shift in the standard of care for infertility in men with SCI. Standards of care in medical practice evolve after a “critical mass” of experience allows for a fair and scientific evaluation of results. By educating both practitioners and clients, this “critical mass” will be reached, and a standard of care will evolve that demands appropriate evaluation of men with SCI, and the provision of care to them as individuals and as male partners in relationships. RELEVANCE: The gap in services caused by a lack of training and education of practitioners and clients will be addressed by this program. Sustainability will be achieved by “teaching the teachers” and furnishing practitioners with materials for instructing their future trainees. Similarly, this project will provide sustainable and widely disseminated information for clients. The goal is to help clients make more informed decisions with their providers when discussing fertility options. Fatherhood and parenting are important elements of most men’s self-esteem. Knowledge of these capabilities will improve the well-being and quality of life of men with SCI. (CHN: COandI chn:wdg)
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System

Categories
  • FOR (ANZSRC)

    1114 Paediatrics and Reproductive Medicine

  • FOR (ANZSRC)

    1117 Public Health and Health Services

  • RCDC

    Injury (total) Accidents/Adverse Effects

  • RCDC

    Infertility

  • RCDC

    Contraception/Reproduction

  • RCDC

    Spinal Cord Injury

  • RCDC

    Clinical Research

  • RCDC

    Neurodegenerative

  • HRCS HC

    Reproductive Health and Childbirth

  • Health Research Areas

    Clinical