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A couple is diagnosed with primary infertility secondary to azoospermia.

Medical Council of Canada MCCQE Full Course Access
Medical Council of Canada MCCQE View All Questions

A couple is diagnosed with primary infertility secondary to azoospermia. They are not interested in in vitro fertilization techniques, so you recommend insemination with a sperm donor. The male partner is hesitant. He thinks he might have difficulty accepting raising a child who is not biologically his. Which one of the following is the best next step?

A.

Arranging a consultation with a psychologist

B.

Tell the couple adoption is a better option

C.

Suggest transfer of care to another physician

D.

Propose a trial of ovulation induction with gonadotropins

E.

Recommend that the donor be a person who is known and significant to the couple

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