White Rose Research Online URL for this paper: Version: Accepted Version

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This is a repository copy of Altruism or obligation? The motivations and experience of women who donate oocytes to known recipients in assisted conception treatment: an interpretative phenomenological analysis study. White Rose Research Online URL for this paper: http://eprints.whiterose.ac.uk// Version: Accepted Version Article: Acharya, S, Bryant, L orcid.org/0000-000-- and Twiddy, M (0) Altruism or obligation? The motivations and experience of women who donate oocytes to known recipients in assisted conception treatment: an interpretative phenomenological analysis study., (). pp. -. ISSN 0-X https://doi.org/.0/0x.0. 0, Informa UK Limited, trading as Taylor & Francis Group. This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Psychosomatic Obstetrics and Gynecology on Sep 0, available online: https://doi.org/.0/0x.0.. Uploaded in accordance with the publisher's self-archiving policy. Reuse Unless indicated otherwise, fulltext items are protected by copyright with all rights reserved. The copyright exception in section of the Copyright, Designs and Patents Act allows the making of a single copy solely for the purpose of non-commercial research or private study within the limits of fair dealing. The publisher or other rights-holder may allow further reproduction and re-use of this version - refer to the White Rose Research Online record for this item. Where records identify the publisher as the copyright holder, users can verify any specific terms of use on the publisher s website. Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/

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Page of 0 0 0 0 0 Introduction Methods Results " # Discussion% &

Page of 0 0 0 0 0 & '()* +, --.-/0(- & ')+00:; -< 0-; 00< :,"" < ="--& -"-: -<

Page of 0 0 0 0 0 * " > - ') -= -/ Recruitment,?,?,?, & & " & Summary of the participants # @#

Page of 0 0 0 0 0 " '0 ) *': ) @, '= ),,, *,, Procedure,, #+ ;:"<0 Data Analysis

Page of 0 0 0 0 0, &-/'-)A ')#') # ';), '" ) B C Motivations for donation Coping with the consequences of oocyte donation " '-) ') @ " '-) *

Page of 0 0 0 0 0 I don t think I could do it for a stranger though, I don t know them as a person, they might just have a child and be not very nice people to that child (Debbie) *, Could I have done that for somebody else? I probably wouldn t routinely offer my eggs. She s the closest thing I ve got to a mum now) I love her to pieces, so I ll do anything for her. * That s what motivated me, to know that it is special) I know that they have all the love in the world to give *, I

Page of 0 0 0 0 0 was surprised at choosing me The other two sisters are both doctors ) they are more intellectual. *, ' ) very supportive. * I had an argument with my sister+in+law over it; she said the same thing as the counsellor, this is not your child (Anne) My mother+in+law is a bit old fashioned ) she said you shouldn t mess with nature. (Debbie) ') right to motherhood It was something she really wanted and having my own two children) I would never be without them however hard work they are. (Susan) It s priceless (Anne) Best thing in the world)it s a special thing) in whatever shape or form its offered to you, whether it s natural, not natural (Debbie).

Page of 0 0 0 0 0 D Although I do not want more children of my own, I have thought about it, it would be nice to have a girl but you never know what you are going to get) Maybe it is not a need for children of my own because I know we can t really maybe support another child) Maybe it s a need for being pregnant, maybe surrogacy and being able to give somebody that child) (Debbie) I have read about surrogacy, which I did say to my auntie that I would do as well. I would be her oven for nine months, just so she could have something that I have already got (Anne) " I suppose I had some qualms about the procedure itself but put them aside to try and help her (Susan) *,

Page of 0 0 0 0 0 I suppose, at the back of my mind there is consideration I might want another one again, at some stage, if I am with someone else) I ve already given eight eggs away (Susan) * * " I am more of a giving person)i didn t think about it, as soon as she asked me my answer was yes ') I m a charitable person; I ll give if I can '*), E It was something she wanted a great deal so it s not something I could just say, no) It would be selfish for me to say no. & People still now say Oh please tell us about it ) I don t know if I could do that ) they have a bit of respect (Debbie) " E

Page of 0 0 0 0 0 I think I would just want to know if they ever did get pregnant. Did I help somebody? That sounds terrible but was it for nothing? (Debbie) When it came to the time of harvesting I was more worried about the eggs, are they going to be strong enough, are they the right size, are they everything that they want, is there enough. I was gutted when it did not work. (Anne) surprised relatively low success rates * You have got to value the egg donors as much as the people you are trying to help in the first place (Debbie) & "

Page of 0 0 0 0 0 I did not want to know the reality * she was the mother but he/she was not born from her eggs, It s something that ought to be just known possibilities of explosions later that we don t know about repercussions that could be passed on through generations E I flush them away once a month ) once they have left my body, they are not mine) I don t see an egg as a potential life. * I haven t carried the baby, it s not my baby... I know this child was not made with him, so therefore it s not our child., She would like to believe that he is her own child.. urm ) and obviously she is bringing him up.. It is hard seeing your own living offspring sort of

Page of 0 0 0 0 0 but that somebody else s in some ways... I am sure it s easier for my sister that it looks more like her husband ] rather than her sister # Motivations for donation ( -0" ' ) & ; Giving the gift of motherhood Right to motherhood :% < @ E =

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Page of 0 0 0 0 0 -, N &@ @ # 00<H<;'-" );";/ A@ + (00H-<:K-<=0, *%F & Q(-//<H--:<": ; #, F D Q ( @&00:H-0:K/ :, ",,J, J, J " 0--H-;')/"-0: < F"(G 0--H;:<":/ < ( 000H')-;"-= =,(%',(%),00H==0:"0/= =/ ' ) 0-<% : II I/-