Characteristics and intentions of heterosexual couples comprising a transgender man awaiting sperm donation to conceive a child.

Background: More than half of transgender (TG) men wish to have children. Until recently, TG people in France were rarely offered gamete donation, mainly because the Bioethics Law allows the use of assisted reproductive technologies (ART) only in infertile couples. The only option currently available for heterosexual couples with a TG man is ART with sperm donation.

[The infertile couple: between biology and psyche].

In this paper, we tried to show through some clinical examples that there is not on the one side the body, and on the other the psyche. The Assisted Reproductive Technology (ART), because the field it covers, namely procreation, is a magnificent observatory of interactions between body and psyche, desire and inhibition, request and mental block, hatred and love… Assisted reproduction techniques are often indicative of links between these terms, and of what symbols are at stake in the couples concerned. It is interesting to see how these sophisticated techniques not only work as a solution to infertility problems -which are plural and diverse- but as a developer of human problems that we previously thought we would escape.

[Psychological aspects of medically assisted reproduction].

Medical assistance in reproduction by its very nature requires the intrusion into the physical and psychological intimacy of two human beings, linked by love and the desire to have one or more children together. Infertility and its consequences, the intrusion of the medical third-party, can also bring disequilibrium to a couple, making it more fragile, leading to a short-term or definitive separation..