OBJECTIVE To assess reproductive endocrinology and infertility (REI) physicians' basic knowledge of compassionate embryo transfer, current practices, and perceived barriers to offering compassionate transfer. DESIGN Cross-sectional survey study. SETTING Not applicable. PATIENTS Not applicable. INTERVENTION None. MAIN OUTCOME MEASURES Number of physicians offering and performing compassionate transfer, barriers, beliefs and demographics of physicians. RESULTS A total of 744 members of the Society for Reproductive Endocrinology and Infertility were sent the survey, and 202 (27.1%) responded. Of the 168 (83.2%) physicians who had heard of compassionate transfer, 75 (44.6%) had offered it. In all, 130 physicians stated that they would offer compassionate transfer if there was patient demand, and 74 would offer it if there were American Society for Reproductive Medicine guidelines. Among physicians who did not offer compassionate transfer, 97 cited lack of patient interest as a barrier. In all, 55 physicians had performed compassionate transfer (range 0-8) performed within the past 2 years. The majority of physicians (76.4%) placed embryos in the endometrium, and there was no consensus on timing. Of the physicians, 27 restricted the number of embryos transferred. Three physicians reported pregnancies following compassionate transfer; none were ectopic. CONCLUSION Data from this survey suggest that REI physicians have a wide range of knowledge and practices concerning compassionate transfer. Individual practices should be encouraged to develop written protocols regarding the use of embryos for nonreproductive purposes. American Society for Reproductive Medicine should develop recommendations to standardize the practice of compassionate transfer for those physicians who plan to offer this procedure.

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富有同情心的胚胎移植：医生的实践和观点

目的 评估生殖内分泌学和不孕症 (REI) 医生对同情胚胎移植的基本知识、当前做法以及提供同情移植的感知障碍。设计 横断面调查研究。设置 不适用。患者 不适用。干预 无。主要结果测量提供和执行同情转移的医生数量、障碍、信念和医生人口统计数据。结果 共有 744 名生殖内分泌与不孕症协会成员接受了调查，202 人（27.1%）做出了回应。在听说过同情转移的 168 名 (83.2%) 医生中，有 75 名 (44.6%) 提供了它。总共有 130 名医生表示，如果有患者需求，他们将提供同情转移，如果有美国生殖医学协会的指导方针，74 会提供它。在没有提供同情性转移的医生中，97 人将缺乏患者兴趣作为障碍。总共有 55 名医生在过去 2 年内进行了同情转移（范围 0-8）。大多数医生 (76.4%) 将胚胎放置在子宫内膜中，但对时间没有达成共识。在医生中，有 27 名限制了移植胚胎的数量。三名医生报告在同情转移后怀孕；没有一个是异位的。结论 本次调查的数据表明，REI 医生在同情心转移方面拥有广泛的知识和实践。应鼓励个人实践制定关于将胚胎用于非生殖目的的书面协议。