The outcome of an embryo donation programme was evaluated and attitudes amo
ng donors and recipients studied by means of a questionnaire survey. A tota
l of 27 couples went through 54 treatment cycles with frozen-thawed embryos
donated by other infertile couples. The indications for treatment were pre
mature or incipient ovarian failure in combination with severe male factor
infertility. The mean age of the recipient women was 36 years, and that of
the recipient men was 35 years. The mean duration of infertility was 8 year
s (range 2-19 years). Forty-six couples donated 209 excess frozen embryos t
o the programme. The clinical pregnancy rate in the recipients was 27.8% (1
5/54) per embryo transfer. An average of 1.9 embryos were transferred on ea
ch occasion. The response rate to the questionnaire was high (80-91%). Sign
ificantly more recipients (69%) than donors (47%) considered that the child
should be informed about the manner of conception (P < 0.05). Some 29% of
recipients and 42% of donors thought that the child should receive identify
ing information concerning the donor couple. The interest of the offspring,
not only as regards knowing his/her genetic origin but also knowing full-b
lood genetic siblings, should be kept in mind in embryo donation programmes
.