This qualitative study throws light on the factors that influence the choice of unknown donation. It also highlights the scope for attitudes to donor information to undergo change over the course of treatment and after giving birth. The findings have implications for pretreatment counselling and raise a number of issues that merit further exploration.

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Background Frontline health-care workers have traditionally travelled away from their job sites to receive continuing education and training, which not only disrupts continuity of patient care but also incurs travel costs and causes scheduling issues. Asynchronous e-learning is an effective, non-disruptive, and economical alternative to the traditional model of continuing education and training. However, in resource-constrained settings, poor access to computers and unreliable internet connectivity have slowed implementation of e-learning. Here, we report on the effectiveness of our flexible, open-source method for the delivery of distance training on Android tablets that does not require access to the internet. Through five training programmes we aimed to assess learner satisfaction, costs compared with traditional training models, technical feasibility, completion rates, and challenges affecting implementation to continuously improve our framework.

The aim of this study was to analyse donor egg recipients' anticipatory concerns and feelings and to consider how these relate to their decision to enter into treatment. The women were divided into two groups: those who were childless and those with a genetically related child or children. In-depth interviews were carried out with seven women on the waiting list for the egg donation treatment programme at the Lister Hospital in London. The participants with children expressed reservations and anxiety about proceeding with treatment and this created 'a state of dilemma' but the possibility of treatment led to a pressure to proceed. In contrast, the prospect of treatment for the childless participants gave rise to feelings of excitement and hope of finally having a baby and their quest took on the form of a personal mission and they expressed very few reservations about the treatment. This was a small qualitative study but in terms of egg donation research, the distinction seen here between women seeking to be first time mothers and those attempting to build a new family or complete an existing one, warrants further attention and has implications for pre-treatment counselling.

sexual functioning, sexual behaviour and sexual and relationship therapy. This paper reviews some of the ethical considerations in research relating to human