Debate Rounds (5)
Generally IVFs are used after a couple has been trying to conceive for at least a year and have presented with one of the following fertility issues:
- Blocked Fallopian tubes or pelvic adhesions with distorted pelvic anatomy.
- Severe male factor including sperm count or low sperm motility
- Failed 2-4 cycles of ovarian stimulation
- Reduced ovarian reserve, which means having a low egg supply. A day 3 FSH, ovarian antral follicle counts and AMH blood levels are often used as screening tests for egg quantity.
- Severe endometriosis.
These are all medical issues that happen to all kinds of people.The ones who have worked for at least a year with medical professionals in an attempt to conceive a child naturally, to overcome these medical issues, should be allowed to have a medical procedure done to allow for correction of their medical issues.
At the advanced fertility center of Chicago they have kept up with the IVF procedure since its inception in the mid 80s.
On their website they have many facts a figures showing the improvement of this procedure over time.
Success rates from 1985 to 1991 went up 7.6% and from 1999 to 2009 went up 5.2% in 2009 success rates stood at 30%.
Today with donor eggs the success rate is staggering 65% according to the center for human reproduction website.
With new technology this procedure is quickly becoming safer and more successful.
As far as money is concerned, it is the choice of the couple if they want to try IVF, If they go through the proper channels they are fully aware of the possibility of failure in the procedure. It is no different than when a person gets any type of medical operation. If a man tries to get a new kidney and it doesn't take it is unfortunate, but he still pays his hospital bills.
The same goes for women who end up with multiple births. It is true many websites state that 20-30% of IVF attempts end in multiple births. To name a few babycenter.com, oneatatime.org, IVF.com, Advancedfertility.com, the march of dimes page, and infetility.com. These are just the first results that come up when I do one Google search. Any couple trying IVF has consulted with medical professionals trained in the procedure, they will be given the risks and warnings, as required before any major medical procedure. Or if they do one simple search they could find the information on multiple births (or prices for that matter) very easily before even walking in to the doctors office and paying any sort of consultant or medical bill.
IVF isn't something that is taken lightly, it is a serious decision. It is the responsibility of the doctor and the couple to make the decision that is best for them.
Mayo clinic has a whole article just on the risks of IVF and another on how to prepare before hormone injections even begin. The mental state and economic security are definitely a factor in making the decision to go ahead with IVF. That is why according to the Mayo Clinic being prepared is its own step in the IVF process.
The baby is no less of a child, it I still a mix of the mother and fathers genes. The doctor doesn't change the natural genetics of the child.
One benefit if IVF is genetic screening that can be done before the implantation of the embryos. Preliminary genetic diagnosis or PGD is not done in every case of IVF it is done at the discretion of the couple and in cases of one or both of the parents having, or being a carrier of, a genetic disorder. According to Pennmedicine.org getting a PGD can also be helpful when the mother has had frequent miscarriages or is over 35.
When a woman is over 35 the risk of a child with genetically triggered illnesses such as down syndrome are significantly higher.
According to the March Of Dimes web page the risk of Down syndrome increases with the mother's age:
At age 25, the risk of having a baby with Down syndrome is 1 in 1,250.
At age 30, the risk is 1 in 1,000.
At age 35, the risk is 1 in 400.
At age 40, the risk is 1 in 100.
At age 45, the risk is 1 in 30.
When a woman 35 years-of-age or older gets pregnant, they are informed of these statistics and it is advised that they do testing to check for down syndrome and other genetic disorders. It is not uncommon, in fact it is routine to do a certain amount of screening to check on the health of a baby during a pregnancy.
With IVF the mothers get the information sooner, and can make a more thoughtful decision. Women who are going through IVF can choose to implant only the embryos clear of genetic disorders, implant the embryos randomly, or to simply refuse the test.
If a mother who is already pregnant is confirmed to be carrying a child with a illness they can't do much for it in most cases, in the case of down syndrome there is nothing they can do. These mothers have choices very similar to that of the IVF mothers, to keep the baby, to terminate the pregnancy or to not get the test.
Why should we change our attitude when it comes to IVF. The eggs that are taken from the woman are fertilized within the first 48 hours of retrieval to ensure optimal results. After fertilization the embryos are implanted in the uterus as soon as possible.
According to Advanced fertility.com the latest chance for implantation of an embryo, or the freezing of one, following an IVF transfer is about 10 days after the egg retrieval. Well within the 5 weeks before the pregnancy is considered clinical, and well before the heart has started to beat (which happens in the 6th week) which means there was no heart to stop meaning no death and no killing. When the cells are discarded they are all still within their comical pregnancy time frame.
As far as money goes IVF, including the freezing of the excess embryos is expensive. If the couple had a problem with it they shouldn't have begun the process.
If they are keeping the excess embryos for future use that is up to them. If they are keeping them because they want to keep it alive, its not possible because it is not living yet. If a couple doesn't want to discard, or keep the excess embryos they can donate them to research or to other couples that need help in conceiving a child.
Out of these women 65% give birth with assistance.
3% of these women give birth with the assistance of IVF.
Most clinics start the process by getting a clear history of the patent. They qualify for IVF if they have serious fertility problems in the man or woman and have been trying to conceive naturally for at least one year.
Next they give the woman a dose of natural hormones to increase egg production closely monitoring the patent through constant exams. Maria, a woman who had Endocytosis, had her story posted on the Human Fertilisation Embryology Authority web page. Where she describes the process "internal examinations were incredibly painful."
After about two weeks of hormone treatment they have the eggs removed, and three days after that they have 2-3 of the embryos transferred. Maria said "I found the procedure so painful that I was flood with tears."
Two weeks later they do a blood test to check for pregnancy. When Maria got the news that she was pregnant with twins she said she was "exstatic".
5 million American women have Endometriosis, this is a disease that results in heavy painful periods and often the loss of a ovary, these women can't conceive children naturally, pregnacy is a normal part of life that should be available to all women. When someone loses a leg we work to rebuild it, creating an new limb so that they can walk again. It is an amazing thing that we can do today with modern technology. What is the difference for a woman being able to have a child? We should be striving to make it possible for all women to have children if they choose, it is a part of life that they shouldn't have to give up because of an awful disease. The process of IVF is painful emotionally and physically, its not a easy procedure it is a serious life decision. We shouldnt deny this right to any woman.
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