OUR CYCLE HAS FAILED ..… AGAIN Is sperm/egg/embryo donation an option?
Jan 17, 2018
OUR CYCLE HAS FAILED ..…AGAIN
Is sperm/egg/embryo donation an option?
BUILDING FAMILIES..in different ways
BEFORE CONSIDERING THIRD PARTY PARENTING System check: don’t go from the frying
pan into the fire Consider genetic issues, hidden male
issues (remember older men), endocrinology (macrocytosis), structure, immune, metabolic (insulin resistance), clotting, infection
THIRD PARTY PARENTING Clear egg factor Egg donation Clear sperm donation Sperm donation Combined Double donation Simply failed IVF++ Egg vs DD (male
link) Embryo donation Who? Gestational surrogacyWho?
WHAT IS PARENTHOOD (N=?)Commis.
Genetic
Birth
Nurture
Commis.
Genetic
Birth
Nurture
Embryo donation = Birth x 2 & Nurture x 2 = 4/8(compare adoption (<2/8) to gestational
surrogacy(7/8)
EGG DONATION (7/8) Identifiable or anonymous If identifiable, known (sister/friend)or
other (incl. reciprocal) More information or less information Ethnicity & type of donor
(student/mother) Travel or no travel Shared risk?
SPERM DONATION (7/8) Identifiable or anonymous More heterosexual couples choose
anonymous More choice patients choose identifiable More information or less information Ethnicity & type of donor (Cryos/other) An Irish sperm bank?
DOUBLE DONATION (6/8) A distinct need exists Which should be catered for Regulation Parental model = 6/8 A child to love Deserve to succeed We should support them
SIMPLY FAILED IVF++ Difficult transition w female << 40
(“unfair”) Lack of causal clarity impedes transition Time lapse/PGS has a role (but
expensive) But egg trumps sperm++ “My heart is broken” How to resolve the conflict - own/donor
split? Medical, financial & emotional needs
EMBRYO DONATION (4/8) Does the embryo have siblings? If not, why not? Consanguinity Recipients are very special Need to travel (don’t want my children
to meet my children)
GESTATIONAL SURROGACY (7/8) A medical need Avoid exploitation Legislation (UK/IRL) We owe a duty of care & should provide
LEGAL DEFINITIONS OF PARENTHOOD Male: mostly genetic, evolving Female: mostly by birth, cf Abbott
judgement Gattica: a brave new world (nightmare?) Genetic justice? (rights &
responsibilities) The wisdom of Solomon One step at a time
THEY ARE ALL DIFFERENT
Those who donate sperm & receive sperm
Those who donate & receive eggs Those who donate & receive embryos Those who carry & those they carry for
…BUT THEY ARE ALL THE SAME
A child to love Its not complicated Love makes the world go around Emotional Glue Hope, success, family Questions!
BUILDING FAMILIES..