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OUR CYCLE HAS FAILED ..… AGAIN Is sperm/egg/embryo donation an option?
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Is sperm/egg/embryo donation an option?. in different ways.

Jan 17, 2018

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 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
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Page 1: Is sperm/egg/embryo donation an option?. in different ways.

OUR CYCLE HAS FAILED ..…AGAIN

Is sperm/egg/embryo donation an option?

Page 2: Is sperm/egg/embryo donation an option?. in different ways.

BUILDING FAMILIES..in different ways

Page 3: Is sperm/egg/embryo donation an option?. 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

Page 4: Is sperm/egg/embryo donation an option?. in different ways.

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?

Page 5: Is sperm/egg/embryo donation an option?. in different ways.

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)

Page 6: Is sperm/egg/embryo donation an option?. in different ways.

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?

Page 7: Is sperm/egg/embryo donation an option?. in different ways.

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?

Page 8: Is sperm/egg/embryo donation an option?. in different ways.

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

Page 9: Is sperm/egg/embryo donation an option?. in different ways.

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

Page 10: Is sperm/egg/embryo donation an option?. in different ways.

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)

Page 11: Is sperm/egg/embryo donation an option?. in different ways.

GESTATIONAL SURROGACY (7/8) A medical need Avoid exploitation Legislation (UK/IRL) We owe a duty of care & should provide

Page 12: Is sperm/egg/embryo donation an option?. in different ways.

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

Page 13: Is sperm/egg/embryo donation an option?. in different ways.

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

Page 14: Is sperm/egg/embryo donation an option?. in different ways.

…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!

Page 15: Is sperm/egg/embryo donation an option?. in different ways.

BUILDING FAMILIES..