is sperm/egg/embryo donation an option?. in different ways
DESCRIPTION
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, infectionTRANSCRIPT
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OUR CYCLE HAS FAILED ..…AGAIN
Is sperm/egg/embryo donation an option?
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BUILDING FAMILIES..in different ways
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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
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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?
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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)
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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?
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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?
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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
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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
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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)
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GESTATIONAL SURROGACY (7/8) A medical need Avoid exploitation Legislation (UK/IRL) We owe a duty of care & should provide
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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
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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
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…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!
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BUILDING FAMILIES..