Subfertility 3 Flashcards
What are the advantages of surgically removing fibroids?
removal of fibroids
preservation of reproductive function
What are the disadvantages of surgically removing fibroids?
risk of adhesion formation
uterine rupture during labour and preoperative haemorrhage
adhesions can form which reduced fertility
if endometrial cavity opened then C-section indicated for future pregnancies
What is the human fertilisation and embryology act?
states that:
all human embryos outside the body are subject to regulation
regulation of human admixed embryos of human and animal genetic material
ban sex selection of offspring for non-medical reasons
recognise same sex couples as legal parents of children conceived through donated sperm/eggs etc
retain duty to take account of welfare of child in providing fertility treatment
What are the legal principles of gamete donation?
Must not be legal parent of any child born as result of donation
Have no legal obligation to any child born from donation
Will not be named on the birth certificate
Will have no rights over how the child will be brought up
Will not be asked to support the child financially
What are the legal and ethical issues relation to surrogacy?
Surrogate carries pregnancy and delivers child who is then adopted by
commissioning couple
Surrogate’s own eggs (straight surrogacy) or IVF with patient’s eggs (host surrogacy)
Surrogate has legal right to keep the child even if not genetically related
Surrogate will be legal mother of child unless/until parenthood transferred to
intended mother through parental order (at least one of the commissioning couple is genetically related to baby) or adoption after birth of child (neither of commissioning
couple related to baby)
How is unexplained fertility diagnosed?
Normal results from semen analysis, assessment of ovulation, hysterosalpingogram
Normal results from tests for ovarian reserve + laparoscopy (if indicated)
How is unexplained fertility managed?
Expectant observation with timed intercourse
Lifestyle changes – stopping smoking, normalising body weight, reducing caffeine +
alcohol
Artifical reproductive techniques
