LIFEalerts – IVF & Surrogacy

IVF & Surrogacy

Australia – Fertility Specialist comments on new online tool

Dr Bill Watkins, a Fertility Specialist and a clinical IVF director from Tasmania commented on two recent changes regarding IVF in a radio interview. One, a recent change in law now requires IVF clinics in Australia to publish their performance rates publicly which Dr Watkins says could cause IVF doctors and clinics to pick and choose their patients since they would not want their performance rates to be negatively affected. On the online tool that helps couples decide on IFV and which provider they choose, Dr Watkins said it would still be better to see a specialist since every person is unique. The online tool does not account for relevant factors like whether a person is a smoker, and ovarian reserve. Watkins also said most patients who come for IVF are not infertile. Most people also have a distorted view of IVF thinking that they can conceive through IVF when they are mid to late-40’s but the eggs are too old at that point.

Dr Watkins warns patients not to make use of IVF just because its trending and admits that there were times when he was confident a patient would conceive and they did not. He also recognizes the emotional and financial stress involved for couples. Doctors For Life holds the view that IVF should be procured only between married couples and if no other means exist — On condition that no embryos are destroyed in light of the fact that the gold standard of embryology development, the Carnegie Stages, of embryological development classifies the fertilization as the beginning of life for a human being. Listen to the interview podcast

LIFEalerts – IVF & Surrogacy

IVF & Surrogacy

USA – Three things people should know about egg donation

The Center for Bioethics and Culture Network feels that women who consider donating their eggs should know three things about the process before the process. Firstly, Egg Donation Often Involves Coercion because egg donation often involves poorer women providing eggs to wealthier couples. The egg donor—even when informed of known risks and potential unknown risks—is often willing to risk to her health because of financial need. Money plays a very coercive and powerful role in the market of human egg donation.

Secondly, egg donation carries health and psychological risks that often go untold because medical complications that are known, are rarely documented in the medical literature, as the individuals and organizations that are tasked with safety and oversight are also the ones who stand to profit from egg donation. The medical process required for egg retrieval is lengthy and there are known medical risks associated with each step. Risks include Ovarian Hyper Stimulation syndrome (OHSS) due to superovulation, loss of fertility, ovarian torsion, stroke, kidney disease, premature menopause, ovarian cysts, and in some rare cases, death. When an egg donor experiences harm to her health, she often feels guilty for “being so stupid” for making a decision that brought about this harm. She feels used by those she thought were professionals who cared for her. Lastly, egg donation is often eugenic because the largest sums of money are generally offered for donors of very specific educational, physical, or ethnic traits, not only perpetuating but actually incentivizing. More

LIFEalerts – IVF & Surrogacy

IVF & Surrogacy

Australia – Class action lawsuit against IVF clinic might be the biggest case yet

A class action was just lodged against Monash IVF Pty Ltd, the owner of IVF clinics in Australia. The legal documents were filed in the Supreme Court of Victoria against Monash IVF on behalf of patients who had embryos genetically tested with the IVF clinic between May 2019 and October 2020. The allegations were that the fertility provider might have destroyed healthy embryos through a faulty non-invasive genetic screening test (PGT-A test), meaning that embryos may have been incorrectly labelled as abnormal, generating false-positive results. The IVF patients are suing for tens of millions of dollars in compensation, with some concerned they may have been deprived of their chance of bearing offspring. More than 1,000 patients could be victims, making it one of the most significant class actions ever lodged against a fertility provider in Australia. More

LIFEalerts – IVF & Surrogacy

IVF & Surrogacy

UK – Proposals introduce surrogacy contracts

Pre-conception authorization of surrogacy agreements (PASA) is gaining ground internationally and has already been in effect in several countries such as Israel, Greece and South Africa. The main goal of PASA is to ensure that the intending parents automatically become the parents after the child’s birth by doing away with the old Roman law of “the mother is always the legal parent”. It also provides for a signed agreement between surrogate mother and intending parents with an authority who gives permission before conception of the future child. PASA hopes that by regulating and facilitating surrogacy safely & effectively, this would prevent people from travelling abroad where the risk of commodification, exploitation and commercialization is greater. A list of countries who offer surrogacy will also be available.  

Two Dutch Ethicists argue that the PASA proposals in the UK and The Netherlands would not protect women and children against commodification, commercialisation and exploitation especially now since regulation will encourage the process and even make overseas surrogacy transactions more attractive since they won’t fully close it off. The other concern is that children born from Surrogacy will in the future, sue the state for failing to protect their human rights and dignity. Such lawsuits are already taking place in the context of adoption and donor-conception. The decision to regulate comes as advocates for surrogacy claim it happens anyway and it’s here to stay so it’s better to regulate than discourage and prevent. Commercial surrogacy leads to mothers and children being treated as instruments to fulfil the wishes of others and are seen as commodities to be traded on the ‘reproductive market’.

Women who struggle financially will see no other option but to offer her ‘reproductive services’, and thereby exposing themselves to potentially exploitative abusive practices. It is widely recognized that economic inequalities are increasing and with the coronavirus crisis, the process is expected to accelerate making the risks of exploitation even greater than before. With the rise of new reproductive technologies and the advent of the internet, a worldwide reproductive market was created where pregnancy can be outsourced. In this market, various instances of commodification of children and exploitation of surrogate mothers have come to light. In South Africa, the PASA system does not accept commercial surrogacy arrangements, it is open to same-sex couples and single individuals, and at least one of the intending parents must be genetically related to the future child (although exceptions to this rule are possible); and intending parents are to be recognized as the child’s legal parents from the moment of birth. The revision of the PASA do not aim to encourage or discourage surrogacy, but to offer better protection to all involved. Article, Research Article.

China – Chinese model abandons surrogate-born children

A wave of outrage swept through Chinese social media a popular model and actress, Zheng Shuang, has been accused by her estranged former partner of abandoning two children whom she commissioned from two surrogate mothers in the United States. She was immediately dumped by the luxury goods firm Prada as a brand ambassador and government regulators have blacklisted her. The former couples’ parents suggested abandoning the babies at a hospital while the others said to put them up for adoption. The actress expressed annoyance that they could not be aborted. The Chinese Government said: “Surrogacy is banned in China as it uses women’s uteruses as a tool and sells life as a commercial product. As a Chinese citizen, the act of travelling to the US on a legal loophole is not abiding the law.” More

LIFEalerts – IVF & Surrogacy

IVF & Surrogacy

South Africa – Essentials and non-essentials during the covid-19 pandemic

Amrita Pande, an associate professor in the sociology department at the University of Cape Town, questions whether SA can justify investments in cutting-edge reproductive technology as essential during the pandemic while our health system is in a permanent state of crisis. Fearing that critical and scarce resources like personal protective equipment; hospital beds; operating rooms and emergency care, would be burdened if we pursue treatments that are not life-threatening. The causes of infertility, such as sexually transmitted infections, and poor medical treatment during an earlier birth or abortion, require affordable preventable measures rather high-cost and high-tech interventions that such patients cannot afford. More

LIFEalerts – IVF & Surrogacy

IVF & Surrogacy

USA – Study shows IVF babies are at greater risk for cancer

According to a study published in the journal JAMA Network Open this week, when compared to children conceived naturally, Children conceived with in vitro fertilization (IVF)  have a higher risk of developing cancer which authors of the study say is at a 2-fold increased risk. IVF-conceived children were also at a one-third greater risk of birth defects compared to their naturally-conceived counterparts. The study covered more than a million children conceived naturally and approximately 53,000 conceived by IVF. “With IVF births rising worldwide, further investigations into these associations are warranted,” the authors write. Read more

Japan – MP promotes IVF to boost birth rate

Japan’s biggest long-term problems are a low birth rate and a shrinking population. Incoming Prime Minister Yoshihide Suga has pledged to provide insurance coverage for infertility treatments. He will also promote paternity leave for working fathers to ease the burden on working mothers. He has promised more help for single-parent households, more than half of which are living in poverty. Suga’s predecessor, Shinzo Abe, regarded the rapidly ageing population and falling number of births as a “national crisis,” and introduced free preschool education and day-care services. Read more