been told in all the same. Have the diagnosis of unexplained infertility. All tests so far have been normal. In the last consultation poses the possibility of IVF and in this center prevents multiple pregnancy and ovarian hyperstimulation syndrome, through the freezing of spare embryos from a single procedure for induction of ovulation. It also has this procedure, the addition of being cheaper than the subsequent induction of ovulation.
They crave to be parents, but had not raised the possibility of frozen embryos.
QUESTION 1: Check biological aspects of the clinical situation at hand and indicate which are the points where they still are not clear. Try to answer as you know or you manage to check with your teacher
infertile couple is defined as the couple who has not achieved pregnancy after a year of sex without using contraception. Infertility is a couples issue, so their evaluation should be both.
Among the causes of infertility should be differentiated from the woman (female factors) and man (male factor).
Within the female factor is divided into factors: endocrine, gonadal, cervical tuboperitoneal, and cancer.
The male factor can be identified factors: testicular, seminal tract obstruction and disorders of ejaculation.
are specific treatments for each disorder, and among them hormone treatments to induce ovulation, surgical correction of anatomical abnormalities and assisted reproduction.
assisted reproduction is to use mechanisms to egg implantation in the endometrium ignoring the act of intercourse. Among them are:
- artificial insemination, where sperm are introduced trained to the uterine cavity.
- in vitro fertilization, where eggs are taken from the ovary by ultrasound-guided puncture, fertilized in the laboratory with sperm from a partner or donor, then, brought into the uterine cavity.
- Introduction of gametes (sperm) to the uterine tube
- intracytoplasmic sperm injection (ICSI), where a metaphase II oocyte is injected with the body of a sperm into the cytoplasm.
QUESTION 2: addition to the dilemmas arising from the freezing of embryos What other situations (legal, social, economic, family) must meet a couple who sought assisted reproductive technologies (ART)?
come into play property protected by the law: to life, rights of children, parentage, inheritance, etc ... and new reproductive rights, where one is free to choose how or method that parents want to use to get it.
Thus, independent of moral issues involving the freezing of embryos, they must deal with the legality and law. There has been talk of "Human Rights of 3 rd generation", which lays down the respect for life to be born, and the dignity of procreation, mainly advocated by the church doctrines, then the estates law raised by the protection to the embryo. So come to consider not only the rights of the living person, but also of future generations not yet born.
is why it has generated a stir, that may mean for some groups such as unusual or out of the basic nature, condemning those who practitioners. This can cause family breakdown, should be very rigid families to past concepts, or very fervent in their religious practice.
Of course we can not consider the economic implications, which in this case should make us think that, regardless of whether a family with many or few resources, remains a method that does not comply with the principle of Justice, since not all those who wish to exercise their reproductive rights may do so.
today is becoming increasingly more mainstream the issue of assisted reproduction methods, however the company still does not assimilate as natural, and there are still divisions that support these practices, and other than repudiate. This creates a fear and uncertainty about the social acceptance that they can have this couple and their new son, making it look even "artificial person."
QUESTION 3: What is your ethical reflection on these techniques?
on a subject as fertile ground for bioethical debate is impossible to obtain unequivocal opinions.
We as a society established that human beings have the right to reproduce using the means to do so. From this point of view, assisted reproduction is beneficent and respects the autonomy of individuals who undergo it, allowing them to achieve rather than for one reason or another are prevented from getting through natural means. Also achieved, in a sense, justice for those with fertility problems compared to the rest fertile.
However, it is undeniable that there are multiple spaces ambiguous on this issue. Although there is the technical capacity of assisted reproduction, their preparation is not equal and that often depends on economic resources, transforming a human right into a private good. This calls into question the fairness of the method, and while some are limited by their genetic condition or not to procreate accidental, others have the tools to overcome these difficulties.
The situation becomes even more questionable when considering the embryos as subjects of law. By incorporating the perspective of the unborn and future generations, is controversial practice of preventing development, and ultimately the lives of many in order to ensure the development of one, being all equal and legal ethics.
The current situation allows these acts, in which goods are traded potential (fertility) for ambiguous evil (injustice). Is then properly inform couples seeking fertility, so they can decide according to their values \u200b\u200bif the option of assisted reproduction is valid or not.
Case developed by: Daniel Ramos, Nicolas Reyes, Javier Rios and Carlos Sáez
0 comments:
Post a Comment