Information for Recipients of Donated Sperm
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Fertility Service
James Paget University Hospitals NHS Foundation Trust Fertility Service Information for Patients James Paget University Hospitals’ Fertility Service Index Introduction page 4 The Fertility Team 4 Referral to the Fertility Services 5 Your first appointment 5 Further appointments 6 General information on fertility 6 Preparation for pregnancy 6 For conception to occur 7 Causes of fertility problems 8 - 10 Fertility investigation and treatment 10 - 13 Treatment options available at JPUH 13 Drugs used in fertility treatment at JPUH 15 HFEA licensed infertility treatments via other service providers 16 Useful information 17 - 18 Welcome to the James Paget University Hospitals’ Fertility Service We are located within the Gynaecology Outpatient department which is on the ground floor of the hospital, on the Gynaecology right along the main entrance corridor Outpatients past the Cafe. The contact number is 01493 452366 Open for telephone enquiries: Monday to Thursday 8.30-4.30pm A messaging service is available out-of- hours or if staff are unavailable. Mission Statement The aim of the fertility service is to provide the best possible assessment and treatment for each individual couple and give them the best chance of achieving a pregnancy. We also aim to give as much support as possible to couples where the treatment proves unsuccessful. We welcome any suggestions that you may have to improve the care we provide, especially to reduce the inevitable stress that all couples feel during treatment. The Fertility Team Consultant Gynaecologists Registrar in Gynaecology: (in a rotational post) Fertility Sister Clinic Co-ordinator 4 Referral to the Fertility Service There are set criteria that need to be met for you to be eligible for assessment, and treatment related to fertility. -
Understanding Illicit Insemination and Fertility Fraud from Patient Experience to Legal Reform
Maurer School of Law: Indiana University Digital Repository @ Maurer Law Articles by Maurer Faculty Faculty Scholarship 2020 Understanding Illicit Insemination and Fertility Fraud from Patient Experience to Legal Reform Jody L. Madeira Indiana University Maurer School of Law, [email protected] Follow this and additional works at: https://www.repository.law.indiana.edu/facpub Part of the Intellectual Property Law Commons, Law and Gender Commons, and the Sexuality and the Law Commons Recommended Citation Madeira, Jody L., "Understanding Illicit Insemination and Fertility Fraud from Patient Experience to Legal Reform" (2020). Articles by Maurer Faculty. 2902. https://www.repository.law.indiana.edu/facpub/2902 This Article is brought to you for free and open access by the Faculty Scholarship at Digital Repository @ Maurer Law. It has been accepted for inclusion in Articles by Maurer Faculty by an authorized administrator of Digital Repository @ Maurer Law. For more information, please contact [email protected]. 110 COLUMBIA JOURNAL OF GENDER AND LAW 39.1 UNDERSTANDING ILLICIT INSEMINATION AND FERTILITY FRAUD, FROM PATIENT EXPERIENCE TO LEGAL REFORM JODY LYNEE MADEIRA Abstract Recently, several cases have been filed in North America and Europe alleging that fertility physicians inseminatedformer patients with their own sperm only to have this conduct come to light decades later when their unsuspecting adult children use direct-to- consumer genetic tests and learn that they are not biologically relatedto theirfathers and often that they have multiple half-siblings. For instance, DonaldCline of Indianapolis, Indiana, has over sixty doctor-conceivedchildren, with more continuing to come forward. Although these cases induce disgust, it has thusfar proven dificult to hold these physicians legally accountable because their conductfalls within gaps in existing civil and criminal laws. -
Maximizing Autonomy and the Changing View of Donor Conception: the Creation of a National Donor Registry
DePaul Journal of Health Care Law Volume 12 Issue 1 Winter 2009 Article 9 October 2015 Maximizing Autonomy and the Changing View of Donor Conception: The Creation of a National Donor Registry Jean Benward Andrea Mechanick Braverman Bette Galen Follow this and additional works at: https://via.library.depaul.edu/jhcl Recommended Citation Jean Benward, Andrea Mechanick Braverman & Bette Galen, Maximizing Autonomy and the Changing View of Donor Conception: The Creation of a National Donor Registry, 12 DePaul J. Health Care L. 225 (2009) Available at: https://via.library.depaul.edu/jhcl/vol12/iss1/9 This Article is brought to you for free and open access by the College of Law at Via Sapientiae. It has been accepted for inclusion in DePaul Journal of Health Care Law by an authorized editor of Via Sapientiae. For more information, please contact [email protected]. MAXIMIZING AUTONOMY AND THE CHANGING VIEW OF DONOR CONCEPTION: THE CREATION OF A NATIONAL DONOR REGISTRY Jean Benward, L. C.S. W. Andrea Mechanick Braverman,Ph.D. Bette Galen, L. C.S. W. "It has long been an axiom of mine that the little things are infinitely the most important" Sir Arthur Conan Doyle INTRODUCTION AND OVERVIEW We can only estimate the number of donor conceived children in the United States. The frequently cited number of 30,000 births a year from sperm donation comes from a US government sponsored study done in 1987, over 20 years ago.' Although most donor sperm now comes from commercial sperm banks that keep records on donors and sale of sperm, neither physicians, IVF programs, nor parents consistently report pregnancies or births to sperm banks nor do most sperm banks reliably follow up with recipients to track births. -
Are Egg Donors Liable for Latent Genetic Disease Suriya E.P
American University Law Review Volume 58 | Issue 2 Article 4 2008 Guarantors of Our Genes: Are Egg Donors Liable for Latent Genetic Disease Suriya E.P. Jayanti The American University Washington College of Law, [email protected] Follow this and additional works at: http://digitalcommons.wcl.american.edu/aulr Part of the Family Law Commons, and the Torts Commons Recommended Citation Jayanti, Suriya E.P. "Guarantors of Our Genes: Are Egg Donors Liable for Latent Genetic Disease?" American University Law Review 58, no. 2 (December 2008): 405-457. This Comment is brought to you for free and open access by the Washington College of Law Journals & Law Reviews at Digital Commons @ American University Washington College of Law. It has been accepted for inclusion in American University Law Review by an authorized administrator of Digital Commons @ American University Washington College of Law. For more information, please contact [email protected]. Guarantors of Our Genes: Are Egg Donors Liable for Latent Genetic Disease Abstract Assisted reproductive technology ("ART"), including egg donation, is changing the topography of the American family. Heated debates and legislative battles over cloning and stem cell research reveal the complexity of the moral, scientific, nda legal implications of emerging alternative reproductive methods. In fact, the field of reproductive medicine is the "Wild West" of the healthcare world where technological development is testing the boundaries of science and ethics. The legal and ethical issues intrinsic to the evolution of the egg donation industry are poised to become central topics of public debate as we, as a culture, reevaluate who and what constitutes a "parent" or "child," whether a human egg is a commodity, and what privacy and medical confidentiality mean relative to the right to know one's genetic make-up. -
Issues Surrounding the Use and Handling of Cryopreserved Genetic Material
Legal Aspects of Third Party Reproduction: Issues Surrounding the Use and Handling of Cryopreserved Genetic Material Gary A. Debele Attorney at Law Walling, Berg & Debele, P.A. 121 South Eighth Street, Suite 1100 Minneapolis, Minnesota 55402 (612) 335-4288 [email protected] www.wbdlaw.com A. Embryos in the news: 1. Amy Eisinger, “Biological clock ticking? What you need to know about freezing your eggs.” The Washington Post, July 27, 2015. 2. ABC News website: “Divorced Couple’s Embryo Feud Could Affect How Fertility Clinics Do Business.” July 14, 2015. 3. Debra Bruno, “Why You Need a Prenup for all of Your Relationships,” Washingtonian, August 12, 2015. 4. Houston.com News, “Program matches families willing to donate embryos to those who want children.” January 15, 2015. 5. Michael Sullivan, “Outside the Womb,” www.lifeofthelaw.org, July 14, 2015. 6. Nick Loeb, “Sofia Vergara’s Ex-Fiancé: Our Frozen Embryos Have a Right to Live,” The New York Times, April 29, 2015. 7. Tamar Lewin, “Chicago Court Gives Woman Frozen Embryos Despite Ex-Boyfriend’s Objections,” The New York Times, June 12, 2015. 8. Maura Dolan, “Divorced couple fighting in court over frozen embryos,” L.A. Times, July 13, 2015. 9. Tamar Lewin, Industry’s Growth Leads to Leftover Embryos, and Painful Choices,” The New York Times, June 17, 2015. 10. Angela Pittenger, “Building families through embryo adoption,” tucson.com, July 4, 2015. 11. Ellen McCarthy, “Fertility medicine brings babies -- and tough decisions.” The Washington Post, May 18, 2015; reprinted as “What to do with a leftover embryo?” in Minneapolis Star Tribune, June 8, 2015. -
The Children and Family Relationships Act 2015 and Disclosure of Genetic Origins Information to Children: Donor-Conceived Perspectives
2017 Disclosure of Genetic Origins Information to Children 1 The Children and Family Relationships Act 2015 and Disclosure of Genetic Origins Information to Children: Donor-Conceived Perspectives Donna Lyons* and Donal Lyons** This article considers the “right to identity” provisions in the Children and Family Relationships Act 2015 and their adequacy in guaranteeing to the donor-conceived child the right to access identifying donor information in this jurisdiction. The article presents the findings of a study which investigates the perspectives of donor-conceived individuals on the importance or otherwise of access to identifying information prior to what is at present the legal age of maturity in Ireland. The principal research method used in this article is empirical in nature, with doctrinal research being drawn upon as a complement to the empirical research. I – Introduction The Irish Government has recognised the donor-conceived person’s “right to identity” through the Children and Family Relationships Act 2015 (2015 Act), which will prohibit the practice of anonymous donation in Ireland. The 2015 Act thus provides that the donor- conceived person may access identifying information about their donor where certain conditions are met.1 One condition is that the age of 18 must have been obtained before they will be entitled to access information which identifies the donor, that is, “date of birth and contact details of the relevant donor, as recorded in the Register”.2 Non-identifying donor information will be accessible by the donor-conceived person upon reaching 18, or by the parent or guardian of the donor-conceived child who is under the age of 18.3 The donor- conceived person who has attained the age of 18 will also be entitled to obtain identifying and/or non-identifying information about donor siblings under certain conditions.4 * LL.B. -
Serum Human Chorionic Gonadotropin Level After Ovulation Triggering Is Influenced by the Patient’S Body Mass Index and the Number of Larger Follicles
REPRODUCTIVE ENDOCRINOLOGY Serum human chorionic gonadotropin level after ovulation triggering is influenced by the patient’s body mass index and the number of larger follicles Laura Detti, M.D., Mohamed F. M. Mitwally, M.D., Anuradha Rode, M.D., Frank D. Yelian, M.D., Ph.D., Michael Kruger, M.A., Michael P. Diamond, M.D., and Elizabeth E. Puscheck, M.D. Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, and the University Women’s Center, Wayne State University School of Medicine, Detroit, Michigan Objective: To identify determinants of the serum concentration of hCG levels after triggering of ovulation with exogenous hCG during controlled ovarian stimulation cycles for in vitro fertilization with or without intracytoplasmic sperm injection. Design: Retrospective cohort study. Setting: University Medical Center. Patient(s): One hundred-fifteen women who underwent conventional in vitro fertilization/intracytoplasmic sperm injection cycles from March 2003 to March 2005. Intervention(s): All patients underwent ovarian hyperstimulation with gonadotropins and GnRH-antagonist for pituitary downregulation. Patients were started on oral contraceptives 1 month before the stimulation. Gonado- tropins were administered from stimulation day 1 until the day of the hCG trigger, and GnRH-antagonist was added from the day when at least one follicle reached 14 mm in diameter and continued until hCG administration. The hCG was administered in 5,000-IU, 10,000-IU, or 15,000-IU doses on the day of ovulation triggering. Main Outcome Measure(s): We performed a stepwise multiple regression analysis to predict which variable would influence the serum concentration of hCG when measured the day after the administration of exogenous hCG. -
Donor Eggs for the Treatment of Infertility
CLINICAL Caitlin Dunne, MD, FRCSC Donor eggs for the treatment of infertility Using donated eggs can be a remarkably successful fertility treatment in the right circumstances. Though donor egg pregnancies may carry some increased obstetrical risks, the risks are manageable and can offer women a chance at pregnancy when there is no other option. ABSTRACT: Egg donation is a common treatment the right time to recover the resulting embryo, Columbia has the highest age of first birth in for infertility. It is most often used for women with which was transferred into the intended moth- Canada at 30.5 years versus 30.3 years in On- premature menopause, advanced reproductive er’s uterus.2,3 tario.10 According to Statistics Canada, 2010 age, or a history of unsuccessful in vitro fertilization In the early 1980s, assisted reproductive marked the first time that more women in their attempts. Because egg donors are generally in their technology was developing rapidly in Canada 30s were having children compared to women 20s, pregnancy success rates are high. In many cas- and around the world.4 Fertility pioneers used in their 20s.11 es, donor eggs give women a chance at pregnancy laparoscopy to retrieve donor eggs for fertiliza- The possible consequences of delaying child- when there would be no other option. Donor egg tion in vitro.3,5,6 These early “third-party repro- bearing are infertility, embryo aneuploidy, and pregnancies may carry some increased obstetrical duction” techniques were groundbreaking at miscarriage. These are largely attributed to aging risks related to preeclampsia and advanced mater- the time, given that the world’s first IVF baby, oocytes with failing meiotic spindles and other nal age. -
Embryo Adoption Faqs Why Choose the Snowflakes® Program? Snowflakes Embryo Adoption Is Uniquely Child-Centered
Embryo Adoption FAQs Why Choose the Snowflakes® Program? Snowflakes Embryo Adoption is uniquely child-centered. Open Adoption Encouraged We are a child-centered adoption agency and we believe in open adoption when placing kids for adoption. One important lesson our society has learned over the last century is that open adoption is healthier for the children. Adoption professionals agree that children for adoption should know the identity of their biological parents, and should have information regarding their heritage. Nightlight extends this invaluable lesson to our Snowflakes Embryo Adoption program, and provides a safe environment for both the donor and adopting families. Some embryo donation/adoption programs require anonymity, or charge additional fees for services enabling open adoption. Because Nightlight believes strongly in advocating and facilitating open adoption, there is no additional fee. Donated Embryos are not Disbursed Among Multiple Families We are child-centered, and we do our best to keep siblings together. Adoption professionals agree that keeping siblings together is a paramount value. Whether children are adopted from another country, through foster care, or domestic placement, we always work diligently to place all siblings into one adopting family. Nightlight extends this family value to embryo child adoption. Our Snowflakes team provides matching services that take into consideration the preferences of both the donor and the adopting families and then places all of the donor's embryos into that adoptive family's care. Since our program encourages open adoption, communication between matched families will be mutually agreed upon between them. Clearly, limiting the number of families in which full genetic siblings exist is a benefit to all. -
The Rights of Donor-Conceived Children to Know Their Biological Origins
GEORGIA JOURNAL OF INTERNATIONAL AND COMPARATIVE LAW VOLUME 40 2012 NUMBER 3 ARTICLES A BALANCING ACT? THE RIGHTS OF DONOR-CONCEIVED CHILDREN TO KNOW THEIR BIOLOGICAL ORIGINS Brigitte Clark* TABLE OF CONTENTS I. INTRODUCTION ............................................................................... 621 II. INTERNATIONAL JURISPRUDENCE: CHILD’S BEST INTERESTS? ...... 624 A. Interpretation of the CRC ......................................................... 625 B. The European Court of Human Rights: A Holistic Approach? ................................................................................ 630 III. COMPARATIVE LAW POSITION: CONTRASTING APPROACHES ........ 633 A. France: Anonymity Rules ......................................................... 634 B. Sweden and England: Banning Anonymity but No Absolute Right ......................................................................................... 635 C. United States: No Federal Legislative Regulation ................... 638 IV. JUSTIFICATIONS FOR NONDISCLOSURE ........................................... 639 A. Focusing on the Would-Be Parents .......................................... 640 1. Deliberate Deception or Legitimate Failure to Disclose? ............................................................................ 640 * Currently a Senior Lecturer at Oxford Brookes University, Dr. Brigitte Clark, a graduate of Rhodes University (B.A., LL.B, Ph.D.) and Cambridge University (LL.M), qualified as an Attorney in South Africa and spent the rest of her career as an academic -
Reproductive Dreams and Nightmares: Sperm Donation in the Age of At-Home Genetic Testing
Loyola University Chicago Law Journal Volume 51 Issue 3 Spring 2020 Article 5 2020 Reproductive Dreams and Nightmares: Sperm Donation in the Age of At-Home Genetic Testing Nofar Yakovi Gan-Or Follow this and additional works at: https://lawecommons.luc.edu/luclj Part of the Law Commons Recommended Citation Nofar Yakovi Gan-Or, Reproductive Dreams and Nightmares: Sperm Donation in the Age of At-Home Genetic Testing, 51 Loy. U. Chi. L. J. 791 (). Available at: https://lawecommons.luc.edu/luclj/vol51/iss3/5 This Article is brought to you for free and open access by LAW eCommons. It has been accepted for inclusion in Loyola University Chicago Law Journal by an authorized editor of LAW eCommons. For more information, please contact [email protected]. Reproductive Dreams and Nightmares: Sperm Donation in the Age of At-Home Genetic Testing Nofar Yakovi Gan-Or* Recent technological developments surrounding genetic testing pose new challenges to well-established reproductive practices. One current example is the fertility industry’s struggle to maintain gamete donor anonymity against the growing use of direct-to-consumer DNA tests. Consider the widely covered story of Danielle Teuscher, who in 2019 accidentally discovered the identity of her daughter’s anonymous sperm donor after using a 23andMe DNA test. Danielle’s attempt to reach out to the newfound family member was followed by a cease and desist letter from the sperm bank for violating their agreement. In addition, the sperm bank refused to give Danielle the four vials of sperm from the same donor, which she had reserved for future use, thus thwarting her reproductive plans to have genetic siblings for her daughter. -
Medications Used in Fertility Treatment
Making Family Real This fact sheet provides an overview of the medications that may be prescribed during fertility or IVF treatment, including an explanation of how and why they are used and some of the potential side effects. THE FACTS ABOUT: Medications used in fertility treatment ANTI-OESTROGENS • Breast tenderness Clomiphene Citrate (Clomid), • Abdominal pain Letrozole and Tamoxifen (Seraphene) • Headaches If you have ovulation problems you may be prescribed one • Blurred vision of these drugs to help regulate or induce ovulation. They • Fatigue increase production of the egg containing follicles. They are all widely used. • Depression Administration • Weight gain These agents are taken orally, usually on days 2-6 of the • Ovarian cysts menstrual cycle and work by sending a message to the pituitary gland, telling it that it needs to start secreting, or to secrete There is no link between ovarian cancer and anti-oestrogens. more, follicle stimulating hormone (FSH). With higher levels of FSH in the body, egg production and ovulation are improved. GnRH Agonist (Synarel/Lucrin/ While Clomiphene Citrate and Letrozole can be prescribed for Decapeptyl) as many as six cycles, most experts agree that, if you have not During IVF and IUI treatments, we need the woman to ovulate become pregnant after three cycles, treatment using these at a specified time to have the best chance of positive results. drugs alone will probably not help you. Most women will GnRH (Gonadotrophin Releasing Hormone) agonists are drugs respond to anti-oestrogens and ovulate within the first three that can help to stop premature ovulation and increase the to four cycles.