Assisted reproduction technology has helped many childless couples to become parents. What was once known as in vitro fertilization (IVF) has expanded into a number of different techniques aimed at helping a man and woman conceive and give birth to a healthy child. The rewards are wonderful, but the emotional costs of ART can be high, and any couple considering treatment will need plenty of expert support and counseling.
What is art?
ART is a term used to describe a whole range of infertility treatments. Through drugs, laboratory techniques, and even the use of sperm or egg donors, both men and women can be helped to bring about sperm production, ovulation, fertilization, implantation, conception, and birth.
Why you many need art
If you or your partner has problems with any stage in the chain of events leading to a healthy baby, you may need ART. Possible difficulties include failure to produce normal, active sperm, failure to ovulate, and failure of healthy sperm to penetrate and fertilize an egg.
Ethical considerations
The science of assisted reproduction technology raises enormous ethical questions that affect the individual, the couple, the family, the community, and society. Most of us would say that if this technology helps a couple who are desperate for a child but have fertility problems, it is morally acceptable. But each situation can be complicated by experience, cultural background, the law, and religious teaching.
Discussing alternatives - Each member of a couple has a unique perspective and interest. In addition, there are the interests of the potential child to consider. I don’t feel that doctors have the right to question a couple who opt for treatment for infertility. To my mind, the only option is to offer the couple expert counseling so they can discuss alternatives like adoption and the use of donor sperm or eggs.
It’s important for specialists to understand that an infertile couple is in a vulnerable position. They bear a heavy responsibility to see that every couple receives impeccable investigation and therapy.
Contentious issues - Most people agree that there is no moral problem with ART using the sperm and eggs of partners, the only objection being from the Roman Catholic church. The use of donor eggs, sperm, or even embryos, however, is highly sensitive. Arguments against it include that it violates marriage vows and blurs a child’s genetic makeup. On the other hand, all the evidence points to a reassuring track record for such children.
Laws regarding ART vary widely from state to state. In general, donors and surrogates receive some compensation, although this is usually classified as payment for lost wages or inconvenience, rather than direct payment for genetic material or the relinquishing of parental rights. Children conceived through ART have no inherent right to learn the identity of their donors, but provisions for eventual disclosure are often incorporated in the donor’s individual contract.
Cryopreservation - (freezing of donor sperm or pre-embryos) is another area of concern. Despite religious opposition, cryopreservation has proved to be useful in improving pregnancy rates while avoiding multiple pregnancies. Most moral arguments object only to the fact that some pre-embryos will not survive. In principle, cryopreservation preserves individual human life.
Ethics is not an exact science. There is no absolute moral right and wrong. To impose a moral imperative on another, unwilling person is nothing less than tyranny and flies in the face of enhancing the moral dignity of a couple and their children.
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