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  • They Say: Coffee Makes Poor Fertility Worse

    The bad news is, Dutch researchers have found that caffeine consumption lowers the chances that a woman with poor fertility will be able to conceive. The good news is, we’re talking a lot of coffee.

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  • UK Parents Can Grow IVF Babies for "Spare Parts"

    test tubeThe ethics of in vitro fertilization have sprung wide open in controversial new legislation in the UK that allows much greater latitude for parents of sick children to then grow "savior siblings" to use as a source of "spare parts" to potentially save the life of the sick sibling. Presently this translates into using umbilical cord blood or bone marrow to treat conditions like sickle cell anemia, but experts say that one day the technology could be available to use to grow a kid with good kidneys to save a sibling in renal failure.

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  • In Vitro Babies Still Count As Heirs

    From the NY Post comes a fascinating story and interesting legal ruling, with a special guest appearance by former Governor Mario Cuomo. Manhattan Judge Renee Roth ruled that two children, conceived by in vitro fertilization using sperm from their father after his death, were eligible for a share of their paternal grandfather's estate.

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  • Infertility Docs Prefer One Per Customer

    infertilityInfertility treatments like IVF come with a higher risk of twins or triplets, because women generally get a few embryos implanted to increase the odds that one will take. However, some doctors are now encouraging single-embryo transfers, since twins have a higher risk for health problems and complications. For some reason, many of the IVF patients aren't on board. Why? As the article points out, IVF costs an obscene amount of money per cycle, and lots of insurance plans won't cover any of it. And for some people, having twins seems like a good way to expand the family all at once, without having to risk future IVF treatments.

    Some of the doctors in the article seem shocked and disapproving that couples wouldn't just want to go for the safest pregnancy possible, even if it meant spending a bajillion dollars and risking a smaller family. Here's a nice quote about people who want multiple embryos even with the increased risks of multiples: "'It's kind of a teenage mentality. They underestimate their own risk and attribute all the risk of the adverse outcomes to someone else,' said David Grainger, president of the Society for Assisted Reproductive Technology... 'With some of these studies on patients, the temptation is to say, 'Well they're not informed about the risk of twins,' and that's not true.'" 

    Wow, have these doctors ever spoken to their patients about what it's like to go through infertility? Because by the time you've made it to IVF, chances are you've experienced one heartbreaking disappointment after another, and know that if IVF doesn't work, you'll probably never be pregnant. I mean, you don't go and spend anywhere from $7,000 to $12,000 a month because you think it might be kinda nice to have a baby. I'm sure many people are feeling that they only have one or two shots left, and they'd rather have a risky pregnancy or a chance at a two-child family than a greater possibility of no pregnancy at all. And often this is after miscarriages, months of testing, injecting drugs into the stomach, sobbing at baby showers, pining like crazy for a baby... Crap, now I wanna go slap these doctors who can't understand that being super-rational about risks is a little hard when you are feeling desperate.  

     


  • Britain's Tough Rules Around Making Babies

    ivfWhen the title of an article is "Making Babies, the Hard Way", I get all intrigued. Turns out they were referring to IVF, not some ambitious position your spouse saw in a movie. Now that IVF has become fairly standard, Britain's Department of Health has published a draft of a Human Tissues and Embryos bill. The legislation aims to address issues surrounding the use of, you guessed it, human tissues and embryos.

    There's a couple of cases that get responses in the draft. In one, a woman froze some embryos when she underwent fertility-destroying cancer treatment, but once she and her boyfriend broke up, he withdrew his consent to use them. This makes the post-breakup division of the record collection seem much simpler, doesn't it? The proposed law would still require two-party consent, but would allow for saving the embryos for a year, in case of a change of heart. I'm guessing the authors of the legislation have never experienced the durability of a really pissed off ex.

    However, British regulations around IVF will probably remain very cumbersome, with long waiting periods for treatments and tons of paperwork required for each IVF cycle. The procedures will soon be overseen by the same department that oversees disposal and transplantation of body parts, and doctors fear they will be held to standards that shouldn't apply to IVF, such as requirements for highly antiseptic environments. As one person quoted said, "sperm isn't exactly donated in a sterile environment in nature." That might just qualify for the understatement of the year.


  • Baby Born From Frozen Egg and Frozen Sperm (Cool!)

    egg meet spermBrr! In what's being referred to (unfortunately) as the Frozen Egg Baby story, a California woman gave birth recently to a baby conceived ex vitro when her previously-frozen eggs were injected with previously-frozen donor sperm. Cool! Adrienne Domasin participated in a study after she found out that her Fallopian tubes were completely blocked and that her chances of becoming pregnant were close to zero since she couldn't afford in vitro fertilization. Traditionally, freezing eggs has been a last-ditch chance for women to conceive, with usually poor results (something about ice crystals in the cell that creates havoc). About 200 babies have been born worldwide from previously-frozen eggs, but this is the first case of a frozen egg meeting a frozen sperm (kind of like a blind date on an iceberg?*).

    Okay, all together:  Awwwwwww! 

    *That could be a fun story to tell the kid someday when he asks where he came from.


  • LinkLove: Moobs, Ah the Indignity

    After reading Moobs, you'll be convinced that the blogosphere is loaded with hidden talent, not just a slew of sycophantic solipsists.  If you want a good read nearly every time, from someone sensitive but not obsessed with feelings, this site is for you.  Moobs is beloved by his followers and rightly so.  He's smart, British, and portrays modern issues (in vitro fertilization and infertility among them) with a sophisticated pen, wry wit, and big heart.

    Like all good writers, he is able to evoke sympathy, understanding, and interest despite a viewpoint that may (literally and figuratively) be foreign to the reader.  He's a not-yet-Dad barrister living in London and long-married to a pretty girl named P, both struggling to get through, pay for, and survive the trials of in vitro fertilization.

    But that's only a small portion of what he describes, with topics ranging from life as a barrister, to a niece's first birthday, to reflections on pervvy youthful proclivities

    With a self-deprecating name like Moobs, how can you lose? Now, his is a Dad-ography I'd gladly devour.



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