it is customary to have mild sedation or anesthesia while it is carried out. The legal and ethical issues surrounding IVF are numerous, however here are a couple to think about. Can we, and should we, cryopreserve and store eggs or ovarian tissue from a young woman wishing to defer procreation until it becomes convenient? And if we do this, would it be acceptable to eventually have a woman give birth to her own sister or aunt? Should we store viable ovarian tissue through generations? Also legal issues can arise in many ways. If the two people involved decided not to be together, who gets the frozen eggs and sperm? Is just one example. (Sher Institutes for Reproductive Medicine) Intracytoplasmic sperm injection (ICSI), this procedure was developed to help men with low sperm count or sperm motility problems. One sperm is injected directly into an egg in a laboratory. Once fertilization occurs, one or more of the resulting embryos is placed in your uterus just as in conventional IVF. There are some legal and ethical issues that go along with ICSI, some are the possible risk of the child running the risk of being sterile themselves, transmission of a chromosomal or other genetic disorders. Gamete intrafallopian transfer (GIFT), a variation on IVF, this technique promotes fertilization in your fallopian tubes, rather than in the laboratory. There are legal and ethical issues surrounding gamete intrafallopian transfer (GIFT). This is more invasive than in vitro fertilization (IVF), in which your specialist makes an implantation into your uterus through the vagina without making incisions. GIFT is a less objectionable choice. If gamete intrafallopian transfer is physically more invasive than other options and less successful, you may be wondering why women and couples select this option. They do so because it may be less ethically objectionable than similar treatments. (Sher Institutes for Reproductive Medicine) Donor egg or embryo, if you're unlikely or unable to conceive using your own eggs, you can use eggs donated by another woman. The downside is that the child will not be genetically related to you, but the upside is that using donated eggs can greatly increase your chances of pregnancy. There are various legal and ethical issues surrounding this. A donor-conceived person born with an abnormality could sue their donor for damages if it is proven that the donor had not told the clinic relevant facts about their or their families medical history when they donated. This is why it is important to tell the clinic where you donate of any inherited disabilities, or physical or mental illnesses that affect you or anyone in your family. If you plan to donate outside a licensed clinic, for example if you are considering donating fresh sperm, through an internet company, or for someone for use at home for example, it is recommended you consult a solicitor first. Where fresh donated sperm is used outside of a clinic, the donor is considered by law to be the child's legal father, with all the responsibilities and rights that involves. Surrogacy (or use of a gestational carrier), is when you may choose to have another woman carry your embryo to term if your body is not capable of sustaining a pregnancy.
If the same person who donated eggs carries the baby, she is called your surrogate. If you use your own eggs or embryo, then the woman who bears the child is called a gestational carrier. Surrogacy is one of the most expensive ART procedures. Generally, assisted reproductive technologies can range from several thousand dollars to tens of thousands of dollars for a gestational carrier using your frozen embryos. Before you get too deep into your decision-making about how far you'd go to have a baby, it would be best to check with your insurance carrier about how much of the cost of these methods is covered. There are several legal and ethical issues that surround surrogacy, some are, in a surrogate situation, the gestational mother is the woman who carries the baby to term. This can be a very taxing process both physically and emotionally and unique in that after the surrogate mother physically carries the baby throughout the pregnancy, she needs to physically and emotionally detach herself from the child once it is born. Because the gestational mother will not likely be the child's primary caretaker, there could be legal questions that arise in terms of what – if any – involvement she will have with the child once born. There are also ethical considerations that are brought to mind in terms of informing the child of his or her surrogate mother, as doing so may have an effect on the child's self-identity. In addition, there is also the factor of surrogate mother compensation. It is typically expected that the intended parents of the child will reimburse the surrogate mother for her medical and other related expenses. This can include a dollar amount for her hospitalization as well as incidentals such as her maternity clothing, meals, and other similar costs that she may be out during her
time of pregnancy. There are also surrogate situations where the individual or couple who are the intended parents will pay a fee to the surrogate mother for carrying their baby. With this in mind, it is thought by some that surrogacy could be thought of as being a luxury that is only available to the wealthy – and in some cases it could even be thought of as pregnancy-for-hire. (modern family surrogacy center) I found a court case that involves assisted reproduction. In this case a Pennsylvania judge issued a ruling in a surrogacy case involving the actress Sherri Shepherd. It’s a sad and complicated scenario: Shepherd and her ex-husband, Lamar Sally, conceived a baby using Sally’s sperm, a donor’s egg, and a surrogate’s womb. Shepherd and Sally split in the middle of the pregnancy, and Shepherd subsequently claimed that she was tricked into signing the surrogacy documents so that Sally might get more money from her in the form of child support. Shepherd disavowed the child, who was born in August. The Pennsylvania judge ruled that Shepherd’s name must go on the birth certificate as the child’s legal mother. Before the ruling, the surrogate’s name was on the certificate, and she, not Shepherd, was held responsible for child support in California. The ruling means that she is responsible for child support until the child is 18—or longer, if college support comes into play. Shepherd can also seek custody or visitation, and the child could be entitled to certain benefits, like Social Security, upon Shepherd’s death. The Pennsylvania ruling does not cover these specifics, though; the specifics will be determined by the other cases pending in Shepherd and Sally’s divorce proceedings. (The Sherri Shepherd Surrogacy Case Is a Mess.)