Is infertility a disease and does it matter?

Maung, Hane Htut

doi:10.1111/bioe.12495

Cited by 21 publications

(12 citation statements)

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“…Infertility is not life-threatening however. There is also debate over whether infertility is a disease,5 which we cannot settle here and so will set aside. Nevertheless, as we argue below, infertility certainly causes suffering, some of which can be ameliorated by access to donor sperm.…”

Section: Does An Unmet Need Justify the Use Of Gametes Donated After mentioning

confidence: 98%

The ethical case for non-directed postmortem sperm donation

Hodson

Parker

2020

J Med Ethics

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In this article we outline and defend the concept of voluntary non-directed postmortem sperm donation. This approach offers a potential means of increasing the quantity and heterogeneity of donor sperm. This is pertinent given the present context of a donor sperm shortage in the UK. Beyond making the case that it is technically feasible for dead men to donate their sperm for use in reproduction, we argue that this is ethically permissible. The inability to access donor sperm and the suffering this causes, we argue, justifies allowing access to sperm donated after death. Moreover, it is known that individuals and couples have desires for certain sperm donor characteristics which may not be fulfilled when numbers of sperm donors are low. Enacting these preferences contributes significantly to the well-being of intended parents, so we argue that this provides a pro tanto reason for respecting them. Finally, we explore the benefits and possible disadvantages of such a system for the various parties affected.

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Section: Does An Unmet Need Justify the Use Of Gametes Donated After mentioning

confidence: 98%

The ethical case for non-directed postmortem sperm donation

Hodson

Parker

2020

J Med Ethics

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“…Organizations such as the WHO, which define infertility as a disease, often use this diagnosis as a means to lobby for public funding for IVF, whereas other groups argue classifying infertility as a medical diagnosis represents pro-natalism, reinforcing misogynistic gender roles. 20 The OFP has framed infertility as a positive right to a child by providing funding for IVF but has decided to limit that funding, which seems in juxtaposition to the intended goals of a public health care system. A major theme of the government cam- When considering the substantive factors to determine how to allocate IVF funds, using either an egalitarian or Rawlsian approach would be challenging to perfect.…”

Section: Theme 2: Difficulty In Deciding Who Should Have Access To Fu...mentioning

confidence: 99%

Patients' preferences for distributing limited government‐funded IVF cycles

et al. 2022

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Objective: On December 21, 2015, Ontario began funding one cycle of IVF for each resident with a uterus under the age of 43, but with a program cap that is insufficient to meet the annual demand. Our objective was to determine how fertility patients believe that the limited number of funded IVF cycles should be distributed.Methods: A survey was distributed to patients attending a university affiliated hospital-based fertility clinic in downtown Toronto, including its associated peripheral satellite clinics. Results:From August 2016 to March 2017, 271 patients responded to the survey, of whom 90.3% were in favour of public funding for IVF. The majority of participants favoured allocating IVF cycles to maximize patients' access to IVF in Ontario rather than targeting funded IVF cycles so as to maximize live births (62.7% vs. 32.8%). Most participants wanted all clinics to adopt the same approach for distributing funded IVF cycles compared to the current system in which each clinic chooses its own criteria for allocation (84.5% vs. 8.5%). Participants favoured distributing IVF by way of a scoring system that took individual patient factors into account. However, the factors that each respondent considered important varied materially. Conclusion:Patients overwhelmingly supported public funding for IVF, desired a consistent policy for distribution of limited funded IVF cycles at all clinics, and preferred a method that took individual patient factors into consideration when determining patient priority for funded IVF but there were heterogenous opinions on which factors should be included.

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“…Les personnes modestes, les célibataires, les couples d'hommes* et les personnes transsexuelles restent défavorisés. de l'absence involontaire d'enfant qu'elle entraîne [2].…”

Section: Infertilitéunclassified

Procration mdicalement assiste: ingalit daccs en Suisse

Mitter¹,

Widmer²

2021

Bull Med Suisses

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Is infertility a disease and does it matter?

Cited by 21 publications

References 0 publications

The ethical case for non-directed postmortem sperm donation

The ethical case for non-directed postmortem sperm donation

Patients' preferences for distributing limited government‐funded IVF cycles

Procration mdicalement assiste: ingalit daccs en Suisse

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