Re: Outcomes From Treatment of Infertility With Natural Procreative Technology in an Irish General Practice

Sills, Eric Scott; Walsh, David; Walsh, Anthony

doi:10.3122/jabfm.2009.01.080190

Cited by 3 publications

(2 citation statements)

References 9 publications

(5 reference statements)

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“…For such patients, substantial emotional stress may coalesce around donor gamete IVF because of feelings of reproductive inadequacy or disappointment. Indeed, some fertility patients never accept the donor gamete alternative and steadfastly resist any reproductive option involving gamete donation [4]. These psychological factors should not be underestimated; they often figure prominently in the decision to disengage from fertility treatments [5,6].…”

Section: Discussionmentioning

confidence: 99%

The long path to pregnancy: early experience with dual anonymous gamete donation in a European in vitro fertilisation referral centre

Sills

Mykhaylyshyn²,

Dorofeyeva³

et al. 2010

Reprod Health

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BackgroundThis investigation describes features of patients undergoing in vitro fertilisation (IVF) and embryo transfer (ET) where both gametes were obtained from anonymous donors.MethodsGamete unsuitability or loss was confirmed in both members of seven otherwise healthy couples presenting for reproductive endocrinology consultation over a 12-month interval in Ireland. IVF was undertaken with fresh oocytes provided by anonymous donors in Ukraine; frozen sperm (anonymous donor) was obtained from a licensed tissue establishment. For recipients, saline-enhanced sonography was used to assess intrauterine contour with endometrial preparation via transdermal estrogen.ResultsAmong commissioning couples, mean±SD female and male age was 41.9 ± 3.7 and 44.6 ± 3.5 yrs, respectively. During this period, female age for non dual anonymous gamete donation IVF patients was 37.9 ± 3 yrs (p < 0.001). Infertility duration was ≥3 yrs for couples enrolling in dual gamete donation, and each had ≥2 prior failed fertility treatments using native oocytes. All seven recipient couples proceeded to embryo transfer, although one patient had two transfers. Clinical pregnancy was achieved for 5/7 (71.4%) patients. Non-transferred cryopreserved embryos were available for all seven couples.ConclusionsMean age of females undergoing dual anonymous donor gamete donation with IVF is significantly higher than the background IVF patient population. Even when neither partner is able to contribute any gametes for IVF, the clinical pregnancy rate per transfer can be satisfactory if both anonymous egg and sperm donation are used concurrently. Our report emphasises the role of pre-treatment counselling in dual anonymous gamete donation, and presents a coordinated screening and treatment approach in IVF where this option may be contemplated.

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Section: Discussionmentioning

confidence: 99%

The long path to pregnancy: early experience with dual anonymous gamete donation in a European in vitro fertilisation referral centre

Sills

Mykhaylyshyn²,

Dorofeyeva³

et al. 2010

Reprod Health

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“…Nevertheless, despite a history that goes back almost 30 years, it is diffi cult to fi nd any articles on naprotechnology in reputable medical journals. The PubMed database contained just four references as of the end of 2013, including two publications which are lists of the effectiveness rates of naprotechnology in infertility treatment [Stanford et al 2008;Them, Schliep and Stanford 2012], 16 neither of which is free from methodological defects [Dolińska 2011;Sills et al 2009 The success of naprotechnology in Poland derives not only from the fact that the method is championed by the Catholic Church and certain political groups, although their roles should not be underestimated. Without a doubt, part of the explanation lies in the weak and ineffective nature of the country's health-care system as a whole, together with the dissatisfaction felt by many female and male patients over the fact that typical, conventional doctors-unlike practitioners of naprotechnology-tend not to spend enough time with their patients or fully address their health problems, thus ignoring many symptoms.…”

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confidence: 99%

Between Advanced Medical Technology and Prayer: Infertility Treatment in Post-socialist Poland

Radkowska-Walkowicz¹

2014

Czech Sociological Review

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Abstract:In Poland, invitro fertilisation technology (IVF) has been in use for over 25 years, garnering success and social approval. However, in 2007, a heated debate erupted on the moral, legal and economic aspects of IVF. A growing chorus of emphatic Catholic voices calls for IVF to be banned. This paper focuses on 'naprotechnology', a new actor and a fresh card in Poland's IVF debate. This method of treating infertility in accordance with the teachings of the Catholic Church is promoted as a cheaper and more effective alternative to IVF. Naprotechnology is primarily based on close observation of the female fertility cycle, but also involves pharmacological or surgical treatments. Most Polish gynecologists specialising in infertility treatments are strongly critical of the method, which is seldom referenced in international medical literature. Nonetheless, naprotechnology has considerable exposure in major Polish media outlets. The method has been debated in the Polish Parliament and is promoted by many politicians. The author argues that, despite the possible perception of naprotechnology as an emancipating force, it is in fact a form of a colonisation of the female body and strengthens traditional gender imagery and modern forms of discipline (control, confession, body regimes). Keywords: in vitro fertilisation, Catholic Church, naprotechnology, post-socialism, democratisation, Poland Sociologický časopis /Czech Sociological Review, 2014, Vol. 50, No. 6: 939-960 DOI: http://dx.doi.org/10.13060/00380288.2014 'For some time the public debate on in vitro fertilisation has been shaken up by the extraordinary news of a new method of infertility treatment called naprotechnology', wrote Izabela Kloc, a member of the Polish Parliament, in her interpellation to the Minister of Health in 2012. 'Not only is this method described as an alternative to in vitro fertilisation, but it is also highly effective. Unlike on in vitro fertilization, which by its nature involves destroying conceived human beings and thus brings about death rather than life, naprotechnology is both ethical and

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A descriptive study of selected oocyte, blood and organ/tissue donation features among fertility patients in Ireland

Sills

Collins²,

Walsh

et al. 2010

Human Fertility

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This is the first investigation of blood and organ/tissue donation features among fertility patients in Ireland; the rate of blood donation in this group was more than 10 times higher than in the general Irish population. Protection of anonymity for both donors and recipients was supported by most patients, even opponents of compensated anonymous donation. Further studies should clarify patient perceptions about oocyte donation as a function of involvement in organ/tissue procurement programmes and blood banks.

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Re: Outcomes From Treatment of Infertility With Natural Procreative Technology in an Irish General Practice

Abstract: Reference1. Rogers JC. The patient-centered medical home movementpromise and peril for family medicine.

Cited by 3 publications

References 9 publications

The long path to pregnancy: early experience with dual anonymous gamete donation in a European in vitro fertilisation referral centre

The long path to pregnancy: early experience with dual anonymous gamete donation in a European in vitro fertilisation referral centre

Between Advanced Medical Technology and Prayer: Infertility Treatment in Post-socialist Poland

A descriptive study of selected oocyte, blood and organ/tissue donation features among fertility patients in Ireland

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