Improve your chance of having a baby by avoiding selfish men

May 23, 2013 22:13 by PrideAngelAdmin
selfish man The new "Get Britain Fertile" campaign features a photograph of presenter Kate Garraway, made up to look elderly and pregnant. Her wrinkles and white hair juxtaposed with a fecund belly illustrate the main thrust of the campaign – to make British women aware of the decline in fertility by their 30s and 40s.

However, is there a grown woman left in Britain who's not already aware of this? Moreover, when are we, as a society, going to address a painful truth: that where timing is concerned, female fertility is not, as is often supposed, controlled exclusively by women, but also very much in the power of the men they are with?

There's much that's well intentioned about GBF. It claims to be aimed at both men and women. Garraway, an ambassador for the campaign, says she feels fortunate to have had children relatively late, and wants women to make "informed choices". However, GBF taps into the culture of misogyny surrounding female fertility. It feeds the urban myth of women "refusing" to have children because of careers, partying, or holding out for Leonardo DiCaprio.

These delusional "picky" females have been figments of the collective imagination for so long they need to be dusted down. Indeed, GBF is accompanied by a survey, stating that many women aged 18-46 are concerned about practicalities: ranging from loss of earnings and workplace inflexibility, to childcare costs and housing. All crucial issues, but for the purpose of this article, let's look at the third of women who say they want children but haven't yet found the right partner.

In my opinion that one-third is an underestimate. Even not finding the right man often turns out to be a euphemism for: "I met him, I spent years with him, but ultimately, he wouldn't have children." Put bluntly, many of these women at their fertile peak didn't refuse anything, their men did.

Like it or not, this is how men influence female fertility and, ultimately, female infertility. The mere thought is enough to inspire feminist panic: women, not men, should control their fertility. Who could disagree? It's also true that some women don't want children, period. And yet how many of us have met (or even been) the thirty-fortysomething, forced to abandon a long relationship because the man wouldn't start a family?

Such men may feel that the relationship isn't right, or don't want their freedom curtailed, or other reasons, all as valid as a woman making similar decisions. It only becomes unfair, verging on selfish, when men keep such insights to themselves for too long. These are the time-wasters, what I'd term the fertility-drifters, who think nothing of keeping women dangling for years on end.

It's not that these women are pathetic wimps, rather that often they can't win: if they push, they're pushy (humiliating); if they don't push, if they're respectful and patient, they'll waste even more time. Frequently, these men go on to start families with younger women, leaving their original partners scouring dating sites, lampooned as desperadoes on the hunt for viable sperm.

Some might say: "Diddums, that's life." Fine, so long as we acknowledge that this is something many women put up with during their fertile years, and that to castigate them is unfair. Sometimes it's not women who are picky, it's men. Ergo, such men should at least be part of the ongoing debate about late female procreation. After all, a stalled relationship at the wrong time with an immature, untruthful, or simply unwilling, man, is enough to compromise or even destroy a woman's fertility. If the GBF campaign really is aimed at both sexes, perhaps they need to include a photograph of a man with the caption: "Play fair and, by the way, sperm deteriorates too." Meanwhile, women may need another mantra – don't let anyone waste your precious time.

Read more...

Article: 19th May 2013 www.guardian.co.uk

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Most exciting new breakthrough in IVF treatment for 30 years

May 18, 2013 20:48 by PrideAngelAdmin
IVF microscope Thousands of infertile couples could benefit from a new IVF procedure that can dramatically improve the success rate of having a baby through artificial reproduction.

Scientists believe they can double or even triple the proportion of healthy babies born as a result fertility treatment with a relatively simple technique that takes a series of time-lapse photographs of the developing IVF embryos.

On average only about 24 per cent of IVF embryos implanted into women in the UK lead to live births but the researchers believe this could be increased to 78 per cent using the new technique for selecting the best embryos.

I believe it is the most exciting breakthrough we've had in probably 30 years,” said Professor Simon Fishel, managing director of the CARE Fertility Group, where the technique was developed.

“Every IVF practice in the world is unintentionally and unwittingly putting back into the womb unviable embryos that don't make babies,” Professor Fishel said. “We hope to see a paradigm shift in terms of IVF. It's a game changer for everybody to have such an uplift in live birth rates. This is the beginning of something revelatory,” he said

Each year, licensed clinics in Britain carry out about 60,000 IVF treatments but most of them end in failure, causing immense emotional upset to couples, many of whom have paid between £5,000 and £10,000 for each treatment cycle.

The new procedure, which costs £750, identifies the best embryos to be implanted into the womb based on the time it has taken to develop between two key stages in the early life-cycle of the embryo.

Thousands of time-lapse pictures are taken during the first few days of an IVF embryo's life and these are used to identify the time between the first appearance of the fluid-filled cavity, called the blastula, and the final moment before the embryo “hatches” from its protective shell.

Scientists have discovered that when this period lasts longer than about six hours, the IVF embryo is likely to be carrying an abnormal number of chromosomes, called aneuploidy, which will lead to a failure of the pregnancy.

A preliminary study, published in the journal Reproductive Medicine Online and based on a retrospective analysis of 88 IVF embryos of 69 couples, found that the time-lapse technique could have improved the success rate of life births in this particular group of patients from 39 per cent to 61 per cent.

Even better success rates can be expected once the procedure is refined and applied to the wider population of infertile couples seeking IVF treatment, Professor Fishel said.

“Our work has shown that we can easily classify embryos into low or high risk of being chromosomally abnormal. This is important because in itself this is the largest single cause of IVF failure and miscarriage,” he said. “The beauty of this technology is that the information is provided by a non-invasive process. So far we have seen a 56 per cent uplift compared to conventional technology, giving our patients the equivalent to a 78 per cent live-birth rate,” he added.

Normally, IVF embryos in an incubator are checked manually each day by embryologists but the time-lapse cameras are able to do this automatically by taking pictures every 10 minutes without interfering with embryo development, said Alison Campbell, embryology director at Care Fertility in Nottingham, who developed the computer algorithm controlling the analysis.

“With time-lapse we have the ability to view more than 5,000 images over the same time period to observe and measure more closely each stage of division and growth. As a result of continuous monitoring we have demonstrated that delays at defined points indicate abnormal development,” Ms Campbell said.

Martin Johnson, a fertility expert and editor of the journal where the work is published, said further “prospective” studies comparing the technique to existing methods of embryo selection are still needed before the procedure is recommended as standard treatment. “There are caveats with this research….and for these reasons we have to be cautious,” he said.

Sue Avery, director of Birmingham Women's Fertility Centre, said: “Unfortunately the study does not compare this exciting new approach with standard practise in embryology in which embryologists already look for the best embryos to place in the womb. Until the new technique is compared to current practise we cannot know whether different embryos are being chosen.”

Egg timing: Key stages

The developing embryo (image one, above) goes through two key stages when the fluid-filled cavity or “blastula” first forms (image two) and when the blastula is fully formed before the embryo “hatches” (image three).

The time between the two is used to judge whether the embryo is viable, with no defects in chromosome numbers. If the period is longer than six hours, the embryo is at high risk of abnormal chromosomes, which will inevitably lead to complications. Time-lapse photographs can indicate which embryos have a shorter time-period between these two points, and so which embryos are best for implantation into the womb.

Article: 17th May 2013 www.independent.co.uk

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Testosterone pills may affect fertility by reducing sperm count

May 15, 2013 20:22 by PrideAngelAdmin
testosterone Testosterone supplements are touted as a cure for low libido, but men who take them may reduce their odds of fathering a child, new research suggests.

Many men who sought infertility treatment at two U.S. clinics reported taking prescription testosterone supplements, according to a new study. And in most cases their sperm counts skyrocketed after they stopped taking the male hormone.

The study, limited to a pair of clinics in Alabama and Kansas, looked at the years 2005 to 2011. The researchers don't know if testosterone supplements, which continue to gain popularity, are contributing to even more cases of infertility now. Nor is it clear whether the hormone is harming fertility across the nation.

Still, the research suggests that testosterone spells trouble for many American men who want to have children, said study co-author Dr. Peter Kolettis, a professor of urology at the University of Alabama at Birmingham. "This has become a preventable cause of infertility."

Use of testosterone supplements -- or "T" -- is rapidly rising in the United States, and some observers think usage will remain inflated as more men see it as a possible cure for fatigue and flagging sex drive. Critics, however, question whether testosterone treatment is being prescribed to men who don't need it.

"More men are coming into [doctors'] offices asking for testosterone because they've seen the advertisements, and it looks like the fountain of youth: It will reduce fat, make them look sexier," said Dr. Bradley Anawalt, an endocrinologist and chief of medicine service at the University of Washington Medical Center in Seattle, who was not involved in the study.

But testosterone can cause side effects such as male breast growth and blood clots. And "very few physicians are warning that it will turn off their sperm production," Anawalt said.

Adding testosterone to the body through supplementation spurs a process that impedes sperm production, Anawalt said. "Men struggling with fertility should not be on testosterone," he said. "[But] this is not something that most physicians or patients are thinking about." The study, presented Wednesday at the annual meeting of the American Urological Association in San Diego, aimed to find out how many infertile men take the supplements despite the risks.

The researchers examined medical records of more than 1,500 men with an average age of 35 who sought fertility treatment at the two clinics. Seven percent of the men were taking supplemental testosterone prescribed by a physician. The study focused on 34 men who agreed to stop using the hormone supplements.

Overall, the sperm counts of most patients bounced back. Average sperm concentration in semen jumped from 1.8 million per milliliter to 34 million per milliliter after supplemental testosterone was discontinued.

But the sperm counts of six of the 34 patients didn't recover. Testosterone treatments normally don't hurt fertility permanently, and it's not clear if they played a role in the men's continued infertility. The study also did not prove a direct cause-and-effect relationship between testosterone supplements and lowered sperm count.

Anawalt said it typically takes between one and six months for a man's sperm count to recover after he stops using a testosterone supplement. Kolettis, the study co-author, said certain men should avoid testosterone supplements. "I tell men not to take it until they're done having their own biological children," he said.

The supplemental testosterone in question is prescription-only, and unrelated to over-the-counter supplements marketed to increase testosterone production. Data and conclusions presented at meetings should be considered preliminary until published in a peer-reviewed medical journal.

Article: 10th May 2013 www.men.webmd.com

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Single embryo IVF with genetic screening has high success rates

May 13, 2013 18:50 by PrideAngelAdmin
IVF ultrasound The transfer of one pre-screened embryo during IVF leads to birth rates equivalent to transferring two unscreened embryos, indicates new research from the USA.

Preliminary results presented at the American College of Obstetricians and Gynecologists Annual Clinical Meeting revealed that single embryo transfer combined with preimplantation genetic screening (PGS) resulted in fewer twin pregnancies and better health outcomes for both mother and child.

'Single embryo transfer with comprehensive chromosome screening has the potential to be paradigm-shifting and revolutionary in the world of IVF', explained lead researcher Dr Eric Forman, of Reproductive Medicine Associates of New Jersey (RMANJ) at the Robert Wood Johnson Medical School. 'Patients can do single embryo transfer and maintain excellent delivery rates while not taking on the treatment-related risk of multiples', he added.

Infertility treatment currently accounts for 18 percent of twin deliveries in the USA. However, multiple pregnancies carry increased health risks to the mother and child.

In the study 175 women aged 43 or younger received either a single pre-screened chromosomally normal embryo or two unscreened embryos. Results so far indicate equivalent pregnancy rates in the two groups. No twins resulted from single embryo transfers whereas 53 percent of double embryo transfers led to multiple pregnancies.

At present only ten percent of women in the USA opt for an elective single embryo transfer. Dr Forman noted that most women choose to have multiple embryos transferred because they feel that this improves their chances of becoming pregnant. However, as more people become aware of the success rates of single embryo transfer, its popularity as a treatment option may increase.

'The technology exists today to make single embryo transfer the standard of care across age groups, eliminating the vast majority of complications stemming from IVF, while maintaining excellent delivery rates for couples who have struggled with infertility', explained Dr Forman.

PGS adds an extra cost to fertility treatment in the USA and research is ongoing at RMANJ to establish whether in the USA this cost is offset by the reduced healthcare burden associated with lower risk singleton pregnancies.

Article: 13th May 2013 www.bionews.org.uk

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The single women who wish their sperm donor children knew their fathers

May 11, 2013 21:20 by PrideAngelAdmin
mum and baby There is no doubt Freya McCallin was a wanted child. That she will always be loved unconditionally by her mum and large extended family is also incontrovertible. But there is another significant truth about Freya: she will never know her genetic father.

Indeed, as Freya’s mum Jessica travelled to Copenhagen from her home in South London to be inseminated with the donor sperm that produced her daughter, this omission from her child’s family tree was the one concern that preyed upon her mind.

For sperm donors in Denmark — unlike those in the UK who may be contacted by their offspring when they reach 18 — have a legal right to remain anonymous. Men who donate sperm there can’t be traced by any potential offspring.

This explains why the sperm donation industry in Denmark is the largest in the world, and why increasing numbers of British women are travelling there to undergo the quick and relatively inexpensive procedure that endows them with the greatest gift of all: creating a new life.

It also helps to explain why, because of seismic shifts in Britain’s fertility landscape — highlighted in last week’s Femail magazine cover story — the shape and make-up of our nation’s families is changing irrevocably.

'My concern is that the need to know who your father is, even if he has no meaningful role in your life'

Today, in part two of our investigation, we examine some of these new ‘diverse’ families, and speak to the single mothers — all professionals with degrees — who are raising donor children without fathers.

In last week’s dispatch, we interviewed educated women who have remained childless; either from choice or because they deferred motherhood in favour of their careers, only to find out they had passed the age of fertility.

As our report showed, the consequences have been dramatic: middle-class Britain is having fewer and fewer children, with larger families increasingly the preserve of the poorer and disadvantaged.

But the rise in middle-class women remaining childless is not the only factor at work here. Since 2008, when the law changed to allow single women to be donor inseminated, small, self-contained and fatherless family units like Jessica and Freya’s are burgeoning.

There are now two million lone-parent families in the UK — they account for one in four of the nation’s families — and rising numbers of them are headed by educated, middle-class women. Many of these, forced by the ticking of their biological clocks and their failure to find the right partner, have procreated by non-traditional methods such as sperm donation, egg donation and IVF.

Because typically these women are deferring motherhood until they are 35 when their fertility is in perilous decline, they are often having just one child. It is also financially very exacting to raise a child alone.

That is another reason why Middle England is producing fewer offspring. And why, conversely, poorer households — because benefits rise in line with the size of their family — who have relatively little to gain from limiting their fertility, are growing.

But what will be the emotional fall-out for this new generation of donor children who grow up without knowing their fathers? This is one of the great imponderables in this brave new world of diverse families.

‘The urge to discover our roots and our relationship with those who have provided half of our DNA is elemental, says Adrienne Burgess, joint CEO of the Fatherhood Institute. ‘The literature is clear: some donor children are haunted by their situation and go searching.’

Jessica McCallin, a writer and broadcaster from South-East London, chose a Danish donor for her daughter Freya because her family originates from the north of England, an area conquered by the Norsemen, and it seemed reasonable to assume she had Scandinavian ancestry.

She knew it would also be helpful to her child if she shared her blonde hair and blue eyes — as indeed Freya does. 'Not a day goes by when I don’t agonise about the consequences of my actions' Whether her daughter will be troubled by not knowing her father’s identity, she cannot say.

Read more...

Article: 8th May 2013 www.dailymail.co.uk

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Fertility diet: high protein and low carbs linked to pregnancy

May 9, 2013 22:12 by PrideAngelAdmin
"What should I eat in order to boost my fertility?" It's one of the first questions asked by many women hoping to get pregnant:

A new study offers up one possible answer, claiming that women who ate a diet rich in protein and low in carbohydrates while undergoing in vitro fertilization had higher pregnancy rates than those whose ratio of protein to carbs was the inverse.

But the findings, while provocative, are highly preliminary.

"Protein is essential for good quality embryos and better egg quality, it turns out," study researcher Dr. Jeffrey Russell, director of the Delaware Institute for Reproductive Medicine, said in a statement. His research was released at the American College of Obstetricians and Gynecologists' annual clinical meeting in New Orleans on Monday.

Patients whose protein intake represented 25 percent or more of their daily diet, and whose carbohydrate intake was 40 percent or less, had pregnancy rates four times higher than those who ate less protein and more carbs while undergoing in vitro fertilization (the joining of a woman's egg and a man's sperm in a laboratory before transferring the resulting embryo to her womb).

Researchers asked 120 women undergoing IVF to keep a three-day nutritional journal before they had an embryo transfer. Forty eight women had an average daily protein intake greater than 25 percent, while 72 had an average intake under 25 percent. (The Centers for Disease Control and Prevention says it is generally recommended that people get between 10 and 35 percent of their daily calories from protein.)

There were no differences in body mass index (a measure of weight relative to height) between the two groups, and because of that, the researchers concluded that improving fertility may be linked to specific nutritional components in a woman's diet, more than to her overall BMI.

But Dr. Kathy Hoeger, Director of the Strong Fertility Center at the University of Rochester, N.Y., said that other factors might have affected the outcomes among the high-protein, low-carb group. Hoeger did not work on the new study.

"We don't have enough information about other factors," she told The Huffington Post.

"The question about high protein, low carb is still very uncertain with regard to fertility," Hoeger added, explaining that good scientific research on the links between diet and fertility is scant. Much of what is known has been extrapolated from preliminary animal studies, and the mechanisms that link nutrition and egg quality are not well understood.

But the desire for more information is there, evident in the numerous books, blog posts and articles on the topic. "As a practicing fertility doctor, probably the first question every one asks me is, 'What should I be eating?'" Hoeger said. "Clearly this is something on people's minds."

Perhaps the most scientifically rigorous information available comes from a 2007 study, led by researchers at Harvard University, that used data from more than 18,000 women who participated in the Nurses' Health Study, one of the longest-running investigations into women's health in the U.S. Those findings were detailed in the much-hyped book "The Fertility Diet," which offered dietary guidelines for preventing and reversing ovulatory infertility (but not infertility resulting from issues like blocked fallopian tubes).

According to the Harvard researchers, women should avoid trans fats and focus on the quality of the carbohydrates they eat, opting for fiber-rich foods and avoiding simple sugars rather than restricting the quantity of carbs. Researchers also found that women who had more full-fat dairy products in their diets were less likely to have problems getting pregnant than those who opted for skim or low-fat options.

Article: 6th May 2013 www.huffingtonpost.com

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Liverpool's fertility clinic is having to buy sperm from Manchester

May 7, 2013 22:19 by PrideAngelAdmin
liverpool Liverpool's fertility clinic is having to buy in sperm from Manchester because its stocks are so low.

Professor Charles Kingsland, head of the Hewitt Fertility Centre based at Liverpool Women’s Hospital, said that a change in the law had led to a drastic decline in donors.

Prof Kingsland said: "It’s not just our stocks that are low, it is all stocks because the law concerning donors changed some years ago. Now donors only get reasonable expenses as opposed to getting paid and they can no longer remain anonymous."

The drop in donors began in 2005 when people donating sperm and eggs no longer had the right to remain anonymous or be entitled to payment. Now couples face a wait of over a year before a donor becomes available.

The clinic has been buying sperm from other sources including Manchester Fertility Services and a private clinic in Harley Street, London. Couples have also had to buy sperm themselves on the internet from reputable clinics in the US and Denmark.

Now the clinic is opening a second site in Knutsford, Cheshire, and has launched a campaign to encourage more men to help infertile couples.

Prof Kingsland said: "We have the technology. We are offering success rates that even ten years ago were unheard of. Now we need to replenish our sperm bank."

"With this campaign we just want to raise awareness. And the enormous benefit for the donor is that they really are helping couples get that longed-for family."

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Article: 7th May 2013 Pride Angel

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Canadians uninformed about their fertility may become childless

April 3, 2013 22:23 by PrideAngelAdmin
fertility age The majority of Canadian men and women are so uninformed about their own fertility they could wind up childless, according to a new poll from the University of British Columbia. More than 90 per cent of respondents in the National Fertility Awareness survey incorrectly believed or were uncertain whether in vitro fertilization could help a woman have a baby with her own eggs right until she hits menopause.

In reality, less than two per cent of IVF procedures are successful for women in their mid-late 40s using their own eggs. This and other common misconceptions are what led UBC counseling psychology professor Judith Daniluk to launch a new website debunking myths and helping adults make educated choices.

“The concerning part is more people are ending up childless by default, because when they delay and they get to the point where they start to pursue treatment, treatment can’t compensate for age-related declines,” Daniluk said. “We don’t want you to get blindsided.”

Only 51 per cent of women and 66 per cent of men surveyed understood that a woman’s eggs are as old as she is, and just 41 per cent of men and 43 per cent of women realized that a man’s age is also an important factor in a couple’s chances of becoming pregnant. “There’s starting to become some evidence that men who are fathering children into their late 40s and 50s and 60s, that those kids have higher incidents of learning disabilities, autism, potential schizophrenia, some forms of cancer,” Daniluk said.

Another major misconception was that overall health and fitness levels are better indicators of fertility than age. Wrong again, Daniluk said. The mistaken beliefs probably have a lot to do with Hollywood, she added, where healthy-looking stars are frequently seen sporting baby bumps well into their 40s. Daniluk said what the public doesn’t realize is that many of them are likely using the eggs of a much younger woman.

Whatever the cause, this misinformation appears to be having real-world impacts on families’ choices; according to Statistics Canada, the average age of women giving birth to their first child has risen from 25-29 in 1991 all the way to 30-34 today.

Read more...

Article: 1st April 2013 www.bc.ctvnews.ca

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More couples are facing infertility in Vietnam

March 31, 2013 11:31 by PrideAngelAdmin
vietnam family VietNamNet Bridge – Out of each 100 couples, 8 are sterile. The rate of secondary infertility caused by inflammation and abortions is increasing rapidly. This is one of the reasons that makes Vietnam face a downward trend in childbirth in the near future, experts have warned.

Mr. Nguyen Van Tan, Deputy General Director of the General Department of Population and Family Planning, said the findings of the Central Obstetrics Hospital in conjunction with the Medical University of Hanoi in 2012 on more than 14,000 couples in eight ecological regions across the country, shows that infertility rate is 7.7 percent, including 3.9 percent of primary infertility and 3.8 percent of secondary infertility.

Another study of the Military Medical Academy in 2011 with over 9,300 couples releases other numbers: Nearly 3.2 percent of couples are infertile, in which 38 percent of the couples having troubles from women, men 40 percent, and both 10.

In fact, there is no comprehensive study on infertility in Vietnam. Experts have warned that infertility, particularly secondary infertility, is increasing and it is associated with inflammatory factors and abortion. To demonstrate this, a doctor from the Central Obstetrics Hospital, said 10 years ago, only about 2-3 couples came to the hospital for infertility treatment. Today, the figure is up to 50-60 couples per week.

Tan said the General Department of Population and Family Planning would propose measures to assist infertile couples, helping them access to good health services. Tan said that many countries succeeded in reducing fertility, including Vietnam, but no one is successful in increasing fertility.

In Vietnam, a downward trend is evident. The data shows that the average number of children born by each woman of child-bearing age has reduced from 6.3 in 1961 to 2 in 2010 and is expected to fall to 1.78 in 2020.

In addition to high rates of infertility and abortion, the birth decline is caused by economic, social factors, with fiercer competition in the living environment. In addition, the value of human life has changed: Many people want to enjoy life and marry late; the number of people living alone is higher. The most important reason is the effectiveness of policies to reduce the country's birth in recent time.

The head of the General Department of Population and Family Planning - Duong Quoc Trong - said, due to declining birth rates and rising life expectancy, the population structure of Vietnam has changed. Lessons from countries in the region in coping with declining birth will be very useful for Vietnam.

Article: 31st March 2013 www.english.vietnamnet.vn

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US says it is ok for women over 50 to get fertility treatment

March 29, 2013 06:51 by PrideAngelAdmin
older mum and baby A key group representing fertility specialists in the U.S. has shifted its messaging and now says that healthy women over the age of 50 should not be discouraged from trying to become pregnant using donor eggs or embryos.

The American Society for Reproductive Medicine has long said that women older than 50 should be "discouraged" from seeking fertility treatments. But new guidelines, published this month in the Journal of Fertility and Sterility, reverse that stance. The group now says women between 50 and 55 who are healthy and "well prepared" for child rearing should be allowed to receive donated eggs and embryos.

“The Committee believes that achieving a pregnancy through egg donation after age 50 is not such a significant departure from other currently accepted fertility treatments as to be considered ethically inappropriate in postmenopausal women,” the group says in the paper. For most women over 50, pregnancy is not an option, since the average of menopause is 52. While most women wouldn’t even want to become pregnant after that age, some do, and the ASRM says there is no reason why these women can’t raise children, as many already do as grandparents.

“There is, therefore, no reason to assume that society will be harmed by allowing older individuals to procreate, or that older women and their partners lack the physical and psychological stamina for raising children,” the ASRM says in its paper. “Also, because older men may father children, denying women a successful alternative for reproduction at ages equivalent to men is prejudicial.”

Nonetheless, the ASRM notes there are physical risks to becoming pregnant after 50. Dr. Tom Hannam of Toronto’s Hannam Fertility Centre explains that it’s not the conception process that’s risky; in fact, that stage is fairly simple. The prospective mother takes hormone pills for a few days to build up her uterine lining and then the fertilized embryo is transferred to her uterus in a simple in-office procedure.

But it’s the pregnancy itself that can be difficult, Hannam says. “The risks from the conception are not that high. It’s the complications-risk during the pregnancy that can be concerning,” he told CTV New Channel. “It’s clear that as women age, the health concerns that women have over the age of 50 are more likely to be amplified during pregnancy.”

Those concerns include the risk of hypertension, gestational diabetes and the need for caesarean section. Studies on the small number of women who have achieved pregnancy after 50 suggest all these risks rise for older mothers. Hannam says it would have to be up to a fertility specialist to decide if a patient over 50 is fit enough for pregnancy.

“Ultimately, it has to be individualized. And when we look to women over 50, one would have to be very careful indeed,” he says. While the ASRM guidelines are meant for U.S. fertility specialists, Hannam says they will affect Canadian women too. That’s because since 2004, it’s been illegal to offer egg donors financial compensation in Canada, so the vast majority of egg donation takes place in clinics in the U.S.

“Because it’s illegal to pay a woman for her eggs, most women who want to use donor eggs are going to the U.S.,” Hannam says. But he says the guidelines will also help doctors like him in Canada because they give him some literature to refer to patients who are considering pregnancy after menopause. “I’m glad there are articulated limits in the U.S. It’s going to help people make choices,” he said.

Article: 28th March 2013 www.ctvnews.ca

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