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Infertility amp Reproductive Technologies Rels 300 Nurs 330 29 October 2015 300330 appleby 1 Affects approximately 1 out of every 8 some say 6 couples in Canada Medically defined as inability to conceive after one year of unprotected intercourse ID: 597148

appleby 300 infertility 330 300 appleby 330 infertility www couples women medical reasons reproductive http infertile child human male

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Slide1

(

http://www.cartoonstock.com/directory/a/artificial_insemination.asp )

Infertility & Reproductive Technologies Rels 300 / Nurs 33029 October 2015

300/330 - appleby

1Slide2

Affects approximately 1 out of every 8 (some say 6) couples in CanadaMedically defined as inability to conceive after one year of unprotected intercourseIncidence is lower for women between the ages of 18 and 29, and greater for women between 30 and 44May be broadened to include people who desire to have children, but who are not in stable heterosexual relationships – e.g., single persons, lesbian women or couples, gay males or couples

Infertility300/330 - appleby

2Slide3

Sexually transmitted infectionsSmoking (both women and men)Delayed childbearingExposure to harmful agentsWorkplace and environmental toxic substances

Alcohol and substance useWeight (obesity and malnourishment), eating disorders, exercise, stressMedical interventions (e.g., cancer treatment)Endometriosis

Medical causes of infertility300/330 - appleby3Slide4

FEMALE FACTORS:Blocked fallopian tubesIrregular or absent ovulation

Endometriosis Cervical irregularities, e.g., hostile cervical mucus

Uterine fibroids or polypsHormonal imbalancesEarly menopauseAge (+ 35)STI historyCancer treatments (chemo, radiation, surgery)Specific Reproductive Causes

of Infertility

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4Slide5

Low sperm counts, or no spermLow motility rates / low rate of movement Abnormal morphology of sperm / physical abnormalitiesSTI historyHormonal imbalancesCancer treatments: chemo, radiation or surgery

Male factors in infertility

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30% of infertile couples are infertile due to male causes40% are infertile due to female causes20% are infertile due to a mix of male and female factors

10% - no specific cause of infertility can be foundMale or female factors?

300/330 - appleby6Slide7

AdoptionDo you have an adopted child in your family?What was the process for adopting this child?How is this child treated in your family?How does this child feel about being adopted?

What are the best things about adoption?Are there any down-sides to adoption?Responding to Infertility

300/330 - appleby7Slide8

What reasons do individuals or couples have for rejecting adoption as a solution to their infertility?Personal reasons?Social reasons?Biological reasons?Genetic reasons?Additional considerations?

Why not adoption?300/330 - appleby

8Slide9

There are medical conditions that contribute to infertility There are reproductive technologies that correct, overcome or circumvent the medical conditionHowever, many reproductive technologies result in babies for infertile persons or couples without addressing the cause of infertility

Is infertility a medical condition?300/330 - appleby

9Slide10

Success in overcoming the medical condition of infertility is measured by the provision of a childWith a series of interventions that become increasingly technological, male and female infertility factors are largely circumvented, rather than correctedReproductive services arose within and are aligned with research agenda designed to ultimately create human life outside of the human body

Minimal primary research is being done on the medical condition of infertilityHow is success measured?

300/330 - appleby10Slide11

Why do individuals and couples desire to have children?Divine commandment to “be fruitful and multiply”

To provide a future for a religious, racial or cultural communityTo ensure a genetic heritage for future generations

As evidence of mature and responsible adult statusTo demonstrate or strengthen a couple’s loveTo satisfy a deep hunger or longing for a babySocial dimensions of infertility300/330 - appleby

11Slide12

(5:23) https://www.indiegogo.com/projects/on-infertile-ground--5 1 in 6 couples face infertility.

Most suffer in silence,too ashamed to tell friends and family.http://www.youtube.com/watch?v=8JfK_4u80nY

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“Reasons for wanting children included motherhood as ‘natural instinct’, as ‘a stage in the development of a relationship’

and as ‘social expectation’. These were used to construct motherhood as physical, psychological and social completeness and fulfilment for women. Consequently, infertility was experienced as guilt, inadequacy and failure

, reinforced by the language used to describe infertility.”“Motherhood and Infertility: Viewing Motherhood through the Lens of Infertility” by Miriam Ulrich &

Ann

Weatherall

(

Feminism Psychology August 2000 [

10:3]

 

323-336)

300/330 - appleby

13Slide14

Rainy with a chance of baby

Kara DeFrias TEDxCoMohttps://

www.youtube.com/watch?v=p_stv_YOJ5Y [14:39] 300/330 - appleby14Slide15

Do individuals/ couples have a right to reproduce?

Is this a universal human right, like the right to life?

Reproductive rights300/330 - appleby15Slide16

A person’s or couple’s inability to become pregnant should be understood as:

Reproductive rights300/330 - appleby16Yes, the right to reproduce is a universal human right, because…No, the right to reproduce is not a universal human right, because…

Slide17

“A

woman in Sweden has given birth to a baby boy using a transplanted womb, in a medical

first.”IVF to produce 11 embryos, which were frozenUterus donated by a friend in her 60sDrugs used to suppress the immune system1 year after transplant, doctors transferred

one of the frozen embryos to the woman’s womb

Due to toxicity of immunosuppressant drugs, uterus will later be removed

http://

www.bbc.com/news/health-29485996

;

4

October 2014

 

First womb-transplant baby born

By James Gallagher

Health editor, BBC

News

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17

The baby will "give hope" to those wanting

children,

say

the transplant teamSlide18

http://www.sciencedaily.com/releases/2014/10/141007092110.htm World's first child born after uterus transplantation

October 7, 2014

; University of Gothenburg“The uterus transplantation research project at the University of Gothenburg [in Sweden] started in 1999.”9 women have received uterine transplants from live donors – mostly family members, some friends 7 successful, 2 not successfulOther women still trying for successful pregnancy and birth

What would cause a woman not to have a uterus?

Why would some women choose this experimental treatment instead of adopting or using a surrogate mother?

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18Slide19

A journey through infertility -- over terror's edge

Camille PrestonTEDxBeaconStreethttps://www.youtube.com/watch?v=6BBmMtVfZ4Y

300/330 - appleby19Slide20

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http://www.cbc.ca/keepingcanadaalive

/ http://www.cbc.ca/keepingcanadaalive?timecode=060440