By Peter Braude, Alison Taylor

Written by way of a staff of infertility specialists, this advisor addresses the advanced topic of subfertility. It starts off with prognosis within the female and male sooner than providing recommendation on all kinds of assisted notion in addition to counselling aid with remedy judgements.

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This decline happens naturally as women age, but may occur surprisingly early in some women. These women may have normal cycles, but could have incipient ovarian failure, which makes it harder for them to understand their failure to conceive and to come to terms with their premature childlessness. Oocyte donation is their only way of conception; adoption is another approach. Exit counselling is important and helpful in these circumstances. Further reading x Royal College of Obstetricians and Gynaecologists.

The couple can then make a decision whether to stop treatment. Clinicians rarely have to advise patients to stop treatment because the stress of the repeated procedures, physically and mentally, usually leads the couple to reach the appropriate decision. However, a pregnancy, even if it results in an early pregnancy loss, may give encouragement to the couple and make it more difficult for them to decide to stop treatment. Repeated failed cycles (despite good quality embryos) are uncommon, but when they do occur the couple can feel frustrated and vulnerable.

Assessing the welfare of the child Many factors must be considered in this assessment, including who would be legally responsible for any child and who intends to bring up the child. The act does not exclude any category of woman from being considered for treatment. However, in situations where the child would have no legal father, the centre must pay particular attention to the prospective mother’s ability to meet the child’s needs throughout childhood. This includes considering other members in the family or social group of the woman who might share this responsibility and who might act as male role models.

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