Skip to main content Accessibility help
×
Hostname: page-component-78c5997874-fbnjt Total loading time: 0 Render date: 2024-11-05T08:32:33.757Z Has data issue: false hasContentIssue false

1A - Female Age 42 Years Should Be the Upper Limit for Conventional IVF/ICSI Treatment

For

from Section I - Limits for IVF

Published online by Cambridge University Press:  25 November 2021

Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
Get access

Summary

The premise of this argument is that there is an appropriate age limit for conventional IVF/ICSI treatment. Why should there be a limit at all? It may be argued that as long as we can squeeze an egg out of an ovary and a woman wishes to proceed that should be enough for us to proceed. Good medical practice dictates that doctors advise patients with honesty and integrity and that might include advising no treatment – there is no compulsion to provide a patient with treatment on request or payment. For fertility specialists to fulfil every patient request whatever the ‘cost’ would class us alongside commercial surgery. If we are to argue that infertility is a medical diagnosis then we must not accept the definition of ‘industry’. There are a number of reasons why we might not accede to a request for IVF/ICSI in women past their 43rd birthday.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

HFEA. Fertility treatment 2018: trends and figures. 2020; available from: www.hfea.gov.uk/media/3158/fertility-treatment-2018-trends-and-figures.pdf.Google Scholar
NICE. Fertility Problems: assessment and treatment. NICE Clinical Guideline [CG156]. 2013 [updated 2017]; available from: www.nice.org.uk/guidance/cg156/resources/fertility-problems-assessment-and-treatment-pdf-35109634660549.Google Scholar
Magnus, MC, Wilcox, AJ, Morken, N, Weinberg, CR, Håberg, SE. Role of maternal age and pregnancy history in risk of miscarriage: prospective register based study. BMJ 2019;364:l869.CrossRefGoogle ScholarPubMed
MBRRACE-UK. Saving lives, improving mothers’ care. 2019; available from: www.npeu.ox.ac.uk/assets/downloads/mbrrace-uk/reports/MBRRACE.Google Scholar
MBRRACE-UK. Perinatal mortality surveillance report. 2019; available from: www.npeu.ox.ac.uk/assets/downloads/mbrrace-uk/reports/MBRRACE.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×