Abstract
The field of fertility is rapidly evolving, bringing opportunities for improvement in our patients' quality of life as well as bringing new ethical dilemmas. As medical science continues to advance, significant numbers of the reproductive-aged population are living with chronic and/or terminal conditions but have reasonable odds of lengthy survival and wish to have children. Likewise, there are adolescents diagnosed with cancer who are increasingly expected to achieve an improved, if not normal, life expectancy after treatment. Oftentimes these children are told they must sacrifice their ability to later have genetically related offspring; however, technologies to preserve fertility are changing this prognosis. Patients with chronic infection are living longer, more normal lives and are increasingly seeking reproductive assistance. Moreover, there is an increasing number of patients' families desiring posthumous use of gametes, which also raises ethical and legal issues. This article discusses ethical principles of bioethics and then highlights specific ethical issues through four plausible cases that may be seen in a fertility practice providing medical care to patients with chronic illness or terminal disease. It concludes that prompt referral of patients to the reproductive endocrinologist, along with a multidisciplinary approach to care, provides increased chances of successful treatment of this group of patients.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 303-314 |
| Number of pages | 12 |
| Journal | Seminars in Reproductive Medicine |
| Volume | 28 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2010 |
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Keywords
- cancer
- ethics
- Fertility preservation
- infection
- transplantation
ASJC Scopus subject areas
- Endocrinology
- Endocrinology, Diabetes and Metabolism
- Physiology (medical)
- Obstetrics and Gynecology
- Reproductive Medicine
Cite this
The ethical challenges of providing fertility care to patients with chronic illness or terminal disease. / Chilvers, Rebecca A.; Hossain, Amjad; Phelps, John.
In: Seminars in Reproductive Medicine, Vol. 28, No. 4, 2010, p. 303-314.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The ethical challenges of providing fertility care to patients with chronic illness or terminal disease
AU - Chilvers, Rebecca A.
AU - Hossain, Amjad
AU - Phelps, John
PY - 2010
Y1 - 2010
N2 - The field of fertility is rapidly evolving, bringing opportunities for improvement in our patients' quality of life as well as bringing new ethical dilemmas. As medical science continues to advance, significant numbers of the reproductive-aged population are living with chronic and/or terminal conditions but have reasonable odds of lengthy survival and wish to have children. Likewise, there are adolescents diagnosed with cancer who are increasingly expected to achieve an improved, if not normal, life expectancy after treatment. Oftentimes these children are told they must sacrifice their ability to later have genetically related offspring; however, technologies to preserve fertility are changing this prognosis. Patients with chronic infection are living longer, more normal lives and are increasingly seeking reproductive assistance. Moreover, there is an increasing number of patients' families desiring posthumous use of gametes, which also raises ethical and legal issues. This article discusses ethical principles of bioethics and then highlights specific ethical issues through four plausible cases that may be seen in a fertility practice providing medical care to patients with chronic illness or terminal disease. It concludes that prompt referral of patients to the reproductive endocrinologist, along with a multidisciplinary approach to care, provides increased chances of successful treatment of this group of patients.
AB - The field of fertility is rapidly evolving, bringing opportunities for improvement in our patients' quality of life as well as bringing new ethical dilemmas. As medical science continues to advance, significant numbers of the reproductive-aged population are living with chronic and/or terminal conditions but have reasonable odds of lengthy survival and wish to have children. Likewise, there are adolescents diagnosed with cancer who are increasingly expected to achieve an improved, if not normal, life expectancy after treatment. Oftentimes these children are told they must sacrifice their ability to later have genetically related offspring; however, technologies to preserve fertility are changing this prognosis. Patients with chronic infection are living longer, more normal lives and are increasingly seeking reproductive assistance. Moreover, there is an increasing number of patients' families desiring posthumous use of gametes, which also raises ethical and legal issues. This article discusses ethical principles of bioethics and then highlights specific ethical issues through four plausible cases that may be seen in a fertility practice providing medical care to patients with chronic illness or terminal disease. It concludes that prompt referral of patients to the reproductive endocrinologist, along with a multidisciplinary approach to care, provides increased chances of successful treatment of this group of patients.
KW - cancer
KW - ethics
KW - Fertility preservation
KW - infection
KW - transplantation
UR - http://www.scopus.com/inward/record.url?scp=77955409120&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77955409120&partnerID=8YFLogxK
U2 - 10.1055/s-0030-1255178
DO - 10.1055/s-0030-1255178
M3 - Article
C2 - 20683794
AN - SCOPUS:77955409120
VL - 28
SP - 303
EP - 314
JO - Seminars in Reproductive Medicine
JF - Seminars in Reproductive Medicine
SN - 1526-8004
IS - 4
ER -