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Fertility Issues in Men with Spinal Cord Injury
Published in Jacques Corcos, Gilles Karsenty, Thomas Kessler, David Ginsberg, Essentials of the Adult Neurogenic Bladder, 2020
Couples who are able to manage PVS and the risk of autonomic dysreflexia and who meet the clinical and biological eligibility criteria for semen self-insemination at home show a pregnancy rate of 29% per couple and a live birth rate of 22% per couple.6,29 The results of IUI in couples with a male partner with SCI are comparable to those in infertile couples with no SCI: 9%–18% pregnancy per cycle and 30%–60% cumulative pregnancy rate per couple.6,45
The Role of Biomedical Technology
Published in Kant Patel, Mark Rushefsky, Healthcare Politics and Policy in America, 2019
Under current laws relating to child support, it is typically presumed that it is in the “child’s best interests” to receive financial support from mothers as well as fathers. Thus, those men who never consented to the sexual act that caused the pregnancy are nevertheless liable for the support of the resulting child. These include men who become fathers as a result of statutory rape and also adult males who become fathers as a result of a sexual assault or having their sperm stolen and used by a woman for the purposes of self-insemination.
The wider aspects of fertility treatment
Published in Ruth Chambers, Fertility Problems, 2018
In partial surrogacy, the child is genetically linked to the surrogate mother and the male of the commissioning couple (the intending parents) by the prospective father’s sperm being placed in the surrogate mother’s vagina and fertilising the surrogate mother’s egg. This may be performed by self-insemination at home, away from any health service clinic, or by a health professional in a licensed fertility clinic. In full surrogacy the resulting child has no genetic link with the surrogate mother and the embryo is usually created from the eggs and sperm of one or both of the commissioning couple using the IVF technique. If one or both of the intending parents are unable to produce eggs or sperm themselves, donated sperm or eggs can be used in the IVF procedure. About 60 couples per year use IVF surrogacy.15
Reactions from family of origin to the disclosure of lesbian motherhood via donor insemination
Published in Journal of Lesbian Studies, 2020
Pedro Alexandre Costa, Fiona Tasker, Francis Anne Carneiro, Henrique Pereira, Isabel Leal
The main goal of the present study is to explore the reactions from both biological and non-biological mothers’ families of origin to the disclosure of lesbian motherhood via DI through a retrospective qualitative study. This study was conducted in Portugal before 2016, when it was not yet legal for single or coupled women to pursue assisted reproduction. Under Portuguese law, women could not request assisted reproduction without a male partner, as both private and public assisted reproduction were not legal for single women or for lesbian couples, even those who could, under Portuguese law, be married (Machado & Brandão, 2013). To achieve motherhood and to circumvent the legal barriers, lesbian women in Portugal often performed self-insemination (SI) or accessed DI abroad (Costa, 2012). In Portugal, the number of studies about same-gender parents is very limited. This absence of research also makes it especially hard to estimate the number of same-gender parented families and to characterize their paths to parenthood. However, community studies suggest that the majority of these families in Portugal are headed by gay men and lesbian women with children from previous heterosexual relationships, followed by lesbian women with children through SI or DI (Costa, 2012; Costa & Bidell, 2017).
Safer conception among HIV-1 serodiscordant couples in East Africa: understanding knowledge, attitudes, and experiences
Published in AIDS Care, 2018
Kerry Hancuch, Jared Baeten, Kenneth Ngure, Connie Celum, Nelly Mugo, Edna Tindimwebwa, Renee Heffron
Communication with providers and within couples is important for the successful uptake of safer conception strategies among HIV-1 serodiscordant couples. Clinicians were trained on safer conception as a concept and on specific strategies, but there was no algorithm to guide clinician recommendations or safer conception counseling and providers may have prioritized different messages within and between sites. The disconnect between actual use of PrEP and ART and reporting use of these methods as safer conception strategies, highlights an opportunity for their promotion as safer conception strategies. Fertility desires can change rapidly and repeated discussions about fertility desires and HIV-risk reduction during pregnancy attempts are important to have with all women of childbearing age in areas with high HIV prevalence. ART or PrEP as safer conception strategies along with self-insemination and timed condomless sex were the most known and acceptable options and are also less expensive and more widely available than medically-assisted methods, such as sperm washing and artificial insemination (Zafer et al., 2016). Programs seeking to support these couples to attain fertility goals can provide opportunities for individuals and couples to talk about their fertility desires, normalize these desires and feelings, and foster communication within couples about safer conception practices.
Why search for a sperm donor online? The experiences of women searching for and contacting sperm donors on the internet
Published in Human Fertility, 2018
Vasanti Jadva, Tabitha Freeman, Erika Tranfield, Susan Golombok
Ninety-one participants (21%) had attempted to conceive using sperm from a donor they had contacted through Pride Angel. For these participants, by far the most common method of attempting to conceive (n = 87 (96%)) was self-insemination at home, 7 (7.7%) had used a clinic and 4 (4.4%) had used sexual intercourse. Twenty-nine (32%) participants had successfully had a child with a sperm donor they had met online and 10 (11%) were currently pregnant. The eldest child born was 11 years of age although most were aged 2 years or less (n = 23). Of those who had a child, 8 (27.6%) reported that their child was in contact with the donor and 18 (62%) were not. Eight recipients (27.6%) described the relationship their child had with the donor. Children’s contact with the donor varied greatly. Four mothers reported there was no contact between the donor and child. One said the donor had held the baby, another reported that she sent the donor photographs but that she does not intend them to meet until her child is 18 years old. Another mother said there was no relationship currently but that she would be open to this in the future only if it were from a distance, explaining that this is why she had chosen a donor who lived far away. One mother responded that the donor was the father of the child.