[IB Biology SL: Controlling Fertility of Human Reproduction]

In Vitro Fertilization

 

In Vitro Fertilization (IVF) is a procedure which allows couples who are unable to achieve fertilization and pregnancy via sexual intercourse to have a child. It is especially helpful in cases where the oviducts might be blocked, thus preventing the egg from reaching the uterus, and also blocking the sperm from reaching the egg.

Details of the In Vitro Fertilization Procedure:

1. A drug is injected once a day over a period of 3 weeks to stop the woman's normal menstrual cycle.

2. At the end of 3 weeks, Follicle Stimulating Hormone (FSH) is injected once a day fro 10-12 days to stimulate the ovaries into producing many follicles.

3. After the 10-12 days, another hormone, HCG is injected 36 hours before egg collection. This stimulates maturation of the eggs and loosens them within the follicle.

4. The man provides a semen sample. The semen is processed to concentrate the healthiest sperm for collection.

5. After 36 hours, the eggs are extracted from the follicles in the ovaries using a device inserted through the wall of the vagina.

6. Each egg is mixed with the collected sperm in a shallow dish. The dishes are kept overnight in an incubator.

7. Next day, the eggs are checked to see whether fertilization has occurred.

8. A day or so later, several healthy embryos are selected and placed into the uterus using a long plastic tube for insertion.

9. A week or so later, a pregnancy test is performed to check for successful implantation of the embryos.

10. About 1 month after conception, a scan is done to see if the pregnancy has continued normally. At this point the heart should be visibly beating.


Ethical Arguments For and Against the Use of IVF
For IVF
Against IVF
1. Childless couples may be able to have children. 1. More embryos are produced than needed. Those not needed might be destroyed. Many consider destruction of an embryo akin to murder.
2. Embryos are prescreened before transfer to the uterus, thus reducing the chances the child might receive a genetic disease. 2. Embryologists select the embryos to be used. Humans are deciding whether an embryo survives or is destroyed.
3. Inherited forms of infertility may be passed on to the offspring so they would suffer the same fate as the parent.
4. Multiple births (since several embryos are used) are more likely using IVF than with natural conception. These may increase the risk of serious health problems in the resulting offspring.

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