OCTOBER 15, 2007
VOLUME 4 NO. 17

PATIENTS & PRACTICE

IVF Special Section

Fertility in Brief


Mums sue MD for "wrongful life" baby
CANBERRA — An Australian lesbian couple is suing their fertility specialist over the conception of twin girls instead of the one baby they wanted. The women — who say they were "devastated" by the twins — say they asked Dr Robert Armellin to only implant one embryo but he implanted two without their permission. They are suing him for $400,000 AUD (about $350,000 Canadian) for the cost of raising one of the girls until the age of 21. The case has sparked outrage in the country. "A healthy baby is not a damage," fumed Dr Andrew Foote, president of the Canberra-area branch of the Australian Medical Association.

Laparoscopy kills endometriosis
MONTREAL — Laparoscopic surgery for moderate and severe endometriosis is the best treatment to preserve fertility, says a Belgian study presented September 18 at the 14th World Congress on In Vitro Fertilization in Montreal. Fifty percent of patients end up conceiving naturally after surgery, the study reports. And docs get a two-for-one deal, since they can diagnose and treat at the same time with laparoscopy. All endometrial lesions have to be destroyed, insists lead author Dr Jacques Donnez, but there's a risk of removing too much tissue. "Surgeons are too often very aggressive with the ovaries of the patient, which causes premature ovarian failure." For large endometriomas, a combo surgery of excision and laser ablation is best, he adds.

Older men's sperm fertile but slow
MONTREAL — Sperm motility drops off as men get older, yet fertilization rates and embryo quality following intracytoplasmic sperm injection (ICSI) aren't affected, a group of Brazilian researchers found. ICSI is normally used when problems like motility impede typical IVF. The study provides one explanation why male fertility declines with age. However, using ICSI to overcome motility problems doesn't safeguard against other possible age-related sperm problems, such as DNA fragmentation.

 

 

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