Category Archives: Embryology

Man wins right to be a single dad through surrogacy – Metro

The man argued that laws around surrogacy arrangements discriminated against single people (Picture: Getty)

A man has won the right to be a single dad through surrogacy.

The single man who fathered a child via a surrogate mother had last year arguedthat laws around surrogacy arrangements discriminated against single people.

He claimed the wording of part of the 2008 Fertilisation and Embryology Act meant only a couple could apply to become a childs legal parents.

Sir James Munby, the most senior family court judge in England and Wales, agreed with him.

The judge, President of the Family Division of the High Court, made a declaration of incompatibility after analysing the case at a hearing on London.

Following this, another judge has said ministers are now actively considering a change to address the incompatibility.

Mr Justice Keehan, who is also based in the Family Division of the High Court, has outlined Government plans in a ruling on a similar case.

He said in the hearing in Birmingham a single woman wanted to become a childs legal parent following an arrangement with a surrogate mother.

The judge said the woman had been in a relationship with a man when the surrogacy arrangement was made but that relationship had broken down.

He said a parental order application by the woman, who was caring for the child, would be shelved pending a law change.

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Man wins right to be a single dad through surrogacy - Metro

Adaptive changes of telocytes in the urinary bladder of patients affected by neurogenic detrusor overactivity. – UroToday

Urinary bladder activity involves central and autonomic nervous systems and bladder wall. Studies on the pathogenesis of voiding disorders such as the neurogenic detrusor overactivity (NDO) due to suprasacral spinal cord lesions have emphasized the importance of an abnormal handling of the afferent signals from urothelium and lamina propria (LP). In the LP (and detrusor), three types of telocytes (TC) are present and form a 3D-network. TC are stromal cells able to form the scaffold that contains and organizes the connective components, to serve as guide for tissue (re)-modelling, to produce trophic and/or regulatory molecules, to share privileged contacts with the immune cells. Specimens of full thickness bladder wall from NDO patients were collected with the aim to investigate possible changes of the three TC types using histology, immunohistochemistry and transmission electron microscopy. The results show that NDO causes several morphological TC changes without cell loss or network interruption. With the exception of those underlying the urothelium, all the TC display signs of activation (increase in Caveolin1 and caveolae, SMA and thin filaments, Calreticulin and amount of cisternae of the rough endoplasmic reticulum, CD34, euchromatic nuclei and large nucleoli). In all the specimens, a cell infiltrate, mainly consisting in plasma cells located in the vicinity or taking contacts with the TC, is present. In conclusion, our findings show that NDO causes significant changes of all the TC. Notably, these changes can be interpreted as TC adaptability to the pathological condition likely preserving each of their peculiar functions.

Journal of cellular and molecular medicine. 2017 Aug 07 [Epub ahead of print]

Chiara Traini, Maria-Simonetta Fausssone-Pellegrini, Daniele Guasti, Giulio Del Popolo, Jacopo Frizzi, Sergio Serni, Maria-Giuliana Vannucchi

Histology and Embryology Research Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy., Department of Neuro-Urology, Careggi University Hospital, Florence, Italy., Department of Urology, Careggi University Hospital, Florence, Italy.

PubMed http://www.ncbi.nlm.nih.gov/pubmed/28782880

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Adaptive changes of telocytes in the urinary bladder of patients affected by neurogenic detrusor overactivity. - UroToday

Scottish man has twins through IVF using 27-year-old sperm – The i … – iNews

A Scottish man has earned a world record after becoming the father of twins through IVF using sperm that he froze almost 27 years ago.

The man, who lives in Glasgow but has requested anonymity, was diagnosed with cancer at the age of 21 and was advised to freeze his sperm in case the chemotherapy he needed left him infertile.

When we finally saw on a scan we were having twins I was in shock

World record holder

After surviving cancer, his sperm remained frozen for 26 years and 243 days until he and his partner decided to use it to have children through IVF in 2010.

His partner became pregnant with twins at the age of 37 and the boy and girl were born the following year, landing him a Guinness World Record for the oldest sperm ever successfully used in IVF.

Although he has known about the record for years, the man did not have it verified because he did not want to be named in public. However, he has now had it accepted on the basis of anonymity.

Read more: Male fertility alert after sperm count dives by more than half

The man said he hoped his record would show other cancer patients that they can still have children years after finishing their treatment.

People going through chemotherapy should keep hope, he added. When we finally saw on a scan we were having twins I was in shock.

I kept looking for a third heartbeat, thinking we might even be having triplets.

The mans sperm was stored at an NHS lab in Edinburgh before his chemotherapy, before being transferred to the private GCRM fertility clinic in Glasgow for use in the couples IVF.

The clinics medical director Dr Marco Gaudoin said the mans case showed that sperm could theoretically be stored indefinitely and still be used to father children.

According to the Human Fertilisation and Embryology Authority regulator, the standard storage period for sperm is normally ten years. In some circumstances it can be kept for up to 55 years.

Women are also able to freeze their eggs while they are young for use in later IVF treatment, while couples hoping to conceive are also able to freeze fertilised embryos before they are implanted in the womb.

Last week it emerged that two men are set to become the first same-sex couple in Scotland to have twins through IVF, after using a donor egg and a surrogate mother.

Ryan Walker and Chris Watson, from Falkirk, are expecting a boy and a girl in the next few weeks. The pregnancy came against the odds.

Like the man from Glasgow, Mr Walker had to have his sperm frozen after being diagnosed with cancer five years ago.

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Scottish man has twins through IVF using 27-year-old sperm - The i ... - iNews

Scots man fathers twins 27 years after freezing sperm – The Scotsman

A man has fathered twins using sperm frozen almost 27 years earlier and earned himself a world record.

He now holds the Guinness World Record for the oldest sperm ever successfully used for in vitro fertilisation (IVF).

The father, a musician from Glasgow who holds the record anonymously, said he had a message for other cancer patients.

People going through chemotherapy should keep hope, he said.

When we finally saw on a scan we were having twins I was in shock. I kept looking for a third heartbeat, thinking we might even be having triplets.

He had his sperm frozen when he was diagnosed with cancer aged 21, and became a father to twins when he was 47. Doctors told him chemotherapy treatment would make him infertile so his sperm was frozen for 26 years and 243 days.

When he met his partner he had to explain that she would need IVF if they were to have children.

The couple, who live in Glasgow, did not use the sperm until 2010, when he was 47 and she was 37.

She became pregnant with twins and the boy and girl were born in 2011.

The father said he knew he held the record for the oldest sperm used in successful IVF but did not want publicity.

However, when he realised he could be listed anonymously by Guinness World Records he came forward and has now had his record accepted.

According to the Human Fertilisation and Embryology Authority the standard storage period for sperm is normally ten years, although in certain circumstances it can be kept for up to 55 years.

The father has now spoken out to highlight how long sperm can be frozen to create healthy children. The case raises the prospect of sperm being frozen with no time limit.

The mans sperm was stored at an NHS lab in Edinburgh before his chemotherapy and, more than two decades later, used in the landmark treatment carried out at the GCRM fertility clinic in Glasgow by medical director Dr Marco Gaudoin.

Dr Gaudoin said: Theoretically, it could be stored indefinitely.

It is another world first for the fertility specialist who helped a same-sex couple become the first in Scotland to father twins by IVF. Last week it was revealed that cancer survivor Ryan Walker and his partner Chris Watson, from Falkirk, are expecting in the next few weeks, thanks to a surrogate mother who is also in a same-sex relationship.

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Scots man fathers twins 27 years after freezing sperm - The Scotsman

Central Heights student shines in show ring – The Ottawa Herald

By The Herald Staff

COFFEYVILLE Showing livestock comes naturally for a Central Heights High School freshman.

Cheyenne Higbie added to her list of achievements by taking the reserve grand champion junior heifer title Wednesday at the 2017 Inter-State Fairs junior heifer show in Coffeyville, according to a news release.

Higbie, 14, showed her Simmental heifer, named Black Ice, who also won champion Simmental, the release said. Black Ice, who was born in February 2016, weighs about 1,300 pounds and was aptly named because when she was born, she had this style to her, Higbie said. She was always black, never had a tint of brown, and she was smooth like ice.

Higbie said Black Ice has a unique personality as the heifer will attempt to eat human food and drink her Gatorade.

Shes very smart, and sometimes she thinks shes a person, Higbie said.

Black Ice also loves to take off her halter, Higbie said.

She gets loose and will be in the barn, but she wont go anywhere, Higbie said.

Higbie learned the heifer needs a neck rope. She said with the neck rope on, Black Ice doesnt try to remove her halter.

The Higbie family moved from Coffeyville to Princeton this past summer, the release said. She plans to play basketball for the Vikings, has a 4.0 grade point average, and will be a member of Future Farmers of America this fall, the release said. She is the daughter of Heath and Theresa Higbie.

Higbie loves to show cattle and participates in state, regional and national shows, she said.

Higbie said she would like to be involved in the cattle industry, possibly as a veterinarian assistant or in embryology after high school, the release said.

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Central Heights student shines in show ring - The Ottawa Herald

Re AK, Human Fertilisation and Embryology Act 2008 [2017] EWHC 1154 (Fam)-1 – Family Law Week

Home > Judgments

Case summary coming soon

This judgment was handed down in open court

Case numbers omitted Neutral Citation Number: [2017] EWHC 1154 (Fam)

IN THE HIGH COURT OF JUSTICEFAMILY DIVISIONRoyal Courts of JusticeStrand, London, WC2A 2LL

Date: 28 July 2017

Before :

SIR JAMES MUNBY PRESIDENT OF THE FAMILY DIVISION- - - - - - - - - - - - - - - - - - - - -

In the Matter of the Human Fertilisation and Embryology Act 2008(Case AK)- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - -

Mr Dorian Day (instructed by Jennings Solicitors) for the applicantMs Marlene Cayoun (instructed by DAC Beachcroft LLP) for Care Fertility Northampton

Hearing date: 21 July 2017 - - - - - - - - - - - - - - - - - - - - -

Judgment Sir James Munby, President of the Family Division : 1.Since I handed down judgment in In re A and others (Legal Parenthood: Written Consents) [2015] EWHC 2602 (Fam), [2016] 1 WLR 1325, I have had to consider a number of cases raising issues very similar to the issue which confronts me here. The most recent judgment was Re the Human Fertilisation and Embryology Act 2008 (Cases AD, AE, AF, AG and AH) [2017] EWHC 1026 (Fam). They were the thirtieth to thirty-fourth of these cases in which I have given a final judgment. This judgment relates to another case, Case AK. Two other cases, Cases AI and AJ, are pending. That makes thirty-seven cases in all.

2.For the purposes of this judgment I shall take as read the analysis in In re A and the summary of the background to all this litigation which appears in Re the Human Fertilisation and Embryology Act 2008 (Case O) [2016] EWHC 2273 (Fam). The facts3.For reasons which will by now be familiar, I propose to be extremely sparing in what I say of the facts and the evidence in this case.

4.The applicant is a woman. She was neither in a civil partnership with nor married to the respondent mother. The case relates to treatment provided by Care Fertility Northampton, a clinic regulated by the Human Fertilisation and Embryology Authority. I shall refer to the applicant as X, the respondent as Y and the child as C. X seeks a declaration pursuant to section 55A of the Family Law Act 1986 that she is, in accordance with sections 43 and 44 of the Human Fertilisation and Embryology Act 2008, the legal parent of C. Although they are now separated, Y is wholeheartedly supportive of X's application. The clinic, the HFEA, the Secretary of State for Health and the Attorney General have all been notified of the proceedings. None has sought to be joined, though the clinic attended the hearing in the person of its "person responsible" and was represented by counsel. Given the nature of the issue (see below) I decided that there was no need for C to have a guardian appointed.

5.I heard the case on 21 July 2017. X was represented by Mr Dorian Day, the clinic by Ms Marlene Cayoun. Y was not present but had sent a handwritten letter to the court dated 18 July 2017 "to confirm my support for the applicant, in the hearing to obtain parental status for our [child]." The letter, having explained why she could not be present, went on:

"[X] has my full support and backing in this case. I hope in court on Friday this terrible error by Care Northampton is rectified and we can start to move on from all the stress and upset it has caused."

6.X was present in court. There was, in view of the conclusion I had come to, no need for X to give oral evidence but in accordance with my invariable practice in these cases (see Re the Human Fertilisation and Embryology Act 2008 (Cases AD, AE, AF, AG and AH) (No 2) [2017] EWHC 1782 (Fam), para 12) I asked X if she wanted to speak. She did so from the well of the court I saw no need for her to be sworn. Her words, though brief, were powerful and very moving; for some of the time she was in tears, and I can well understand why.

7.I need at this point to go back a little. On 27 June 2017, the "person responsible" at the clinic made a witness statement, in the course of which she offered "my unreserved apology to [X] and [Y] for this error both personally and on behalf of Care Fertility Northampton" and went on "to express my sincerest apologies on behalf of Care Fertility Northampton and Care Fertility Group generally, for the distress that this matter has inevitable caused [X, Y and C]."

8.X responded in a witness statement dated 13 July 2017. I deliberately do not set out the more personal matters it deals with, but there are two aspects to which I think I should draw attention. The first relates to the impact on X of discovering that there was a question over her parentage of C:

" when I was made aware of the fact that I legally had no rights in respect of [C] due to a significant error by the CARE Fertility Group Limited (CFGL), my whole world was turned upside down and this obviously had a significant effect on me and my ability to cope with life generally on a day to day basis.

I was completely unable to deal with being told that I had not legal rights of parentage in respect of my [child]. I know that [C] wouldn't understand this or wouldn't view me any differently but that didn't change how it had made me feel. I felt that I was an inferior person in [C]'s life so far as the outside world was concerned. I felt that the confidence that I had been given in the change in the law to allow same sex couples to have children and be considered legal parents had been snatched away from me. I simply felt that I was no more than a step parent to [C] rather than [C's] actual parent who had been involved in every part of [C's] life from deciding to have [C], the fertility process, [C's] birth and then upbringing.

A declaration from the court cannot take away the hurt and distress that I have felt from the moment that I found out about this issue until it will have been resolved, it also cannot undo the ongoing effects that this situation has caused "

9.The second relates to her reaction to the witness statement from the clinic:

"Despite all that I have been through emotionally in this matter I felt that the CFGL empathised and understood how their negligent error had effected me and that they only wanted to assist me in putting matters right. However, having read the statement prepared on behalf of the clinic by , I don't believe that they have any understanding whatsoever about how this has affected me or the gravity of their mistake. Yes they accept in the statement that they made a mistake but they seem to somewhat try to pass it off as insignificant and non consequential in terms of the effect that this has had on me. I felt sick to my stomach when I read the statement because I felt that they, of all people, would have at least recognised the harm and upset that they would have caused."

10.She concluded:

"The reality is that this has had a massive traumatic and financial effect on my life."

In the light of the rest of her evidence, I am quite satisfied that this is no exaggeration on X's part.

11.Before me, in court, X explained the effect all this had had on her relationship with Y, on her job and, worst of all, on her relationship with C.

12.I draw attention to these matters not so much to criticise the clinic, whose attitude throughout this case has been very significantly better than in a number of other cases where criticism has been merited, but to bring out not for the first time, I have to say the devastating effects these errors and the subsequent litigation have on the parents blamelessly and unwillingly caught up in the process. I am not surprised that X should have used the word "traumatic." It describes, unhappily but all too accurately, the impacts on them which have been described to me by so many parents in these cases. I venture to repeat again what I said in Re the Human Fertilisation and Embryology Act 2008 (Case G) [2016] EWHC 729 (Fam), para 32:

"If ever there was a situation calling for empathy, understanding, humanity, compassion and, dare one say it, common decency, never mind sincere and unqualified apology, it is surely this."

13.At the end of the hearing I indicated that I was making the order sought. I now (28 July 2017) hand down judgment explaining my reasons.

14.Although I am acutely conscious of the stress, worry and anxiety burdening parents in these cases, and of the powerful human emotions that are inevitably engaged, this case is, in terms of the applicable legal analysis, straight-forward and simple, though on the facts it raises a novel point. The evidence, which there is no need for me to rehearse in detail, is compelling. The answer, at the end of the day, is, in my judgment, clear.

15.Just as in each of the other cases I have had to consider, so in this case, having regard to the evidence before me, I find as a fact that:

i)The treatment which led to the birth of C was embarked upon and carried through jointly and with full knowledge by both the woman (that is, Y) and her partner (X).

ii)From the outset of that treatment, it was the intention of both X and Y that X would be a legal parent of C. Each was aware that this was a matter which, legally, required the signing by each of them of consent forms. Each of them believed that they had signed the relevant forms as legally required and, more generally, had done whatever was needed to ensure that they would both be parents.

iii)From the moment when the pregnancy was confirmed, both X and Y believed that X was the other parent of the child. That remained their belief when C was born.

iv)X and Y, believing that they were entitled to, and acting in complete good faith, registered the birth of their child, as they believed C to be, showing both of them on the birth certificate as C's parents, as they believed themselves to be.

v)The first they knew that anything was or might be 'wrong' was when, some years later, they were contacted by the clinic.

16.I add that there can be no suggestion that any consent given was not fully informed consent. Nor is there any suggestion of any failure or omission by the clinic in relation to the provision of information or counselling.The issue17.Adopting the terminology I have used in previous cases, the problem in this case is very shortly stated. The Form WP was correctly completed by Y. There is no Form PP that can be found. It is not clear whether this is because there never was a Form PP or because the Form PP has been lost, but the case is not put forward on the basis that I can find that a properly completed Form PP has been lost. Nor does there seem ever to have been a Form IC.

18.The Form WP was, as I have said, properly completed by Y. Y's name and date of birth appear in section 1 ("About you"). X's name and date of birth appear in section 2 ("About your partner"). The consent box in section 3 on the second page ("Your consent to your partner being the legal parent") was ticked. Y signed the declaration in section 4.

19.Immediately following that signature, and the date of signature, the printed form contains the following text:

"If signing on behalf of the person consenting

If the person consenting is unable to sign for themselves because of illness, injury or physical disability, someone else representing the person can sign the form on their behalf. There must also be a witness confirming that the person consenting is present when the representative signs the form.Representative's declaration

I declare that the person named in section 1 of this form is present at the time of signing this form."

Adjacent to the words "Representative's name" there is a box in which Y had written X's name. Adjacent to the words "Representative's signature" there is another box which contains X's signature. Adjacent to the words "Relationship to the person consenting" there is another box in which Y had written the word "Partner". This part of the form bears the same date as the previous part. Both parts were obviously completed and signed on the same day. At the foot, the form is witnessed by a member of the clinical team.

20.As In re A demonstrates, the ultimate question is whether X has, within the meaning of sections 44(1)(a) and 44(2) of the 2008 Act, "given a notice [in writing .. signed by [X]] stating that [X] consents to [X] being treated as the parent of any child resulting from treatment provided to [Y]." Now X has signed the Form WP, so the question reduces itself to this: in these circumstances, is the Form WP signed by both Y and X effective both as a notice given by Y in accordance with section 44(1)(b) to which the answer is plainly Yes and as a notice given by X in accordance with section 44(1)(a)?

21.This is not a question which in this precise form has arisen before. There is, unlike in many of the more recent cases I have had to consider, no case directly in point. So it has to be determined having regard to the principles to be extracted from the previous case-law, In re A in particular.

22.It is quite obvious that there has been a mistake. Whatever else X was doing, she was not signing the Form WP as Y's "representative". Y, after all, had signed herself. So what was X doing, what did she and Y and the witness think she was doing, when she signed the Form WP, if not to acknowledge and record that she was to be a legal parent?

23.The answer, in my judgment, is clear and obvious: X was signing the form, as Y's "partner" the word which in the relevant part of section 5 describes the capacity in which she was signing, and the word which appears in sections 2 and 3 and that can only have been to signify that, as section 3 spelt out, she (X) was to be a "legal parent." What otherwise, looking at the matter from Y's point of view, was the point of her partner X signing the document along with Y, what, looking at the matter from X's point of view, was the point of her signing the document along with Y, if not to record their joint acknowledgment that X was to be a parent? If X was not to be a parent, why did she sign the Form WP at all?

24.X is entitled to the declaration she seeks.

Outcome25.It was for these reasons that, at the conclusion of the hearing, I made a declaration in the terms sought by X.Costs26.The clinic has very properly agreed to pay X's reasonable costs. There is a dispute as to the appropriate amount. Both parties are content that I proceed immediately to a summary assessment.

27.The costs claimed by X's solicitors amount in all to some 25,000 net of VAT, the solicitors' costs amounting to 11,500 (being 46 hours charged at 250 per hour), counsel's fees amounting to some 13,360 (including some 36 hours work out of court), and other disbursements to 515.

28.Challenge is mounted to the solicitors' costs under three heads: (i) first, it is said that the Grade A Partner's hourly rate of 250 should be reduced to 217, the National grade 1 rate (the effect of this would be to reduce the sum of 11,500 to 9,982); (ii) next, it is said that a total of 6 hours should be charged at a Grade C rate of 161 (the effect of this would be to reduce the amount claimed by a further 364); (iii) finally, it is said that a number of letters and emails have been charged a full hour each. Counsel's fees are challenged on three points: (i) first, in relation to 8 hours spent researching and reading the authorities; (ii) next, in relation to 6 hours spent compiling the index to and preparing the bundle of authorities; (iii) finally, in relation to 4 hours drafting the case summary and skeleton argument.

29.Putting these specific points in context, Ms Cayoun says that the experience of those instructing her is that in cases such as this (they have been involved before me in Cases P, Q, R, S, T and U) the costs associated with such applications are "routinely" in the region of 10,000 15,000 (inclusive of VAT). She suggests that on this basis the clinic would have expected the costs to be about 12,500 (inclusive of VAT). As against that, it is to be noted that the costs in these cases are sometimes much higher: see, for example, Re the Human Fertilisation and Embryology Act 2008 (Cases F and H) (No 2) [2017] EWHC 964 (Fam) and Re the Human Fertilisation and Embryology Act 2008 (Case N) (No 2) [2017] EWHC 965 (Fam).

30.Despite Ms Cayoun's attractively, and moderately, presented submissions, I propose to assess the cost summarily in the sums claimed.

31.Given the enhanced degree of 'client care' that all these cases require, and this case, in particular, demanded, the solicitor's hourly charging rate of 250 was, in my judgment, entirely reasonable. Having regard to all the circumstances, and to the realities of practice in a small firm, the fact that the partner did various things which in a larger firm (probably charging significantly more) would have been delegated to a Grade C is not, in my judgment, any reason for reducing this part of the bill. So far as concerns the basis of charging in relation to letters and emails, the bill, as I read it, records not the number of letters (emails) but the number of hours' work involved. No doubt there is an element of 'rounding' here but nothing, in my judgment, which requires adjustment to the bill.

32.So far as concerns counsel's fees, it is important to emphasise, as I have already noted, that this case raised a point which had not arisen before; this was not, as in many of the other cases I have had to consider, a case 'on all fours' with some previous case. In these circumstances, it was obviously necessary for counsel to examine, with care, what is now a substantial volume of decisions, in order (a) to be sure that there was not, in fact, any case directly in point and (b) to marshall the best arguments in favour of his client's case. Whilst not going so far as to suggest that 'no stone should be left unturned', the issues in these cases, and the potential life-long implications for both parent and child, are so important, so grave, that there can be no question of cutting corners. And the fact that, in the event, the judge has come to a conclusion without hesitation, cannot be read back to support any suggestion that much work was not required on the part of counsel, both in researching the law and in preparing a proper bundle of authorities for the assistance of the court. In all the circumstances there is, in my judgment, no justification for any adjustment.

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Re AK, Human Fertilisation and Embryology Act 2008 [2017] EWHC 1154 (Fam)-1 - Family Law Week

Please Ignore The Celebrity Hype, Fertility Really Does Decline With Age – HuffPost

Fertility is one hot topic and that means it gets a lot of media coverage. The good news is that theres so much valuable information now widely available - in the news and online - to help couples learn about fertility and the factors that affect their ability to get pregnant. The bad news is that theres a lot of misleading information, too. In fact, its hard to go a single week without hearing about someone famous who just had a baby at 46. While you might want such a medical miracle to be true and commonplace, in fact, pregnancy at this age is very much the exception, not the rule.

The truth is that timing makes a difference and those wanting to get pregnant should pay attention to facts from credible sources when planning for a family. Many people women and men dont fully understand how much their fertility declines with age, and the supposed proliferation of older women giving birth often without disclosing they used eggs from much younger donors may give those who want to start a family a false sense of security. This is true for women over the age of 38 and younger women freezing their eggs while in their 20s for use much later when theyre ready.

Globally, men and women are delaying the birth of their first child. While this is due to a multitude of reasons--from finances to having the right partner--a group of stakeholders in the UK want to make sure decisions made to delay pregnancy come with the understanding of age-related decline in fertility, especially for women over the age of 35.

This major decline in fertility is underscored by data from the UKs Human Fertilization and Embryology Authority (HFEA) which shows the live birth rate using assisted reproductive technology (ART) is 32.3% for women younger than age 35 but decreases to 13.6% for women ages 40-42, and drops to 5% for ages 43-44. By not knowing these major differences due to age, a growing number of couples are finding they have inadvertently missed their reproductive chance.

In fact, the UK stakeholder group believes the media perpetuates misinformation by highlighting individual cases of pregnancy in later years while suggesting assisted reproductive technology (ART), such as in vitro fertilization (IVF) can compensate fully for age-related decline. As a result, they have established the Fertility Education Initiative to develop tools and information for children, adults, teachers, parents and healthcare professionals dedicated to improving knowledge of fertility and reproductive health.

What can you do to be aware and well-informed, so that your decision making on when to try and get pregnant is based on fact, not fiction? You can sort the good information from the bad a few ways:

Good information is based on research and clinical evidence. Your doctor can tell you the latest facts about what affects fertility and discuss how your unique situation age, health status, medical history, genetics, and lifestyle (and that of your partner) affects your individual chance of becoming and staying pregnant.

There are professional and consumer groups that have as their mission or focus educating consumers with reliable and easy to understand information. Three of the best include the professional societies of fertility specialists: the American Society for Reproductive Medicine (ASRM), the Society for Advanced Reproductive Technology (SART) and the consumer advocacy group RESOLVE: The National Infertility Association The information on their websites is evidence-based, current and updated when we learn more about what impacts fertility through credible research and clinical outcomes.

A number of media outlets are also trying to do their part for greater awareness of the factors that affect fertility, including age. It makes a difference if coverage includes information from fertility specialists and doesnt simply offer a few patient anecdotes. Bride magazine recently published several fact-based articles which include interviews with fertility specialists and emphasize the impact of age on a womans fertility.

For example, in one article, Dr. Mazen Abdallah, a reproductive endocrinology and infertility specialist with McGovern Medical School at UTHealth, offers age-related advice on seeking treatment, suggesting that if a woman younger than 35 tries for a year to get pregnant without success she should seek treatment. However, if a woman is over the age of 35, she should seek a workup and treatment after 6 months of trying unsuccessfully. Women over the age of 40 should see a fertility specialist if theyre not pregnant within 3 months of trying.

If youre thinking about starting a family, get your information about fertility from the right sources including your doctor. Start with filing those celebrity pregnancy stories under entertainment. Know that everyones fertility declines with age. That way, you can start planning for a baby when the time is right and most realistic.

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Please Ignore The Celebrity Hype, Fertility Really Does Decline With Age - HuffPost

Oops: Human Embryologist required in Surrogacy bill, but not produced by India – Medical Dialogues

New Delhi: Since its introduction, the surrogacy bill has been topic of controversy. In January, 2017, the Rajya Sabha Chairman referred the legislation, as introduced in the Lok Sabha, to the Standing Committee on Health and Family Welfare for examination and a report on it. Recently, the said committee submitted its report, which was then presented in the Rajya Sabha.

The committee, indeed put forward many progressive suggestions, and pointed out some very valid drawbacks in the proposed bill that need to be corrected for its successful implementation. The committee was seen strongly recommendingthat the Assisted Reproduction Technologies (ART) Bill, 2008 should be brought forth first before bringing in the surrogacy bill as surrogacy procedures cannot be conducted without assisted reproduction techniques and there is urgent need to regulate the ART clinics across the country.

Amongst other recommendations, the committee made an observation, pointing out to the obvious flaw in the bill, that deals with the definition of a human embryologist-a specialty doctor necessary in the process of surrogacy and related procedures to avoid any kind of negligent and violators incidents. It was noted that the definition limitedhuman embryologist to one having the said PG degree recognised by the IMC Act. Ironically, there is no degreein the field of human embryology recognized under the Indian Medical Council Act.

Clause 2 (n) of the Bill deals with the definition of human embryologist which reads as:

human embryologist means a person who possesses any post-graduate medical qualification in the field of human embryology recognized under the Indian Medical Council Act, 1956 or who possesses a post-graduate degree in human embryology from a recognized university with not less than two years of clinical experience;

However, what may comes as surprise, but should have been obvious to those who drafted the bill, is that there is no such specialisation of human embryologist that exists in India. The committee noted

During the examination of the Bill, the Committees attention was drawn to the fact that there is no degree given by the MCI designating as Human Embryologist.There is no university in India which offers a post-graduate medical qualification in the field of human embryology

Noting the glaring obvious flaw, the committee then took a jibe at the expense of the Department of Health Research, the body responsible for the bill.

the Committee is surprised to observe the desultory approach of the Department while drafting the proposed Bill. Interestingly, there is no university offering medical courses across the country that confers the degree of human embryology. The Committee fails to understand how the Department would utilize the services of such specialty doctors in every corner of the country when these doctors do not exist. The Department does not have the data about number of clinical embryologists working in the country.

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Oops: Human Embryologist required in Surrogacy bill, but not produced by India - Medical Dialogues

Live embryos analysed with new microscopy method – physicsworld … – physicsworld.com

The internal structures of live cow embryos have been imaged in 3D by researchers at the University of Illinois at Urbana-Champaign in the US. The method developed by Gabriel Popescu and colleagues could allow scientists to determine the health of embryos before in vitro fertilization in humans.

Biomedical microscopy methods typically involve shining light through thin slices of tissue, or using chemical or physical markers that identify a specific object in a thick sample but can be toxic to living tissues. "When looking at thick samples with other methods, your image becomes washed out due to the light bouncing off of all surfaces in the sample," says team member Mikhail Kandel.

Popescu and colleagues therefore developed a technique called gradient light interference microscopy (GLIM). The method uses two interfering light fields that are identical except for a small transverse spatial shift. By controlling the phase shift between the two waves, the researchers generate intensity images from multiple depths that can be put together to form a 3D representation of the sample.

GLIM which can be added onto an inverted optical microscope can probe both thin and thick specimens and the researchers used the technique to look at live embryos from cows. "This method lets us see the whole picture, like a 3D model of the entire embryo at one time," says team member Tan Nguyen.

At the moment, there is no universal, non-invasive technique for determining embryo viability for in vitro fertilization. An embryo is chosen based on "educated guesses" made by examining factors such as the colour of fluids in cells and development time. "One of the holy grails of embryology is finding a way to determine which embryos are most viable," explains team member Matthew Wheeler.

But the researchers will have to wait to see if their technique has successfully analysed embryo health. "The ultimate test will be to prove that we have picked a healthy embryo and that it has gone on to develop a live calf," explains Marcello Rubessa. The team hopes its research, published in Nature Communications, could help human fertility treatments in the future.

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Live embryos analysed with new microscopy method - physicsworld ... - physicsworld.com

Science supports the unborn – Times of Malta – Times of Malta

In his articleObsessive compulsive disordersome time ago,Martin Sciclunaasserted that: An ovum is a living cell, as is a spermatozoon. Both can be described as alive. The cluster of cells which is the embryo is likewise alive. But this is not the same as saying it is a human person or a baby.

The question is: at what stage of development should the status of a child be accorded to an embryo of the human species?

Fertilised eggs and embryos lack any capacity for personhood by any standard of neurological functioning... To declare them as such is to devalue the personhood of actual children.

This is paving the way for the introduction of abortion in Malta for disabled unborn children and euthanasia.

I dont know how Scicluna arrived at this description of an embryo. He is no medical scientistand isno authority on embryology. He quoted no authoritative sources at all. It washisdefinition of an embryo. Again he painted himself an authority on thissubject.

He also rested his views on what certain sectors of religious beliefs say about the human embryo. Yet, ironically, he lambastedreligious believers for thinking they alone can define a nations morality... and for wantingto impose their morality on women by telling them what they can and cannot do with their bodies.

Scicluna always portrays the image of a man of science. Yet, I am amazed at his apparent ignorance ofwhat renowned medical scientists say about the unborn child and when life begins. I believe it was a deliberate omission onhis part. Here is what some medical scientists said, already many years ago, about the beginning of human life.

According to Frank Muscat (March 21): Bernard Nathanson, the co-founder of the National Association and Reproductive Rights Action League, describes his progression from a doctor who performed 75,000 abortions during his career to a leading pro-life advocate, mainly due to increasing science and technology.

As a result of this technology looking at this baby, examining it, investigating it, watching its metabolic functions, watching it urinate, swallow, move and sleep, watching it dream, which you could see by its rapid eye movements via ultrasounds, treating it, operating on it I finally came to the conviction that this was my patient.

This was a person! I was a physician, pledged to save my patients lives, not to destroy them. So I changed my mind on the subject of abortion. There was nothing religious about it.

In 1981 a US judiciary subcommittee invited experts to testify on the question of when life begins. All of the quotes from the following experts come directly from the official records of their testimony.

Alfred Bongioanni, professor of paediatrics and obstetrics at the University of Pennsylvania, said: I have learned from my earliest medical education that human life begins at conception. I submit that human life is present throughout this entire sequence from conception to adulthood and that any interruption at any point throughout this time constitutes a termination of human life.

Every child has the right to be respected as an independent person even before birth. Every child is entitled to a secure prenatal relationship and bonding

Jerome LeJeune, professor of genetics at the University of Descartes in Paris, was the discoverer of the chromosome pattern of Downs Syndrome. LeJeune testified to the judiciary subcommittee: Each individual has a very neat beginning, at conception.

Micheline Matthews-Roth of Harvard University Medical School said: It is scientifically correct to say that an individual human life begins at conception.

Watson Bowes, from the University of Colorados Medical School, noted: The beginning of a single human life is from a biological point of view a simple and straightforward matter the beginning is conception. This straightforward biological fact should not be distorted to serve sociological, political or economic goals.

A prominent physician pointed out that at these Senate hearings pro-abortionists, though invited to do so, failed to produce even a single expert witness who would specifically testify that life begins at any point other than conception or implantation. Only one witness said no one can tell when life begins.

The International Society of Prenatal and Perinatal Psychology and Medicine (ISPPM), not a religious organisation,located in Germany, considers this earliest stage of life as the first ecological position of the human being and the womb as its first ecological environment.

Pregnancy is perceived to be a period of active and continuous dialogue between the prenatal child, the mother and her psycho-social environment. From a holistic view, human life is recognised as an indivisible entity and continuum of all human functions, both physical and psychological in which no division between body and mind can be made.

The aim of ISPPM in research and practice is the improvement of the quality of life of the human being. The prenatal stage of life represents a unique opportunity for primary prevention of psychological, emotional and physical disorders in later life.

In fact ISPPM also produced a Charter on the Rights of the Child Before, During and After Birth which says:

Every child has the right to be respected as an independent person even before birth. Every child is entitled to a secure prenatal relationship and bonding. Every child has the right to respect for, and protection of, the continuity of its experiences during pregnancy and birth.

The Charter is based on the resolution adopted by the International Congress on Embryology, Therapy and Society 2002 in Nijmegen (the Netherlands).

A similar non-religious organisation is the Association for Prenatal and Perinatal Psychology and Health of Colorado US. The prenatalin the title refers to the period of about nine months including conception and the whole of gestation.

APPPAH believes that these experiences areformativefor both babies and parents, and tend to establish patterns of intimacy and sociality for life. At stake here isquality of life the quality of personal growth and the quality of society itself. Ultimately, APPPAH points out: Womb ecology becomes world ecology.

The Malta Unborn Child Movement (MUCM) has already established contacts with ISPPM and APPPAH.

In fact MUCM has embarked on the promotion of womb ecology, development education and policymaking and on Pro-Life Day reached agreement with the Speaker and the two whips in Parliament so that, together, we will organise a national conference on womb ecology very soon.

MUCM has also suggested to the President during a courtesy call on Pro-Life Day 2016 that Malta could, and should,be a hub on womb ecology in the Mediterranean.

MUCM is suggesting further that the project will include collaborationwith research and policymaking institutions, locally and abroad.

Tony Mifsud is coordinator of the Malta Unborn Child Movement.

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Science supports the unborn - Times of Malta - Times of Malta