The ethics of IVF over 40

Smajdor, Anna (2011) The ethics of IVF over 40. Maturitas, 69 (1). pp. 37-40. ISSN 1873-4111

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The average age of women having their first child has been rising in recent decades [1]. Since fertility declines with age, it is not surprising that larger numbers of women over 40 are seeking IVF. Any change in reproductive norms tends to generate concern. Women's apparent postponement of motherhood has met with criticism directed variously at women themselves, and at society for its failure to support women to have children at the 'appropriate' time. The provision of IVF to women over 40 is one facet of this broader social trend towards later reproduction.In this paper I consider a number of ethical problems that might be connected with the provision of IVF to patients over 40. I look at risks to women and offspring, and also consider questions of efficacy and cost-effectiveness. I discuss the possibility that IVF for older women could raise increase the problems associated with egg procurement. Finally I address the concept of medicalisation and suggest that as long as IVF is regarded as a medical treatment, access to it should not be used as a means of social control. Nor should it be provided or withheld on the basis of moral judgements about patients' values or lifestyles.

Item Type: Article
Additional Information: Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
Uncontrolled Keywords: adult,aging,female,fertilization in vitro,humans,infertility, female,maternal age,middle aged,refusal to treat,reproduction
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research
Depositing User: Pure Connector
Date Deposited: 24 Jan 2014 12:58
Last Modified: 24 Oct 2022 05:50
DOI: 10.1016/j.maturitas.2011.02.012

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