BookMark V. Sauer, editor.
Summary: The versatility of oocyte and embryo donation has proven to be extremely valuable to both patients and doctors engaged in reproductive medicine. Originally thought to be applicable only to a rather small subset of infertile women, today busy practices commonly recommend the procedure and it is estimated that nearly all of the 400 or more IVF programs in the United States provide these services. Oocyte and embryo donation has established itself as a mainstay procedure within assisted reproductive care, and the breadth, depth and complexity of practice is deserving of focused attention. Much has changed within the field of oocyte and embryo donation since the publication of the first edition of Principles of Oocyte and Embryo Donation in 1998, thus the need for a completely updated and more expansive text. The second edition of this book provides an overview of the major issues affecting men and women engaged in the practice of oocyte and embryo donation. A primary emphasis has been placed on defining the standards of practice that have evolved over the past 30 years, clearly stating the outcomes expected from adhering to these established protocols. Details of both the basic science and the clinical medicine are presented together and attention is also focused on the non-reproductive aspects inherent to this unique method of assisted reproduction that involves opinions from lawyers, ethicists, mental health care professionals and theologians. Oocyte and embryo donation requires a working knowledge of the medicine, the law and the ethics that underlies its foundation. This book is intended to serve as a complete and comprehensive reference for all health care professionals that provide services related to egg donation, reproductive endocrinologists, obstetrician- gynecologists, and fellows and residents entering the fertility field.
Contents:
Preliminary Considerations for Patients and Clinicians
History of Oocyte and Embryo Donation
Indications for Egg and Embryo Donation
Success and Anticipated Pregnancy Outcomes for Oocyte and Embryo Donation
Selecting and Screening Donors
Selecting and Screening Recipients: Diminished Ovarian Reserve and Premature Ovarian Failure
Selecting and Screening Recipients: Advanced Reproductive Age
Genetic Aspects of Donor Selection
Practical Aspects of Clinical Care
Synchronization of Donors and Recipients: Practical Aspects of Clinical Surveillance
Preparing the Endometrium to Maximize Success: The Dynamics of Artificial Cycles
Blastocyst Versus Cleavage Stage Embryo Transfer: Maximizing Success Rates
Strategies to Minimize Multiple Births in Recipients of Egg Donation
What Is the Outcome and Fate of Frozen Supernumerary Embryos Resulting from Egg Donation?
Prenatal Considerations After Oocyte Donation
Defining, Understanding, and Managing the Complex Psychological Aspects of Third-Party Reproduction
Disclosure Decisions Among Known and Anonymous Egg Donor Recipients
Risk and Complications Associated with Egg Donation
Office Practice Management
The Role of the Donor Oocyte Nurse Coordinator
The Finances of Egg Donation
Donor/Recipient Insurance Coverage: Protecting Against Unexpected Liability
New Frontiers in Egg and Embryo Donation
Egg and Embryo Banking: Essential Elements for Maintaining High Rates of Success
Gestational Carriers and Surrogacy
Assisted Reproduction in Same Sex Couples
Immunologic and Clinical Consequences of Oocyte Donation Pregnancies
Legal and Regulatory Issues
FDA Regulatory Approach to Reproductive Tissues
Essential Elements of Informed Consent in Egg Donation and Surrogacy
Statutory and Case Law Governing the Practice of Third-Party Reproduction
Culture, Religion, and Ethics
Health Equity and Access to Oocyte Donation
Religious Views: The Impact of Traditional Theological Opinion on the Practice of Third-Party Reproduction
Ethical Issues in Oocyte and Embryo Donation
Ethical Issues: Addressing the Sensational Cases and Analyzing the Clinical Practice.