Tag Archives: Infertility

Polemics

Top fertility specialist advises women: don’t wait till 30 to try to have children

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Marriage and family
Marriage and family

Dina sent me this UK Daily Mail article a while back, but I held onto it until I could find something to pair it with.

It says:

One of Britain’s top NHS fertility specialists last night issued a stark warning to women: Start trying for a baby before you’re 30 – or risk never having children.

In a strongly worded letter to Education Secretary Nicky Morgan, consultant gynaecologist Professor Geeta Nargund has also demanded that teenagers are taught about the dangers of delaying parenthood, because of the spiralling cost to the taxpayer of IVF for women in their late 30s and 40s.

Professor Nargund cites the agony of a growing number of women left childless as a key reason why fertility lessons must be included in the national curriculum. Her controversial intervention – in which she warns Britain faces a ‘fertility timebomb’ – will fuel the debate over the best time to start a family, amid the rise in women delaying motherhood to pursue careers.

[…]Arguing passionately for fertility lessons, she tells Mrs Morgan: ‘Information is power and the best way to empower people to take control of their fertility is through education.’ Prof Nargund said last night: ‘Ideally, if a woman is ready for a child, she should start trying by the time she is 30. She should consider having a child early because as a woman gets older, her fertility declines sharply.’

If a woman started trying early enough, doctors would still have time to diagnose problems and take action before it was too late, she said.

Her comments were endorsed by Professor Allan Pacey, outgoing chair of the British Fertility Society.

‘You need to be trying by 30 because if there is a problem and you need surgery, hormones or IVF, then you’ve got five years to sort it out,’ he said. ‘If a woman starts trying at 35, doctors have got to sort it out when she is already on a slippery fertility slope’.

Let’s see how accurate women’s beliefs about fertility and age are.

Consider this article from Aeon magazine.

It says:

Many studies show that women are not only woefully ignorant when it comes to fertility, conception and the efficacy of assisted reproductive technologies (ART) – but they overestimate their knowledge about the subject. For instance, a 2011 study in Fertility and Sterility surveyed 3,345 childless women in Canada between the ages of 20 and 50; despite the fact that the women initially assessed their own fertility knowledge as high, the researchers found only half of them answered six of the 16 questions correctly. 72.9 per cent of women thought that: ‘For women over 30, overall health and fitness level is a better indicator of fertility than age.’ (False.) And 90.9 per cent felt that: ‘Prior to menopause, assisted reproductive technologies (such as IVF) can help most women to have a baby using their own eggs.’ (Also false.) Many falsely believed that by not smoking and not being obese they could improve their fertility, rather than the fact that those factors simply negatively affect fertility.

[…]According to a 2011 study in Human Reproduction, which surveyed 410 undergraduate students, most overestimated a women’s chances of spontaneous pregnancy in all age groups, but particularly after receiving IVF beyond age 40. Only 11 per cent of the students knew that genetic motherhood is unlikely to be achieved from the mid-40s onward, unless using oocytes or egg cells frozen in advance. ‘This can be explained by technological “hype” and favourable media coverage of very late pregnancies,’ the authors concluded.

So, I guess now I’ll issue my advice to women in their 20s on how to avoid infertility:

Money gives men confidence to pull the trigger on marriage, so you should focus your efforts on men with a solid balance sheet and a gap-less resume. Beware of men who paint a rosy picture of their finances in the future that makes you feel good, but who have not demonstrated their ability to earn or save. It’s much better to focus your time on a man who can marry you right now. The best way to tell if a man is capable of marriage is not by listening to confident words, it’s by looking to see how he has prepared to perform his roles, one of which is provider.

Be debt free. Study STEM in school, update your resume, and get a job that pays well. Jobs are not meant to be fun or fulfilling. You need to be preparing financially for marriage, and that means a normal 9-5 job in an office with 3% annual raises and 401K matching. The more you save to help your man with the down payment on your house, the better. Pursuing fun and spending money on frivolous things like travel is not the way to prepare for marriage (unless you travel as part of your job, of course). Don’t live in the moment, do sacrifice for the future. Believe me: debt is a serious damper on couples being willing to marry. It has to die, and it has to die now. Like “yesterday” now.

If you went to college, chances are that you absorbed a lot of feminism. Feminism emphasizes being free of constraints, feeling happy, having fun, career over family, and independence from the needs of men and children. You need to renew your mind in order to undo the cultural denigration of marriage and children. Get yourself a marriage mentor ask for book recommendations that will educate you about the challenges and rewards of marriage. A good marriage mentor will explain to you why marriage is a better plan than the feminist plan, and will emphasize self-denial, self-sacrifice, self-control and serving others. It’s only by getting specific about marriage and parenting that your heart will change to want to work on marriage rather than work on the things that the feminist culture prefers. I recommend Tim Keller’s book on marriage, and Dr. Laura’s book on husbands, and lectures by Dr. Jennifer Roback Morse.

I guess my closing advice would be to be careful about the things you hear about marriage in the culture. A lot of people have agendas that sound good, but ultimately, they don’t satisfy. I really recommend that you read Philippians and mediate on Philippians 2 and 4, which talk about the importance of caring about other people (2) and sharing with other people (4).

Polemics

Fertility and pregnancy: how long can a woman wait before having a baby?

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This is from Aeon magazine. The author writes for several ultra-leftist publications, including the New York Times, the Los Angeles Times, Salon and Slate.

She writes:

Many studies show that women are not only woefully ignorant when it comes to fertility, conception and the efficacy of assisted reproductive technologies (ART) – but they overestimate their knowledge about the subject. For instance, a 2011 study in Fertility and Sterility surveyed 3,345 childless women in Canada between the ages of 20 and 50; despite the fact that the women initially assessed their own fertility knowledge as high, the researchers found only half of them answered six of the 16 questions correctly. 72.9 per cent of women thought that: ‘For women over 30, overall health and fitness level is a better indicator of fertility than age.’ (False.) And 90.9 per cent felt that: ‘Prior to menopause, assisted reproductive technologies (such as IVF) can help most women to have a baby using their own eggs.’ (Also false.) Many falsely believed that by not smoking and not being obese they could improve their fertility, rather than the fact that those factors simply negatively affect fertility.

Fertility fog infects cultures and nations worldwide, even those that place more of a premium on reproduction than we do in the West. A global study published for World Fertility Awareness Month in 2006 surveyed 17,500 people (most of childbearing age) from 10 countries in Europe, Africa, the Middle East and South America, revealing very poor knowledge about fertility and the biology of reproduction. Take Israel, a country that puts such a premium on children that they offer free IVF to citizens up to age 45 for their first two children. According to a 2011 study in Human Reproduction, which surveyed 410 undergraduate students, most overestimated a women’s chances of spontaneous pregnancy in all age groups, but particularly after receiving IVF beyond age 40. Only 11 per cent of the students knew that genetic motherhood is unlikely to be achieved from the mid-40s onward, unless using oocytes or egg cells frozen in advance. ‘This can be explained by technological “hype” and favourable media coverage of very late pregnancies,’ the authors concluded.

[…]For a woman over 42, there’s only a 3.9 per cent chance that a live birth will result from an IVF cycle using her own, fresh eggs, according to the American Society of Reproductive Medicine (ASRM). A woman over 44 has just a 1.8 per cent chance of a live birth under the same scenario, according to the US National Center for Chronic Disease Prevention and Health Promotion. Women using fresh donor eggs have about a 56.6 per cent chance of success per round for all ages.

Indeed, according to research from the Fertility Authority in New York, 51 per cent of women aged between 35 and 40 wait a year or more before consulting a specialist, in hopes of conceiving naturally first. ‘It’s ironic, considering that the wait of two years will coincide with diminished fertility,’ the group says.

[…]‘No one talks about fertility,’ said [reproductive endocrinologist Janelle Luk, medical director of Neway Fertility in New York City], who does not believe women are really open to hearing about it. ‘I don’t think women know that there’s a limit: the message is equal, equal, equal. Women say: “We want to go to college, we want to work on our careers, we want to be equal to men.” But our biological clock is not.’

[…]Another way women might even out the fertility playing field is by focussing on the so-called male biological clock. But is there one? Although there have been recent news stories about how advanced age in men (over 40 or 50) increases time to conception and the incidence of autism and schizophrenia, the absolute risk is negligible. ‘When you look at the numbers, you have to separate what the absolute risk and the increased risk is,’ said Natan Bar-Chama, director of male reproductive medicine and surgery at Mount Sinai Medical Center in New York. ‘The absolute risk is still really very small.’

I think if I ever have a daughter, I will be sure to urge her to be skeptical of her emotions and intuitions, to learn how to assess probabilities, to disregard exceptional cases when making plans, to resist the feminism in the culture, to get wisdom from older married women with children instead of young unmarried childless women, to accept that she is not so special that laws and rules don’t apply to her, and to accept that the universe is not malleable according to her needs and desires. I hope my wife will see the value of reining our daughter in before the catastrophes like infertility happen.

Where does the organized opposition to educating young women about fertility facts come from?

‘We feel that women should be able to talk to their ob/gyn about fertility,’ said Sandra Carson, ACOG’s vice president for education. ‘We certainly want to remind women gently that, as they get older, fertility is compromised, but we don’t want to do it in such a way that they feel that it might interfere with their career plans or make them nervous about losing their fertility.’ In other words, there are no guidelines for talking to a woman about her fertility unless she herself brings it up.

All this talk of ‘gentle’ reminders and ‘appropriate’ counselling has a history – a political one. Back in 2001, the ASRM devoted a six-figure sum to a fertility awareness campaign, whose goal was to show the effects of age, obesity, smoking and sexually transmitted diseases on fertility. Surprisingly, the US National Organization for Women (NOW) came out against it. ‘Certainly women are well aware of the so-called biological clock. And I don’t think that we need any more pressure to have kids,’ said Kim Gandy, then president of NOW. In a 2002 op-ed in USA Today, she wrote that NOW ‘commended’ doctors for ‘attempting’ to educate women about their health, but thought they were going about it the wrong way by making women feel ‘anxious about their bodies and guilty about their choices’.

We don’t want women to feel bad, so it’s best to let them follow their hearts. That view is not helpful to women! If we want to help women, we must tell them the truth, and take the consequences.

All this talk about fertility could be accompanied by a discussion of the hard fact that a woman’s attractiveness will decline as she ages. This is a troubling lesson that countless women have had to learn the hard way. When you are young, you stand a much better chance of finding a successful male with good values and who is willing to commit to marriage and parenting. Many women will testify that, as you get older, this convenience deteriorates quickly. The good men will be claimed by the responsible women who don’t waste their youthful years seeking thrills.  Men who are contemplating marriage value a woman’s appearance, fertility, vulnerability and submissiveness to his leadership. Women need to be careful not to embark on a course that will reduce their ability in any of these areas that are important to men, e.g. – careerism, premarital promiscuity, etc.

Commentary

Who thinks that it’s OK to buy and sell human beings?

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From The Public Discourse.

Excerpt:

Having children is currently our only legal path to achieving both genetic and memetic immortality. But having kids isn’t easy. You have to find a mate. You have to look outside yourself and into the eyes of another person and convince him or her of your decency, your desirability.

[…]There are two categories of infertility: clinical and social. Clinical infertility arises from physical medical problems. Social infertility occurs when someone is unwilling or unable to attract someone of the opposite sex to procreate with.

Studies indicate that up to 15 percent of couples of childbearing age are clinically infertile. Much of this is due to our toxic environment, pollution, and unsafe chemicals, but there is also something to be said about our toxic behavior. At least one quarter of female infertility is a direct result of sexually transmitted infections.

The sperm bank industry initially began as a mission in eugenics, but ballooned due to our unspoken epidemic in low sperm count. Clinically infertile heterosexual couples began quietly using donated sperm. After a while, they began to be open about using donated sperm and insisted that biology doesn’t make a difference for the child’s well-being.

Then lesbian couples began using sperm donors. They argued, if biology doesn’t matter for a child’s well-being, then why should a parent’s gender? They declared that parenting is a set of tasks and obligations, and women can fulfill those tasks just as well as men can. Single-moms-by-choice followed, saying if biology and gender don’t matter, why should the number of caretakers?

So what happens when fathers become disposable? Public Discourse readers are well aware that fatherlessness invites a stark range of social ills. For instance, 90 percent of homeless and runaway youth come from fatherless homes, as do over 80 percent of rapists with anger problems. Now, those who promote fatherlessness via sperm donation are celebrating motherlessness via egg vending and surrogacy.

Think motherhood is sacred? One surrogate pregnancy can generate $100-300,000. Today, the motherless child has become the fertility industry’s most lucrative enterprise.

Because this is an industry, we shouldn’t be surprised that fertility industry professionals are trying to industrialize the process and do things more efficiently. Surrogacy attorney Theresa Erickson was an “industry sweetheart” until she was convicted of baby-selling. Rather than waiting for commissioning parents to sign a contract before conception, Theresa expedited the process. She shopped for egg and sperm donors on her own and found surrogates to impregnate. Then, after the baby reached the second trimester, she would find parents, lie to them and tell them the original couple had backed out, and charge up to $180,000 per child. She created thirteen babies this way.

The only thing illegal about what Erickson did—the only reason she was put in jail for baby-selling—is that the paperwork was done after conception rather than before.

At a workshop where I once was on a panel with Theresa, she justified separating children from their parents by commenting that her mother was adopted, so what’s the difference? Most people I speak to relate third-party reproduction to adoption just as she did.

We’ve accepted adoption as a good. And adoption can often be very good; it is an institution that finds parents for helpless children who desperately need a decent home. But, at some point, our concept of adoption slid. Many people now think of it primarily as a way of “getting” kids. We know that adoption is made possible by the fact that the relationship between biological parent and child has been severed. So if adoption is good, some reason, then the severing of that relationship must at least be neutral.

But it is not neutral. It’s actually very sad.

Adoption is only morally sound as an institution that provides a loving home for existing children who—for some uncontrollable reason—cannot be raised by their biological parents. Third-party reproduction is inherently unethical, because it serves as a market to manufacture children for any adult who wants them, purposely severing the biological parent-child relationship for the sake of profit.

I hate to write about these things without offering some solutions, but it’s hard to come up with solutions when there are so many powerful, wealthy people wanting to buy and sell other human beings. How am I supposed to stop that? But I actually do have a course of action, even if it’s just a shot in the dark.

My thinking is that we need to be focused on courting properly and having strong marriages, and being more open about showing off the love in our marriages and homes. I think that Christians need to take courting and marrying more seriously as a witness to the watching world. We need to be more serious about how our partnerships can influence the outside world by setting a standard for love of spouse and love of children. If people knew that there was a real difference if you do marriage right – the right pre-marital behaviors, the right courting, the right commitment – then maybe they would learn to be more careful and less selfish with children. It might help people to think more carefully about their own plans and focus on making decisions that will allow them to welcome children into the world and give them what they need.